Ordin 257 29 06 2012

ANEXA 1
SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE
SI MODIFICARILE ULTERIOARE VALABILA INCEPAND CU
1 IULIE 2012
Nr crt.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
cod ATC
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA03
A02BA04
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
DCI
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
NIZATIDINUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
Denumire Comerciala
RANITIDIN ARENA 150mg

RANITIDINA 150 mg
RANITIDIN
ZANTAC 150 mg
N - RANITIDIN
forma farm.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
RANITIDINA LAROPHARM 150 mg COMPR. FILM.
RANITIDINA LPH 150 mg
COMPR. FILM.
RANITIDINA ATB 150 MG
COMPR. FILM.
RANITIDINA LPH 300 mg
COMPR. FILM.
RANITIDINA ATB 300 mg
COMPR. FILM.
RANITIDINA ATB 300 mg
COMPR. FILM.
ARNETIN
FAMODIN 20
FAMOTIDINA ZENTIVA 20mg
QUAMATEL 20 mg
FAMOTIDINA ZENTIVA 40 mg
FAMODIN 40
QUAMATEL 40 mg
QUAMATEL 20 mg
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB+SOLV. PT. SOL. INJ./PERF.
NIZATIDIN VIM SPECTRUM 150 mg
CAPS.
ULTOP
OMEPRAZOL 20 mg
OMEPRAZOL LPH 20 mg
OMERAN 20
OMEPRAZOL 20 mg
CAPS. GASTROREZ.
OMEPRAZOL TERAPIA 20 mg
CAPS. GASTROREZ.
OMEPRAZOL ARENA 20 mg
CAPS. GASTROREZ.
OMEPRAZOL FARMEX 20 mg
CAPS. GASTROREZ.
NOVOGAST 20 mg
OMEPRAZOL LPH 20 mg
OMEPRAZOL FARMAL 20 mg
OMEPRAZOL FARMAL 20 mg
OMEPRAZOL OZONE 20 mg
CAPS. GASTROREZ.
OMEPRAZOL ROMPHARM 20 mg
CAPS. GASTROREZ.
ORTANOL 20 mg
HELICID 20
HELICID 20
OMEZ 20mg
ORTANOL 40 mg
LOSEC MUPS 10 mg
LOSEC MUPS 20 mg
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM. GASTROREZ.
concentratie
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300mg
300mg
300mg
25mg/ml
20mg
20mg
20mg
40mg
40mg
40mg
20mg
150mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
10mg
20mg
Detinator APP
tara det.
APP
Ambalaj
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GLAXO WELLCOME UK LTD.
MAREA BRITANIE
MEDUMAN SA
LAROPHARM SRL
ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
Prescriptie
P-6L
P-6L
P-6L
CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L
CUTIE X 1 FLAC. PE X 20 COMPR. FILM.
P-6L
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L

MEDOCHEMIE LTD. CIPRU
CUTIE X 5 FIOLE X 2 ML
P-RF
ROMANIA
ZENTIVA S.A
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ZENTIVA S.A
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
VIM SPECTRUM SRL ROMANIA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5
S/P-RF
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-6L
AC HELCOR PHARMA SRL
P-6L
P-6L
P-6L
P-6L
P-6L
KRKA D.D.
SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L
GEDEON RICHTER ROMANIA SA
ROMANIA
CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ.
EUROPHARM SA
SLAVIA PHARM SRL
TERAPIA SA
ARENA GROUP S.A.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FARMEX COMPANY SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
FARMAL INTERNATIONAL S.R.L. ROMANIA
OZONE LABORATORIES PHARMA S.A. ROMANIA
ROMPHARM COMPANY SRL ROMANIA
P-6L
CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ.
P-6L
P-6L
P-6L
CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ.
P-6L
CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L

CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ P-6L
CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L
CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L
CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ.
P-6L
CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ.
P-6L
LEK PHARMACEUTICALS D.D.
SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L
ZENTIVA K.S.
ZENTIVA K.S.
CEHIA
CEHIA
CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ.
P-6L
CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ.
P-6L
DR. REDDY'S LABORATORIES
ROMANIA
CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L
SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L
ASTRAZENECA AB SUEDIA
Pagina 1 din 29
CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ. P-6L
CUTIE X 1 FLAC. X 7 COMPR. FILM. GASTROREZ. P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
20
20
20
20
20
20
20
20
30
10
20
5
30
30
28
30
30
14
5
20
14
14
20
28
30
30
30
30
20
10
14
28
28
30
14
14
28
30
7
14
7
4.55
4.56
4.55
7.01
3.99
4.55
4.56
4.55
13.00
4.33
8.66
12.67
8.89
5.86
9.45
7.72
12.31
9.45
24.64
18.23
14.45
14.45
12.80
21.42
22.68
22.53
22.02
20.85
15.04
6.49
14.45
28.91
18.58
22.16
8.07
10.06
20.79
21.42
8.03
33.19
24.96
Pret
amanuntul
maximal/UT
(RON)
0.227500
0.228000
0.227500
0.350500
0.199500
0.227500
0.228000
0.227500
0.433333
0.433000
0.433000
2.534000
0.296333
0.195333
0.337500
0.257333
0.410333
0.675000
4.928000
0.911500
1.032142
1.032142
0.640000
0.765000
0.756000
0.751000
0.734000
0.695000
0.752000
0.649000
1.032142
1.032500
0.663571
0.738666
0.576428
0.718571
0.742500
0.714000
1.147142
2.370714
3.565714
Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.194850
0.194850
0.194850
0.194850
0.194850
0.194850
0.194850
0.194850
0.389700
0.389700
0.389700
1.678945
0.194850
0.194850
0.194850
0.257333
0.389700
0.389700
4.928000
0.194850
0.709392
0.709392
0.640000
0.709392
0.709392
0.709392
0.709392
0.695000
0.709392
0.649000
0.709392
0.709392
0.663571
0.709392
0.576428
0.709392
0.709392
0.709392
1.147142
0.354696
0.709392
0.175365
0.175365
0.175365
0.175365
0.175365
0.175365
0.175365
0.175365
0.350730
0.350730
0.350730
1.511051
0.175365
0.175365
0.175365
0.231599
0.350730
0.350730
4.435200
0.175365
0.638453
0.638453
0.576000
0.638453
0.638453
0.638453
0.638453
0.625500
0.638453
0.584100
0.638453
0.638453
0.597213
0.638453
0.518785
0.638453
0.638453
0.638453
1.032427
0.319226
0.638453
Nr crt.
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
cod ATC
DCI
A02BC01
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
PAPAVERINI HYDROCHLORIDUM
PAPAVERINI HYDROCHLORIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
DOMPERIDONUM
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03
A03AA04
A03AA04
A03AA04
A03AA04
A03AA04
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AD01
A03AD01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA03
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A07AA02
A07EC01
A07EC01
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
ACIDUM URSODEOXYCHOLICUM*
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
NYSTATINUM
SULFASALAZINUM
SULFASALAZINUM
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
Denumire Comerciala
OMEDAR (R)
LOSEC 40 mg
forma farm.
LIOF. PT. SOL. PERF.
OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA PULB. PT. SOL. PERF.
HELICID 40 INF
LEVANT 15 mg
LANZUL
LEVANT 30 mg
LANZAP 30mg
DUSPATALIN 200 mg
DUSPATALIN 200 mg
DUSPATALIN 200 mg
DUSPATALIN 200 mg
COLOSPASMIN
TRIMEBUTIN 100
COLPERIN 100 mg
DEBRIDAT 100 mg
IBUTIN (R) 300 mg
DEBRIDAT
20mg
40mg
40mg
PULB. PT. SOL. PERF. FARA CONCENTRATIE
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
DRAJ.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
GRAN. PT. SUSP. ORALA
PAPAVERINA ARENA 100 mg COMPR.
PAPAVERINA
METOCLOPRAMID
N - METOCLOPRAMID
METOCLOPRAMID 10 mg
COMPR.
COMPR.
COMPR.
COMPR.
METOCLOPRAMID ARENA 10 mg COMPR.
METOCLOPRAMID
PIC. ORALE-SOL.
METOCLOPRAMID BIOFARM 1mg/5ml SIROP
METOCLOPRAMID 10 mg
SOL. INJ.
MOTILIUM 10 mg
COMPR. FILM.
URSOFALK (R)
CAPS.
URSOFALK (R)
CAPS.
URSOSAN
CAPS.
URSOCHOL 150 mg
COMPR.
URSOCHOL 300 mg
COMPR.
DUPHALAC (R)
LICHID ORAL
DUPHALAC (R)
LICHID ORAL
LACTULOSE
SIROP
LACTULOSE
SIROP
LACTULOSE-MIP 650 mg/ml SIROP
LACTULOSE-MIP 650 mg/ml SIROP
LACTULAK 660 mg/ml
SOL. ORALA
LAEVOLAC 670mg/ml
SOL. ORALA
NISTATINA
COMPR. FILM.
SULFASALAZIN EN
SALAZOPYRIN EN
PENTASA 1 g
COMPR. CU ELIB. PREL.
PENTASA
COMPR. ELIB. PREL.
SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ.
MESALAZINA DUO 400 mg
concentratie
COMPR. GASTROREZISTENTE
15mg
30mg
30mg
30mg
200mg
200mg
200mg
200mg
100mg
100mg
100mg
100mg
300mg
24mg/5ml
100mg
200mg
10mg
10mg
10mg
10mg
7mg/ml
1mg/5ml
5mg/ml
10mg
250mg
250mg
250mg
150mg
300mg
66,7%
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
500.000ui
500mg
500mg
1g
500mg
250mg
500mg
500mg
400mg
Detinator APP
DAR AL DAWA PHARMA S.R.L.
tara det.
APP
ROMANIA
Ambalaj
14
5
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATE DE 15 ML CU PULB.PT. SOL. PERF. S/P-RF
1
CEHIA
CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. S/P-RF
1
MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L
14
SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L
14
MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L
14
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L
20
OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L
30
30
30
30
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L
20
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
30
MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
30
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
20
MAREA BRITANIE
P-6L
1
20
20
40
ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR.
P-6L
40
40
ROMANIA CUTIE X 1 FLAC. X 40 COMPR.
P-6L
40
ROMANIA CUTIE X 1 FLACON DIN STICLA X 20 ML PIC. ORALE.,SOLUTIE, PREVAZUT CU PICURATOR P-RF
1
ROMANIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE P-RF
1
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF
5
ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
P-6L
10
GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
P-6L/S
100
P-6L
50
CEHIA
P-6L
50
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
60
ITALIA
20
OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF
1
OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF
1
ROMANIA CUTIE X 1 FLACON X 300 ML
P-6L
1
P-6L
1
GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L
1
GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L
1
ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L
1
AUSTRIA
P-RF
1
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
20
SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L
50
MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L
100
GERMANIA CUTIE CU 6 BLIST. AL/AL X 10 COMPR. CU ELIB. PREL. P6L
60
GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100
GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100
GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L
50
ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE P6L
60
CUTIE X 1 FLAC. DE STICLA BRUNA X 14 COMPR. FILM. GASTROREZ.
ASTRAZENECA AB SUEDIA CUTIE X 5 FLAC. X 45 MG LIOF. PT. SOL. PERF.

ZENTIVA K.S.
RANBAXY UK LTD.
KRKA D.D. NOVO MESTO
RANBAXY UK LTD.
SOLVAY PHARMACEUTICALS BV
ABBOTT HEALTHCARE PRODUCTS B.V.
E.I.P.I.CO. MED SRL

MAGISTRA C & C
PFIZER EUROPE MA EEIG
ZENTIVA SA
ARENA GROUP SA
FARMACOM SA
SLAVIA PHARM SRL
MEDUMAN SA
TERAPIA SA
ARENA GROUP SA
BIOFARM SA
BIOFARM S.A.
TERAPIA SA
TERAPIA SA
DR. FALK PHARMA GMBH
PRO. MED. CS PRAHA AS
ZAMBON S.P.A.
ZAMBON S.P.A.
E.I.P.I.CO. MED S.R.L.

MIP PHARMA GMBH

MIP PHARMA GMBH
ROMPHARM COMPANY SRL
FRESENIUS KABI AUSTRIA GMBH
ANTIBIOTICE SA
FERRING GMBH
FERRING GMBH
DUO FARMACEUTICI S.R.L.
Pagina 2 din 29
Prescriptie
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
CUTIE X 1 FLAC. DIN STICLA BRUNA X 152,5 G GRANULE PT. 250ML SUSP. + MASURA DOZATOARE
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D
P-6L
S/P-RF
14.45
114.72
16.22
22.77
6.56
13.13
11.36
16.66
25.07
25.07
25.07
25.07
9.03
11.12
11.12
17.13
36.01
12.05
4.42
5.39
1.16
1.36
4.28
1.39
2.85
8.69
10.03
12.31
124.28
71.49
68.77
54.19
35.88
10.37
10.37
10.42
3.47
17.23
33.34
7.09
3.57
6.81
28.24
31.25
197.11
143.02
67.24
120.94
73.85
47.43
Pret
amanuntul
maximal/UT
(RON)
1.032142
22.944000
16.220000
22.770000
0.468571
0.937857
0.811428
0.833000
0.835666
0.835666
0.835666
0.835666
0.451500
0.370666
0.370666
0.571000
1.800500
12.050000
0.221000
0.269500
0.029000
0.034000
0.107000
0.034750
2.850000
8.690000
2.006000
1.231000
1.242800
1.429800
1.375400
0.903166
1.794000
10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
0.340500
0.564800
0.312500
3.285166
1.430200
0.672400
1.209400
1.477000
0.790500
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.709392
22.944000
16.220000
1.418785
0.354696
0.709392
0.709392
0.709392
0.835666
0.835666
0.835666
0.835666
0.417833
0.370666
0.370666
0.370666
1.112002
12.050000
0.140681
0.269500
0.029000
0.030600
0.030600
0.030600
2.850000
2.230071
2.006000
0.030600
1.242800
1.375400
1.375400
0.825240
1.650481
7.099085
7.099085
10.377223
3.459074
17.230000
33.340000
7.024582
3.565507
0.340500
0.564800
0.312500
1.645732
0.822866
0.411431
0.822866
0.822866
0.658292
0.638453
20.649600
14.598000
1.276906
0.319226
0.638453
0.638453
0.638453
0.752099
0.752099
0.752099
0.752099
0.376049
0.333599
0.333599
0.333599
1.000802
10.845000
0.126613
0.242550
0.026100
0.027540
0.027540
0.027540
2.565000
2.007064
1.805400
0.027540
1.118520
1.237860
1.237860
0.742716
1.485433
6.389176
6.389176
9.339501
3.113167
15.507000
30.006000
6.322123
3.208956
0.306450
0.508320
0.281250
1.481159
0.740579
0.370288
0.740579
0.740579
0.592462
Nr crt.
92
93
94
95
96
97
98
99
cod ATC
DCI
107 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

PENTASA
SALOFALK 1 g
SALOFALK (R) 250 mg
SALOFALK (R) 500 mg
SALOFALK 4 g/ 60 ml
TROMBOSTOP 2 mg
SINTROM 4 mg
TICLODIN
IPATON
TICLID (R) 250 mg
FITOMENADION 10 mg/ml
FERROGRADUMET (R)
TARDYFERON 80 mg
MALTOFER
FERGLUROM FORTE 50 mg/ml
FERRUM HAUSMANN (R)

FERRUM HAUSMANN (R)
FERGLUROM 50mg/5ml
SORBIFER DURULES
ACIFOL 5 mg
DIGOXIN 0,25 mg
DIGOXIN 0,5 mg/2 ml
CHINIDINA ARENA 200 mg
PROPAFENONA 150 mg
PROPAFENONA 150 mg
PROPAFENONA 150 mg
RYTMONORM (R)
PROPAFENON AL 150
PROPAFENON AL 150
PROPAFENON AL 150
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
B01AA07
100 B01AA07
101 B01AC05
102 B01AC05
103 B01AC05
104 B02BA01
105 B03AA07
106 B03AA07
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
ACENOCUMAROLUM
ACENOCUMAROLUM
TICLOPIDINUM1
TICLOPIDINUM1
TICLOPIDINUM1
PHYTOMENADIONUM
FERROSI SULFAS
FERROSI SULFAS
Denumire Comerciala

112 B03AEN1
COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)
113 B03BB01
ACIDUM FOLICUM
DIGOXINUM
DIGOXINUM
CHINIDINI SULFAS
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ALPROSTADILUM***
114 C01AA05
115 C01AA05
116 C01BA01
117 C01BC03
118 C01BC03
119 C01BC03
120 C01BC03
121 C01BC03
122 C01BC03
123 C01BC03
124 C01BC03
125 C01BC03
126 C01BC03
127 C01BD01
128 C01BD01
129 C01BD01
130 C01BD01
131 C01BD01
132 C01DA02
133 C01DA02
134 C01DA02
135 C01DA02
136 C01DA08
137 C01DA08
138 C01DA08
139 C01DA14
140 C01DA14
141 C01EA01
PROPAFENON SANDOZ 150 mg
PROPANORM 300 mg
RYTMONORM
SEDACORON (R)
SEDACORON (R)
AMIODARONA LPH 200 mg
AMIODARONA ARENA 200 MG
CORDARONE 200 mg
NITROMINT 2,6 mg
NITROGLICERINA 0,5 mg
NITRODERM (R) TTS 5
NITROMINT
DINITER SR 40 mg
ISOSORBIDE DINITRATE 10 mg
ISODINIT(R) RETARD
OLICARD 40 mg RETARD
MONONITRON (R) EP 60 mg
PRIDAX 20mcg
forma farm.
concentratie
Ambalaj
Prescriptie
60
90
SUPOZ.
FERRING GMBH
GERMANIA
P-6L
28
SUPOZ.
DR. FALK PHARMA GMBH GERMANIA CUTIE CU FOLII TERMOSUDATE PVC/PE X 30 SUPOZ. P6L
30
SUPOZ.
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
P-6L
10
SUPOZ.
DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
P-6L
10
SUSP. RECTALA
DR. FALK PHARMA GMBH GERMANIA
P-6L
7
COMPR.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR.
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR. FILM.
AC HELCOR SRL
P-RF
20
COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF
20
COMPR. FILM.
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST PVC TRANSPARENT/AL X 10 COMPR. FILM. P-RF
20
SOL. INJ.
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML S/P-RF
5
COMPR. ELIB. PREL.
TEOFARMA SRL
ITALIA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L
30
DRAJ. ELIB. PREL.
LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L
30
COMPR. MAST.
VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC. P-6L
30
PICATURI ORALE, SOL.
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE P-6L
1
PICATURI ORALE-SOL.
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML P-6L
1
SIROP
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE P-6L
1
SIROP
BIOFARM S.A.
ROMANIA
P-6L
1
COMPR. FILM. FARA CONCENTRATIE EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM.
P-6L
50
COMPR. FILM. 5mg
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L
30
COMPR.
0,25mg
ZENTIVA S.A.
25
SOL. INJ.
0,5mg/2ml ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
5
COMPR.
200mg
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR.
P-RF
20
COMPR.
150mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR.
150mg
ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100
COMPR.
150mg
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-RF
20
COMPR. FILM. 150mg
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
50
COMPR. FILM. 150mg
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM.
P-RF
50
COMPR. FILM. 150mg
P-RF
20
COMPR. FILM. 150mg
P-RF 100
COMPR. FILM. 150mg
HEXAL AG
GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. P-RF
50
COMPR. FILM. 300mg
PRO. MED. CS PRAHA CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
50
SOL. INJ.
70mg/20ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF
5
COMPR.
200mg
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
COMPR.
200mg
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR.
P-RF
50
COMPR.
200mg
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR.
200mg
30
COMPR. DIVIZ. 200mg
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF
30
COMPR. ELIB. PREL. 2,6mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L
60
COMPR. SUBLING. 0,5mg
ZENTIVA SA
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L
20
SIST. TERAP. TRANSDERM. 25mg
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L
10
SPRAY SUBLINGUAL 0,4mg/doza EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL P-6L
1
CAPS. ELIB. PREL. 40mg
TERAPIA SA
ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L
20
COMPR.
10mg
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-6L
60
COMPR. ELIB. PREL. 20mg
PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL.
P-6L
60
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L
20
COMPR. FILM. ELIB. PREL. 60mg
ZENTIVA S.A
ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L
40
CONC. PT. SOL. PERF. 20mcg
GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF
5
800mg
800mg
1g
1g
250mg
500mg
4g/60ml
2mg
4mg
250mg
250mg
250mg
10mg/ml
105mg
80mg
100mg
50mg/ml
50mg/ml
10mg/ml
50mg/5ml
tara det.
APP
DUO FARMACEUTICI S.R.L. ROMANIA
DUO FARMACEUTICI S.R.L. ROMANIA
Detinator APP
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

CUTIE CU 6 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE
CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI
CUTIE X 7 BLIST. AL/PE CONTINAND FIECARE CATE 1 FLACON UNIDOZA X 60 ML SUSPENSIE RECTALA + APLICA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML
Pagina 3 din 29
P6L
P6L
90.11
130.49
173.80
223.62
21.74
36.00
169.61
6.53
6.76
35.53
33.37
12.82
11.77
8.58
12.08
21.49
8.81
13.53
15.39
10.06
14.85
7.40
2.79
6.64
12.37
8.03
36.25
49.98
32.02
18.71
7.49
34.95
18.09
40.30
36.79
13.87
28.63
10.99
11.29
16.90
9.88
3.87
18.47
15.30
9.03
2.14
3.94
12.02
36.41
328.95
Pret
amanuntul
maximal/UT
(RON)
1.501833
1.449888
6.207142
7.454000
2.174000
3.600000
24.230000
0.217666
0.338000
1.776500
1.668500
0.641000
2.354000
0.286000
0.402666
0.716333
8.810000
13.530000
15.390000
10.060000
0.297000
0.246666
0.111600
1.328000
0.618500
0.401500
0.362500
2.499000
0.640400
0.374200
0.374500
0.349500
0.361800
0.806000
7.358000
0.693500
0.572600
0.366333
0.376333
0.563333
0.164666
0.193500
1.847000
15.300000
0.451500
0.035666
0.065666
0.601000
0.910250
65.790000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1.316586
1.316586
6.207142
6.207142
1.551780
3.103571
24.230000
0.181166
0.338000
1.186231
1.186231
0.641000
2.354000
0.286000
0.264668
0.716333
8.810000
11.115000
11.115000
7.410000
0.297000
0.246666
0.111600
1.328000
0.618500
0.362500
0.362500
0.362500
0.362500
0.362500
0.362500
0.349500
0.361800
0.725000
7.358000
0.376333
0.376333
0.366333
0.376333
0.376333
0.124625
0.115256
1.847000
15.300000
0.159775
0.035666
0.065666
0.239663
0.359495
55.530750
1.184928
1.184928
5.586427
5.586427
1.396602
2.793213
21.807000
0.163049
0.304200
1.067608
1.067608
0.576900
2.118600
0.257400
0.238201
0.644699
7.929000
10.003500
10.003500
6.669000
0.267300
0.221999
0.100440
1.195200
0.556650
0.326250
0.326250
0.326250
0.326250
0.326250
0.326250
0.314550
0.325620
0.652500
6.622200
0.338699
0.338699
0.329699
0.338699
0.338699
0.112162
0.103730
1.662300
13.770000
0.143798
0.032099
0.059099
0.215697
0.323546
49.977675
Nr crt.
cod ATC
142 C01EA01
143 C01EB15
144 C01EB15
145 C01EB15
146 C01EB15
147 C01EB15
148 C01EB15
149 C01EB15
150 C01EB15
151 C01EB15
152 C01EB15
153 C01EB15
154 C01EB15
155 C02AB01
156 C02AC01
157 C02AC01
158 C03AA03
159 C03BA11
160 C03BA11
161 C03BA11
162 C03BA11
163 C03BA11
164 C03BA11
165 C03BA11
166 C03BA11
167 C03BA11
168 C03BA11
169 C03BA11
170 C03BA11
171 C03BA11
172 C03BA11
173 C03BA11
174 C03BA11
175 C03BA11
176 C03BA11
177 C03BA11
178 C03BA11
179 C03CA01
180 C03CA01
181 C03CA01
182 C03CA01
183 C03CA01
184 C03CA01
185 C03CA01
186 C03DA01
187 C03DA01
188 C03DA01
189 C03DA01
190 C03DA01
191 C03DA01
DCI
ALPROSTADILUM***
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
METHYLDOPUM
CLONIDINUM
CLONIDINUM
HYDROCHLOROTHIAZIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
Denumire Comerciala
forma farm.
VASAPROSTAN 20
TRIMETAZIDIN VIM SPECTRUM 20 mg
CAPS.
TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL.

APSTAR 35 mg
COMPR. ELIB. PREL.
TRIMELUZINE 35 mg
COMPR. ELIB. PREL.
MODUXIN (R) 20 mg
COMPR. FILM.
DILATAN 20 mg
COMPR. FILM.
TRIMETAZIDINA LPH (R) 20 mg COMPR. FILM.
PREDUCTAL 20 mg
COMPR. FILM.
PREDUCTAL MR 35 mg
COMPR. FILM. ELIB. MODIF.
TRIMETAZIDINA LPH (R) 35 mg
MODUXIN MR 35 mg
PREDUTRIM 20 mg/ml
DOPEGYT
PIC. ORALE, SOL.
COMPR.
CLONIDINA SINTOFARM 0,15 mg COMPR.
CLONIDINA ARENA 0,15 mg COMPR.
NEFRIX 25 mg
COMPR.
IMPAMID (R) 2,5 mg
COMPR.
INDAPAMIDA TERAPIA 1,5 mg
INDAPAMIDA TERAPIA 2,5mg
COMPR. CU ELIB. PRELUNGITA

TERTENSIF (R) SR
INDAPAMID MCC 1,5 mg
IDUREN SR 1,5 mg
DIUREMID SR 1,5 mg
INDAPAMIDA TEVA 1,5 mg
COMPR. ELIB. PREL.
INDAPAMIDA SR TORRENT 1,5 mg
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
INDAPAMID LPH (R) 2,5 mg COMPR. FILM.

INDATER (R) 2,5 mg
COMPR. FILM.
INDAPAMID SR 1,5 mg LAROPHARM
INDAPAMID LPH (R) 1,5 mg

RAWEL SR 1,5 mg
IMPAMID SR 1,5 mg
INDAPAMID SR OZONE 1,5mg
INDAPAMIDA ACTAVIS 1,5 mg
INDAPAMIDA MYLAN 1,5 mg

REDITENS SR 1.5 mg
INDAPEN SR 1,5 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg
SPIRONOLACTONA LPH 25 mg
VEROSPIRON
SPIRONOLACTONA EEL 25 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
concentratie
20mcg
20mg
35mg
35mg
35mg
20mg
20mg
20mg
20mg
35mg
35mg
35mg
20mg/ml
250mg
0,15mg
0,15mg
25mg
2,5mg
1,5mg
2,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
2,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. S/P-RF
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L
ANTIBIOTICE S.A.
ROMANIA
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. CU ELIB. PREL.
GLENMARK PHARMACEUTICALS SRL
REPUBLICA SLOVACA
CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL.
LUPIN (EUROPE) LTD
MAREA BRITANIE
CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL.
P6L
P6L
P6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L

TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. FILM. P-6L
LES LABORATOIRES SERVIER
FRANTA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM.
P-6L
LES LAB. SERVIER IND. FRANTA
CUTIE X 2 BLIST. AL/PVC X 30 COMPR. FILM. ELIB. MODIF.
P-6L
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. MODIF.
P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL.
P-6L
ROMPHARM COMPANY S.R.L.

EGIS PHARMACEUTICALS P.L.C.
SINTOFARM SA
ARENA GROUP SA
ZENTIVA SA
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 50 ML PIC. ORALE
P6L
CUTIE X 1 FLAC. X 50 COMPR.

CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. X 15 COMPR.
P-6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. CU ELIB. PREL.
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE X 3 BLIST. AL/PVC X 10COMPR. CU ELIB. PREL. P-6L
LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-6L
MAGISTRA C&C SRL ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ELIB. PREL. P-6L
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL.
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
P-6L
KRKA D.D. NOVO MESTO SLOVENIA
P-6L
ROMANIA
P-6L
OZONE LABORATORIES BV
OLANDA
ISLANDA
FRANTA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA
P-6L
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. ELIB. PRELUNG.
P-6L
ROMANIA
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
J & P PHARMA UK. LTD.
MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. PREL.
ACTAVIS GROUP PTC EHF.
MYLAN S.A.S.
MAGISTRA C&C S.R.L. ROMANIA

SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
ZENTIVA SA
ROMANIA
ARENA GROUP S.A. ROMANIA
ZENTIVA SA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
BIO EEL SRL
ROMANIA
Pagina 4 din 29
P-6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L

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

P-6L
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.
P-RF
P-6L
P-6L
P-6L

P-6L
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
10 521.11
30
7.61
30 16.72
60 33.41
10 26.64
30
7.61
30 14.61
60 15.24
60 23.44
60 49.74
60 33.39
30 16.72
1 12.33
50 12.67
50 10.05
50 12.34
25
3.48
30 15.18
30 13.30
30 14.90
30 21.05
30 13.68
30 10.66
30 13.68
30 13.31
30 13.68
30 15.07
30 14.90
20
9.11
30 13.68
30 11.71
30 13.16
20
7.84
30 13.68
30 12.60
30 13.68
30
9.88
20
3.02
20
2.28
20
5.42
20
6.02
20
3.04
20
6.02
5
6.07
30 28.51
50 16.07
60 19.46
30 16.72
30 16.24
20
4.30
Pret
amanuntul
maximal/UT
(RON)
52.111000
0.253666
0.557333
0.556833
2.664000
0.253666
0.487000
0.254000
0.390666
0.829000
0.556500
0.557333
12.330000
0.253400
0.201000
0.246800
0.139200
0.506000
0.443333
0.496666
0.701666
0.456000
0.355333
0.456000
0.443666
0.456000
0.502333
0.496666
0.455500
0.456000
0.390333
0.438666
0.392000
0.456000
0.420000
0.456000
0.329333
0.151000
0.114000
0.271000
0.301000
0.152000
0.301000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
52.111000
0.253666
0.444353
0.444353
0.444353
0.253666
0.253916
0.253916
0.253916
0.444353
0.444353
0.444353
12.330000
0.253400
0.201000
0.217854
0.139200
0.506000
0.313949
0.496666
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.502333
0.496666
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.313949
0.151000
0.114000
0.151250
0.151250
0.151250
0.151250
1.214000
0.863200
0.215800
0.215800
0.431600
0.431600
0.215000
46.899900
0.228299
0.399918
0.399918
0.399918
0.228299
0.228524
0.228524
0.228524
0.399918
0.399918
0.399918
11.097000
0.228060
0.180900
0.196069
0.125280
0.455400
0.282554
0.446999
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.452099
0.446999
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.282554
0.135900
0.102600
0.136125
0.136125
0.136125
0.136125
1.092600
0.776880
0.194220
0.194220
0.388440
0.388440
0.193500
Nr crt.
cod ATC
192 C03DA01
193 C03DA01
194 C03DA01
195 C03DA01
196 C03DA01
DCI
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
197 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

198 C04AD03
199 C04AD03
200 C04AD03
201 C04AD03
202 C04AD03
203 C04AD03
204 C04AD03
205 C04AD03
206 C04AD03
207 C04AD03
208 C04AD03
209 C07AA05
210 C07AA05
211 C07AA05
212 C07AA05
213 C07AA05
214 C07AA05
215 C07AA05
216 C07AA05
217 C07AA05
218 C07AA05
219 C07AA07
220 C07AA07
221 C07AA07
222 C07AA07
223 C07AA07
224 C07AA07
225 C07AA07
226 C07AA07
227 C07AA07
228 C07AA07
229 C07AB02
230 C07AB02
231 C07AB02
232 C07AB02
233 C07AB02
234 C07AB02
235 C07AB02
236 C07AB02
237 C07AB02
238 C07AB02
239 C07AB02
240 C07AB02
241 C07AB02
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
Denumire Comerciala
forma farm.
25mg
SPIRONOLACTONA OZONE 25 mg
25mg
SPIRONOLACTONA 25 mg COMPR. FILM. 25mg
ALSPIRON 25 mg
COMPR. FILM. 25mg
ALSPIRON 50 mg
COMPR. FILM. 50mg
DIUREX 50
CAPS.
50mg/20mg
PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg
VASONIT RETARD 600 mg COMPR. ELIB. PREL. 600mg
ANGIOPENT 400 mg
PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg
PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg
OXIFLUX 400 mg
OXIFLUX 400 mg
ANGIOPENT 600 mg
PROPRANOLOL
COMPR.
10mg
N - PROPRANOLOL 10 mg COMPR.
10mg
PROPRANOLOL 10 mg
COMPR.
10mg
PROPRANOLOL FABIOL 10 mg COMPR.
10mg
10mg
PROPRANOLOL EEL 40 mg COMPR.
40mg
PROPRANOLOL 40 mg
COMPR.
40mg
40mg
40mg
PROPRANOLOL ARENA 40 mg COMPR.
40mg
SOTAGAMMA 160
COMPR.
160mg
SOTAGAMMA 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
SOTALOL AL 160
COMPR.
160mg
DAROB (R) 80 mg
COMPR.
80mg
SOTAGAMMA 80
COMPR.
80mg
SOTAGAMMA 80
COMPR.
80mg
SOTALOL AL 80
COMPR.
80mg
SOTALOL AL 80
COMPR.
80mg
BLOXAN
COMPR.
100mg
BETAPROL 100 mg
COMPR.
100mg
EGILOK 100 mg
COMPR.
100mg
METOPROLOL LPH 100 mg COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
METOPROLOL TERAPIA 100 mg COMPR.
100mg
METOPROLOL VIM SPECTRUM 100 mg COMPR.
100mg
METOPROLOL ARENA 100 MG COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
COMPR.
COMPR.
concentratie
Detinator APP
tara det.
APP
OZONE LABORATORIES LTD.
MAREA BRITANIE
OZONE LABORATORIES PHARMA S.A.
Ambalaj

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
TERAPIA SA
Prescriptie
P-6L
P-6L
ROMANIA
ROMANIA
TERAPIA SA
ROMANIA
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

P-6L
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
P-6L
P-6L
P-6L
P-6L
LANNACHER HEILMITTEL GES.M.B.H.
AUSTRIA
CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-6L
ROMANIA
ROMANIA
ROMANIA
BIO EEL SRL
ROMANIA
SC MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
FABIOL S.A.
ROMANIA
FABIOL S.A.
ROMANIA
BIO EEL SRL
ROMANIA
SINTOFARM SA
ROMANIA
FABIOL S.A.
ROMANIA
FABIOL S.A.
ROMANIA
ARENA GROUP SA ROMANIA
TERAPIA SA
TERAPIA SA
CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
WORWAG PHARMA GMBH & CO. KG
GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L
ALIUD PHARMA GMBH

ALIUD PHARMA GMBH
ALIUD PHARMA GMBH
ABBOTT GMBH&CO.KG
GERMANIA
GERMANIA

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

GERMANIA
CUTIE X 2 BLIST. PP/AL X 10 COMPR.
P-6L
P-6L
P-6L
P-6L
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
ALIUD PHARMA GMBH & CO.KG
GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.
P-6L
P-6L
P-6L
MAGISTRA C & C SRL ROMANIA

TERAPIA SA
ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
Pagina 5 din 29

P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
50
50
50
20
20
20
20
50
50
100
50
20
40
20
20
60
20
50
50
50
10
50
50
50
10
50
50
20
100
20
50
100
20
100
20
100
50
30
30
20
30
30
100
50
30
30
20
30
20
20
10.79
10.79
16.21
4.30
13.74
23.31
10.25
20.54
33.83
65.38
33.65
6.13
22.42
17.21
6.13
18.40
16.46
3.25
3.22
3.59
0.74
2.91
4.98
4.64
0.80
3.25
4.98
11.62
58.44
11.17
26.93
54.63
10.06
39.32
8.61
36.53
17.52
14.05
10.94
6.56
7.12
9.12
19.75
13.00
9.49
15.12
7.38
7.01
8.09
8.09
Pret
amanuntul
maximal/UT
(RON)
0.215800
0.215800
0.324200
0.215000
0.687000
1.165500
0.512500
0.410800
0.676600
0.653800
0.673000
0.306500
0.560500
0.860500
0.306500
0.306666
0.823000
0.065000
0.064400
0.071800
0.074000
0.058200
0.099600
0.092800
0.080000
0.065000
0.099600
0.581000
0.584400
0.558500
0.538600
0.546300
0.503000
0.393200
0.430500
0.365300
0.350400
0.468333
0.364666
0.328000
0.237333
0.304000
0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.404500
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.215800
0.215800
0.215800
0.215000
0.431600
1.165500
0.358733
0.358733
0.538099
0.538099
0.538099
0.306500
0.358733
0.358733
0.306500
0.306666
0.538099
0.028324
0.028324
0.028324
0.028324
0.028324
0.099600
0.092800
0.080000
0.065000
0.099600
0.453195
0.453195
0.453195
0.453195
0.453195
0.226597
0.226597
0.226597
0.226597
0.226597
0.296570
0.296570
0.296570
0.237333
0.296570
0.197500
0.260000
0.296570
0.296570
0.296570
0.233666
0.296570
0.296570
0.194220
0.194220
0.194220
0.193500
0.388440
1.048950
0.322859
0.322859
0.484289
0.484289
0.484289
0.275850
0.322859
0.322859
0.275850
0.275999
0.484289
0.025492
0.025492
0.025492
0.025492
0.025492
0.089640
0.083520
0.072000
0.058500
0.089640
0.407875
0.407875
0.407875
0.407875
0.407875
0.203937
0.203937
0.203937
0.203937
0.203937
0.266913
0.266913
0.266913
0.213599
0.266913
0.177750
0.234000
0.266913
0.266913
0.266913
0.210299
0.266913
0.266913
cod ATC
DCI
242 C07AB02
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
Nr crt.
243 C07AB02
244 C07AB02
245 C07AB02
246 C07AB02
247 C07AB02
248 C07AB02
249 C07AB02
250 C07AB02
251 C07AB02
252 C07AB02
253 C07AB02
254 C07AB02
255 C07AB02
256 C07AB02
257 C07AB02
258 C07AB02
259 C07AB02
260 C07AB02
261 C07AB02
262 C07AB02
263 C07AB02
264 C07AB02
265 C07AB02
266 C07AB02
267 C07AB02
268 C07AB02
269 C07AB02
270 C07AB02
271 C07AB03
272 C07AB03
273 C07AB03
274 C07AB03
275 C07AB03
276 C07AB03
277 C07AB03
278 C07AB03
279 C07AB03
280 C07AB03
281 C07AB05
282 C07AB05
283 C07AB05
284 C07AB05
285 C07AB05
286 C07AB07
287 C07AB07
288 C07AB07
289 C07AB07
290 C07AB07
291 C07AB07
Denumire Comerciala
forma farm.
COMPR.
EGILOK 25 mg
COMPR.
METOPROLOL 25 mg
COMPR.
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TARTRAT INTAS 50 mg COMPR.
METOPROLOL TARTRAT INTAS 100 mg
METOPROLOL RETARD 100 mg
BETALOC (R) ZOK 100 mg

EMZOK 100 mg
COMPR. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL.

METOPROLOL SUCCINAT POLPHARMA 47,5 mg COMPR. FILM. ELIB. PREL.

EMZOK 50 mg

METOPROLOL SUCCINAT POLPHARMA 95 mg
METOSUCCINAT SANDOZ 190 mg
COMPR.FILM.ELIB.MOD.
METOSUCCINAT SANDOZ 47,5 mg
ATENOCOR 100 mg
ATENOLOL LPH 100 mg
ATENOLOL 100 mg
ATENOLOL ARENA 100 MG
ATENOLOL LPH 50 mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
ATENOLOL MEDUMAN 50mg COMPR.
ATENOLOL 50 mg
COMPR.
ATENOCOR 50 mg
COMPR.
ATENOLOL ARENA 50 MG COMPR.
ATENOLOL 100 mg MEDO COMPR. FILM.
LOKREN 20 mg
COMPR. FILM.
BETAC
COMPR. FILM.
BETAC
COMPR. FILM.
BETAC
COMPR. FILM.
BETAC
COMPR. FILM.
BISOBLOCK 10 mg
COMPR.
BISOPROLOL LPH 10mg
COMPR.
BISOBLOCK 5 mg
COMPR.
BISOPROLOL LPH 5mg
COMPR.
CONCOR 10 mg
COMPR. FILM.
BISOGAMMA (R) 10
COMPR. FILM.
concentratie
100mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
190mg
47,5mg
50mg
50mg
95mg
190mg
47,5mg
95mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
100mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
5mg
5mg
10mg
10mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
30
20
LABORMED PHARMA SA
20
MAGISTRA C & C SRL
30
ARENA GROUP S.A.
30
30
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
LABORMED PHARMA SA
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100
50
MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
TERAPIA SA
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
30
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L
20
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
IVAX PHARMCEUTICALS S.R.O. CEHIA
CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L
30
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
28
30
30
28
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
30
HEXAL AG
30
AC HELCOR SRL
30
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
20
MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
AC HELCOR SRL
30
20
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L
28
28
30
20
14
ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
ACTAVIS HUNGARY KFT. UNGARIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
P-6L/S
100
INTAS PHARMACEUTICALS LIMITED MAREA BRITANIE
Pagina 6 din 29
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
8.09
1.90
1.90
2.85
2.85
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
3.51
5.27
11.12
25.70
16.70
21.20
9.51
15.69
10.22
15.59
22.71
8.14
13.59
10.83
7.04
6.26
6.26
3.93
3.70
4.50
5.35
3.56
4.61
22.82
14.84
15.89
10.60
7.41
16.55
18.12
7.55
8.55
31.83
49.43
Pret
amanuntul
maximal/UT
(RON)
0.269666
0.095000
0.095000
0.095000
0.095000
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.175500
0.175666
0.556000
0.856666
0.556666
0.757142
0.339642
0.523000
0.340666
0.556785
0.757000
0.271333
0.453000
0.361000
0.352000
0.313000
0.313000
0.196500
0.185000
0.225000
0.178333
0.178000
0.230500
0.815000
0.530000
0.529666
0.530000
0.529285
0.551666
0.604000
0.251666
0.285000
1.061000
0.494300
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.269666
0.074142
0.074142
0.074142
0.074142
0.148285
0.148285
0.148285
0.148285
0.084000
0.141800
0.148285
0.148285
0.148285
0.148285
0.148285
0.148285
0.148285
0.296570
0.296570
0.296570
0.563484
0.140870
0.148285
0.148285
0.281742
0.563484
0.140870
0.281742
0.361000
0.352000
0.313000
0.313000
0.196500
0.185000
0.225000
0.178333
0.178000
0.230500
0.444856
0.444856
0.444856
0.444856
0.444856
0.444856
0.444856
0.222428
0.222428
0.444856
0.444856
0.242699
0.066728
0.066728
0.066728
0.066728
0.133456
0.133456
0.133456
0.133456
0.075600
0.127620
0.133456
0.133456
0.133456
0.133456
0.133456
0.133456
0.133456
0.266913
0.266913
0.266913
0.507136
0.126783
0.133456
0.133456
0.253568
0.507136
0.126783
0.253568
0.324900
0.316800
0.281700
0.281700
0.176850
0.166500
0.202500
0.160499
0.160200
0.207450
0.400370
0.400370
0.400370
0.400370
0.400370
0.400370
0.400370
0.200185
0.200185
0.400370
0.400370
Nr crt.
cod ATC
292 C07AB07
293 C07AB07
294 C07AB07
295 C07AB07
296 C07AB07
297 C07AB07
298 C07AB07
299 C07AB07
300 C07AB07
301 C07AG02
302 C07AG02
303 C07AG02
304 C07AG02
305 C07AG02
306 C07AG02
307 C07AG02
308 C07AG02
309 C07AG02
310 C07AG02
311 C07AG02
312 C07AG02
313 C07AG02
314 C07AG02
315 C07AG02
316 C07AG02
317 C07AG02
318 C07AG02
319 C07AG02
320 C07AG02
321 C07AG02
322 C07AG02
323 C07AG02
324 C07AG02
325 C07AG02
326 C07AG02
327 C07AG02
328 C07AG02
329 C07AG02
330 C07AG02
331 C07AG02
332 C08CA01
333 C08CA01
334 C08CA01
335 C08CA01
336 C08CA01
337 C08CA01
338 C08CA01
339 C08CA01
340 C08CA01
341 C08CA01
DCI
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
Denumire Comerciala
BISOGAMMA (R) 10
CONCOR COR 10 mg
BISOTENS 10 mg
CONCOR COR 2,5 mg
CONCOR 5 mg
BISOGAMMA (R) 5
BISOGAMMA (R) 5
CONCOR COR 5 mg
BISOTENS 5 mg
CARVEDILOL SANDOZ
DILATREND (R) 12,5 mg
CORYOL 12,5 mg
TALLITON (R) 12,5 mg
CARVEDILOL LPH 12,5 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
10mg
10mg
10mg
2,5mg
5mg
5mg
5mg
5mg
5mg
COMPR.
12,5 mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg
CARVEDILOL VIM SPECTRUM 12,5mg COMPR.
12,5mg
GLADYCOR 12,5 mg
COMPR.
12,5mg
MIOCARVIL 12,5 mg
COMPR.
12,5mg
ATRAM 12,5
COMPR.
12,5mg
CARVEDILOL HELCOR 12,2 mg COMPR.
12,5mg
DILATREND (R) 25 mg
COMPR.
25mg
CORYOL 25 mg
COMPR.
25mg
TALLITON (R) 25 mg
COMPR.
25mg
CARVEDILOL SANDOZ
COMPR.
25mg
CARVEDILOL LPH 25 mg
COMPR.
25mg
GLADYCOR 25 mg
COMPR.
25mg
MIOCARVIL 25 mg
COMPR.
25mg
ATRAM 25
COMPR.
25mg
CARVEDILOL HELCOR 25 mg COMPR.
25mg
COMPR.
6,25mg
CORYOL (R)
COMPR.
6,25mg
TALLITON 6,25 mg
COMPR.
6,25mg
CARVEDILOL SANDOZ
COMPR.
6,25mg
CARVEDILOL LPH 6,25 mg COMPR.
6,25mg
CARVEDILOL VIM SPECTRUM 6,25 mg COMPR.
6,25mg
GLADYCOR 6,25 mg
COMPR.
6,25mg
MIOCARVIL 6,25 mg
COMPR.
6,25mg
ATRAM 6,25
COMPR.
6,25mg
CARVEDIGAMMA 12,5 mg
COMPR. FILM. 12,5mg
CARVEDIGAMMA 25 mg
COMPR. FILM. 25mg
COMPR. FILM. 6,25mg
NORVASC 10 mg
COMPR.
10mg
AMLOHEXAL 10 mg
COMPR.
10mg
TENOX (R) 10
COMPR.
10mg
VASOREX 10 mg
COMPR.
10mg
CARDILOPIN 10 mg
COMPR.
10mg
AMLODIPINA BIOGALENICA 10 mg COMPR.
10mg
ALMACOR 10 mg
COMPR.
10mg
EPLODIN 10 mg
COMPR.
10mg
AMLODIPINA ACTAVIS 10 mg COMPR.
10mg
AMLODIPIN VIM SPECTRUM 10 mg COMPR.
10mg
Detinator APP
tara det.
APP
GERMANIA
MERCK KGAA
ANTIBIOTICE S.A.
MERCK KGAA
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
GERMANIA
GERMANIA
MERCK KGAA
ANTIBIOTICE S.A.
HEXAL AG
Ambalaj
Prescriptie
P-6L


P-6L
P-6L

GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.
ZENTIVA K.S.
CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
HEXAL AG
P-6L
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
ZENTIVA K.S.
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
HEXAL AG

ANTIBIOTICE S.A.
ZENTIVA K.S.
CEHIA
P-6L
P-6L
P-6L
P-6L
P-6L
MAREA BRITANIE
HEXAL AG
KRKA D.D.
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR.
CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

P-6L
UNGARIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
EXTRACTUMPHARMA UNGARIA
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L

CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR.
CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
P-6L
P-6L
CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR. P-6L

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L
Pagina 7 din 29
P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
30
30
30
30
30
30
100
30
30
30
28
28
30
30
20
30
30
30
20
28
28
30
30
30
30
30
30
20
28
28
30
30
30
20
30
30
30
30
30
30
30
30
30
30
30
30
30
30
20
20
18.12
32.72
18.12
14.76
16.33
8.55
25.01
22.31
8.55
8.74
29.94
12.48
13.30
13.36
6.72
13.10
13.36
12.87
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
19.57
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
6.44
13.93
24.30
9.06
29.68
19.28
19.26
19.28
19.28
19.28
19.28
19.26
12.85
12.85
Pret
amanuntul
maximal/UT
(RON)
0.604000
1.090666
0.604000
0.492000
0.544333
0.285000
0.250100
0.743666
0.285000
0.291333
1.069285
0.445714
0.443333
0.445333
0.336000
0.436666
0.445333
0.429000
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.652333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.464333
0.810000
0.302000
0.989333
0.642666
0.642000
0.642666
0.642666
0.642666
0.642666
0.642000
0.642500
0.642500
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.444856
0.444856
0.444856
0.111214
0.222428
0.222428
0.222428
0.222428
0.222428
0.291333
0.354299
0.354299
0.354299
0.354299
0.336000
0.354299
0.354299
0.354299
0.354299
0.708599
0.708599
0.708599
0.306000
0.708599
0.708599
0.708599
0.652333
0.708599
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.354299
0.708599
0.177149
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.400370
0.400370
0.400370
0.100092
0.200185
0.200185
0.200185
0.200185
0.200185
0.262199
0.318869
0.318869
0.318869
0.318869
0.302400
0.318869
0.318869
0.318869
0.318869
0.637739
0.637739
0.637739
0.275400
0.637739
0.637739
0.637739
0.587099
0.637739
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.318869
0.637739
0.159434
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
Nr crt.
cod ATC
342 C08CA01
343 C08CA01
344 C08CA01
345 C08CA01
346 C08CA01
347 C08CA01
348 C08CA01
349 C08CA01
350 C08CA01
351 C08CA01
352 C08CA01
353 C08CA01
354 C08CA01
355 C08CA01
356 C08CA01
357 C08CA01
358 C08CA01
359 C08CA01
360 C08CA01
361 C08CA01
362 C08CA01
363 C08CA01
364 C08CA01
365 C08CA01
366 C08CA01
367 C08CA01
368 C08CA01
369 C08CA01
370 C08CA01
371 C08CA01
372 C08CA01
373 C08CA01
374 C08CA01
375 C08CA01
376 C08CA01
377 C08CA01
378 C08CA02
379 C08CA02
380 C08CA02
381 C08CA02
382 C08CA02
383 C08CA02
384 C08CA02
385 C08CA02
386 C08CA02
387 C08CA02
388 C08CA02
389 C08CA02
390 C08CA02
391 C08CA02
DCI
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
Denumire Comerciala
AGEN 10
ALOZUR 10 mg
AMLODIPINE VALEANT 10 mg
AMLODIPINA LPH 10 mg
STAMLO M 10 mg
AMLODIPINA BLUEFISH 10 mg
AMLODIPINA BIOGALENICA 10 mg
AMLODIPINA HELCOR 10 mg
AMLODIPINA TERAPIA 10 mg
AMLODIPINA ACCORD 10 mg
NORVASC 5 mg
AMLOHEXAL 5 mg
TENOX (R) 5
VASOREX 5 mg
CARDILOPIN 5 mg
ALMACOR 5 mg
EPLODIN 5 mg
AMLODIPINA ACTAVIS 5 mg
AMLODIPIN VIM SPECTRUM 5 mg
AGEN 5
ALOZUR 5 mg
AMLODIPINA LPH 5 mg
STAMLO M 5 mg
AMLODIPINA BLUEFISH 5 mg
AMLODIPINA HELCOR 5 mg
AMLODIPINA ACCORD 5 mg
PLENDIL
FELODIPIN AL 10 mg
PLENDIL
FELODIPIN AL 2,5 mg
FELODIPIN AL 2,5 mg
PLENDIL
FELODIPIN AL 5 mg
SISTAR 10 mg
SISTAR 2,5 mg
SISTAR 5 mg
AURONAL 10 mg
PRESID (R) 10 mg
FELODIPIN SANDOZ 10 mg
AURONAL 2,5 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

concentratie
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
10mg
2,5mg
2,5mg
2,5mg
5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
10mg
2,5mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
ZENTIVA K.S.
CEHIA
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ICN POLFA RZESZOW POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR.
P-6L/S
BLUEFISH PHARMACEUTICALS AB
SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
P-6L
ARENA GROUP S.A.

HELCOR S.R.L.
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ACCORD HEALTHCARE LIMITED MAREA BRITANIE
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
MAREA BRITANIE
HEXAL AG
KRKA D.D.
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR.
P-6L
P-6L
P-6L
P-6L
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L
P-6L
P-6L
UNGARIA
ANTIBIOTICE S.A.
ROMANIA
EXTRACTUMPHARMA UNGARIA
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L

P-6L
P-6L
CUTIE X 3 BLIST. PVC- PVDC/AL X 10 COMPR. P-6L

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L

ZENTIVA K.S.
CEHIA
OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ICN POLFA RZESZOW POLONIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ICN POLFA RZESZOW POLONIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ICN POLFA RZESZOW POLONIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L/S
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L
BLUEFISH PHARMACEUTICALS AB SUEDIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
HELCOR S.R.L.
ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L
ALIUD PHARMA GMBH & CO. KG
GERMANIA
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.
P-6L
CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L
GERMANIA
P-6L
GERMANIA
P-6L
CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL.
P-6L
GERMANIA
P-6L
ROMANIA
ROMANIA
ROMANIA
UNGARIA
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.
P-6L
P-6L
P-6L
IVAX - PHARMACEUTICALS S.R.O.
CEHIA
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
UNGARIA

Pagina 8 din 29
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
30
30
30
50
100
30
28
30
30
20
30
30
30
30
30
30
30
30
30
30
30
20
20
30
30
30
50
100
30
28
30
30
20
30
30
30
30
30
30
30
50
30
30
30
30
30
30
30
30
30
19.28
19.28
17.92
32.13
62.21
19.28
14.67
10.96
19.28
12.87
19.31
19.31
7.04
19.94
11.37
11.40
11.37
11.37
7.89
11.36
11.37
7.58
7.44
11.25
11.02
9.63
18.94
36.68
11.37
8.75
9.00
7.89
8.63
10.82
10.82
6.35
50.21
45.73
22.26
20.68
33.34
28.37
29.55
30.42
14.47
18.43
42.57
33.56
30.52
16.47
Pret
amanuntul
maximal/UT
(RON)
0.642666
0.642666
0.597333
0.642600
0.622100
0.642666
0.523928
0.365333
0.642666
0.643500
0.643666
0.643666
0.234666
0.664666
0.379000
0.380000
0.379000
0.379000
0.263000
0.378666
0.379000
0.379000
0.372000
0.375000
0.367333
0.321000
0.378800
0.366800
0.379000
0.312500
0.300000
0.263000
0.431500
0.360666
0.360666
0.211666
1.673666
1.524333
0.742000
0.689333
0.666800
0.945666
0.985000
1.014000
0.482333
0.614333
1.419000
1.118666
1.017333
0.549000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.523928
0.365333
0.578399
0.578399
0.578399
0.578399
0.234666
0.289199
0.289199
0.289199
0.289199
0.289199
0.263000
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.263000
0.289199
0.289199
0.289199
0.211666
0.578399
0.578399
0.144599
0.144599
0.144599
0.289199
0.289199
0.578399
0.144599
0.289199
0.578399
0.578399
0.578399
0.144599
0.520559
0.520559
0.520559
0.520559
0.520559
0.520559
0.471535
0.328799
0.520559
0.520559
0.520559
0.520559
0.211199
0.260279
0.260279
0.260279
0.260279
0.260279
0.236700
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.260279
0.236700
0.260279
0.260279
0.260279
0.190499
0.520559
0.520559
0.130139
0.130139
0.130139
0.260279
0.260279
0.520559
0.130139
0.260279
0.520559
0.520559
0.520559
0.130139
Nr crt.
cod ATC
392 C08CA02
393 C08CA02
394 C08CA02
395 C08CA02
396 C08CA05
397 C08CA05
398 C08CA05
399 C08DA01
400 C08DA01
401 C08DA01
402 C08DA01
403 C08DA01
404 C08DA01
405 C08DA01
406 C08DA01
407 C08DB01
408 C08DB01
409 C08DB01
410 C08DB01
411 C08DB01
412 C08DB01
413 C08DB01
414 C08DB01
415 C09AA01
416 C09AA01
417 C09AA01
418 C09AA01
419 C09AA01
420 C09AA01
421 C09AA01
422 C09AA01
423 C09AA01
424 C09AA01
425 C09AA01
426 C09AA01
427 C09AA01
428 C09AA01
429 C09AA02
430 C09AA02
431 C09AA02
432 C09AA02
433 C09AA02
434 C09AA02
435 C09AA02
436 C09AA02
437 C09AA02
438 C09AA02
439 C09AA02
440 C09AA02
441 C09AA02
DCI
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
NIFEDIPINUM
NIFEDIPINUM
NIFEDIPINUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
Denumire Comerciala
PRESID (R) 2,5 mg

AURONAL 5 mg
PRESID (R) 5 mg
FELODIPIN SANDOZ 5 mg
ADALAT CR 30
forma farm.
COMPR. ELIB. MODIF.
NIFEDIPIN RETARD TERAPIA 20 mg
EPILAT RETARD
ISOPTIN (R) 40 mg
VERAPAMIL AL 80
VERAPAMIL AL 80
ISOPTIN (R) 80 mg
VEROGALID (R) ER 240 mg
ISOPTIN RR
VERAPAMIL 40 mg
VERAPAMIL 80 mg
DILZEM 60 mg
DILTIAZEM EIPICO 60 mg
DILTIAZEM LPH 60 mg
DILTIAZEM ARENA 60 mg
DILTIAZEM BIOEEL 60 mg
DILTIAZEM BIOEEL 60 mg
CORZEM 120
DILZEM 90 mg RETARD
CAPTOPRIL MCC 12,5 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL - AC 25 mg
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
DRAJ. RET.
CAPTOPRIL SINTOFARM 25 mg
CAPTOPRIL ARENA 25 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL FABIOL 10 mg
ENALAPRIL SLAVIA 10 mg
ENALAPRIL AL 10
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
DRAJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
2,5mg
5mg
5mg
5mg
30mg
20mg
20mg
40mg
80mg
80mg
80mg
240mg
240mg
40mg
80mg
60mg
60mg
60mg
60mg
60mg
60mg
120mg
90mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg
50mg
50mg
50mg
50mg
50mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
CEHIA
UNGARIA
CEHIA
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
BAYER HEALTHCARE AG GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF.
P-6L
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ.
P-6L
ABBOTT GMBH&CO.KG GERMANIA
GERMANIA
ALIUD PHARMA GMBH & CO.KG GERMANIA
CEHIA

P-6L
P-6L

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

SANOFI-AVENTIS ROMANIA S.R.L.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. DIN AL/ PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10 COMPR.
AC HELCOR SRL
MAREA BRITANIE
MAREA BRITANIE
MAGISTRA C & C
TERAPIA SA
BIO EEL SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

MAGISTRA C & C
LABORMED PHARMA SA
SINTOFARM SA
ARENA GROUP SA
ARENA GROUP SA
TERAPIA SA
BIO EEL SRL
MAGISTRA C & C
LABORMED PHARMA SA
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR.
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
SANDOZ SRL
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
FABIOL SA
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.
P-6L
P-6L
GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
MERCK SHARP & DOHME ROMANIA
CUTIE X 2 BLIST. AL/AL X 14 COMPR.
TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
Pagina 9 din 29
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-6L
P-6L
P-6L
P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
30
30
30
30
28
50
20
100
100
50
50
30
20
50
50
30
20
20
50
20
50
10
30
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
20
20
30
28
20
30
50
100
8.61
26.66
17.21
15.69
29.88
9.26
4.81
17.09
21.02
10.51
15.30
22.60
19.91
11.82
17.32
12.40
5.39
5.39
13.37
5.39
13.37
12.84
15.38
3.41
4.10
3.02
2.28
3.42
3.42
4.64
2.28
2.67
6.67
3.87
2.67
4.50
3.93
4.39
4.39
3.96
4.39
4.39
4.39
4.39
6.59
10.52
7.30
6.87
11.25
22.02
Pret
amanuntul
maximal/UT
(RON)
0.287000
0.888666
0.573666
0.523000
1.067142
0.185200
0.240500
0.170900
0.210200
0.210200
0.306000
0.753333
0.995500
0.236400
0.346400
0.413333
0.269500
0.269500
0.267400
0.269500
0.267400
1.284000
0.512666
0.113666
0.136666
0.151000
0.114000
0.114000
0.114000
0.154666
0.114000
0.133500
0.222333
0.193500
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666
0.375714
0.365000
0.229000
0.225000
0.220200
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.144599
0.289199
0.289199
0.289199
0.289199
0.185200
0.192799
0.108397
0.210200
0.210200
0.216794
0.650384
0.650384
0.108397
0.216794
0.268975
0.268975
0.268975
0.267400
0.268975
0.267400
0.537950
0.403462
0.049904
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.133500
0.199619
0.193500
0.133500
0.150000
0.131000
0.199619
0.199619
0.198000
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.130139
0.260279
0.260279
0.260279
0.260279
0.166680
0.173519
0.097557
0.189180
0.189180
0.195115
0.585346
0.585346
0.097557
0.195115
0.242077
0.242077
0.242077
0.240660
0.242077
0.240660
0.484155
0.363116
0.044914
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.120150
0.179657
0.174150
0.120150
0.135000
0.117900
0.179657
0.179657
0.178200
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
Nr crt.
cod ATC
442 C09AA02
443 C09AA02
444 C09AA02
445 C09AA02
446 C09AA02
447 C09AA02
448 C09AA02
449 C09AA02
450 C09AA02
451 C09AA02
452 C09AA02
453 C09AA02
454 C09AA02
455 C09AA02
456 C09AA02
457 C09AA02
458 C09AA02
459 C09AA02
460 C09AA02
461 C09AA02
462 C09AA02
463 C09AA02
464 C09AA02
465 C09AA02
466 C09AA02
467 C09AA02
468 C09AA03
469 C09AA03
470 C09AA03
471 C09AA03
472 C09AA03
473 C09AA03
474 C09AA03
475 C09AA03
476 C09AA03
477 C09AA03
478 C09AA03
479 C09AA03
480 C09AA03
481 C09AA03
482 C09AA03
483 C09AA03
484 C09AA03
485 C09AA03
486 C09AA03
487 C09AA03
488 C09AA03
489 C09AA03
490 C09AA03
491 C09AA03
DCI
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
Denumire Comerciala

ENALAPRIL VIM SPECTRUM 10 mg
EDNYT 10 mg
ENALAPRIL 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL 5 mg
ENALAPRIL 5 mg
ENALAPRIL AL 5
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISIGAMMA 20 mg
LISINOPRIL 20 MEDO
TONOLYSIN 20 mg
RANOLIP
LISIGAMMA 5 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
5mg
5mg
5mg
tara det.
APP
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
FABIOL SA
ROMANIA
Detinator APP
Ambalaj
CUTIE X 1 FLAC. DIN PE X 20 COMPR.
Prescriptie
P-6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

P-6L
P-6L
P-6L
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
P-6L
CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L

TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
P-6L
MAGISTRA C & C
P-6L
SANDOZ SRL
P-6L

P-6L
P-6L
TERAPIA SA
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
KRKA D.D.
SLOVENIA CUTIE X 5 FIOLE X 1 ML
S/P-RF
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
P-6L
AC HELCOR SRL
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
MEDOCHEMIE ROMANIA SRL
ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.

GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
AC HELCOR SRL
HEXAL AG
P-6L
ANTIBIOTICE SA
ANTIBIOTICE SA
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
HEXAL AG
Pagina 10 din 29
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
20
20
30
20
20
20
20
20
30
28
20
30
50
20
20
20
20
30
20
28
20
20
30
20
20
5
30
20
30
30
30
30
20
30
28
28
30
20
30
30
20
30
10
30
28
10
30
30
30
30
11.28
4.10
10.20
7.94
10.18
8.75
7.94
7.12
11.62
17.12
11.11
11.12
16.43
7.92
3.67
3.67
3.67
5.25
3.67
7.87
3.84
3.93
5.58
3.65
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
6.27
9.72
15.47
8.75
23.11
15.65
15.05
12.93
14.44
23.37
7.43
23.48
22.90
13.81
39.31
7.64
7.15
6.50
Pret
amanuntul
maximal/UT
(RON)
0.564000
0.205000
0.340000
0.397000
0.509000
0.437500
0.397000
0.356000
0.387333
0.611428
0.555500
0.370666
0.328600
0.396000
0.183500
0.183500
0.183500
0.175000
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.313500
0.324000
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.722000
0.779000
0.743000
0.782666
0.817857
1.381000
1.310333
0.254666
0.238333
0.216666
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.199619
0.199619
0.199619
0.397000
0.399239
0.399239
0.397000
0.356000
0.387333
0.399239
0.399239
0.370666
0.328600
0.396000
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
0.099809
3.090000
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.049904
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.798479
0.798479
0.099809
0.099809
0.099809
0.179657
0.179657
0.179657
0.357300
0.359315
0.359315
0.357300
0.320400
0.348599
0.359315
0.359315
0.333599
0.295740
0.356400
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
0.089828
2.781000
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.044914
0.359315
0.359315
0.359315
0.359315
0.359315
0.359315
0.359315
0.359315
0.359315
0.718631
0.718631
0.089828
0.089828
0.089828
Nr crt.
cod ATC
DCI
537 C09AA09
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
538 C09BA02
COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)
539 C09BA02
540 C09BA02
541 C09BA02
492 C09AA03
493 C09AA03
494 C09AA03
495 C09AA05
496 C09AA05
497 C09AA05
498 C09AA05
499 C09AA05
500 C09AA05
501 C09AA05
502 C09AA05
503 C09AA05
504 C09AA05
505 C09AA05
506 C09AA05
507 C09AA05
508 C09AA05
509 C09AA05
510 C09AA05
511 C09AA05
512 C09AA05
513 C09AA05
514 C09AA05
515 C09AA05
516 C09AA05
517 C09AA05
518 C09AA05
519 C09AA05
520 C09AA05
521 C09AA05
522 C09AA05
523 C09AA06
524 C09AA06
525 C09AA06
526 C09AA06
527 C09AA06
528 C09AA06
529 C09AA06
530 C09AA06
531 C09AA09
532 C09AA09
533 C09AA09
534 C09AA09
535 C09AA09
536 C09AA09
Denumire Comerciala
LISINOPRIL 5 MEDO
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
RAMIGAMMA 10 mg
TRITACE 10
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
RAMIGAMMA 5 mg
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg
RAMIRAN 5 mg
AQUIRIL 10 mg
ACCUPRO 10 mg
QUINARAN 10 mg
ACCUPRO (R) 20
QUINARAN 20 mg
QUINARAN 40 mg
ACCUPRO (R) 5
QUINARAN 5 mg
MONOPRIL 10 mg
FOSYPRIL 10 mg
FOSYPRIL 10 mg
MONOPRIL 20 mg
FOSINOPRIL TEVA 20 mg
FOSYPRIL 20 mg
FOSYPRIL 20 mg
ENAP HL
ENAP H
ENAP (R) HL 20 mg/12,5 mg
VIMAPRIL HL
forma farm.
COMPR.
COMPR.
COMPR.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
5mg
5mg
5mg
10mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg
10mg
2,5mg
5mg
10mg
10mg
10mg
20mg
20mg
40mg
5mg
5mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
Detinator APP

tara det.
APP
Ambalaj
Prescriptie

P-6L
P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. P-6L
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.

SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
P-6L
P-6L
P-6L
ZENTIVA S.A.
UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.
SANDOZ SRL
GERMANIA
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
ZENTIVA S.A.
SANOFI - AVENTIS ROMANIA S.R.L.


SANDOZ SRL
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

P-6L
ZENTIVA S.A.
GERMANIA
CUTIE X 2 BLIST. A/AL X 10 COMPR.

P-6L
CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM.

CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM.
MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM.
MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM.
P-6L
P-6L
RANBAXY U.K. LIMITED

MAREA BRITANIE
P-6L
MAREA BRITANIE
P-6L
MAREA BRITANIE
CUTIE X 3 BLIST. PVC/AL/PA X 10 COMPR. FILM. P-6L
RANBAXY UK LIMITED
MAREA BRITANIE
CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L
MAREA BRITANIE
CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L
RANBAXY UK LIMITED
MAREA BRITANIE
UNGARIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
BRISTOL-MYERS SQUIBB UNGARIA
TEVA PHARMACEUTICAL S.R.L. ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR.

CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR.
10mg+12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR.
10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR.
20 mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR.
P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR.
P-6L
FARA CONCENTRATIE
RANBAXY UK LIMITED
RANBAXY UK LIMITED
BRISTOL MYERS SQUIBB KFT
Pagina 11 din 29
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
30
30
28
30
28
28
30
30
28
28
20
28
28
28
30
30
28
28
28
28
28
30
30
28
28
20
28
30
30
30
30
30
30
30
30
30
30
30
30
28
30
30
28
30
30
30
20
20
20
30
8.67
7.37
9.28
24.95
23.28
23.28
24.95
24.93
23.28
23.28
10.51
34.64
7.46
9.37
10.05
10.02
9.37
9.37
14.41
10.15
10.17
10.83
10.85
10.17
10.17
7.09
15.62
6.89
33.00
11.23
20.51
7.60
11.69
7.60
16.75
15.05
44.09
8.20
7.61
20.83
14.76
14.76
28.58
18.89
25.61
25.61
8.89
9.82
7.95
8.88
Pret
amanuntul
maximal/UT
(RON)
0.289000
0.245666
0.331428
0.831666
0.831428
0.831428
0.831666
0.831000
0.831428
0.831428
0.525500
1.237142
0.266428
0.334642
0.335000
0.334000
0.334642
0.334642
0.514642
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.557857
0.229666
1.100000
0.374333
0.683666
0.253333
0.389666
0.253333
0.558333
0.501666
1.469666
0.273333
0.253666
0.743928
0.492000
0.492000
1.020714
0.629666
0.853666
0.853666
0.444500
0.491000
0.397500
0.296000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.099809
0.099809
0.099809
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.525500
0.798479
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.399239
0.099809
0.798479
0.199619
0.399239
0.133079
0.133079
0.133079
0.266159
0.266159
0.532319
0.066539
0.066539
0.133079
0.133079
0.133079
0.266159
0.266159
0.266159
0.266159
0.444500
0.485399
0.397500
0.296000
0.089828
0.089828
0.089828
0.718631
0.718631
0.718631
0.718631
0.718631
0.718631
0.718631
0.472950
0.718631
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.179657
0.326250
0.326892
0.324900
0.325499
0.326892
0.326892
0.319050
0.359315
0.089828
0.718631
0.179657
0.359315
0.119771
0.119771
0.119771
0.239543
0.239543
0.479087
0.059885
0.059885
0.119771
0.119771
0.119771
0.239543
0.239543
0.239543
0.239543
0.400050
0.436859
0.357750
0.266400
Nr crt.
cod ATC
DCI
542 C09BA02
543 C09BA05
COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)
544 C09BA05
545 C09BA05
546 C09BA05
547 C09BA05
548 C09BA05
549 C09BA05
550 C09BA05
551 C09CA01
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
552 C09CA01
553 C09CA01
554 C09CA01
555 C09CA01
556 C09CA01
557 C09CA01
558 C09CA01
559 C09CA01
560 C09CA01
561 C09CA01
562 C09CA01
563 C09CA01
564 C10AA01
565 C10AA01
566 C10AA01
567 C10AA01
568 C10AA01
569 C10AA01
570 C10AA01
571 C10AA01
572 C10AA01
573 C10AA01
574 C10AA01
575 C10AA01
576 C10AA01
577 C10AA01
578 C10AA01
579 C10AA01
580 C10AA01
581 C10AA01
582 C10AA01
583 C10AA01
584 C10AA01
585 C10AA01
586 C10AA01
587 C10AA01
588 C10AA01
589 C10AA01
590 C10AA01
591 C10AA01
Denumire Comerciala
forma farm.
VIMAPRIL H
COMPR.
HARTIL HCT 2,5 mg/12,5mg COMPR.
RAMIPRIL HCT-MEDOCHEMIE COMPR.
TENSIL 2,5mg/12,5mg
COMPR.
TRITACE 2,5 PLUS
COMPR.
HARTIL HCT 5 mg/25mg
COMPR.
RAMIPRIL HCT-MEDOCHEMIE COMPR.
TENSIL 5mg/25mg
COMPR.
TRITACE 5 PLUS
COMPR.
TALOSAN 100 mg
COMPR. FILM.
TALOSAN 100 mg
COMPR. FILM.
LOZAP 100
COMPR. FILM.
LORISTA 100 mg
COMPR. FILM.
TALOSAN 12,5 mg
COMPR. FILM.
TALOSAN 25 mg
COMPR. FILM.
TALOSAN 25 mg
COMPR. FILM.
TALOSAN 50 mg
COMPR. FILM.
TALOSAN 50 mg
COMPR. FILM.
LOSARTAN FARMAL 50 mg COMPR. FILM.
LOZAP 50
COMPR. FILM.
COZAAR 50 mg
COMPR. FILM.
LORISTA 50 mg
COMPR. FILM.
SIMVASTATINA BIOGALENICA 10 mg COMPR. FILM.
SIMGAL (R) 10 mg
SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg
ZEPLAN (R) 10 mg
ZOCOR 10 mg
SINTENAL 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg
SIMVASTATINA ACTAVIS 10 mg
SIMVASTATIN ACCORD 10 mg
SIMVASTATIN AUROBINDO 10 mg
SIMVASTATIN BLUEFISH 10 mg
RANVOR 10 mg
RANVOR 10 mg
ZAREDIL 10 mg
RANVOR 10 mg
SIMVASTATINA SUN 10 mg
SIMVACARD 10 mg
SIMVASTATINA BIOGALENICA 20 mg
SIMGAL (R) 20 mg
ZEPLAN (R) 20 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
ZOCOR 20 mg
SINTENAL 20 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
tara det.
APP
Ambalaj
FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L
2,5mg/12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L
2,5mg/12,5mg MEDOCHEMIE LTD. CIPRU
2,5mg/12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
2,5mg/12,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
5mg/25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L
concentratie
5mg/25mg
5mg/25mg
5mg/25mg
100mg
100mg
100mg
100mg
12,5mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
Detinator APP
Prescriptie

TEVA PHARMACEUTICALS S.R.L.
TERAPIA SA
TERAPIA SA
ZENTIVA A.S.
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
P-6L
CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L
CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

P6L
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
FARMAL INTERNATIONAL S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ZENTIVA A.S.
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L



CUTIE X 2 BLIST. PVC-PE- PVDC/AL X 14 COMPR. FILM. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 28 COMPR. FILM.
P6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
IVAX - PHARMACEUTICALS S.R.O. CEHIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
P-6L

GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
P-6L
KRKA D.D.
SLOVENIA
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L

ISLANDA
ISLANDA
CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
P-6L
P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM.
AUROBINDO PHARMA LIMITED


P-6L
MAREA BRITANIE
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.
P-6L
SUEDIA
P-6L

P-6L
MAREA BRITANIE
MAREA BRITANIE
P-6L
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
MAREA BRITANIE
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
ZENTIVA K.S.
CEHIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM

GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM.
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
P-6L
Pagina 12 din 29
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
30
28
30
30
28
28
30
30
28
30
30
30
28
30
30
30
30
30
28
30
28
28
28
28
30
14
28
28
30
28
30
28
30
30
30
30
14
28
28
30
28
28
28
28
30
28
14
14
28
30
11.82
23.22
13.27
8.58
24.59
29.45
22.71
18.21
28.95
33.41
33.41
37.61
32.76
4.25
7.81
7.81
17.92
17.92
17.89
19.63
64.56
18.00
8.75
8.75
9.37
4.38
8.75
13.45
9.35
8.74
9.37
8.75
9.35
9.26
9.21
5.56
4.24
8.47
8.75
9.37
8.46
8.74
16.55
16.55
17.75
16.56
8.27
12.74
25.45
17.69
Pret
amanuntul
maximal/UT
(RON)
0.394000
0.829285
0.442333
0.286000
0.878214
1.051785
0.757000
0.607000
1.033928
1.113666
1.113666
1.253666
1.170000
0.141666
0.260333
0.260333
0.597333
0.597333
0.638928
0.654333
2.305714
0.642857
0.312500
0.312500
0.312333
0.312857
0.312500
0.480357
0.311666
0.312142
0.312333
0.312500
0.311666
0.308666
0.307000
0.185333
0.302857
0.302500
0.312500
0.312333
0.302142
0.312142
0.591071
0.591071
0.591666
0.591428
0.590714
0.910000
0.908928
0.589666
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.394000
0.485399
0.442333
0.286000
0.485399
0.485399
0.485399
0.485399
0.485399
1.113666
1.113666
1.253666
1.170000
0.141666
0.260333
0.260333
0.597333
0.597333
0.638928
0.654333
0.662785
0.642857
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.185333
0.253315
0.253315
0.253315
0.253315
0.253315
0.253315
0.506631
0.506631
0.506631
0.506631
0.506631
0.506631
0.506631
0.506631
0.354600
0.436859
0.398099
0.257400
0.436859
0.436859
0.436859
0.436859
0.436859
1.002299
1.002299
1.128299
1.053000
0.127499
0.234299
0.234299
0.537599
0.537599
0.575035
0.588899
0.596506
0.578571
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.166799
0.227984
0.227984
0.227984
0.227984
0.227984
0.227984
0.455968
0.455968
0.455968
0.455968
0.455968
0.455968
0.455968
0.455968
Nr crt.
cod ATC
592 C10AA01
593 C10AA01
594 C10AA01
595 C10AA01
596 C10AA01
597 C10AA01
598 C10AA01
599 C10AA01
600 C10AA01
601 C10AA01
602 C10AA01
603 C10AA01
604 C10AA01
605 C10AA01
606 C10AA01
607 C10AA01
608 C10AA01
609 C10AA01
610 C10AA01
611 C10AA01
612 C10AA01
613 C10AA01
614 C10AA01
615 C10AA01
616 C10AA01
617 C10AA01
618 C10AA01
619 C10AA01
620 C10AA01
621 C10AA01
622 C10AA01
623 C10AA01
624 C10AA01
625 C10AA01
626 C10AA01
627 C10AA01
628 C10AA01
629 C10AA01
630 C10AA01
631 C10AA01
632 C10AA01
633 C10AA01
634 C10AA01
635 C10AA01
636 C10AA01
637 C10AA01
638 C10AA01
639 C10AA01
640 C10AA02
641 C10AA02
DCI
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
MEDOSTATIN
MEDOSTATIN
COMPR.
COMPR.
Denumire Comerciala
VASILIP 20 mg
SIMCOR 20 mg
VABADIN 20 mg
ZAREDIL 20 mg
RANVOR 20 mg
RANVOR 20 mg
ZAREDIL 20 mg
RANVOR 20 mg
SIMVACARD 20 mg
SIMVASTATINA BIOGALENICA 40 mg
VASILIP (R) 40 mg
ZOCOR FORTE
ZOCOR FORTE
ZEPLAN (R) 40 mg
ZEPLAN (R) 40 mg
SIMGAL (R) 40 mg
SINTENAL 40 mg
SIMCOR 40 mg
SIMCOR 40 mg
VABADIN 40 mg
ZAREDIL 40 mg
RANVOR 40 mg
ZAREDIL 40 mg
RANVOR 40 mg
SIMVASTATINA ALVOGEN 40 mg
SIMVACARD 40 mg
RANVOR 5 mg
concentratie
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
30mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
80mg
80mg
20mg
20mg
tara det.
APP
Ambalaj
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L
ANTIBIOTICE SA
Detinator APP
Prescriptie
MENARINI INTERNATIONAL OPERATIONS S.A.
LUXEMBOURG
MAREA BRITANIE
ISLANDA
ISLANDA
CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM
P-6L
P-6L


P-6L
MAREA BRITANIE
P-6L
SUEDIA
SUEDIA
P-6L
P-6L

P-6L
MAREA BRITANIE
MAREA BRITANIE
P-6L
MAREA BRITANIE
MAREA BRITANIE
CEHIA
CIPLA (UK) LIMITED

ZENTIVA K.S.
HEXAL AG
ARENA GROUP S.A.
KRKA D.D.
P-6L
ROMANIA
CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L
SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L

CEHIA
HEXAL AG
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
LUXEMBOURG
MAREA BRITANIE

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ISLANDA
ISLANDA
CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

P-6L
P-6L
MAREA BRITANIE
P-6L
P-6L
P-6L
SUEDIA
SUEDIA
SUEDIA
P-6L
MAREA BRITANIE
P-6L
MAREA BRITANIE

CIPLA (UK) LIMITED
MAREA BRITANIE
ALVOGEN IPCO S.A.R.L
LUXEMBOURG
ZENTIVA K.S.
CEHIA
P-6L
MAREA BRITANIE
P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
P-6L

P-6L
Pagina 13 din 29

P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
28
30
30
28
28
28
30
30
30
28
30
14
28
28
30
28
28
30
28
28
28
14
28
14
28
30
30
10
30
28
28
30
28
30
30
30
14
28
30
14
28
30
28
30
28
14
30
30
100
10
16.55
17.73
17.73
44.47
16.56
13.11
14.05
17.73
17.46
13.61
14.58
7.90
15.79
16.56
14.05
15.78
16.55
21.09
29.88
29.86
44.47
22.99
29.88
14.93
29.88
31.99
31.99
10.66
31.99
67.54
18.38
31.99
21.56
23.11
31.99
31.51
15.01
30.03
18.54
15.01
18.38
23.14
29.83
23.14
30.03
2.45
54.32
56.17
67.59
14.44
Pret
amanuntul
maximal/UT
(RON)
0.591071
0.591000
0.591000
1.588214
0.591428
0.468214
0.468333
0.591000
0.582000
0.486071
0.486000
0.564285
0.563928
0.591428
0.468333
0.563571
0.591071
0.703000
1.067142
1.066428
1.588214
1.642142
1.067142
1.066428
1.067142
1.066333
1.066333
1.066000
1.066333
2.412142
0.656428
1.066333
0.770000
0.770333
1.066333
1.050333
1.072142
1.072500
0.618000
1.072142
0.656428
0.771333
1.065357
0.771333
1.072500
0.175000
1.810666
1.872333
0.675900
1.444000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.506631
0.506631
0.506631
0.506631
0.506631
0.468214
0.468333
0.506631
0.506631
0.486071
0.486000
0.506631
0.506631
0.506631
0.468333
0.506631
0.506631
0.703000
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
1.013264
0.656428
1.013264
0.770000
0.770333
1.013264
1.013264
1.013264
1.013264
0.618000
1.013264
0.656428
0.771333
1.013264
0.771333
1.013264
0.126657
1.810666
1.872333
0.337754
0.337754
0.455968
0.455968
0.455968
0.455968
0.455968
0.421392
0.421499
0.455968
0.455968
0.437463
0.437400
0.455968
0.455968
0.455968
0.421499
0.455968
0.455968
0.632700
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.911937
0.590785
0.911937
0.693000
0.693299
0.911937
0.911937
0.911937
0.911937
0.556200
0.911937
0.590785
0.694199
0.911937
0.694199
0.911937
0.113991
1.629599
1.685099
0.303978
0.303978
Nr crt.
cod ATC
642 C10AA02
643 C10AA02
644 C10AA02
645 C10AA03
646 C10AA03
647 C10AA03
648 C10AB05
649 C10AB05
650 C10AB05
651 C10AB05
652 C10AB05
653 C10AB05
654 C10AB05
655 C10AB05
656 C10AB05
657 C10AB05
658 C10AB05
659 C10AB05
660 C10AB05
661 D01AC02
662 D01AC02
663 D01AC02
664 D06BB03
665 D06BB03
666 D06BB03
667 D06BB03
668 D06BB03
669 D06BB03
670 D06BB03
671 D06BB03
672 D07AA02
673 D07AC01
674 D07AC01
675 D07AC01
676 G01AF04
677 G01AF04
678 G01AF04
679 G01AF04
680 G01AF04
681 G01AF04
682 G02AB03
683 G03BA03
684 G03BA03
685 G03BA03
686 G03CA03
687 G03CA03
688 G03CA03
689 G04CAN1
690 G04CAN1
691 G04CAN1
DCI
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
Denumire Comerciala
MEDOSTATIN
LOVASTATINA BIOGALENICA 20 mg
MEDOSTATIN 40 mg
PRAVATOR 10 mg
PRAVATOR 20 mg
PRAVATOR 40 mg
LIPANTHYL (R) 100
LIPOFIB 160 mg
FENOLIP 160 mg
LIPANTHYL 200 M
LIPOFIB 200 mg
LIPOFIB 267 mg
FENOFIBRAT LPH 200 mg
LIPIVIM
TRIGLIPO 160 mg
LIPANTIL NANO 145 mg
FENOFIBRAT TEVA 160 mg
LIPANTHYL SUPRA 160 mg
LIPANTHYL SUPRA 160 mg
MEDACTER
MICONAZOL NITRAT 2%
MICONAL ECOBI
ACICLOVIR 50mg/g
ZOVIRAX
ACICLOVIR 50mg/g
CLOVIRAL (R) 5%
ACICLOVIR HYPERION
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. PULB. MICRONIZATA
CAPS. PULB. MICRONIZATA
COMPR.
COMPR. FILM.
COMPR. FILM.
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
ACICLOVIR TERAPIA 50 mg/g CREMA
HIDROCORTIZON 1%
UNGUENT
BETADERM
CREMA
EKARZIN 0,5MG/G
CREMA
BETADERM
UNGUENT
GYNOZOL 200
CAPS. VAG.
GYNOZOL 400
CAPS. VAG.
MEDACTER
CREMA VAG.
MICONAL ECOBI
CREMA VAG.
MICONAL ECOBI
OVULE
MICONAL ECOBI
SOL. VAGINALA
MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ.
UNDESTOR TESTOCAPS 40 mg CAPS. MOI
ANDROGEL 50 mg
GEL
NEBIDO 1000 mg/4 ml
SOL. INJ.
ESTREVA (R)
GEL
OESTROGEL 0,6 mg/g
GEL
CLIMARA
PLASTURE TRANSDERM.
KAMIREN (vezi G04CAN1)
COMPR.
COMPR.
COMPR.
concentratie
20mg
20mg
40mg
10mg
20mg
40mg
100mg
160mg
160mg
200mg
200mg
267mg
200mg
200mg
160mg
145mg
160mg
160mg
160mg
2%
2%
20mg/g
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
50mg/g
1%
0,1%
0,5mg/g
0,1%
200mg
400mg
2%
20mg/g
50mg
2mg/ml
0,2mg/ml
40mg
50mg
1000mg/4ml
0,1%
0,6mg/g
50mcg/24ore
1mg
1mg
2mg
Detinator APP
tara det.
APP
Ambalaj

ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR.
MAREA BRITANIE
Prescriptie
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L
LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS.

P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 CAPS.
P6L
LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
P-6L
TERAPIA SA
P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
LAB. FOURNIER S.A. FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD.
LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD.
FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G
SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G
FARMACEUTICI ECOBI S.A.S ITALIA
CUTIE X 1 TUB DIN AL X 30 G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB AL. X 12 G
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
P-6L
P-6L
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF

SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA
P-RF
TERAPIA S.A.
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB X 20 G
P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G
P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G
P-RF
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF
FARAN LABORATORIES S.A.
FARMACEUTICI ECOBI S.A.S
ZENTIVA S.A.
N.V. ORGANON
GRECIA CUTIE X 1 TUB X 78 G

ITALIA
CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA
ITALIA
CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE
ITALIA
CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE
P-RF
ROMANIA
CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE
P-RF
CUTIE X 6 PLICURI DIN PES-AL-PE X 1 BLIST. AL/PVC X 10 CAPS. MOI
P-RF
P-RF
P-RF
P-RF
LAB. BESINS INTERNATIONAL
OLANDA
FRANTA
BAYER SCHERING PHARMA AG
GERMANIA
CUTIE X 1 FIOLA X 4 ML SOL. INJ.
S/P-RF
LAB. THERAMEX
CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G
P-6L
LABORATOIRES BESINS INTERNATIONAL
MONACO
FRANTA
CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN
P-6L
GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L
CUTIE X 30 PLICURI DIN FOLIE PET/AL/PE X 5 G GEL P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
Pagina 14 din 29
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
30 20.79
0.693000
0.337754
0.303978
30 25.87
0.862333
0.337754
0.303978
30 47.66
1.588666
0.675508
0.607957
28 17.21
0.614642
0.253315
0.227984
28 22.45
0.801785
0.506631
0.455968
28 35.52
1.268571
1.013264
0.911937
48 20.74
0.432083
0.396225
0.356602
30 26.89
0.896333
0.633960
0.570564
30 26.44
0.881333
0.633960
0.570564
10 13.56
1.356000
0.792450
0.713205
30 27.83
0.927666
0.792450
0.713205
30 33.54
1.118000
1.057920
0.952128
20 17.60
0.880000
0.792450
0.713205
30 26.43
0.881000
0.792450
0.713205
30 26.87
0.895666
0.633960
0.570564
30 34.74
1.158000
0.574526
0.517073
30 26.89
0.896333
0.633960
0.570564
10 13.81
1.381000
0.633960
0.570564
30 40.04
1.334666
0.633960
0.570564
1
8.57
8.570000
8.570000
7.713000
1
6.83
6.830000
5.926500
5.333850
1
9.51
9.510000
8.889750
8.000775
1
7.60
7.600000
6.050250
5.445225
1 21.06 21.060000
2.016750
1.815075
1
4.98
4.980000
2.016750
1.815075
1
6.39
6.390000
4.840200
4.356180
1
7.33
7.330000
6.050250
5.445225
1
4.70
4.700000
4.700000
4.230000
1
6.72
6.720000
6.050250
5.445225
1
6.72
6.720000
6.050250
5.445225
1
7.40
7.400000
7.400000
6.660000
1
5.96
5.960000
3.570000
3.213000
1
7.40
7.400000
7.400000
6.660000
1
5.96
5.960000
3.570000
3.213000
6
5.96
0.993333
0.993333
0.893999
3
5.72
1.906666
1.906666
1.715999
1 19.37 19.370000 13.614750 12.253275
1 13.93 13.930000 13.614750 12.253275
15
9.00
0.600000
0.436370
0.392733
5 18.00
3.600000
2.618221
2.356399
5
5.95
1.190000
1.190000
1.071000
60 47.33
0.788833
0.788833
0.709949
30 223.35
7.445000
7.445000
6.700500
1 484.53 484.530000 484.530000 436.077000
1 29.40 29.400000 10.252796
9.227516
1 16.61 16.610000
9.842684
8.858415
4 33.33
8.332500
8.332500
7.499250
30 10.18
0.339333
0.202537
0.182283
30 10.18
0.339333
0.202537
0.182283
30 17.07
0.569000
0.405074
0.364567
Nr crt.
cod ATC
692 G04CAN1
693 G04CAN1
694 G04CAN1
695 G04CAN1
696 G04CAN1
697 G04CAN1
698 G04CAN1
699 H02AB04
700 H02AB04
701 H02AB07
702 H02AB07
703 H02AB07
704 H02AB07
705 H02AB07
706 H02AB09
707 H02AB09
708 H02AB09
709 H02AB09
710 H02AB09
711 J01AA02
712 J01AA02
713 J01AA02
714 J01AA02
715 J01AA02
716 J01CA04
717 J01CA04
718 J01CA04
719 J01CA04
720 J01CA04
721 J01CA04
722 J01CA04
723 J01CA04
724 J01CA04
725 J01CA04
726 J01CA04
727 J01CA04
728 J01CA04
729 J01CA04
730 J01CA04
731 J01CA04
732 J01CA04
733 J01CA04
734 J01CA04
735 J01CA04
736 J01CA04
737 J01CA04
738 J01CA04
739 J01CA04
740 J01CE02
741 J01CE02
DCI
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
PHENOXYMETHYLPENICILLINUM
Denumire Comerciala
forma farm.

COMPR.
COMPR.
COMPR.
CARDURA XL 4 mg (vezi G04CAN1)
COMPR. ELIB. MODIF.
CARDURA XL 4 mg (vezi G04CAN1)
COMPR. ELIB. MODIF.
KAMIREN XL 4 mg (vezi C02CA04)
KAMIREN XL 4 mg (vezi C02CA04)
LEMOD SOLU 125 mg

LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
N - PREDNISON
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
LIOF. PT. SOL. INJ.
HYDROCORTISONE SUCCINAT SODIC
LIOF. + SOLV. PT. SOL. INJ.
HYDROCORTISONE 500 mg
LIOF. PT. SOL. INJ. + SOLV.
LIOF. PT. SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
HYDROCORTISONE ROUSSEL COMPR.
HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ.
SOL. INJ. I.V.

DOXICICLINA ATB 100 mg CAPS.
DOXICICLINA
CAPS.
DOXICICLINA 100 mg
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
AMOXICILINA ARENA 250 mg CAPS.
AMOXICILINA ANTIBIOTICE 250 mg CAPS.
OSPAMOX 250 mg
CAPS.
AMOXICILINA SANDOZ 250 mg CAPSULE CAPS.
AMOXICILINA FARMEX 250 mg CAPS.
AMOXICILINA ANTIBIOTICE 500 mg CAPS.
E - MOX
CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA ARENA 500 mg CAPS.
AMOXICILINA SANDOZ 500 mg CAPSULE CAPS.
OSPAMOX 1000 mg
COMPR. FILM.
OSPAMOX 500 mg
COMPR. FILM.
AMOXICILINA TERAPIA 1 g COMPR. PT. DISP. ORALA
DUOMOX 1000 mg
DUOMOX 250 mg
DUOMOX 500 mg
DUOMOX 750 mg
JULPHAMOX
PULB. PT. SUSP. ORALA
HIDROCORTIZON HEMISUCCINAT
COMPR. PT. DISPERSIE ORALA

AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA
OSPAMOX (R) 125 mg/5 ml

JULPHAMOX
AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA
OSPAMOX 250 mg/5 ml

OSPEN (R) 1000
OSPEN (R) 1500

COMPR. FILM.
COMPR. FILM.
concentratie
2mg
4mg
4mg
4mg
4mg
4mg
4mg
125mg
500mg
5mg
5mg
5mg
5mg
5mg
10mg
100mg
100mg
500mg
25mg/5ml
100 mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
1000mg
500mg
1g
1000mg
250mg
500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
1000000ui
1500000ui
tara det.
APP
Ambalaj
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L
Detinator APP
Prescriptie
MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL.
P-6L
MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL.
P-6L
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL.
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL.
P-6L
P-6L
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML
S/P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
S/P-RF

MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
CN UNIFARM
ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
ZENTIVA S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE SA
ROMANIA
SANDOZ SRL
ROMANIA
ASTELLAS PHARMA EUROPE BV
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ GMBH
SANDOZ SRL
FARMEX COMPANY SRL
ANTIBIOTICE SA
FARMEX COMPANY SRL
FARMEX COMPANY SRL
SANDOZ S.R.L.
SANDOZ GMBH
GULF PHARMACEUTICAL IND. (JUPHAR)
SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
Pagina 15 din 29
CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV.
P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML
S/P-RF
CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV.
P-RF
CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B
S/P-RF
CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF

P-RF
CUTIE X 1 BLIST. X 10 CAPS.
P-RF
P-RF
OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP.

AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS.
ROMANIA CUTIE X 1 BLIST. X 8 CAPS.
AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.
AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM.
ARENA GROUP SA
SANDOZ SRL
SANDOZ GMBH
SANDOZ GMBH
TERAPIA SA
ROMANIA
ASTELLAS PHARMA EUROPE BV OLANDA
GULF PHARMACEUTICAL IND. (JUPHAR)
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

P-RF
CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF
CUTIE X 1 FLAC. 25 COMPR.
PRF
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA
P-RF

P-RF
P-RF
P-RF
P-RF
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP.

ROMANIA
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CONTINAND 20 G PULB PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
P-RF
AUSTRIA
CUTIE X 1 FLAC. X 5,1 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
P-RF
ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP.

ROMANIA
P-RF
CUTIE X 1 FLAC. X 20 G PULB. PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE PE, CU GRADATII PT. 1,25
P-RF
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. X 6,6 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
P-RF
CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
30
30
30
28
28
30
30
1
1
20
30
30
30
20
25
1
1
1
5
10
20
10
10
10
20
20
12
20
20
10
8
10
20
10
10
12
12
21
20
20
20
20
1
1
1
1
1
1
12
12
17.07
30.86
30.86
46.49
46.49
37.34
37.34
8.81
31.02
2.65
2.62
2.47
3.71
2.57
12.20
3.91
3.91
11.91
21.33
3.59
7.00
3.59
3.61
9.58
5.95
6.24
4.44
6.15
5.25
5.42
7.53
5.92
8.81
5.69
4.92
11.63
5.69
19.41
23.77
10.12
14.76
19.75
7.55
5.73
4.55
8.20
4.88
4.88
3.47
6.10
Pret
amanuntul
maximal/UT
(RON)
0.569000
1.028666
1.028666
1.660357
1.660357
1.244666
1.244666
8.810000
31.020000
0.132500
0.087333
0.082333
0.123666
0.128500
0.488000
3.910000
3.910000
11.910000
4.266000
0.359000
0.350000
0.359000
0.361000
0.958000
0.297500
0.312000
0.370000
0.307500
0.262500
0.542000
0.941250
0.592000
0.440500
0.569000
0.492000
0.969166
0.474166
0.924285
1.188500
0.506000
0.738000
0.987500
7.550000
5.730000
4.550000
8.200000
4.880000
4.880000
0.289166
0.508333
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.405074
0.810149
0.810149
0.810149
0.810149
0.810149
0.810149
8.018750
31.020000
0.083583
0.083583
0.082333
0.083583
0.083583
0.488000
3.175199
3.175199
11.910000
0.793799
0.323100
0.323100
0.323100
0.323100
0.323100
0.279787
0.279787
0.279787
0.279787
0.262500
0.481978
0.481978
0.481978
0.440500
0.481978
0.481978
0.963957
0.474166
0.924285
0.963957
0.279787
0.481978
0.722968
2.797875
1.678725
1.678725
5.595750
3.357450
3.357450
0.289166
0.440718
0.364567
0.729134
0.729134
0.729134
0.729134
0.729134
0.729134
7.216875
27.918000
0.075224
0.075224
0.074099
0.075224
0.075224
0.439200
2.857679
2.857679
10.719000
0.714419
0.290790
0.290790
0.290790
0.290790
0.290790
0.251808
0.251808
0.251808
0.251808
0.236250
0.433780
0.433780
0.433780
0.396450
0.433780
0.433780
0.867561
0.426749
0.831856
0.867561
0.251808
0.433780
0.650671
2.518087
1.510852
1.510852
5.036175
3.021705
3.021705
0.260249
0.396646
Nr crt.
cod ATC
742 J01CE02
DCI
Denumire Comerciala
PHENOXYMETHYLPENICILLINUM OSPEN (R) 500

PHENOXYMETHYLPENICILLINUM OSPEN 400
BENZATHINI BENZYLPENICILLINUM MOLDAMIN 1200000 UI
OXACILLINUM
OXACILINA ARENA 250 mg
OXACILLINUM
OXACILINA 250 mg
OXACILLINUM
OXACILINA SANDOZ 250 mg
OXACILLINUM
OXACILINA FARMEX 250 mg
OXACILLINUM
OXACILINA 500 mg
OXACILLINUM
OXACILLINUM
OXACILINA FORTE 500 mg
OXACILLINUM
OXACILLINUM
OXACILINA ANTIBIOTICE 500 mg
OXACILLINUM
OXACILLINUM
OXACILINA ANTIBIOTICE 1 g
OXACILLINUM
forma farm. concentratie

Detinator APP
COMPR. FILM. 500000ui
SANDOZ GMBH
SIROP
SANDOZ GMBH
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ SRL
tara det.
APP
Ambalaj
AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM.

AUSTRIA CUTIE X 1 FLACON X 60ML
PULB. PT. SOL. INJ./PERF.I.M./I.V.
400000ui/5ml
1200000UI
1200000UI
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
1g
1g
758 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
AUGMENTIN SR 1000 mg/62,5 mg
COMPR. ELIB. PREL.
1000mg/62,5mg BEECHAM GROUP PLC
MAREA BRITANIE
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
1000mg
1000mg
SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.
AMOKSIKLAV 2 x 1000 mg
MEDOCLAV 1000 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
AUGMENTIN 500 mg/125 mg
AMOXIPLUS 875 mg/125 mg
AMOKSIKLAV QUICKTAB 1000 mg

MEDOCLAV 156,25 mg/5 ml

AMOKSIKLAV 156,25mg/5ml
MEDOCLAV FORTE 312,5mg/5ml

AMOKSIKLAV 2x
AMOKSIKLAV 2x
743 J01CE02
744 J01CE08
745 J01CE08
746 J01CF04
747 J01CF04
748 J01CF04
749 J01CF04
750 J01CF04
751 J01CF04
752 J01CF04
753 J01CF04
754 J01CF04
755 J01CF04
756 J01CF04
757 J01CF04

PULB. PT. SUSP. INJ.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
PULB. PT. SOL. INJ./PERF. I.M./I.V.
COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ANTIBIOTICE SA
ROMANIA
SANDOZ SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
400mg+57mg/5ml LEK PHARMACEUTICALS D.D.
SLOVENIA
SLOVENIA
AUGMENTIN BIS 400 mg/57 mg/5 ml
400mg/57mg/5ml SMITHKLINE BEECHAM PLC

PULB. PT.SUSP. ORALA
789 J01DB01
790 J01DB01
791 J01DB01
P-RF
P-RF
P-RF
P-RF
CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF/S
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
P-RF
CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF/S
P-RF
CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL. P-RF

P-RF
CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO
P-RF
P-RF
788 J01DB01
P-RF
875mg/125mg ANTIBIOTICE S.A.

ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
P-RF
1000mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF
625mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF
787 J01DB01
P-RF
P-RF
250mg+62,5mg/5ml
786 J01DB01
P-RF
SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.
785 J01DB01
P-RF
625mg
784 J01DB01

MAREA BRITANIE
783 J01DB01
S/P-RF
MAREA BRITANIE
156,25mg/5ml
782 J01DB01
P-RF
CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.
500mg/125mg BEECHAM GROUP PLC
ANTIBIOTICE S.A.
125mg+31,25/5ml
781 J01DB01
P-RF
500/125mg
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
P-RF
CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.

ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
500 mg/125 mg RANBAXY UK LIMITED
780 J01DB01
Prescriptie
P-RF
SLOVENIA
CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 35 ML SUSP.ORALA + SERINGA DOZATOARE
P-RF
P-RF
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA
P-RF
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
AUGMENTIN (R) ES
600 mg/42,9mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE
ENHANCIN 250 mg/ 62,5 mg/5 ml
PULB. PT.SUSP. ORALA 250 mg/ 62,5 mg/5 ml
312,5mg/5ml
CEFALEXINA ARENA 250 mg CAPS.
250mg
CEFALEXINA 250 mg
CAPS.
250mg
OSPEXIN (R) 250 mg
CAPS.
250mg
CEFALEXIN SANDOZ 250 mg CAPSULE CAPS.
250mg
CEFALEXINA 500 mg
CAPS.
500mg
CEFALEXINA ARENA 500 mg CAPS.
500mg
CEFALEXIN SANDOZ
CAPS.
500mg
OSPEXIN 1000 mg
COMPR. FILM. 1000mg
OSPEXIN 500 mg
COMPR. FILM. 500mg
KEFLEX (R) 125 mg/5 ml
GRAN. PT. SUSP. ORALA 125mg/5ml
OSPEXIN (R) 125 mg/5 ml
CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA
CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE
P-RF
RANBAXY UK LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE
P-RF
SLOVENIA
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ GMBH
SANDOZ SRL
ANTIBIOTICE SA
ARENA GROUP SA
SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ GMBH
ACTAVIS GROUP HF
SANDOZ GMBH
SANDOZ SRL

AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
P-RF
AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM.
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR.FILM.
P-RF
CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
P-RF
Pagina 16 din 29
ROMANIA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
12
2.62
1
9.51
1
3.62
100 315.25
20
7.10
20
7.55
20
7.70
20
6.73
10
6.89
10
6.19
20 11.17
10
7.04
100 289.43
1
3.33
100 448.06
1
5.33
28 44.84
14 39.13
14 40.71
28 33.07
14 10.83
14 15.32
14 28.06
14 18.97
14 26.35
14 25.07
14 16.53
1 14.90
1 11.69
1 22.11
1
6.46
1 12.93
1
9.95
1
9.95
1 19.89
1 34.30
1 22.71
1 24.02
20 11.91
20 11.82
12
7.15
10
5.98
10
9.86
10
9.00
10 10.02
12 15.79
12 11.88
1
6.19
1
7.61
1
6.93
Pret
amanuntul
maximal/UT
(RON)
0.218333
9.510000
3.620000
3.152500
0.355000
0.377500
0.385000
0.336500
0.689000
0.619000
0.558500
0.704000
2.894300
3.330000
4.480600
5.330000
1.601428
2.795000
2.907857
1.181071
0.773571
1.094285
2.004285
1.355000
1.882142
1.790714
1.180714
14.900000
11.690000
22.110000
6.460000
12.930000
9.950000
9.950000
19.890000
34.300000
22.710000
24.020000
0.595500
0.591000
0.595833
0.598000
0.986000
0.900000
1.002000
1.315833
0.990000
6.190000
7.610000
6.930000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.146906
0.195874
2.935121
2.935121
0.291895
0.291895
0.291895
0.291895
0.583790
0.583790
0.558500
0.583790
2.558825
2.558825
4.480600
5.117650
1.601428
1.436383
1.436383
0.820790
0.773571
0.820790
0.820790
1.355000
1.436383
1.436383
0.820790
7.211383
7.211383
14.422767
6.460000
12.930000
8.076750
8.076750
16.153500
34.300000
14.422767
14.422767
0.444150
0.444150
0.444150
0.444150
0.888300
0.888300
0.888300
1.315833
0.888300
5.136250
5.136250
5.136250
0.132215
0.176287
2.641609
2.641609
0.262705
0.262705
0.262705
0.262705
0.525411
0.525411
0.502650
0.525411
2.302942
2.302942
4.032540
4.605885
1.441285
1.292745
1.292745
0.738711
0.696213
0.738711
0.738711
1.219500
1.292745
1.292745
0.738711
6.490245
6.490245
12.980491
5.814000
11.637000
7.269075
7.269075
14.538150
30.870000
12.980491
12.980491
0.399735
0.399735
0.399735
0.399735
0.799470
0.799470
0.799470
1.184249
0.799470
4.622625
4.622625
4.622625
Nr crt.
cod ATC
792 J01DB01
793 J01DB01
794 J01DB01
795 J01DB05
796 J01DB05
797 J01DB05
798 J01DB05
799 J01DB05
800 J01DB05
801 J01DB05
802 J01DC02
803 J01DC02
804 J01DC02
805 J01DC02
806 J01DC02
807 J01DC02
808 J01DC02
809 J01DC02
810 J01DC02
811 J01DC02
812 J01DC02
813 J01DC02
814 J01DC02
815 J01DC02
816 J01DC02
817 J01DC02
818 J01DC04
819 J01DC04
820 J01DC04
821 J01DC04
822 J01DC04
823 J01DC04
824 J01DC04
825 J01DC04
826 J01DC04
827 J01DC04
828 J01DC04
829 J01DC04
830 J01DC04
831 J01DC04
832 J01DC04
833 J01DC04
834 J01DC04
835 J01DC04
836 J01DC04
837 J01DC04
838 J01DC04
839 J01DC04
840 J01DC04
841 J01DC04
DCI
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
Denumire Comerciala
forma farm.
KEFLEX (R) 250 mg/5 ml
CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA
OSPEXIN (R) 250 mg/5 ml

CEXYL 250 mg
CEXYL 500 mg
CEFADROXIL TERAPIA
CEFORAN 500 mg
CEXYL 1000 mg
CEXYL 125 mg/5 ml
CEXYL 250 mg/5 ml
CEROXIM 250 mg
CEFUROXIMA ANTIBIOTICE 250 mg
CEROXIM 500 mg
AXYCEF (R) 125

AXYCEF (R) 250
AXYCEF (R) 500
ZINNAT (R) 125 mg
ZINNAT (R) 250 mg
ZINNAT (R) 500 mg
ZINNAT
CEROXIM 125mg/5ml
CEROXIM 250mg/5ml
AXYCEF (R) 125 mg/5 ml
CECLODYNE 250 mg
CEFACLOR ARENA 250 mg
CLORACEF (R) 250
CEFACLOR TERAPIA 250 mg
CECLODYNE FORTE 500 mg
CLORACEF (R) FORTE 500

CEFACLOR ARENA 500 mg
CEFACLOR TERAPIA 500 mg
CECLOR MR 500 mg
CECLOR MR 750 mg
CEFACLOR TERAPIA MR 375
CEFACLOR TERAPIA MR 750
CECLODYNE (R) MR 375 mg

CECLOR (R) 125 mg/5 ml
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
GRAN. SUSP. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ACOPERITE
COMPR. ACOPERITE
COMPR. ACOPERITE
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
CEFACLOR TERAPIA 125mg/5ml
CECLODYNE 125 mg/5 ml

CECLOR (R) 250 mg/5 ml

CECLODYNE 250 mg/ 5 ml
CLORACEF (R) 125
CEFAKLOR 125 mg/5 ml


tara det.
APP
concentratie
Detinator APP
250mg/5ml
250mg/5ml
250mg/5ml
250mg
500mg
500mg
500mg
1000mg
125mg/5ml
250mg/5ml
250mg
250mg
250mg
500mg
500mg
500mg
125mg
250mg
500mg
125mg
250mg
500mg
125mg/5ml
125mg/5ml
250mg/5ml
125mg/5ml
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
750mg
375mg
750mg
375mg
500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
250 mg/5 ml
250 mg/5 ml
250mg/5ml
250mg/5ml
125mg/5ml
125mg/5ml
ACTAVIS GROUP HF
SANDOZ SRL
SANDOZ GMBH
SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA
ANTIBIOTICE S.A.
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.
ISLANDA
CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
ROMANIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
P-RF
AUSTRIA
CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS.
P-RF
CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.
P-RF
MAREA BRITANIE
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR.

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR.
MAREA BRITANIE
CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SANDOZ SRL
SANDOZ SRL
SANDOZ SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR.
GLAXOWELLCOME UK LTD.
MAREA BRITANIE
MAREA BRITANIE
RANBAXY UK LIMITED
RANBAXY UK LIMITED
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
Ambalaj
Prescriptie
P-RF
P-RF
CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM. P-RF

CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
P-RF

P-RF
P-RF
P-RF
CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE

P-RF
P-RF
MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR.FILM
CUTIE X 1 BLIST. X 10 COMPR.FILM
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT
P-RF
MAREA BRITANIE
CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M
P-RF
MAREA BRITANIE
CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M
P-RF
P-RF
P-RF
P-RF
P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS. P-RF
SANDOZ SRL
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS.
P-RF
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 CAPS. P-RF
TERAPIA SA
ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS. P-RF
ACTAVIS GROUP HF ISLANDA CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL. PRF
ACTAVIS GROUP HF ISLANDA CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL. PRF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF
ACTAVIS GROUP HF ISLANDA
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA P-RF
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA P-RF
ACTAVIS GROUP HF ISLANDA
P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF
CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE
ROMANIA
CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE
P-RF
Pagina 17 din 29
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
1
1
1
10
10
10
10
10
1
1
10
10
10
10
10
10
10
10
10
10
10
10
1
1
1
1
10
10
16
15
10
16
10
15
10
10
10
10
10
10
10
1
1
1
1
1
1
1
1
1
10.48
9.65
9.63
18.55
13.45
9.51
13.02
26.15
12.05
22.42
14.38
14.28
14.28
30.20
30.12
30.12
9.82
11.82
20.22
15.13
16.61
27.64
19.41
39.13
58.69
17.66
16.07
15.16
21.40
13.81
29.55
28.55
27.89
32.67
26.19
35.79
32.82
55.59
35.49
46.90
66.58
16.73
12.39
17.01
22.30
29.74
33.16
29.55
11.90
9.09
Pret
amanuntul
maximal/UT
(RON)
10.480000
9.650000
9.630000
1.855000
1.345000
0.951000
1.302000
2.615000
12.050000
22.420000
1.438000
1.428000
1.428000
3.020000
3.012000
3.012000
0.982000
1.182000
2.022000
1.513000
1.661000
2.764000
19.410000
39.130000
58.690000
17.660000
1.607000
1.516000
1.337500
0.920666
2.955000
1.784375
2.789000
2.178000
2.619000
3.579000
3.282000
5.559000
3.549000
4.690000
6.658000
16.730000
12.390000
17.010000
22.300000
29.740000
33.160000
29.550000
11.900000
9.090000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
10.272500
9.650000
9.630000
0.444150
0.888300
0.888300
0.888300
1.776600
5.136250
10.272500
1.355400
1.355400
1.355400
2.710800
2.710800
2.710800
0.982000
1.182000
2.022000
1.320525
1.355400
2.710800
13.205250
26.410500
52.821000
17.660000
0.677700
0.677700
0.677700
0.677700
1.355400
1.355400
1.355400
1.355400
1.355400
2.033100
1.016550
2.033100
1.016550
1.355400
2.033100
9.903937
9.903937
7.923150
19.807875
26.410500
19.807875
15.846300
9.903937
7.923150
9.245250
8.685000
8.667000
0.399735
0.799470
0.799470
0.799470
1.598940
4.622625
9.245250
1.219860
1.219860
1.219860
2.439720
2.439720
2.439720
0.883800
1.063800
1.819800
1.188472
1.219860
2.439720
11.884725
23.769450
47.538900
15.894000
0.609930
0.609930
0.609930
0.609930
1.219860
1.219860
1.219860
1.219860
1.219860
1.829790
0.914895
1.829790
0.914895
1.219860
1.829790
8.913543
8.913543
7.130835
17.827087
23.769450
17.827087
14.261670
8.913543
7.130835
Nr crt.
cod ATC
842 J01DC04
843 J01DC04
844 J01DD08
845 J01DD08
DCI
CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM
846 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

852 J01FA01
853 J01FA01
854 J01FA01
855 J01FA01
856 J01FA09
857 J01FA09
858 J01FA09
859 J01FA09
860 J01FA09
861 J01FA09
862 J01FA09
863 J01FA09
864 J01FA09
865 J01FA09
866 J01FA09
867 J01FA09
868 J01FA09
869 J01FA09
870 J01FA09
871 J01FA09
872 J01FA09
873 J01FA09
874 J01FA09
875 J01FA09
876 J01FA09
877 J01FA09
878 J01FA09
879 J01FA09
880 J01FA09
881 J01FA09
882 J01FA09
883 J01FA09
884 J01FA09
885 J01MA01
886 J01MA01
887 J01MA02
888 J01MA02
889 J01MA02
890 J01MA02
891 J01MA02
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Denumire Comerciala
CLORACEF (R) 250

CEFAKLOR 250 mg/5 ml
EFICEF 100 mg
EFICEF (R) 200 mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
SUMETROLIM
EPITRIM
ERITROMAGIS 200 mg
ERITROMICINA 200 mg
forma farm.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
concentratie
250mg/5ml
250mg/5ml
100mg
200mg
400mg/80mg
400mg/80mg
400mg/80mg
400mg/80mg
25mg/5mg/ml
SUSP. ORALA
200mg/40mg /5ml
ERITROMICINA SANDOZ 200 mg COMPRIMATE
COMPR.
COMPR.
COMPR.
ERITROMICINA SANDOZ 200mg/5ml
200mg
200mg
200mg
200mg/5ml
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
200mg
200mg
100mg
100mg
250mg
250mg
250mg
CLAXIRIT 500 mg
KLACID (R)
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
FROMILID 250
LEKOKLAR (R) 500 mg
KLERIMED (R) 500
KLABAX 500 mg
CLAR 500
FROMILID 500
ROCLARIN 500 mg
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLABAX 125 mg/5 ml
KLACID (R)
FROMILID (R) 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
ZANOCIN
OFLOXIN 200
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.


COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ARENA 100 mg COMPR. FILM.
CIPROCIN 250 mg
COMPR. FILM.
CIPRINOL 250 mg
COMPR. FILM.
CIPROLEN (R) 250 mg
COMPR. FILM.
tara det.
APP
DAR AL DAWA PHARMA S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE SA
ROMANIA
ZENTIVA S.A.
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
BIO EEL SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
Detinator APP
Ambalaj
Prescriptie
CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE
P-RF

P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
P-RF

P-RF
CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE
P-RF
P-RF
P-RF
ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF

ABBOTT SPA
ITALIA
P-RF
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.
P-RF
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF
SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

TERAPIA SA
ROMANIA
MEDICAROM GROUP S.R.L.
P-RF

P-RF
ANTIBIOTICE S.A.
P-RF
SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF.

SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.
P-RF
TERAPIA SA
ROMANIA
CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.
P-RF
ABBOTT LABORATORIES LTD.
MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.
P-RF
KRKA D.D.
ABBOTT SPA
TERAPIA SA
ABBOTT SPA
KRKA D.D.
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
SLOVENIA
P-RF
ITALIA
CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML
P-RF
ROMANIA
CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF
ITALIA
P-RF
P-RF
SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.
P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP
P-RF
CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
P-RF
CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP
P-RF
CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
P-RF
CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP
P-RF
P-RF
FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.
RANBAXY UK LIMITED
MAREA BRITANIE
S/P-RF

ZENTIVA K.S.
CEHIA
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF
AC HELCOR SRL
Pagina 18 din 29
P-RF
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
1
1
10
10
20
20
20
20
1
1
20
20
20
1
7
14
14
20
14
14
14
14
14
14
20
14
20
5
7
7
5
7
1
1
1
1
1
1
1
1
1
1
1
10
10
10
20
10
10
10
21.40
16.53
21.56
34.77
7.72
4.13
7.04
7.72
8.20
4.76
7.09
9.60
8.44
11.46
32.05
28.57
32.23
22.99
16.69
14.67
16.69
37.95
32.62
32.08
44.36
32.62
43.35
18.38
25.73
35.21
36.43
28.09
39.14
31.60
24.48
23.30
26.21
18.94
61.52
51.09
44.85
31.68
53.78
11.36
20.02
37.31
65.61
6.83
6.83
6.83
Pret
amanuntul
maximal/UT
(RON)
21.400000
16.530000
2.156000
3.477000
0.386000
0.206500
0.352000
0.386000
8.200000
4.760000
0.354500
0.480000
0.422000
11.460000
4.578571
2.040714
2.302142
1.149500
1.192142
1.047857
1.192142
2.710714
2.330000
2.291428
2.218000
2.330000
2.167500
3.676000
3.675714
5.030000
7.286000
4.012857
39.140000
31.600000
24.480000
23.300000
26.210000
18.940000
61.520000
51.090000
44.850000
31.680000
53.780000
1.136000
2.002000
3.731000
3.280500
0.683000
0.683000
0.683000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
19.807875
15.846300
1.752525
3.477000
0.284062
0.206500
0.284062
0.284062
3.853125
4.760000
0.354500
0.429171
0.422000
11.460000
2.145855
1.072927
1.072927
1.072927
1.072927
1.047857
1.072927
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
2.145855
28.410000
28.410000
17.046000
17.046000
17.046000
17.046000
56.820000
51.090000
34.092000
31.680000
25.576250
1.136000
1.189800
0.237960
0.237960
0.594900
0.594900
0.594900
17.827087
14.261670
1.577272
3.129300
0.255656
0.185850
0.255656
0.255656
3.467812
4.284000
0.319050
0.386254
0.379800
10.314000
1.931270
0.965635
0.965635
0.965635
0.965635
0.943071
0.965635
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
1.931270
25.569000
25.569000
15.341400
15.341400
15.341400
15.341400
51.138000
45.981000
30.682800
28.512000
23.018625
1.022400
1.070820
0.214164
0.214164
0.535410
0.535410
0.535410
Nr crt.
cod ATC
892 J01MA02
893 J01MA02
894 J01MA02
895 J01MA02
896 J01MA02
897 J01MA02
898 J01MA02
899 J01MA02
900 J01MA02
901 J01MA02
902 J01MA02
903 J01MA02
904 J01MA02
905 J01MA02
906 J01MA02
907 J01MA02
908 J01MA02
909 J01MA02
910 J01MA02
911 J01MA02
912 J01MA02
913 J01MA02
914 J01MA03
915 J01MA06
916 J01MA06
917 J01MA06
918 J01MA06
919 J01MA06
920 J01MA06
921 J01MB02
922 J01XD01
923 J01XD01
924 J01XD01
925 J01XD01
926 J01XD01
927 J01XD01
928 J01XD01
929 J01XD01
930 J01XD01
931 J01XD01
932 J01XD01
933 J01XD01
934 J01XD01
935 J02AB02
936 J02AB02
937 J02AB02
938 J02AB02
939 J02AB02
940 J02AC01
941 J02AC01
DCI
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire Comerciala
CUMINOL 250 mg
CUMINOL 250 mg
CIPROFLOXACINA ALKALOID 250 mg
CIFRAN
CIPROFLOXACINA ARENA 250 mg
ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIFRAN
CIPRO QUIN (R)
CIPRODAR
ALVEBAR 500 mg
CIPRINOL 750 mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
PEFLOXACIN LAROPHARM
H - NORFLOXACIN 400 mg
NORFLOXACINA LPH 400 mg
NORFLOX - 400
NOLICIN 400 mg
EPINOR
NOR QUIN 400 mg
NALIXID 500 mg
METRONIDAZOL ARENA 250 mg (J01XD01)
METRONIDAZOL ARENA 250 mg (J01XD01)
FLAGYL ( vezi J01XD01)

METRONIDAZOL A 5 g/l
METRONIDAZOL B 5 g/l
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
METRONIDAZOL BRAUN 5mg/ml SOL. PERF.
FLAGYL 4 % (J01XD01)
SUSP. ORALA
SUSP. ORALA
NIZORAL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOCONAZOL 200 mg
COMPR.
KETOSTIN 200 mg
COMPR.
KETOCONAZOL ARENA 200 mg COMPR.
DIFLAZON 100 mg
CAPS.
FLUCOVIM 100
CAPS.
concentratie
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
500mg
250mg
250mg
250mg
250mg
5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
4%
4%
200mg
200mg
200mg
200mg
200mg
100mg
100mg
ALKALOID D.O.O.
tara det.
APP
Ambalaj
SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM.
RANBAXY UK LIMITED
MAREA BRITANIE
Detinator APP
Prescriptie
P-RF
P-RF
P-RF
CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

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

AC HELCOR SRL
P-RF
P-RF
P-RF
ALKALOID D.O.O.
SLOVENIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF
RANBAXY UK LIMITED
MAREA BRITANIE
ANTIBIOTICE SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
P-RF
P-RF

P-RF
P-RF
P-RF
P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.
P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF
LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
P-RF
P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
CIPLA (UK) LIMITED
MAREA BRITANIE
P-RF

ANTIBIOTICE S.A.
ROMANIA
ZENTIVA SA
ROMANIA
FRANTA
LABORATOIRE AVENTIS FRANTA
LABORATOIRE AVENTIS
INFOMED FLUIDS SRL

INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.
P-RF/S

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

CUTIE X 12 FLACOANE X 200 ML

CUTIE X 1 FLACON X 200 ML
S/P-RF
S/P-RF
S/P-RF
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.
S/P-RF
S/P-RF
FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML

LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML
TERAPIA SA
MAGISTRA C & C
AC HELCOR SRL
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
LABORATOIRE AVENTIS
Pagina 19 din 29
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
10
6.83
20 12.30
10
7.87
10
6.93
10
6.56
20 12.30
10
4.76
10 13.22
10 13.22
10 13.22
10 13.22
10 15.12
10
8.78
10 13.22
10 13.22
10
9.23
20 16.43
10
6.49
10 38.50
10 37.31
7 84.70
3 27.63
10 27.86
20 17.60
20 15.73
10
6.19
20 17.60
14
7.70
20 17.60
30 24.41
30
7.72
30
7.72
20
8.40
20
8.40
12 100.25
1
9.11
12 98.29
1
8.91
10 48.92
10 48.37
20 278.47
1
7.95
1
7.95
10 20.48
10
8.03
10
6.87
10 12.62
10
9.17
28 236.41
4 25.61
Pret
amanuntul
maximal/UT
(RON)
0.683000
0.615000
0.787000
0.693000
0.656000
0.615000
0.476000
1.322000
1.322000
1.322000
1.322000
1.512000
0.878000
1.322000
1.322000
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
9.210000
2.786000
0.880000
0.786500
0.619000
0.880000
0.550000
0.880000
0.813666
0.257333
0.257333
0.420000
0.420000
8.354166
9.110000
8.190833
8.910000
4.892000
4.837000
13.923500
7.950000
7.950000
2.048000
0.803000
0.687000
1.262000
0.917000
8.443214
6.402500
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.476000
1.189800
1.189800
1.189800
1.189800
1.189800
0.878000
1.189800
1.189800
0.923000
0.821500
0.594900
1.784700
1.784700
2.379600
1.189800
1.189800
0.660875
0.660875
0.619000
0.660875
0.550000
0.660875
0.813666
0.257333
0.257333
0.341399
0.341399
8.354166
8.632083
8.190833
8.632083
4.316041
4.316041
4.316041
7.950000
7.950000
0.803000
0.803000
0.687000
0.803000
0.803000
4.127784
4.127784
0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.428400
1.070820
1.070820
1.070820
1.070820
1.070820
0.790200
1.070820
1.070820
0.830700
0.739350
0.535410
1.606230
1.606230
2.141640
1.070820
1.070820
0.594787
0.594787
0.557100
0.594787
0.495000
0.594787
0.732299
0.231599
0.231599
0.307259
0.307259
7.518749
7.768874
7.371749
7.768874
3.884437
3.884437
3.884437
7.155000
7.155000
0.722700
0.722700
0.618300
0.722700
0.722700
3.715005
3.715005
Nr crt.
cod ATC
942 J02AC01
943 J02AC01
944 J02AC01
945 J02AC01
946 J02AC01
947 J02AC01
948 J02AC01
949 J02AC01
950 J02AC01
951 J02AC01
952 J02AC01
953 J02AC01
954 J02AC01
955 J02AC01
956 J02AC01
957 J02AC01
958 J02AC01
959 J02AC01
960 J02AC01
961 J02AC01
962 J02AC01
963 J02AC01
964 J02AC01
965 J02AC01
966 J02AC01
967 J02AC01
968 J02AC01
969 J02AC01
970 J02AC01
971 J02AC01
972 J02AC01
973 J02AC01
974 J02AC01
975 J02AC01
976 J02AC01
977 J02AC01
978 J02AC01
979 J02AC01
980 J05AB01
981 J05AB01
982 J05AB01
983 J05AB01
984 J05AB01
985 J05AB01
986 J05AB01
987 J05AB01
988 J05AB01
989 J05AB01
990 J05AB01
991 L02BG01
DCI
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
AMINOGLUTETHIMIDUM
Denumire Comerciala
FLUCORIC 100 mg
FUNGOLON 100 mg
forma farm.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
concentratie
100mg
100mg
FLUCONAZOLE TEVA 100 mg
100mg
100mg
DIFLAZON 150 mg
150mg
FLUCOVIM 150
150mg
DIFLUCAN 150 mg
150mg
FLUCORIC 150 mg
150mg
FLUCONAZOL SANDOZ (R) 150
150mg
150mg
FLUCONAZOL 150 mg
150mg
FLUCONAZOL MEDOCHEMIE 150 mg
150mg
FLUCONAZOL BIOGALENICA 150 mg
150mg
FLUCONAZOL ARENA 150 MG
150mg
FLUCONAZOL 150 mg
150mg
MYCOSYST 150 mg
150mg
FLUCONAZOL ACTAVIS 150 mg
150mg
MYCOMAX 150
150mg
FLUCONAZOL LPH 150 mg
150mg
200mg
DIFLAZON 50 mg
50mg
FLUCOVIM 50
50mg
DIFLUCAN 50 mg
50mg
FLUCORIC 50 mg
50mg
50mg
FUNGOLON 50 mg
50mg
FLUCONAZOL 50 mg
50mg
50mg
FLUCONAZOL 50 mg
50mg
50mg
50mg
50mg
FLUCONAZOL OZONE 50 mg
50mg
50mg
DIFLUCAN (R) 50 mg/5 ml
PULB. PT. SUSP. ORALA 50mg/5ml
DIFLAZON 2mg/ml
SOL. PERF. 2mg/ml
DIFLUCAN (R)
SOL. PERF. 2mg/ml
DIFLUCAN (R)
SOL. PERF. 2mg/ml
ACICLOVIR 200 mg
CAPS.
200mg
ACICLOVIR ARENA 200 mg CAPS.
200mg
ACICLOVIR FARMEX 200 mg CAPS.
200mg
400mg
ACICLOVIR TERAPIA 200 mg COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
CLOVIRAL 200 mg
COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
ACICLOVIR 200 mg
COMPR.
200mg
ACICLOVIR 400 mg
COMPR.
400mg
VIROLEX
PULB. PT. SOL. INJ./PERF. 250mg
ROGLUTEN (R) 250 mg
COMPR.
250mg
TERAPIA SA
tara det.
APP
Ambalaj
P-RF
BALKANPHARMA RAZGRAD AD
BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF

P-RF
KRKA D.D.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
SANDOZ SRL
P-RF
ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
Detinator APP
Prescriptie
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
LABORMED PHARMA S.A.
ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF

CEHIA
P-RF
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF
ZENTIVA K.S.
P-RF
KRKA D.D.
TERAPIA SA
SANDOZ SRL
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
ANTIBIOTICE S.A.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
ROMANIA
P-RF
P-RF
P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L.
MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
MAREA BRITANIE
MAREA BRITANIE


CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
ROMANIA
TERAPIA SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
FARMEX COMPANY S.R.L.
P-RF
PRF
P-RF
S/PR-F
S/P-RF
S/P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
S/P-RF
ACTAVIS S.R.L.
P-RF
Pagina 20 din 29
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
Pret
amanuntul
maximal/UT
(RON)
7 43.36
6.194285
16 82.66
5.166250
2
9.43
4.715000
7 31.51
4.501428
1 22.51 22.510000
1
9.94
9.940000
1 25.08 25.080000
1 18.86 18.860000
1 14.58 14.580000
1
6.59
6.590000
1
9.68
9.680000
1
8.20
8.200000
1
6.59
6.590000
1
9.03
9.030000
1
9.94
9.940000
4 63.10 15.775000
1 10.06 10.060000
1 12.53 12.530000
1
9.94
9.940000
7 39.37
5.624285
7 61.72
8.817142
7 22.56
3.222857
7 56.54
8.077142
7 29.61
4.230000
7 41.93
5.990000
8 19.04
2.380000
10 25.52
2.552000
7 16.69
2.384285
7 19.58
2.797142
7 16.15
2.307142
7 15.76
2.251428
7 19.12
2.731428
7 22.56
3.222857
7 22.56
3.222857
1 56.54 56.540000
1 45.82 45.820000
1 162.58 162.580000
1 40.53 40.530000
20 20.23
1.011500
20 21.42
1.071000
20 21.42
1.071000
10 19.48
1.948000
20 17.15
0.857500
20 17.23
0.861500
20 16.44
0.822000
20 13.81
0.690500
20 13.00
0.650000
10 19.23
1.923000
5 282.97 56.594000
40 151.38
3.784500
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
4.127784
4.127784
4.127784
4.127784
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
6.191676
5.624285
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
2.063892
14.447245
38.999700
77.999400
19.499850
0.736123
0.736123
0.736123
1.472247
0.736123
0.736123
0.736123
0.690500
0.650000
1.472247
56.594000
3.784500
3.715005
3.715005
3.715005
3.715005
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.572508
5.061856
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
1.857502
13.002520
35.099730
70.199460
17.549865
0.662511
0.662511
0.662511
1.325022
0.662511
0.662511
0.662511
0.621450
0.585000
1.325022
50.934600
3.406050
Nr crt.
cod ATC
992 M01AB01
993 M01AB01
994 M01AB01
995 M01AB01
996 M01AB01
997 M01AB01
998 M01AB05
999 M01AB05
1000
M01AB05
1001
M01AB05
1002
M01AB05
1003
M01AB05
1004
M01AB05
1005
M01AB05
1006
M01AB05
1007
M01AB05
1008
M01AB05
1009
M01AB05
1010
M01AB05
1011
M01AB05
1012
M01AB05
1013
M01AB05
1014
M01AB05
1015
M01AB05
1016
M01AB05
1017
M01AB05
1018
M01AB05
1019
M01AB05
1020
M01AB05
1021
M01AB05
1022
M01AB05
1023
M01AB05
1024
M01AB05
1025
M01AB05
1026
M01AB05
1027
M01AB05
1028
M01AB15
1029
M01AB15
1030
M01AB15
1031
M01AB15
1032
M01AB16
1033
M01AC02
1034
M01AC02
1035
M01AC02
1036
M01AC02
1037
M01AC02
1038
M01AC06
1039
M01AC06
1040
M01AC06
1041
M01AC06
DCI
Denumire Comerciala
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
KETOROLACUM TROMETHAMIN
ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
INDOMETACIN LAROPHARM 25 mg
forma farm.
CAPS.
INDOMETACIN ARENA 25 MG CAPS.
INDOMETACIN ARENA 50 MG CAPS.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
DICLOREUM 150 mg
CAPS. ELIB. PREL.
DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL.
TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
DICLOTARD (R) 100 mg
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
VOLTAREN (R)
KETOROL
KETANOV 10 mg
KETANOV
KETOROL
AFLAMIL 100mg
TENOXICAM LPH 20 mg
TENOXICAM 20 mg
TENOXICAM ARENA 20 mg
NEO - ENDUSIX (R)
NEO - ENDUSIX (R)
MOVALIS (R) 15 mg
MOVALIS (R) 15 mg
MELOXICAM LPH 15 mg
MELOXICAM SANDOZ 15 mg
CAPS. MOI GASTROREZ.
COMPR. ELIB. MODIF.

DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
25mg
25mg
50mg
50mg
50mg
50mg
150mg
75mg
50mg
75mg
100mg
100mg
100mg
25mg
50mg
50mg
50mg
50mg
50mg
25mg
50mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
50mg
10mg
10mg
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg
Detinator APP
LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C
tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
Ambalaj
CUTIE X 2 BLIST. PVC/AL X 10 CAPS.

Prescriptie
P-6L
P-6L
P-6L
CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L
CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
P-6L
CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
GEROT PHARMAZEUTIKA GMBH
ITALIA
CEHIA
AUSTRIA
HEXAL AG
GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L
ALFA WASSERMANN SPA

PHARMASWISS CESKA REPUBLIKA S.R.O.
NOVARTIS PHARMA GMBH GERMANIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L

CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.
CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.
P-6L
P-6L
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
TERAPIA SA
ROMANIA
GRECIA
CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ.
P-6L
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ.
P-6L
TERAPIA SA
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L

ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ.
P-6L
ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA
CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.
P-6L
CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.
P-6L
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L

CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF

HEXAL AG
TERAPIA SA
GRECIA
AUSTRIA
CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML
P-RF
CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.
P-RF
GERMANIA
CUTIE X 5 FIOLE X 3 ML SOL. INJ.
P-RF
ROMANIA
CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML
P-RF
ALIUD PHARMA GMBH GERMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ.

CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ.
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.
P-6L
P-6L
SINTOFARM SA
MAGISTRA C & C
P-6L
P-6L
CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.
ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
P-6L
CUTIE CU 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. FILM. P-6L
P-RF
CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-RF
CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.
P-6L
ANFARM HELLAS S.A. PHARMACEUTICALS

GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV.
BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG
HEXAL AG
Pagina 21 din 29
P-6L
P-6L
P-6L
P-6L
P-RF
P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
20
30
20
6
10
10
20
30
30
10
10
20
20
30
20
20
20
20
10
30
20
20
30
5
5
5
5
5
5
10
5
6
5
10
10
10
20
20
10
10
20
20
20
20
10
1
20
10
20
20
1.62
2.14
3.53
4.13
6.87
5.27
47.70
20.49
6.39
3.93
6.56
8.55
8.21
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
5.10
9.45
6.75
10.14
24.75
19.61
22.71
11.45
14.11
14.11
6.35
5.44
15.44
7.70
10.03
9.98
Pret
amanuntul
maximal/UT
(RON)
0.081000
0.071333
0.176500
0.688333
0.687000
0.527000
2.385000
0.683000
0.213000
0.393000
0.656000
0.427500
0.410500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.510000
0.945000
0.337500
0.507000
2.475000
1.961000
1.135500
0.572500
0.705500
0.705500
0.635000
5.440000
0.772000
0.770000
0.501500
0.499000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.071775
0.071333
0.143550
0.312750
0.312750
0.312750
0.430650
0.215325
0.143550
0.215325
0.287100
0.287100
0.287100
0.071775
0.143550
0.143550
0.143550
0.113500
0.143550
0.071775
0.127000
0.132500
0.132666
1.098000
1.098000
1.317600
1.098000
1.098000
1.098000
1.098000
0.810000
0.625500
0.625500
0.625500
0.510000
0.312750
0.095699
0.095699
1.464000
1.464000
0.143550
0.557437
0.557437
0.557437
0.557437
2.118600
0.557437
0.557437
0.501500
0.499000
0.064597
0.064199
0.129195
0.281475
0.281475
0.281475
0.387585
0.193792
0.129195
0.193792
0.258390
0.258390
0.258390
0.064597
0.129195
0.129195
0.129195
0.102150
0.129195
0.064597
0.114300
0.119250
0.119399
0.988200
0.988200
1.185840
0.988200
0.988200
0.988200
0.988200
0.729000
0.562950
0.562950
0.562950
0.459000
0.281475
0.086129
0.086129
1.317600
1.317600
0.129195
0.501693
0.501693
0.501693
0.501693
1.906740
0.501693
0.501693
0.451350
0.449100
Nr crt.
cod ATC
1042
M01AC06
1043
M01AC06
1044
M01AC06
1045
M01AC06
1046
M01AC06
1047
M01AC06
1048
M01AC06
1049
M01AC06
1050
M01AC06
1051
M01AC06
1052
M01AC06
1053
M01AC06
1054
M01AC06
1055
M01AC06
1056
M01AC06
1057
M01AC06
1058
M01AC06
1059
M01AC06
1060
M01AC06
1061
M01AC06
1062
M01AE03
1063
M01AE03
1064
M01AE03
1065
M01AE03
1066
M01AE03
1067
M01AE03
1068
M01AE03
1069
M01AE03
1070
M01AE03
1071
M01AE03
1072
M01AE03
1073
M01AE03
1074
M01AE03
1075
M01AE03
1076
M01AE03
1077
M01AE03
1078
M01AE03
1079
M01AE03
1080
M03BX07
1081
M04AA01
1082
M04AA01
1083
M04AC01
1084
N02AD01
1085
N02AD01
1086
N02AD01
1087
N02AD01
1088
N02AX02
1089
N02AX02
1090
N02AX02
1091
N02AX02
DCI
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
TETRAZEPAMUM
ALLOPURINOLUM*
ALLOPURINOLUM*
COLCHICINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
PENTAZOCINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire Comerciala
forma farm.
MELOX 15 mg
MELOX 15 mg
RECOXA 15
MELOXICAM MCC 15 mg
VALZER 15 mg
NOFLAMEN 15 mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
MELOXICAM VIM SPECTRUM 15 mg COMPR.
ASPIFLEX 15 mg
COMPR.
MELOX 7,5 mg
COMPR.
MELOX 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MELOXICAM LPH 7,5 mg
COMPR.
MELOXICAM SANDOZ 7,5 mg COMPR.
MELOXICAM MCC 7,5 mg
COMPR.
VALZER 7,5mg
COMPR.
MELOXICAM VIM SPECTRUM 7,5 mg COMPR.
ASPIFLEX 7,5 mg
COMPR.
MOVALIS 15mg/1,5ml
SOL. INJ.
MELOXICAM 15 mg
SUPOZ.
KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL.
KETONAL (R) DUO 150 mg

KETONAL UNO
KETALGON 200 mg
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL.
KETARD 200 mg
KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg
KETONAL 100 mg/ 2 ml
CAPS. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
KETOPROFEN TERAPIA 100MG/2ML
SOL. INJ./CONC. SOL. PERF.
KETONAL 100 mg
RUBIFEN (R) 100 mg
KETOMAG
MYOLASTAN 50 mg
MILURIT 100 mg
MILURIT 300 mg
COLCHICINA
FORTRAL 50 mg
FORTRAL 50 mg
FORTRAL
FORTRAL
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
concentratie
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5 mg
7,5 mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg
100mg
150mg
200mg
200mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100mg/2ml
100mg/2ml
100mg
100mg
100mg
50mg
100mg
300mg
1mg
50mg
50mg
30mg/ml
30mg/ml
50mg
50mg
50mg
50mg
Detinator APP
MEDOCHEMIE LTD
MEDOCHEMIE LTD
ZENTIVA AS
tara det.
APP
CIPRU
CIPRU
CEHIA

BMF PHARM S.R.L. ROMANIA
MEDOCHEMIE LTD
MEDOCHEMIE LTD
CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR.

GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE X 2 BLIAT. AL/PVC X 10 COMPR.
P-6L

P-6L
P-6L
GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF
MAGISTRA C & C
TERAPIA SA
SANDOZ S.R.L.
SANDOZ S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
TERAPIA SA
ROMANIA
ANTIBIOTICE SA
LAB. AVENTIS
P-6L

CUTIE X BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
CIPRU
CIPRU

ROMANIA
BMF PHARM S.R.L. ROMANIA
P-6L
Prescriptie

HEXAL AG
Ambalaj

CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L
CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L

CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.
P-6L
CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL.
P-6L
CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L

SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.
P-6L
SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM.

P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L
LAB. AVENTIS
FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL.
SLOVENIA
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE X 2 ML
P-RF
SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ.
P-6L
ANTIBIOTICE SA
MAGISTRA C & C
ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA
P-6L

BIOFARM SA

ZENTIVA A.S.
KRKA D.D.
SLOVACIA
SLOVENIA
GERMANIA
GERMANIA
Pagina 22 din 29
P-6L
CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF
CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ.
CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L
P-RF

CUTIE X 1 FLAC X 20 COMPR.
P-6L
P-6L
P-RF
P-RF/S
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
30
10
20
20
20
10
20
20
10
30
10
20
20
20
20
20
20
20
5
6
10
20
20
10
10
10
20
20
30
20
20
20
14
10
5
12
6
10
20
50
30
40
100
20
10
50
20
20
30
10
30.39
10.60
14.11
10.03
10.03
5.01
10.03
10.03
9.61
25.65
7.41
14.84
9.65
9.65
9.65
9.65
9.65
9.65
15.12
9.46
11.93
16.49
26.32
7.55
15.13
7.57
15.02
9.03
18.26
11.62
7.89
7.15
16.27
11.36
9.63
8.20
4.10
6.53
9.52
6.04
10.43
5.76
76.53
18.57
14.70
66.75
5.82
5.82
11.53
3.85
Pret
amanuntul
maximal/UT
(RON)
1.013000
1.060000
0.705500
0.501500
0.501500
0.501000
0.501500
0.501500
0.961000
0.855000
0.741000
0.742000
0.482500
0.482500
0.482500
0.482500
0.482500
0.482500
3.024000
1.576666
1.193000
0.824500
1.316000
0.755000
1.513000
0.757000
0.751000
0.451500
0.608666
0.581000
0.394500
0.357500
1.162142
1.136000
1.926000
0.683333
0.683333
0.653000
0.476000
0.120800
0.347666
0.144000
0.765300
0.928500
1.470000
1.335000
0.291000
0.291000
0.384333
0.385000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.557437
0.557437
0.557437
0.501500
0.501500
0.501000
0.501500
0.501500
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
0.278718
2.118600
0.563625
0.496874
0.745312
0.993749
0.755000
0.993749
0.757000
0.745312
0.451500
0.496874
0.496874
0.394500
0.248437
0.993749
1.049500
1.926000
0.668166
0.668166
0.653000
0.476000
0.117116
0.347666
0.144000
0.765300
0.806100
1.368750
1.335000
0.291000
0.291000
0.323549
0.323549
0.501693
0.501693
0.501693
0.451350
0.451350
0.450900
0.451350
0.451350
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
0.250846
1.906740
0.507262
0.447187
0.670781
0.894374
0.679500
0.894374
0.681300
0.670781
0.406350
0.447187
0.447187
0.355050
0.223593
0.894374
0.944550
1.733400
0.601349
0.601349
0.587700
0.428400
0.105404
0.312899
0.129600
0.688770
0.725490
1.231875
1.201500
0.261900
0.261900
0.291194
0.291194
Nr crt.
cod ATC
1092
N02AX02
1093
N02AX02
1094
N02AX02
1095
N02AX02
1096
N02AX02
1097
N02AX02
1098
N02AX02
1099
N02AX02
1100
N02AX02
1101
N02AX02
1102
N02AX02
1103
N02AX02
1104
N02AX02
1105
N02AX02
1106
N02AX02
1107
N02AX02
1108
N02AX02
1109
N02AX02
1110
N02AX02
1111
N02AX02
1112
N02AX02
1113
N02AX02
1114
N02AX02
1115
N02AX02
1116
N02AX02
1117
N02AX02
1118
N02AX02
1119
N02AX02
1120
N02AX02
1121
N02AX02
1122
N02AX02
1123
N02AX02
1124
N02AX02
1125
N02AX02
1126
N02AX02
1127
N02AX02
1128
N02AX02
1129
N02AX02
1130
N02CC01
1131
N02CC01
1132
N02CC01
1133
N02CC01
1134
N02CC01
1135
N02CC01
1136
N02CC01
1137
N02CC01
1138
N02CC01
1139
N02CC01
1140
N02CC01
1141
N02CC01
DCI
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
Denumire Comerciala
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMADOL RETARD 150 mg
TRAMADOL AL PICATURI
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
forma farm.
concentratie
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Detinator APP
tara det.
APP
Ambalaj

ANTIBIOTICE SA
AC HELCOR SRL
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
Prescriptie
50mg
50mg
50mg
50mg
50mg
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. ELIB. MODIF. 100mg
COMPR. FILM. 50mg
PIC. ORALE, SOL.
FARA CONCENTRATIE
CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.
P-RF
CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
S/P-RF
S/P-RF
IMIGRAN DR 100 mg
IMIGRAN DR 50 mg
SUMACTA 100 mg
SUMACTA 100 mg
XIBIMER 100 mg
XIBIMER 100 mg
SUMACTA 50 mg
SUMACTA 50 mg
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
100mg
100mg
50mg
50mg
100mg
50mg
100mg
100mg
100mg
100mg
50mg
50mg
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.
SUMATRIPTAN TERAPIA 100 mg

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
MAGISTRA C & C
BIO EEL SRL

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

P-RF
P-RF
P-RF
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF
SLOVENIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA
CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.
GRUNENTHAL GMBH GERMANIA

P-RF
CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
P-RF
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF
CIPRU
CIPRU
SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.

SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.
S/P-RF
S/P-RF
MEDICAROM GROUP SRL ROMANIA
S/P-RF
KRKA D.D.
S/P-RF
MEDICAROM GROUP SRL
KRKA D.D.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
S/P-RF
P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA

MAREA BRITANIE
CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF
MAREA BRITANIE
CUTIE CU 1 BLIST. (OPA)-AL-PVC/AL X 2 COMPR. DISP. P-RF
ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM.

P-RF

P-RF


Pagina 23 din 29
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
10
3.85
20
7.67
10
3.85
20
7.67
10
3.82
20
9.00
10 17.38
30 47.39
10 26.09
20 48.58
30 68.71
30 78.13
20
7.67
20
7.67
20
7.67
10
6.30
30 18.91
50 32.56
10
6.30
30 18.89
30 33.57
10 21.05
10 27.50
30 10.65
10
9.69
10 22.03
30 41.57
10 28.18
30 53.20
1
5.04
5
9.83
100 134.56
5 12.28
5
4.93
5
4.90
5 13.10
5
7.67
5
5.58
6 54.93
12 104.40
3 21.33
6 40.41
2 44.81
2 25.36
2 20.02
6 58.12
10 99.79
6 58.12
6 41.47
2 14.28
Pret
amanuntul
maximal/UT
(RON)
0.385000
0.383500
0.385000
0.383500
0.382000
0.450000
1.738000
1.579666
2.609000
2.429000
2.290333
2.604333
0.383500
0.383500
0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
2.105000
2.750000
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
0.986000
0.980000
2.620000
1.534000
1.116000
9.155000
8.700000
7.110000
6.735000
22.405000
12.680000
10.010000
9.686666
9.979000
9.686666
6.911666
7.140000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.323549
0.323549
0.323549
0.323549
0.323549
0.323549
0.647101
0.647101
0.970652
0.970652
0.970652
1.294202
0.323549
0.323549
0.323549
0.630000
0.630333
0.647101
0.630000
0.629666
0.970652
0.970652
1.294202
0.323549
0.647101
0.970652
0.970652
1.294202
1.294202
5.040000
1.572302
1.345600
1.572302
0.786148
0.786148
1.572302
1.534000
1.116000
8.783774
8.700000
4.391887
4.391887
8.783774
4.391887
8.783774
8.783774
8.783774
8.783774
4.391887
4.391887
0.291194
0.291194
0.291194
0.291194
0.291194
0.291194
0.582391
0.582391
0.873587
0.873587
0.873587
1.164782
0.291194
0.291194
0.291194
0.567000
0.567299
0.582391
0.567000
0.566699
0.873587
0.873587
1.164782
0.291194
0.582391
0.873587
0.873587
1.164782
1.164782
4.536000
1.415072
1.211040
1.415072
0.707534
0.707534
1.415072
1.380600
1.004400
7.905397
7.830000
3.952698
3.952698
7.905397
3.952698
7.905397
7.905397
7.905397
7.905397
3.952698
3.952698
Nr crt.
cod ATC
1142
N02CC01
1143
N02CC01
1144
N03AF01
1145
N03AF01
1146
N03AF01
1147
N03AF01
1148
N03AF01
1149
N03AF01
1150
N03AF01
1151
N03AF01
1152
N03AF01
1153
N03AF01
1154
N03AF01
1155
N03AF01
1156
N03AF01
1157
N03AF01
1158
N03AF01
1159
N03AF01
1160
N03AF01
1161
N03AF01
1162
N03AF01
1163
N03AF01
1164
N03AF01
1165
N03AF01
1166
N03AF01
1167
N03AX12
1168
N03AX12
1169
N03AX12
1170
N03AX12
1171
N03AX12
1172
N03AX12
1173
N03AX12
1174
N03AX12
1175
N03AX12
1176
N03AX12
1177
N03AX12
1178
N03AX12
1179
N03AX12
1180
N03AX12
1181
N03AX12
1182
N03AX12
1183
N03AX12
1184
N03AX12
1185
N03AX12
1186
N05AD01
1187
N05AD01
1188
N05AD01
1189
N05AD01
1190
N05AD01
1191
N05AD01
DCI
SUMATRIPTANUM*
SUMATRIPTANUM*
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
Denumire Comerciala
XIBIMER 50 mg
XIBIMER 50 mg
TEGRETOL (R) 200
COMPR.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
CARBEPSIL 200
TAVER
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
NEUROTOP (R) RETARD 300 mg
TEGRETOL CR 200
TEGRETOL CR 400
FINLEPSIN 400 RETARD
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
TIMONIL SIROP
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg
HALOPERIDOL LAROPHARM 0,5 mg
HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. RET.
COMPR. RET.
COMPR. RET.
COMPR.FILM.ELIB.PREL
SUSP. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
HALOPERIDOL ROMPHARM 2 mg/ml PIC. OFT., SOL.
HALOPERIDOL 2 mg/ml
tara det.
APP
Ambalaj

COMPR. FILM. 50mg
COMPR. FILM. 50mg
PIC. ORALE-SOL.
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
300mg
600mg
200mg
400mg
400mg
150mg
300mg
600mg
200mg
100mg/5ml
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
800mg
800mg
800mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml
Detinator APP
VIM SPECTRUM SRL

AC HELCOR SRL
MEDOCHEMIE LTD.
SLAVIA PHARM SRL
BIO EEL SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AWD PHARMA GMBH & CO.KG
GERMANIA
CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.
CIPRU

OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR.
AC HELCOR SRL
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL
GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.
CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
GERMANIA
DESITIN
DESITIN
DESITIN
GERMANIA
GERMANIA
CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.
DESITIN ARZNEIMITTEL GMBH
GERMANIA
CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE
GERMANIA
GERMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.
CUTIE X 5 BLIST. X 10 COMPR. RET.

CUTIE X 5 BLIST. X 10 COMPR. RET.
GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET.
GERMANIA
UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.
GERMANIA
GERMANIA

RANBAXY UK LTD.
MAREA BRITANIE
PLIVA LJUBLJANA D.O.O. SLOVENIA
GERMANIA
GERMANIA

RANBAXY UK LTD.
MAREA BRITANIE
RANBAXY UK LTD.
MAREA BRITANIE
GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM.
UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.
RANBAXY UK LTD.
MAREA BRITANIE
GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.
UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM.
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

JANSSEN PHARMACEUTICA N.V. BELGIA
Pagina 24 din 29
ROMANIA
ROMANIA
CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.
CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE
Prescriptie
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
10
6
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
20
P-6L
20
P-6L
50
P-6L
20
P-6L
20
P-6L
20
P-6L
50
P-6L
20
P-6L
50
P-6L
50
P-6L
50
P-6L
30
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
50
P-6L
1
P-6L 100
P-6L
50
P-6L
60
P-6L
50
P-6L 100
P-6L
50
P-6L 100
P-6L
60
P-6L
50
P-6L 100
P-6L
50
P-6L 100
P-6L
60
P-6L
30
P-6L 100
P-6L
60
P-6L
30
P-6L 100
P-6L
60
P-RF
20
P-RF
30
P-RF
30
P-RF
25
PRF
1
P-RF
1
P-RF
P-RF
66.77
41.45
17.38
11.31
11.31
11.31
7.24
4.42
4.50
11.31
4.96
4.50
4.51
26.26
10.51
20.68
36.59
19.17
25.35
27.10
15.16
20.62
36.53
12.43
22.51
60.61
31.05
33.34
70.89
133.56
65.96
133.09
63.62
94.53
175.18
72.72
169.16
85.96
65.21
195.74
123.68
104.24
329.52
197.38
3.24
7.72
10.80
17.94
4.31
6.66
Pret
amanuntul
maximal/UT
(RON)
6.677000
6.908333
0.347600
0.226200
0.226200
0.226200
0.144800
0.221000
0.225000
0.226200
0.248000
0.225000
0.225500
0.525200
0.525500
0.413600
0.731800
0.383400
0.845000
0.542000
0.303200
0.412400
0.730600
0.248600
22.510000
0.606100
0.621000
0.555666
1.417800
1.335600
1.319200
1.330900
1.060333
1.890600
1.751800
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
4.391887
4.391887
0.203580
0.203580
0.203580
0.203580
0.144800
0.203580
0.203580
0.203580
0.203580
0.203580
0.203580
0.407160
0.407160
0.305370
0.610740
0.203580
0.407160
0.407160
0.152685
0.305370
0.610740
0.203580
22.510000
0.359372
0.621000
0.359372
1.078123
1.078123
1.078123
1.078123
1.060333
1.437502
1.437502
1.437502
1.437502
1.432666
2.156253
1.957400
2.061333
2.875004
2.875004
2.875004
0.081000
0.162000
0.324000
0.717600
4.310000
3.240000
3.952698
3.952698
0.183222
0.183222
0.183222
0.183222
0.130320
0.183222
0.183222
0.183222
0.183222
0.183222
0.183222
0.366444
0.366444
0.274833
0.549666
0.183222
0.366444
0.366444
0.137416
0.274833
0.549666
0.183222
20.259000
0.323435
0.558900
0.323435
0.970311
0.970311
0.970311
0.970311
0.954299
1.293752
1.293752
1.293752
1.293752
1.289399
1.940628
1.761660
1.855199
2.587504
2.587504
2.587504
0.072900
0.145800
0.291600
0.645840
3.879000
2.916000
Nr crt.
cod ATC
1192
N05AD01
1193
N05AD01
1194
N05BA01
1195
N05BA01
1196
N05BA01
1197
N05BA01
1198
N05BA01
1199
N05BA01
1200
N05BA03
1201
N05BA03
1202
N05BA03
1203
N05BA03
1204
N05BA03
1205
N05BA06
1206
N05BA08
1207
N05BA08
1208
N05BA08
1209
N05BA08
1210
N05BA08
1211
N05BA08
1212
N05BA08
1213
N05BA08
1214
N05BA12
1215
N05BA12
1216
N05BA12
1217
N05BA12
1218
N05BA12
1219
N05BA12
1220
N05BA12
1221
N05BA12
1222
N05BA12
1223
N05BA12
1224
N05BA12
1225
N05BA12
1226
N05CD02
1227
N05CD02
1228
N05CD02
1229
N05CF01
1230
N05CF02
1231
N05CF02
1232
N05CF02
1233
N05CF02
1234
N05CF02
1235
N05CF02
1236
N05CF02
1237
N06AA04
1238
N06AA04
1239
N06AA09
1240
N06AA12
1241
N06AB03
DCI
HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*
Denumire Comerciala
forma farm.
HALOPERIDOL DECANOAT SOL. INJ.

HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
DIAZEPAM 10 mg
COMPR.
DIAZEPAM
COMPR.
DIAZEPAM LAROPHARM 10 mg COMPR.
DIAZEPAM 10 mg
SOL. INJ.
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg
ANSILAN 10 mg
MEDAZEPAM
MEDAZEPAM
MEDAZEPAM 10 mg
MEDAZEPAM LPH 10 mg
ANXIAR (R) 1 mg
CALMEPAM (R)
BROMAZEPAM LPH 1,5 mg
CALMEPAM (R)
LEXOTAN
LEXOTANIL
BROMAZEPAM LPH 3 mg
BROMAZEPAM SLAVIA 3 mg
BROMAZEPAM ARENA 3 mg
XANAX 0,25 mg
ALPRAZOLAM LPH (R) 0,25 mg
PRAZOLEX (R) 0,25 mg

FRONTIN 0,25 mg
XANAX 0,5 mg
ALPRAZOLAM LPH (R) 0,5 mg
FRONTIN 0,5 mg
PRAZOLEX (R) 0,5 mg
XANAX 1 mg
ALPRAZOLAM LPH (R) 1 mg
PRAZOLEX (R) 1 mg
FRONTIN 1mg
NITRAZEPAM LPH (R) 2,5 mg
NITRAZEPAM LPH (R) 5 mg
NITRAZEPAM 5 mg
IMOVANE 7,5 mg
SANVAL (R) 10 mg
SANVAL (R) 10 mg
ZOLPIDEM 10 mg
ZOLPIDEM ATB 10 MG
STILNOX 10 mg
STILNOX 10 mg
ZOLSANA 5 mg
ANAFRANIL (R) 10 mg
ANAFRANIL (R) 25 mg
SOL. RECTALA
SOL. RECTALA
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
DRAJ.
AMITRIPTILINA ARENA 25 mg COMPR. FILM.
DOXEPIN 25 mg
FLUOXIN 20 mg
DRAJ.
CAPS.
concentratie
50mg/ml
5mg/ml
10mg
10mg
10mg
10mg/2ml
10mg/2,5ml
5mg/2,5ml
10mg
10 mg
10 mg
10mg
10mg
1 mg
1,5mg
1,5mg
3mg
3mg
3mg
3mg
3mg
3mg
0,25mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
2,5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg
25mg
25mg
25mg
20mg
Detinator APP
TERAPIA SA
LAROPHARM SRL
TERAPIA SA
DESITIN
DESITIN
tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
Ambalaj
Prescriptie
P-RF
CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

P-RF
P-RF
P-RF
S/P-RF
GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA
S/P-RF
GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA
S/P-RF
SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS.
P-RF

LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
TERAPIA SA
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
SANOFI AVENTIS
FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
ANTIBIOTICE S.A.

ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.
P-RF
P-RF
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
ARENA GROUP S.A. ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM.

TERAPIA SA
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS.
Pagina 25 din 29
P-RF
P-RF
P-RF
P-RF
P-RF
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
5
5
20
30
20
5
5
5
25
20
50
20
20
50
10
20
10
30
10
20
10
10
30
20
30
30
30
20
30
30
30
20
30
30
20
20
20
20
10
20
10
10
10
20
20
30
30
50
30
14
44.52
12.48
1.99
3.14
1.05
8.34
32.62
25.99
3.82
2.45
5.61
2.25
2.47
6.70
3.08
2.14
1.56
7.16
1.56
3.10
2.20
1.54
5.65
2.68
4.35
4.93
8.94
4.24
7.46
5.79
12.70
6.06
8.24
12.60
1.37
1.57
2.40
15.50
4.13
8.27
4.25
4.25
6.56
14.22
13.56
7.24
14.31
15.01
18.30
11.28
Pret
amanuntul
maximal/UT
(RON)
8.904000
2.496000
0.099500
0.104666
0.052500
1.668000
6.524000
5.198000
0.152800
0.122500
0.112200
0.112500
0.123500
0.134000
0.308000
0.107000
0.156000
0.238666
0.156000
0.155000
0.220000
0.154000
0.188333
0.134000
0.145000
0.164333
0.298000
0.212000
0.248666
0.193000
0.423333
0.303000
0.274666
0.420000
0.068500
0.078500
0.120000
0.775000
0.413000
0.413500
0.425000
0.425000
0.656000
0.711000
0.678000
0.241333
0.477000
0.300200
0.610000
0.805714
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
8.904000
1.162619
0.099500
0.104666
0.052500
1.668000
6.524000
5.198000
0.122849
0.122500
0.112200
0.112500
0.122849
0.098279
0.036854
0.036854
0.073709
0.073709
0.073709
0.073709
0.073709
0.073709
0.061424
0.061424
0.061424
0.061424
0.122849
0.122849
0.122849
0.122849
0.245699
0.245699
0.245699
0.245699
0.055912
0.078500
0.111825
0.775000
0.413000
0.413500
0.419250
0.419250
0.419250
0.419250
0.209625
0.136979
0.342449
0.300200
0.342449
0.565199
8.013600
1.046357
0.089550
0.094199
0.047250
1.501200
5.871600
4.678200
0.110564
0.110250
0.100980
0.101250
0.110564
0.088451
0.033169
0.033169
0.066338
0.066338
0.066338
0.066338
0.066338
0.066338
0.055282
0.055282
0.055282
0.055282
0.110564
0.110564
0.110564
0.110564
0.221129
0.221129
0.221129
0.221129
0.050321
0.070650
0.100642
0.697500
0.371700
0.372150
0.377325
0.377325
0.377325
0.377325
0.188662
0.123281
0.308204
0.270180
0.308204
0.508679
Nr crt.
cod ATC
1242
N06AB03
1243
N06AB03
1244
N06AB03
1245
N06AB03
1246
N06AB04
1247
N06AB04
1248
N06AB04
1249
N06AB04
1250
N06AB04
1251
N06AB04
1252
N06AB04
1253
N06AB04
1254
N06AB04
1255
N06AB05
1256
N06AB05
1257
N06AB05
1258
N06AB05
1259
N06AB05
1260
N06AB05
1261
N06AB05
1262
N06AB05
1263
N06AB06
1264
N06AB06
1265
N06AB06
1266
N06AB06
1267
N06AB06
1268
N06AB06
1269
N06AB06
1270
N06AB06
1271
N06AB06
1272
N06AB06
1273
N06AB06
1274
N06AB06
1275
N06AB06
1276
N06AB06
1277
N06AB06
1278
N06AB06
1279
N06AB06
1280
N06AB08
1281
N06AB08
1282
N06AX03
1283
N06AX03
1284
N06AX11
1285
N06AX11
1286
N06AX11
1287
N06AX11
1288
N06AX11
1289
N06AX11
1290
N06AX11
1291
N06AX11
DCI
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
Denumire Comerciala
FLUOXIN 20 mg
MAGRILAN 20 mg
ROFLUXIN 20 mg
PROZAC 20 mg
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
ARKETIS
PAROXETIN ATB 20 mg
SEROXAT 20 mg
PALUXETIL 20 mg
PAXETIN 20 mg
PAROXETIN TEVA 20 mg
REXETIN
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
STIMULOTON (R) 100 mg
SERTRALIN SANDOZ 100 mg
SERTRALINA 100 mg
SETALOFT 100 mg
XIMPROVE 100 mg
ZOLOFT 100 mg
SERLIFT 50 mg
ASENTRA (R)
STIMULOTON (R) 50 mg
SERTRALIN SANDOZ 50 mg
SERTRALINA 50 mg
SETALOFT 50 mg
XIMPROVE 50 mg
ZOLOFT 50 mg
ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
MIANSERIN 10
MIANSERIN 30
REMERON SOLTAB 30 mg
MIRZATEN (R) 30 mg
MIRTAZAPINE-TEVA 30 mg
PHARMATAZ 30 mg
ESPRITAL (R) 30
forma farm.
CAPS.
CAPS.
CAPS.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. PT. SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
MIRTAZAPIN AUROBINDO 15 mg
COMPR. ORODISPERSABILE
MIRZATEN Q-TAB 30 mg
MIRTAZAPINA BLUEFISH 30 mg
concentratie
20mg
20mg
20mg
20mg
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20 mg
20mg
20mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg
50mg
10mg
30mg
30mg
30mg
30mg
30mg
30mg
15mg
30mg
30mg
tara det.
APP
Ambalaj
VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
Detinator APP
Prescriptie
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
28
30
P-RF
20
P-RF
28
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM. P-RF
28
28
30
28
28
30
28
30
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF
30
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
30
HEXAL AG
30
TERAPIA SA
P-RF
28
KRKA D.D.
P-RF
28
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
HEXAL AG
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF
28
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF
28
TERAPIA SA
P-RF
28
KRKA D.D.
P-RF
28
EGIS PHARMACEUTICALS P.L.C. MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-RF
30
HEXAL AG
30
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF
28
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF
28
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA P-RF
1
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF
30
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF
30
REMEDICA LTD.
CIPRU
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF/S 100
REMEDICA LTD.
CIPRU
20
NV ORGANON
OLANDA
P-RF
30
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
ZENTIVA KS
CEHIA
30
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF
30
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE P-RF
30
CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE
P-RF
30
ANTIBIOTICE S.A.
ELI LILLY SA
SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.
CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.
Pagina 26 din 29
P-RF
P-RF
22.06
17.63
15.12
36.82
7.40
7.12
7.40
10.72
39.54
10.72
33.59
32.37
33.59
23.05
23.04
34.30
23.05
23.05
23.05
46.17
61.70
35.28
40.84
35.28
37.80
37.64
34.09
35.28
68.51
19.54
22.87
20.94
20.82
20.92
18.74
19.54
36.98
65.61
48.83
25.21
46.70
26.06
82.15
37.92
37.90
36.01
37.92
24.62
37.92
37.92
Pret
amanuntul
maximal/UT
(RON)
0.787857
0.587666
0.756000
1.315000
0.264285
0.237333
0.264285
0.382857
1.318000
0.382857
1.199642
1.079000
1.199642
0.768333
0.768000
1.143333
0.768333
0.768333
0.768333
1.539000
2.056666
1.260000
1.458571
1.260000
1.260000
1.254666
1.217500
1.260000
2.446785
0.697857
0.816785
0.698000
0.694000
0.697333
0.669285
0.697857
1.320714
65.610000
1.627666
0.840333
0.467000
1.303000
2.738333
1.264000
1.263333
1.200333
1.264000
0.820666
1.264000
1.264000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.565199
0.565199
0.565199
0.565199
0.264285
0.237333
0.264285
0.382857
0.565199
0.382857
1.130399
1.079000
1.130399
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
1.130399
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
0.565199
13.564794
0.565199
0.282599
0.398248
1.194751
1.263333
1.263333
1.263333
1.200333
1.263333
0.631666
1.263333
1.263333
0.508679
0.508679
0.508679
0.508679
0.237856
0.213599
0.237856
0.344571
0.508679
0.344571
1.017359
0.971100
1.017359
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
1.017359
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
0.508679
12.208315
0.508679
0.254339
0.358423
1.075276
1.136999
1.136999
1.136999
1.080299
1.136999
0.568499
1.136999
1.136999
Nr crt.
cod ATC
DCI
1292
N06AX11
1293
N06AX11
1294
N06AX11
1295
N06AX11
1296
N06AX11
1297
N06AX16
1298
N06AX16
1299
N06AX16
1300
N06AX16
1301
N06AX16
1302
N06AX16
1303
N06AX16
1304
N06AX16
1305
N06AX16
1306
N06AX16
1307
N06AX16
1308
N06AX16
1309
N06AX16
1310
N06AX16
1311
N06AX16
1312
N06AX16
1313
N06AX16
1314
N06AX16
1315
N06AX16
1316
N06AX16
1317
N06AX16
1318
N06AX16
1319
N06AX16
1320
N06AX16
1321
N06AX16
1322
N06AX16
1323
N06AX16
1324
N06AX16
1325
N06AX16
1326
N06AX16
1327
N06AX16
1328
N06AX16
1329
N06AX16
1330
N06AX16
1331
N06AX16
1332
N06AX16
1333
N06AX16
1334
N06AX16
1335
N06AX16
1336
N06AX16
1337
N06AX16
1338
N06AX16
1339
N06AX16
1340
N06AX16
1341
N06AX16
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
Denumire Comerciala
ZULIN 30 mg
ZULIN 30 mg
PHARMATAZ 30 mg
forma farm.
IVRYX 150mg
EFECTIN EP 150 mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg
CAPS. ELIB. PREL.
VENLAFAXINA ACTAVIS 150 mg
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.
NOPEKAR 150 mg
FOBILESS 37,5 mg
NOPEKAR 37,5 mg
VENLAGAMMA 37,5 mg
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.
NOPEKAR 37,5 mg
IVRYX 75mg
EFECTIN EP 75 mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
JARVIS 75 mg
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
VENLAFAXINA ARENA EP 75 mg
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
NOPEKAR 75 mg
CAPS. ELIB. PREL.
VENLAFAXINA LPH 37,5 mg COMPR.
VELAXIN 37,5 mg
COMPR.
ADOXA 37,5 mg
COMPR.
VENLAFAXINA ARENA 37,5 mg COMPR.
ADOXA 50 mg
COMPR.
VENLAFAXINA ARENA 50 mg COMPR.
VENLAFAXINA LPH 75 mg
COMPR.
VELAXIN 75 mg
COMPR.
ADOXA 75 mg
COMPR.
ADOXA 75 mg
COMPR.
ARGOFAN 150 SR
COMPR. ELIB. PREL.
concentratie
30mg
30mg
30mg
30mg
45mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
37,5mg
37,5mg
37,5mg
50mg
50mg
75mg
75mg
75mg
75mg
75mg
150mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
30 38.11
6
7.83
CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF
30 37.90
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 5 FOLII TERMOSUDATE OPA-AL/AL-PVC X 6 COMPR. ORODISPERSABILE PRF
30 32.17
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE P-RF
30 63.52
ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 91.54
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF
28 58.69
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF
28 58.69
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 91.54
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
30 75.31
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
30 98.02
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 91.54
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 90.38
CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 98.08
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL. P-RF/S
100 304.19
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 98.08
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 75.38
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 85.18
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 91.54
P-RF
30 35.58
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 46.57
100 65.80
30 32.88
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 46.57
ROMASTRU TRADING S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF
28 47.52
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL. PRF
28 35.58
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF
28 35.58
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF
28 47.52
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
30 32.91
P-RF
30 50.89
OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 47.52
RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 39.50
CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF
30 50.94
100 111.93
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL. P-RF
30 50.94
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF
28 31.74
30 47.73
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
28 47.52
60 62.25
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
56 58.14
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30 32.20
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
30 32.20
TERAPIA SA
30 38.50
30 38.50
60 77.52
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF
56 72.46
TERAPIA SA
30 40.87
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
30 40.87
30 40.87
ZENTIVA A.S.
SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF
30 90.38
MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
Pagina 27 din 29
P-RF
CUTIE X 1 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF
Pret
amanuntul
maximal/UT
(RON)
1.270333
1.305000
1.263333
1.072333
2.117333
3.269285
2.096071
2.096071
3.269285
2.510333
3.267333
3.269285
3.012666
3.269333
3.041900
3.269333
2.692142
2.839333
3.269285
1.186000
1.663214
0.658000
1.096000
1.663214
1.697142
1.270714
1.270714
1.697142
1.097000
1.696333
1.697142
1.316666
1.698000
1.119300
1.698000
1.133571
1.591000
1.697142
1.037500
1.038214
1.073333
1.073333
1.283333
1.283333
1.292000
1.293928
1.362333
1.362333
1.362333
3.012666
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
1.263333
1.263333
1.263333
1.072333
1.894999
2.368800
2.096071
2.096071
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
2.368800
0.592200
0.592200
0.592200
0.592200
0.592200
1.184400
1.184400
1.184400
1.184400
1.097000
1.184400
1.184400
1.184400
1.184400
1.119300
1.184400
1.133571
1.184400
1.184400
0.592200
0.592200
0.592200
0.592200
0.789600
0.789600
1.184400
1.184400
1.184400
1.184400
1.184400
2.368800
1.136999
1.136999
1.136999
0.965099
1.705499
2.131920
1.886463
1.886463
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
2.131920
0.532980
0.532980
0.532980
0.532980
0.532980
1.065960
1.065960
1.065960
1.065960
0.987300
1.065960
1.065960
1.065960
1.065960
1.007370
1.065960
1.020213
1.065960
1.065960
0.532980
0.532980
0.532980
0.532980
0.710640
0.710640
1.065960
1.065960
1.065960
1.065960
1.065960
2.131920
Nr crt.
cod ATC
1342
N06AX16
1343
N06AX16
1344
N06AX16
1345
N07AA01
1346
P01AB02
1347
P01AB02
1348
P01AB02
1349
P01AB02
1350
P02CA03
1351
P02CA03
1352
P02CA03
1353
P02CA03
1354
P02CA03
1355
P02CA03
1356
P02CA03
1357
P02CE01
1358
P02CE01
1359
P02CE01
1360
P02CE01
1361
R01AD01
1362
R03AC02
1363
R03AC02
1364
R03AC02
1365
R03BA01
1366
R03BA02
1367
R03BA02
1368
R03BA02
1369
R03BA02
1370
R03BA02
1371
R03BA02
1372
R03BA02
1373
R03BB01
1374
R03BB01
1375
R03CC02
1376
R03CC02
1377
R03CC02
1378
R03DA04
1379
R03DA04
1380
R03DA04
1381
R03DA04
1382
R03DA04
1383
R05DA04
1384
R05DA04
1385
R05DA04
1386
R05DA04
1387
R05DA04
1388
R05DA04
1389
R05DA04
1390
R06AB04
1391
R06AE07
DCI
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
BECLOMETASONUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
BECLOMETASONUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
IPRATROPII BROMIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM
Denumire Comerciala
ARGOFAN 75 SR
forma farm.
concentratie
COMPR. ELIB. PREL.
75mg
37,5 mg
75mg
15mg
500mg
500mg
500mg
500mg
200mg
400mg
200mg
200mg
200 mg
0,4g/10ml
400mg/10ml
150mg
150mg
50mg
50mg
100mcg/doza
5mg/ml
100mcg/doza
100mcg/doza
250mcg/doza
VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM.

VENLAFAXINA ACTAVIS 75 mg COMPR. FILM.
NEOSTIGMINA LPH 15 mg
COMPR.
TINIZOL (R) 500 mg (J01XD02)

TIPROGYN 500 (vezi J01XD02)
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ALBENDAZOL VIM SPECTRUM 200 mg
COMPR.
COMPR.
ESKAZOLE
DUADOR 200 mg
ZENTEL 200 mg
ALBENDAZOL LPH 200 mg
ZENTEL 0,4 g/10 ml
VERMIGAL NOVO 400 mg
DECARIS 150 mg
LEVAMISOL ARENA 150 mg
DECARIS 50 mg
LEVAMISOL ARENA 50 mg
RINOCLENIL 100
VENTOLIN (R)
VENTOLIN 100 INHALER CFC-FREE
ASTHALIN INHALER
CLENIL (R) JET 250 mcg
FRENOLYN 200
FRENOLYN 200
PULMICORT TURBUHALER 200 mcg/doza
FRENOLYN 400
FRENOLYN 400
BUDIAIR 200 mcg
BUDIAIR 200 mcg JET
IPRAXA 500mcg/2ml
IPRAVENT INHALER 20mcg/doza
SALBUTAMOL EIPICO 2mg/5ml
VENTOLIN (R)
SALBUTAMOL T
THEO SR 100
TEOTARD (R) 200
THEO SR 200
THEO SR 300
TEOTARD (R) 350
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT
CODEINA FOSFAT LPH 15 mg
CODEINA FOSFAT MCC 15 mg
CODEINA FOSFAT 15 mg
CLORFENIRAMIN
CELERG
COMPR. FILM.
COMPR. FILM.
COMPR.FILM
SUSP. ORALA
SUSP. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
tara det.
APP
ZENTIVA A.S.
SLOVACIA
ACTAVIS S.R.L.
ROMANIA
ACTAVIS S.R.L.
ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
ZENTIVA S.A.
ROMANIA
AC HELCOR SRL
ROMANIA
Detinator APP
GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE
Ambalaj
P-RF

CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
P-6L
P-RF
GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE
Prescriptie
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF
GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA
BIOFARM S.A.
ROMANIA
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF

CUTIE CU 1 BLIST. PVC/AL X 1 COMPR.
P-RF
P-RF
P-RF
P-RF
CHIESI FARMACEUTICI SPA
ITALIA
CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE
MAREA BRITANIE
CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L
MAREA BRITANIE
CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA
P-RF
CIPLA (UK) LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA
P-6L
ITALIA
CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP
P-RF
ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE

P-RF
200mcg/doza ASTRAZENECA AB
SUEDIA
CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL.
P-RF
400 mcg/doza
400 mcg/doza
200 mcg/doza

P-RF
CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA
P-RF
SOL. DE INHALAT PRESURIZATA
200mcg/doza
500mcg/2ml
SUSP. INHAL. PRESURIZATA 20mcg/doza
SIROP
2mg/5ml
SOL. INJ.
0,5mg/ml
SOL. ORALA 0,04%
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
4mg
COMPR. FILM. 10 mg
ITALIA
ITALIA
CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION
P-RF
SOL. DE INHALAT PRIN NEBULIZ.
ROMANIA
CUTIE X 20 FIOLE DIN PEJD X 2 ML SOL. DE INHALAT PRIN NEBULIZATOR
P-6L
CIPLA (UK) LIMITED
MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA
SPRAY NAZ.,SUSP.
SOL. INHAL.
SUSP. INHAL. PRESURIZATA
SOL. INHALAT PRESURIZATA
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
200 mcg/doza
200 mcg/doza
CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP
CUTIE X 5 FIOLE DIN STICLA X 1 ML

TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML
P-RF
P-RF
P-RF
P-6L
P-6L
MAREA BRITANIE
P-6L
GLAXOSMITHKLINE (GSK) SRL
ROMANIA
CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
ROMANIA
ROMANIA
KRKA D.D.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL
LABORMED PHARMA SA
MAGISTRA C & C SRL

LABORMED PHARMA SA
Pagina 28 din 29
P-RF
CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF

CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL. P-RF
SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-6L

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-6L
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
30 39.48
1.316000
1.184400
1.065960
56 38.11
0.680535
0.592200
0.532980
56 61.43
1.096964
1.096964
0.987267
20 13.73
0.686500
0.686500
0.617850
4
3.70
0.925000
0.682799
0.614519
4
3.68
0.920000
0.682799
0.614519
4
3.70
0.925000
0.682799
0.614519
4
3.68
0.920000
0.682799
0.614519
2
6.22
3.110000
3.110000
2.799000
12 71.68
5.973333
5.973333
5.375999
2
6.38
3.190000
3.110000
2.799000
2
9.82
4.910000
3.110000
2.799000
2
6.39
3.195000
3.110000
2.799000
1
5.73
5.730000
3.813750
3.432375
1
3.74
3.740000
3.740000
3.366000
1
3.42
3.420000
3.420000
3.078000
1
3.42
3.420000
3.420000
3.078000
2
3.02
1.510000
1.139988
1.025989
2
3.02
1.510000
1.139988
1.025989
1 48.52 48.520000 42.718000 38.446200
1
8.92
8.920000
1.558800
1.402920
1 10.51 10.510000
7.794000
7.014600
1
6.81
6.810000
6.810000
6.129000
1 101.96 101.960000 101.960000 91.764000
1 39.48 39.480000 39.480000 35.532000
1 75.00 75.000000 75.000000 67.500000
1 60.76 60.760000 40.790000 36.711000
1 84.20 84.200000 81.580000 73.422000
1 172.36 172.360000 163.160000 146.844000
1 74.98 74.980000 43.509332 39.158399
1 74.98 74.980000 43.509332 39.158399
20 31.83
1.591500
1.579124
1.421212
1 12.60 12.600000 12.600000 11.340000
1
3.05
3.050000
3.050000
2.745000
5
3.56
0.712000
0.712000
0.640800
1
2.67
2.670000
2.497500
2.247750
20
5.72
0.286000
0.178800
0.160920
40
9.38
0.234500
0.234500
0.211050
10
4.27
0.427000
0.357600
0.321840
10
5.96
0.596000
0.536400
0.482760
40 13.98
0.349500
0.349500
0.314550
30
6.01
0.200333
0.151000
0.135900
25
5.13
0.205200
0.151000
0.135900
20
3.02
0.151000
0.151000
0.135900
20
3.02
0.151000
0.151000
0.135900
20
3.19
0.159500
0.151000
0.135900
20
3.65
0.182500
0.151000
0.135900
20
2.96
0.148000
0.148000
0.133200
20
2.31
0.115500
0.115500
0.103950
20 21.16
1.058000
0.970650
0.873585
DCI
Nr crt.
cod ATC
1392
R06AE07
1393
R06AE07
1394
R06AX17
1395
R06AX17
1396
R06AX17
1397
R06AX17
1398
R06AX17
1399
R06AX17
1400
R06AX17
1401
S01AX13
1402
S01BC03
1403
S01BC03
1404
S01CA05
CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
CIPROFLOXACINUM
DICLOFENACUM
DICLOFENACUM
COMBINATII
1405
S01CA05
COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)
1406
S01CA05
COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)
Denumire Comerciala
LETIZEN (R) 10 mg
ZYRTEC 10 mg/ml
KETOF 1 mg
KETOF 1 mg
KETOTIFEN LPH (R) 1 mg
H - KETOTIFEN
KETOTIFEN

Detinator APP
COMPR. FILM. 10mg
KRKA D.D.
10mg/ml
U.C.B. GMBH
CAPS.
1mg
HEXAL AG
CAPS.
1mg
HEXAL AG
COMPR.
1mg
LABORMED PHARMA SA
COMPR.
1mg
AC HELCOR SRL
COMPR.
1mg
MAGISTRA C&C S.R.L.
KETOTIFEN LAROPHARM 1 mg COMPR.
1mg
LAROPHARM SRL
KETOF 1 mg/5 ml
SIROP
1mg/5ml
HEXAL AG
CIPLOX (vezi S01AX13)
UNG. OFT. 0,3%
CIPLA (UK) LIMITED
DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL. 0,1%
UNIMED PHARMA LTD.
OPHTAMESONE - N
SOL. OFT.
FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L.
BETABIOPTAL
PICATURI OFT.SUSP. 0,2g+0,5g/100ml FARMILA FARMACEUTICI MILANO SPA
BETABIOPTAL
UNG. OFT. 0,2g+0,5g/100g FARMILA FARMACEUTICI
PICATURI ORALE-SOL.
tara det.
APP
Ambalaj
P-6L
GERMANIA
CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE
P-6L
P-6L
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 5 BLIST. AL/PP X 10 CAPS.

CUTIE X 2 BLIST. AL/PP X 10 CAPS.
GERMANIA
CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L
GERMANIA
GERMANIA
Prescriptie
P-6L
P-6L
P-6L
P-6L
P-6L
MAREA BRITANIE CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT.
P-RF
ROMANIA
FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL.
P-6L
SLOVACIA
CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR
P-6L
ROMANIA CUTIE X 1 FLACON X 10ML
P-RF
ITALIA
ITALIA
CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE
P-RF
CUTIE X 1 TUB AL X 5 G
P-RF
Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)
20
1
50
20
20
20
20
20
1
1
1
1
1
1
1
NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii medicale
emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii i cu aprobarea comisiilor
de la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (1) se efectueaza pentru pacienii cu intoleran la acidum acetylsalicylicum.
Pagina 29 din 29
13.53
22.99
13.81
5.25
3.31
3.65
3.45
3.45
11.43
4.27
10.69
11.23
4.50
13.45
15.45
Pret
amanuntul
maximal/UT
(RON)
0.676500
22.990000
0.276200
0.262500
0.165500
0.182500
0.172500
0.172500
11.430000
4.270000
10.690000
11.230000
4.500000
13.450000
15.450000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti
0.676500
19.413000
0.172500
0.172500
0.165500
0.172500
0.172500
0.172500
11.430000
4.270000
8.152500
11.230000
4.500000
7.065000
7.065000
0.608850
17.471700
0.155250
0.155250
0.148950
0.155250
0.155250
0.155250
10.287000
3.843000
7.337250
10.107000
4.050000
6.358500
6.358500
ANEXA 2
SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU MODIFICARILE SI
COMPLETARILE ULTERIOARE VALABILA INCEPAND CU 01 IULIE 2012
Nr. crt
cod ATC
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
DCI
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
Denumire Comerciala
CONTROLOC 20 mg
SELTRAZ 20 mg
CONTROLOC 40mg
CONTROLOC 40mg
CONTROLOC 40mg
SELTRAZ 40 mg
ZENCOPAN 20 mg
PANTEXEL 20 mg
PACID 20 mg
PANTOPRAZOL NYCOMED 20 mg
DYSPEX 20 mg
PANTOSAL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
AZATOL 20 mg
PANTOPRAZOL TEVA 20 mg
ZENCOPAN 40 mg
PANTEXEL 40 mg
ZIPANTOLA 40 mg
PACID 40 mg
PANTOSAL 40 mg
PANTOSAL 40 mg
NOLPAZA 40mg
AZATOL 40 mg
PANTOPRAZOL TEVA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL TERAPIA 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
forma farm.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
CONTROLOC 40mg LIOFILIZAT PENTRU SOLUTIE INJECTABILA
LIOF. PT. SOL. INJ.
PANTOPRAZOL NYCOMED I.V. 40 mg

PANTOPRAZOL NYCOMED I.V. 40 mg
NOLPAZA 40 mg
PANTOPRAZOL ACTAVIS 40 mg
EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg
PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
concentratie
20mg
20mg
40mg
40mg
40mg
40mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
40mg
40mg
40mg
20mg
20mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
NYCOMED GMBH
GERMANIA
CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.
P-6L
ROMANIA
CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE
P-6L
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
GERMANIA
CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ.
P-6L
GERMANIA
P-6L
GERMANIA
P-6L
ROMANIA
CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE
P-6L
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.
TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
ROMANIA
ROMANIA
P6L
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ
P-6L
CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.
P-6L
GERMANIA CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ. P-6L

KRKA D.D., NOVO MESTO SLOVENIA
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.
P-6L
CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.
P-6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.
P6L
P6L
ROMANIA
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ
P-6L
CUTIE X 1 BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.
P-6L
P-6L
ROMASTRU TRADING S.R.L.
TERAPIA S.A.
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
ROMANIA


TERAPIA S.A.
TERAPIA S.A.
G.L. PHARMA GMBH
G.L. PHARMA GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
ROMANIA
ROMANIA
ROMANIA
ROMANIA
AUSTRIA
AUSTRIA
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.
P-6L
CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.
P-6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.
P6L
P-6L
P-6L
CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE
P6L
P6L
CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE
GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ.
S/P-RF
GERMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.
S/P-RF
GERMANIA
CUTIE X 20 ( 20 X 1) FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ., AMBALAJ SPITALICESC
S/P-RF
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.
P-RF
ISLANDA
CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML CONTINAND 40 MG PANTOPRAZOL
P-RF
KRKA, D.D., NOVO MESTO SLOVENIA
CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.
P-6L
P-6L
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.
P-6L
P-6L
P-6L
REPUBLICA CEHA
CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.
P-6L
SUEDIA
CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ.
P-6L
ROMANIA
CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L
ZENTIVA K.S.
ASTRAZENECA AB
SANDOZ SRL
Pagina 1 din 22
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30 34.83
28 22.06
14 26.84
15 28.77
30 55.68
28 31.62
28 20.42
28 22.06
30 10.69
14 10.83
28 21.74
14 10.75
14 10.94
28 21.91
30 21.88
28 22.57
30 20.43
28 31.62
28 31.62
28 31.62
30 19.57
14 15.56
28 31.14
14 15.67
28 31.39
30 32.77
28 33.80
30 36.17
10
5.93
30 19.57
30 22.28
30 34.10
1 33.62
1 21.85
20 378.13
1 19.31
1 21.85
14 26.47
28 51.23
28 51.23
14 38.71
28 73.54
28 73.54
14 39.41
14 30.17
Pret
amanuntul
maximal/UT
(RON)
1.161000
0.787857
1.917142
1.918000
1.856000
1.129285
0.729285
0.787857
0.356333
0.773571
0.776428
0.767857
0.781428
0.782500
0.729333
0.806071
0.681000
1.129285
1.129285
1.129285
0.652333
1.111428
1.112142
1.119285
1.121071
1.092333
1.207142
1.205666
0.593000
0.652333
0.742666
1.136666
33.620000
21.850000
18.906500
19.310000
21.850000
1.890714
1.829642
1.829642
2.765000
2.626428
2.626428
2.815000
2.155000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
0.709392
0.709392
1.418785
1.418785
1.418785
1.129285
0.709392
0.709392
0.356333
0.709392
0.709392
0.709392
0.709392
0.709392
0.709392
0.709392
0.681000
1.129285
1.129285
1.129285
0.652333
1.111428
1.112142
1.119285
1.121071
1.092333
1.207142
1.205666
0.593000
0.652333
0.709392
1.136666
30.686175
21.850000
18.906500
19.310000
21.850000
0.945855
0.945855
0.945855
1.891713
1.891713
1.891713
0.945855
0.945855
0.354696
0.354696
0.709392
0.709392
0.709392
0.564642
0.354696
0.354696
0.178166
0.354696
0.354696
0.354696
0.354696
0.354696
0.354696
0.354696
0.340500
0.564642
0.564642
0.564642
0.326166
0.555714
0.556071
0.559642
0.560535
0.546166
0.603571
0.602833
0.296500
0.326166
0.354696
0.568333
15.343087
10.925000
9.453250
9.655000
10.925000
0.472927
0.472927
0.472927
0.945856
0.945856
0.945856
0.472927
0.472927
Nr. crt
cod ATC
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BX02
A02BX02
A02BX05
A03AB06
A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03
A11CC03
A11CC03
DCI
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

Denumire Comerciala
ESOMEPRAZOL TORRENT 20 mg
ESOMEPRAZOL TEVA 20 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL TORRENT 40 mg
ESOMEPRAZOL TEVA 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg
NEXIUM 10 mg
NEXIUM 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
BUDENOFALK
BUDENOFALK UNO 9 mg
BUDENOFALK 2 mg/doza
BUDENOFALK 2 mg/doza
HIDRASEC 100 mg
HIDRASEC 10 mg
HIDRASEC 30 mg
XENICAL 120mg
XENICAL 120mg
ALPHA D3 0,25 mcg
ALFACALCIDOL SANDOZ 0,25 mcg
ALPHA D3 0,50 mcg
THIOGAMMA (R) 600 oral (vezi A16AX01)
THIOCTACID (R) 600 HR (vezi N07XN03)
THIOGAMMA (R) 600 INJEKT (vezi N07XN03)

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03)
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
THIOCTACID 600T (vezi N07XN03)
forma farm.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
GRAN. GASTROREZ. PT. SUSP.ORALA
PULB. PT. SOL. INJ./PERF.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS. GASTROREZ.
GRANULE GASTROREZ.
SPUMA RECTALA
SPUMA RECTALA
CAPS.
PULB. PT. SOL. ORALA
CAPS.
CAPS.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CONC. PT. SOL. PERF.
SOL. INJ.
THIOGAMMA (R) TURBO-SET (vezi N07XN03) SOL. PERF.
FRAGMIN 10000 UI/0,4 ml
SOL. INJ.
FRAGMIN 10000 UI/ml
SOL. INJ.
SOL. INJ.
FRAGMIN15000 UI/0,6 ml
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CLEXANE 2000ui anti-Xa/0,2ml
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml SOL. INJ.
concentratie
20mg
20mg
40mg
40mg
40mg
40mg
20mg
40mg
10mg
40mg
1g
1g
120mg
40mg
200mg
200mg
100mg/5ml
3mg
9mg
2mg/doza
2mg/doza
100mg
10mg
30mg
120mg
120mg
0,25mcg
0,25g
0,50mcg
0,5g
600mg
600mg
600mg
600mg
30mg/ml
30mg/ml
25mg/ml
12mg/ml
Detinator APP
TORRENT PHARMA S.R.L.
ASTRAZENECA AB
SANDOZ SRL
tara det.
APP
Ambalaj
Prescriptie
ROMANIA
ROMANIA
CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ.

P6L
P6L
SUEDIA
CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ.
P-6L
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L
P6L
P6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE
P-6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE
P-6L
CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA
P-6L
CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF.
S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR.
P-6L
ASTRAZENECA AB
ASTRAZENECA AB
KRKA D.D.
A. MENARINI IND. FARM. RIUNITE SRL
ALFA WASSERMANN SPA

ALFA WASSERMANN SPA
ALFA WASSERMANN SPA
SUEDIA
SUEDIA
SLOVENIA CUTIE X 5 BLIST. X 10 COMPR.

P-6L
OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L
ITALIA
ITALIA
ITALIA
ITALIA

CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML
P-RF
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ.
P-RF
CUTIE CU 30 PLICURI PET/AL/PEJD CU GRANULE GASTROREZ.
PRF
CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL
P-RF
CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU
P-RF
LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS.

LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G
LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3
P-RF
P-RF
P-RF
ROCHE REGISTRATION LTD.
MAREA BRITANIE
CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF
MAREA BRITANIE
CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF
SANDOZ S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
P-RF
GERMANIA
GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L
GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L
MEDA PHARMA GMBH & CO KG
GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L
GERMANIA
S/P-RF
GERMANIA
S/P-RF
SANDOZ S.R.L.

CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM.
GERMANIA CUTIE X 5 FIOLE X 24 ML SOL.INJ.
GERMANIA CUTIE X 10 FLACOANE X 50 ML
P-6L
S/P-RF
S/P-RF
10000UI/0,4ml PFIZER EUROPE MA EEIG
MAREA BRITANIE
CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.
S/P-RF
10000ui/ml
MAREA BRITANIE
CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML
S/P-RF
12500 UI/0,5ml PFIZER EUROPE MA EEIG
MAREA BRITANIE
S/P-RF
15000ui/0,6ml PFIZER EUROPE MA EEIG
MAREA BRITANIE
CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.
S/P-RF
MAREA BRITANIE
S/P-RF
2500ui/0,2ml
5000ui/0,2ml
7500ui/0,3ml
MAREA BRITANIE
CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML
S/P-RF
MAREA BRITANIE
S/P-RF
MAREA BRITANIE
S/P-RF
2000ui anti-Xa/0,2ml
FRANTA
FRANTA
FRANTA
FRANTA
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
S/P-RF
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
S/P-RF
S/P-RF
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
S/P-RF
2850 ui AFXa/0,3ml
GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE
MAREA BRITANIE
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.
S/P-RF
3800 ui AFXa/0,4ml
MAREA BRITANIE
S/P-RF
Pagina 2 din 22
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28
14
14
14
28
14
14
14
28
10
20
50
40
30
12
36
1
100
30
1
2
20
16
30
21
84
50
30
30
30
100
30
60
30
5
20
5
10
5
10
5
5
5
10
10
10
10
10
10
2
10
10
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
51.18
1.827857
0.945855
0.472927
18.94
1.352857
0.945855
0.472927
59.56
4.254285
1.891713
0.945856
44.12
3.151428
1.891713
0.945856
73.48
2.624285
1.891713
0.945856
26.58
1.898571
1.891713
0.945856
26.47
1.890714
0.945855
0.472927
38.71
2.765000
1.891713
0.945856
174.25
6.223214
6.223214
3.111607
297.47 29.747000 29.747000 14.873500
6.19
0.309500
0.309500
0.154750
15.95
0.319000
0.314250
0.157125
39.95
0.998750
0.314250
0.157125
33.57
1.119000
1.119000
0.559500
33.10
2.758333
2.646666
1.323333
91.26
2.535000
2.535000
1.267500
19.11 19.110000 15.880014
7.940007
444.55
4.445500
4.048486
2.024243
419.11 13.970333 12.145471
6.072735
419.11 419.110000 383.830000 191.915000
744.14 372.070000 372.070000 186.035000
43.59
2.179500
1.596375
0.798187
41.04
2.565000
1.596375
0.798187
41.04
1.368000
1.368000
0.684000
92.03
4.382380
3.789970
1.894985
301.77
3.592500
3.592500
1.796250
33.62
0.672400
0.523333
0.261666
37.26
1.242000
0.523333
0.261666
31.40
1.046666
1.046666
0.523333
55.07
1.835666
1.046666
0.523333
213.06
2.130600
2.130600
1.065300
68.60
2.286666
2.169500
1.084750
130.17
2.169500
2.169500
1.084750
96.76
3.225333
2.169500
1.084750
134.35 26.870000 25.536000 12.768000
491.09 24.554500 24.554500 12.277250
127.68 25.536000 25.536000 12.768000
258.17 25.817000 25.536000 12.768000
125.97 25.194000 25.194000 12.597000
266.83 26.683000 26.683000 13.341500
170.87 34.174000 33.473229 16.736614
206.87 41.374000 40.167875 20.083937
235.27 47.054000 47.054000 23.527000
77.59
7.759000
6.694645
3.347322
142.16 14.216000 13.389291
6.694645
202.99 20.299000 20.083937 10.041968
72.93
7.293000
6.694645
3.347322
144.56 14.456000 13.389291
6.694645
187.88 18.788000 18.788000
9.394000
52.19 26.095000 26.095000 13.047500
75.42
7.542000
6.694645
3.347322
103.46 10.346000
8.926192
4.463096
Nr. crt
cod ATC
98
99
B01AB06
DCI
140 B01AC18
NADROPARINUM**#
NADROPARINUM**#
REVIPARINUM**#
REVIPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
SULODEXIDUM**
SULODEXIDUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
TRIFLUSALUM
141 B01AC30
COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)**
142 B01AX05
FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#
B01AB06
100 B01AB08
101 B01AB08
102 B01AB10
103 B01AB10
104 B01AB10
105 B01AB10
106 B01AB10
107 B01AB10
108 B01AB10
109 B01AB11
110 B01AB11
111 B01AC04
112 B01AC04
113 B01AC04
114 B01AC04
115 B01AC04
116 B01AC04
117 B01AC04
118 B01AC04
119 B01AC04
120 B01AC04
121 B01AC04
122 B01AC04
123 B01AC04
124 B01AC04
125 B01AC04
126 B01AC04
127 B01AC04
128 B01AC04
129 B01AC04
130 B01AC04
131 B01AC04
132 B01AC04
133 B01AC04
134 B01AC04
135 B01AC04
136 B01AC04
137 B01AC04
138 B01AC04
139 B01AC04
143 B01AX05
144 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA

145 C01EB17
146 C01EB17
147 C01EB17
148 C01EB17
149 C02AC05
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
MOXONIDINUM
Denumire Comerciala
forma farm.
concentratie
Detinator APP
tara det.
APP
Ambalaj
Prescriptie

5700 ui AFXa/0,6ml
MAREA BRITANIE
S/P-RF
7600 ui AFXa/0,8ml
MAREA BRITANIE
S/P-RF
CLIVARIN (R) 1432UI/0,25 ml

CLIVARIN (R) 3436 UI/0,6 ml
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
VESSEL DUE F
VESSEL DUE F
PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75mg
TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TUXEDON 75 mg
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg
PLATEL 75 mg
DEPLATT 75 mg
CLOPIDOGREL ACCORD 75 mg
AFLEN (R)
AGGRENOX
ARIXTRA 2,5mg/0,5ml
ARIXTRA 7,5mg/0,6ml
VENOFER (R)
CORLENTOR 5mg
CORLENTOR 5mg
CORLENTOR 7,5mg
CORLENTOR 7,5mg
MOXOGAMMA 0,2 mg
1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML
S/P-RF
CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML
S/P-RF
CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA)
S/P-RF
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS. MOI
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS. ELIB. MODIF.
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ./PERF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA
10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA)
S/P-RF
10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA)
S/P-RF
20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA)
S/P-RF
20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA
CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)
S/P-RF
S/P-RF
S/P-RF
250ULS
600ULS/2ml
300mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
300mg
25mg/200mg
2,5mg/0,5ml
7,5mg/0,6ml
20mg/ml
5mg
5mg
7,5mg
7,5mg
0,2mg
ALFA WASSERMANN SPA

ALFA WASSERMANN SPA
SANOFI PHARMA - BRISTOL MYERS SQUIBB
TEVA PHARMA BV
ITALIA
ITALIA
FRANTA
OLANDA
CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI P-RF
CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML P-RF

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)
P-RF
CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF
ZENTIVA K.S.
ZENTIVA K.S.
MYLAN S.A.S.
FRANTA
CEHIA
UNGARIA
CEHIA
FRANTA
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.
P-RF
CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF

P-RF
CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM.
P-RF
GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
P-RF
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF
GERMANIA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF
SANDOZ S.R.L.
ROMANIA
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
P-RF
ICN POLFA RZESZOW S.A.
POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
P-RF
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF
ROMANIA
IWA CONSULTING APS

IWA CONSULTING APS
DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.
DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM.
P-RF
P-RF
LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

P-RF
P-RF
P-RF
CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.
P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.
CIPRU
CIPRU
CUTIE CU BLIST. AL/AL X 60 COMPR. FILM. P-RF
ROMANIA
CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.
CIPRU
ROMANIA

PRF
PRF
CUTIE CU 3 BLIST. AL/AL X 10 COMPR. FILM. PRF
GALENICA S.A.
GLAXO GROUP LTD.

GLAXO GROUP LTD.
VIFOR FRANCE S.A.
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER
GRECIA
P-RF
GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L

MAREA BRITANIE
CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU
MAREA BRITANIE
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU
FRANTA CUTIE X 5 FIOLE X 5 ML

FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
P-RF
P-RF
S/P-RF
P-6L
P-6L
P-6L
P-6L
WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
Pagina 3 din 22
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
10
10
10
5
10
2
2
2
10
2
2
50
10
30
28
28
28
30
28
90
28
28
28
28
28
28
28
28
30
28
28
28
28
28
30
28
60
90
30
28
30
30
50
60
10
10
5
28
56
56
28
30
132.46
189.75
84.46
101.41
536.03
26.13
35.12
73.65
1,113.22
103.18
127.08
102.83
78.43
780.80
79.52
90.49
122.34
83.81
79.52
242.40
79.52
79.52
68.52
68.52
89.49
38.37
79.49
79.49
85.21
68.48
68.48
73.81
68.22
79.49
85.18
79.52
161.58
242.38
85.21
67.70
85.19
85.21
84.93
63.61
233.80
653.26
149.77
160.23
240.27
260.36
160.23
21.80
Pret
amanuntul
maximal/UT
(RON)
13.246000
18.975000
8.446000
20.282000
53.603000
13.065000
17.560000
36.825000
111.322000
51.590000
63.540000
2.056600
7.843000
26.026666
2.840000
3.231785
4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333
1.698600
1.060166
23.380000
65.326000
29.954000
5.722500
4.290535
4.649285
5.722500
0.726666
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
13.246000
17.852384
6.704004
16.085881
38.255114
6.694645
8.607399
19.127553
76.510235
26.778583
34.429606
2.056600
7.843000
18.979711
2.840000
3.231785
4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333
1.698600
1.060166
22.176500
65.326000
29.954000
3.272517
3.272517
4.649285
4.908776
0.726666
6.623000
8.926192
3.352002
8.042940
19.127557
3.347322
4.303699
9.563776
38.255117
13.389291
17.214803
1.028300
3.921500
9.489855
1.420000
1.615892
2.184642
1.396833
1.420000
1.346666
1.420000
1.420000
1.223571
1.223571
1.598035
0.685178
1.419464
1.419464
1.420166
1.222857
1.222857
1.318035
1.218214
1.419464
1.419666
1.420000
1.346500
1.346555
1.420166
1.208928
1.419833
1.420166
0.849300
0.530083
11.088250
32.663000
14.977000
1.636258
1.636258
2.324642
2.454388
0.363333
Nr. crt
cod ATC
150 C02AC05
151 C02AC05
152 C02AC05
153 C02AC05
154 C02AC05
155 C02AC05
156 C02AC06
157 C02AC06
158 C02CA01
159 C02CA01
160 C03DA04
161 C03DA04
162 C04AE02
163 C04AE02
164 C04AE02
165 C04AE02
166 C04AE02
167 C04AE02
168 C04AE02
169 C04AE02
170 C04AE02
171 C04AE02
172 C04AE02
173 C04AE02
174 C04AX07
175 C04AX07
176 C04AXN1
177 C04AXN1
178 C04AXN1
179 C04AXN1
180 C04AXN1
181 C04AXN1
182 C04AXN1
183 C04AXN1
184 C04AXN1
185 C04AXN1
186 C04AXN1
187 C04AXN1
188 C04AXN1
189 C04AXN1
190 C04AXN1
191 C04AXN1
192 C04AXN1
193 C04AXN1
194 C04AXN1
195 C04AXN1
196 C04AXN1
197 C04AXN1
198 C04AXN1
199 C04AXN1
200 C05CA53
201 C07AB12
DCI
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
PRAZOSINUM
PRAZOSINUM
EPLERENONUM*#
EPLERENONUM*#
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
VINCAMINUM
VINCAMINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
DIOSMINUM (COMBINATII)**
NEBIVOLOLUM
Denumire Comerciala
MOXONIDINA MYLAN 0,2 mg

PHYSIOTENS 0,2
MOXOGAMMA 0,3 mg
MOXOGAMMA 0,4 mg
MOXONIDINA MYLAN 0,4 mg
PHYSIOTENS 0,4
TENAXUM
RILMENIDINA TEVA 1 mg
MINIPRESS (R) 1 mg
MINIPRESS (R) 2 mg
INSPRA 25 mg
INSPRA 50 mg
NICERIUM (R) 15
NICERIUM (R) 30 UNO
NICERGOLINA LPH 10 mg
GRALIN 10 mg
SERMION
GRALIN 30 mg
GRALIN 5 mg
NICERIUM (R) 10
SINERGOLIN 30
SINERGOLIN 30
OXYBRAL SR 30 mg
VINCAMINA
BILOBIL INTENS 120 mg (vezi N06DX02)
BILOBIL 40 mg (C04AXN1)
BILOBIL 40 mg (C04AXN1)
BILOBIL FORTE (vezi C04AXN1)
GINGIUM 120mg (vezi N06DX02)
FLAVOTAN 120 mg (vezi N06DX02)
FLAVOTAN 120 mg (vezi C04AXN1)
TANAKAN (EGB 761) (N06DX02)
GINGIUM 40mg (vezi N06DX02 )
TEBOKAN (vezi C04AXN1)
TEBOKAN (vezi C04AXN1)
GINKOFAR 40 mg (vezi N06DX02)
GINKOFAR 40 mg (vezi N06DX02)
GINKO BILOBA BIOFARM 40 mg (vezi N06DX02)
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02)
FLAVOTAN 40 mg (C04AXN1)
FLAVOTAN 40 mg (C04AXN1)
GINGIUM 80mg (vezi N06DX02)
FLAVOTAN 80 mg (vezi N06DX02)

FLAVOTAN 80 mg (vezi C04AXN1)
TANAKAN (EGB 761) (C04AXN1)
DETRALEX ( R )
EZOCEM 5 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
DRAJ.
DRAJ.
CAPS. ELIB. PREL.
DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PICATURI ORALE-SOL.
COMPR. FILM.
COMPR
concentratie
0,2mg
0,2mg
0,3mg
0,4mg
0,4mg
0,4mg
1mg
1mg
1mg
2mg
25mg
50mg
15mg
30mg
10mg
10mg
30mg
30mg
30mg
5mg
5mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg
120mg
120mg
120mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
40mg/ml
500mg
5mg
Detinator APP
GENERICS (UK) LTD
tara det.
APP
MAREA BRITANIE
Ambalaj
Prescriptie
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L
GENERICS (UK) LTD
MAREA BRITANIE
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L

FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
ROMANIA
MAREA BRITANIE
MAREA BRITANIE
P6L
MAREA BRITANIE
CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.
P-RF
MAREA BRITANIE
CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.
P-RF
HEXAL AG
HEXAL AG
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L
P-6L
CUTIE CU BLIST. AL/AL (FOLIE AL CFF (FORMATA LA RECE)/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC)
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L

MAREA BRITANIE
CUTIE X 2 BLIST. PVC-PVDC/AL-PVC X 15 COMPR. FILM
P-6L


HEXAL AG
SINTOFARM SA
SINTOFARM SA
BIOFARM SA
GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ. P-6L

ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL.
P-6L
P-6L
P-6L
P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P6L
IPSEN BIOTECH
HEXAL AG
FRANTA
DR. WILLMAR SCHWABE GMBH & CO KG
DR. WILLMAR SCHWABE GMBH & CO KG
BMF PHARM S.R.L.

BMF PHARM S.R.L.
BIOFARM S.A.
BIOFARM S.A.
BIOFARM S.A.

LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P6L
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.
ROMANIA
ROMANIA
BEAUFOUR IPSEN PHARMA
FRANTA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.
P6L
CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA
P-6L
LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
Pagina 4 din 22
OLANDA
CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28 13.24
28 32.50
30 25.87
30 33.14
28 26.58
28 43.79
30 41.62
30 27.94
30
5.73
30
8.01
30 185.59
30 185.59
30 27.89
30 51.38
30 13.45
30 13.45
30 48.31
30 32.45
30 32.45
30
6.76
30
6.76
25 14.11
30 32.39
20 21.59
10
9.26
20
6.72
60 65.18
20
9.58
60 27.50
60 45.29
30 33.74
30 33.71
60 65.31
30 23.17
30 12.48
50 23.37
20
9.32
60 26.61
90 36.73
30 12.30
60 23.51
60 23.51
30 13.73
60 27.47
30 23.51
30 23.17
60 44.84
30 23.39
60 45.27
1 24.88
30 26.39
28 25.53
Pret
amanuntul
maximal/UT
(RON)
0.472857
1.160714
0.862333
1.104666
0.949285
1.563928
1.387333
0.931333
0.191000
0.267000
6.186333
6.186333
0.929666
1.712666
0.448333
0.448333
1.610333
1.081666
1.081666
0.225333
0.225333
0.564400
1.079666
1.079500
0.926000
0.336000
1.086333
0.479000
0.458333
0.754833
1.124666
1.123666
1.088500
0.772333
0.416000
0.467400
0.466000
0.443500
0.408111
0.410000
0.391833
0.391833
0.457666
0.457833
0.783666
0.772333
0.747333
0.779666
0.754500
24.880000
0.879666
0.911785
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
0.472857
0.871417
0.862333
1.104666
0.949285
1.563928
1.307128
0.931333
0.147875
0.267000
3.866458
6.186333
0.516374
1.032749
0.344249
0.344249
1.032749
1.032749
1.032749
0.172124
0.172124
0.344249
1.032749
1.032749
0.926000
0.315500
1.086333
0.381791
0.381791
0.754833
1.124666
1.123666
1.088500
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.381791
0.763583
0.763583
0.747333
0.763583
0.754500
24.880000
0.879666
0.889713
0.236428
0.435708
0.431166
0.552333
0.474642
0.781964
0.653564
0.465666
0.073937
0.133500
1.933229
3.093166
0.258187
0.516374
0.172124
0.172124
0.516374
0.516374
0.516374
0.086062
0.086062
0.172124
0.516374
0.516374
0.463000
0.157750
0.543166
0.190895
0.190895
0.377416
0.562333
0.561833
0.544250
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.190895
0.381791
0.381791
0.373666
0.381791
0.377250
12.440000
0.439833
0.444856
Nr. crt
cod ATC
DCI
213 C07AB12
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
214 C07BB07
COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)
215 C07BB07
216 C07BB07
217 C08CA09
LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
202 C07AB12
203 C07AB12
204 C07AB12
205 C07AB12
206 C07AB12
207 C07AB12
208 C07AB12
209 C07AB12
210 C07AB12
211 C07AB12
212 C07AB12
218 C08CA13
219 C08CA13
220 C08CA13
221 C08CA13
222 C08CA13
223 C08CA13
224 C08CA13
225 C08CA13
226 C08CA13
227 C08CA13
228 C08CA13
229 C08CA13
230 C08CA13
231 C08CA13
232 C08CA13
233 C09AA04
234 C09AA04
235 C09AA04
236 C09AA04
237 C09AA04
238 C09AA04
239 C09AA04
240 C09AA04
241 C09AA04
242 C09AA04
243 C09AA04
244 C09AA04
245 C09AA04
246 C09AA04
247 C09AA04
248 C09AA04
249 C09AA04
250 C09AA04
251 C09AA04
252 C09AA04
253 C09AA04
Denumire Comerciala
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
VOXNEBIN 5 mg
NEBINORM 5 mg
NEBICARD 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
LODOZ 10 mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 5mg/6,25mg
LACIPIL 4 mg
LERCANIDIPINA TEVA 10 mg
LERIDIP
LERCANIDIPIN ACTAVIS 10 mg
LERIDIP
LERPIN 10 mg
KAPIDIN10 mg
PEGFEL 10 mg
LERCANIDIPINA TEVA 20 mg
LERIDIP 20
LERIDIP 20
LERPIN 20 mg
PEGFEL 20 mg
PRENESSA 2 mg
PRICORON 4 mg
COVEREX (R) 4 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PRESTPRIL 4 mg
PRICORON 8 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PERYL 8 mg
PRESTPRIL 8 mg
PRENESSA 8 mg
PRESTARIUM 10 mg
PRESTARIUM 5 mg
forma farm.
concentratie
Detinator APP
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
10 mg/6,25mg MERCK KGAA

2,5mg/6,25mg MERCK KGAA
BERLIN CHEMIE AG MENARINI GROUP
tara det.
APP
ACTAVIS S.R.L.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA
BIOFARM SP.ZO.O
SANDOZ S.R.L.
TERAPIA S.A.
Ambalaj
Prescriptie
CEHIA
POLONIA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF
CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L

TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L
5mg/6,25mg
4mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
COMPR.
2mg
COMPR.
4 mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
4mg
COMPR.
8 mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR.
8mg
COMPR. FILM. 10 mg
COMPR. FILM. 5mg
GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L

MERCK KGAA
GLAXO OPERATIONS UK LTD.
MAREA BRITANIE
ROMANIA
CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

ISLANDA
ISLANDA
P-6L
CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. P-6L

ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L
ROMANIA
ROMANIA

ISLANDA
ISLANDA
ROMANIA
ROMANIA
KRKA POLSKA SP. Z.O.O.
POLONIA
CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR.
ZENTIVA K.S.
REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM. P -6L
CUTIE CU BLIST. AL/AL X 30 COMPR.

UNGARIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
TERAPIA S.A.
KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR.
GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR.
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
TERAPIA S.A.
TERAPIA S.A.
GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR.
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. AL/AL X 30 COMPR.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR.
KRKA POLSKA SP Z O.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
Pagina 5 din 22
P-6L
P-6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P6L
P6L
P6L
P-6L
P-6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28
30
30
30
28
30
28
30
28
28
28
30
30
30
30
14
30
28
28
30
60
28
30
28
30
28
28
30
60
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
34.55
23.20
27.09
24.87
22.80
24.44
13.84
24.87
22.93
13.84
22.65
24.59
29.46
26.29
29.46
12.80
21.09
63.97
16.58
17.77
40.07
22.99
17.77
21.76
32.91
71.97
26.44
28.34
64.75
34.95
33.98
13.44
24.95
29.01
25.32
33.45
25.87
25.87
26.87
26.90
25.87
45.52
49.00
53.44
49.12
49.12
54.01
30.86
49.12
49.45
63.61
41.11
Pret
amanuntul
maximal/UT
(RON)
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.982000
0.876333
0.982000
0.914285
0.703000
2.284642
0.592142
0.592333
0.667833
0.821071
0.592333
0.777142
1.097000
2.570357
0.944285
0.944666
1.079166
1.248214
1.213571
0.448000
0.831666
0.967000
0.844000
1.115000
0.862333
0.862333
0.895666
0.896666
0.862333
1.517333
1.633333
1.781333
1.637333
1.637333
1.800333
1.028666
1.637333
1.648333
2.120333
1.370333
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
0.889713
0.773333
0.889713
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.929166
0.876333
0.929166
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
0.578399
1.097000
1.156798
0.944285
0.944666
1.079166
1.156798
1.156798
0.199619
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.798479
0.998098
0.499049
0.444856
0.386666
0.444856
0.414500
0.407142
0.407333
0.247142
0.414500
0.409464
0.247142
0.404464
0.409833
0.464583
0.438166
0.464583
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.289199
0.548500
0.578399
0.472142
0.472333
0.539583
0.578399
0.578399
0.099809
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.199619
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.399239
0.499049
0.249524
Nr. crt
cod ATC
254 C09AA07
255 C09AA07
256 C09AA07
257 C09AA10
258 C09AA10
259 C09AA10
260 C09AA10
261 C09AA10
262 C09AA10
263 C09AA10
264 C09AA10
265 C09AA15
266 C09AA15
DCI
BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM
267 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

282 C09BA06
COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)
283 C09BA06
COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)
284 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM)

285 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
288 C09CA03
289 C09CA03
290 C09CA03
291 C09CA03
292 C09CA03
293 C09CA03
294 C09CA03
295 C09CA03
296 C09CA03
297 C09CA03
298 C09CA03
299 C09CA03
300 C09CA03
301 C09CA03
302 C09CA03
303 C09CA03
304 C09CA03
305 C09CA03
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
Denumire Comerciala
CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
FEZZOR 0,5 mg
GOPTEN (R) 2 mg
TRANDOLAPRIL GALEX 2 mg
FEZZOR 2 mg
GOPTEN (R) 4 mg
TRANDOLAPRIL GALEX 4 mg
FEZZOR 4 mg
ZOMEN (R) 30 mg
ZOMEN (R) 7,5 mg
PRINDEX PLUS 2 mg/0,625 mg
CO-PRENESSA 2mg/0,625 mg
INDAPRIL 2 mg/0,625 mg
PRICORON COMBI 2 mg/0,625 mg
DANURIT 2 mg/0,625 mg
PRINDEX PLUS 4 mg/1,25mg
INDAPRIL 4 mg/1,25 mg
PRICORON COMBI 4 mg/1,25 mg
CO-PRENESSA 4mg/1,25 mg
DANURIT 4 mg/1,25mg
CO-PRENESSA 8 mg/2,5mg
NOLITERAX 10 mg/2,5mg
NOLIPREL ARG 2,5mg/0,625mg
NOLIPREL ARG FORTE 5mg/1,25mg
PRESTARIUM ARG PLUS 5mg/1,25mg
ACCUZIDE
ACCUZIDE FORTE
ENEAS
TARKA 240 mg/2 mg
TARKA 240 mg/4 mg
TARKA
VALSARTAN TEVA 160 mg
CORETON 160 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
10mg
20mg
5mg
CAPS.
0,5mg
CAPS.
0,5mg
CAPS.
2mg
CAPS.
2mg
CAPS.
2mg
CAPS.
4mg
CAPS.
4mg
CAPS.
4mg
COMPR. FILM. 30mg
COMPR. FILM. 7,5mg
COMPR.
2 mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
2mg/0,625mg
COMPR.
4 mg/1,25mg
COMPR.
4mg+1.25mg
COMPR.
4mg+1.25mg
COMPR.
4mg/1,25mg
COMPR.
4mg/1,25mg
COMPR.
8mg/2,5mg
COMPR. FILM. 10mg/2,5mg
Detinator APP
NOVARTIS PHARMA GMBH
P-6L
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
P-6L

P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L

P-6L
GALEX D.D
SLOVENIA CUTIE CU BLIST. PVC-PE-PVCD/AL X 28 CAPS. P-6L
MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.
LUXEMBURG
MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.
LUXEMBURG

GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.
P-6L
P-6L
P6L
KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L
ZENTIVA K.S.
CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L
GLENMARK PHARMACEUTICALS SRL REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COMPR. P6L
ZENTIVA K.S.
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L
REPUBLICA SLOVACA
KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L

PHARMA-REGIST
LES LAB. SERVIER
20mg+10mg
240mg/2mg
240mg/4mg
180mg/2mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
COMPR.FILM.ELIB.MODIF.
P-6L
COMPR.
COMPR. CU ELIB. MODIF.
Prescriptie
P-6L
2,5mg/0,625mg LES LABORATOIRES SERVIER
COMPR. CU ELIB. MODIF.
Ambalaj

GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
5mg/1,25mg
5mg/1,25mg
tara det.
APP

10mg/12,5mg PFIZER EUROPE MA EEIG

20mg/12,5mg PFIZER EUROPE MA EEIG
GALENICA S.A.
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L

UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
FRANTA
FRANTA
FRANTA
FRANTA
CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM.
P-6L
CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L

MAREA BRITANIE
CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM.
P-6L
MAREA BRITANIE
CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM.
P-6L
GRECIA
CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L
ABBOTT GMBH & CO.KG GERMANIA
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF.
P6L
P6L
CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL.
P-6L
ABBOTT GMBH & CO.KG GERMANIA
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF.
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
ROMANIA
ROMANIA
CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.
P-6L
P-6L
GERMANIA
P6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
ROMANIA
P6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L
TERAPIA S.A.
ROMANIA
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.
TERAPIA S.A.
ZENTIVA K.S.
ROMANIA
REPUBLICA CEHA
P6L
P6L
P6L

P-6L
ROMANIA
ROMANIA
P-6L
GERMANIA
P6L
P6L
P6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.
Pagina 6 din 22
ROMANIA
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28 43.66
28 57.30
28 21.80
20
9.71
28
7.94
28 28.09
28 18.26
28 18.26
28 46.79
28 31.42
28 31.42
28 44.47
28 19.69
30 16.18
30 16.18
30 18.71
30 16.18
30 16.18
30 29.41
30 31.19
30 29.41
30 29.41
30 29.41
30 61.17
30 75.76
30 57.17
30 61.63
30 61.63
30 21.68
30 31.57
30 96.52
28 55.45
28 72.69
28 52.85
28 32.59
28 20.26
28 32.85
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 71.91
28 42.63
28 34.00
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
Pret
amanuntul
maximal/UT
(RON)
1.559285
2.046428
0.778571
0.485500
0.283571
1.003214
0.652142
0.652142
1.671071
1.122142
1.122142
1.588214
0.703214
0.539333
0.539333
0.623666
0.539333
0.539333
0.980333
1.039666
0.980333
0.980333
0.980333
2.039000
2.525333
1.905666
2.054333
2.054333
0.722666
1.052333
3.217333
1.980357
2.596071
1.887500
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
2.568214
1.522500
1.214285
1.691785
1.693000
0.775000
3.281428
1.678571
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
0.532319
1.064638
0.266159
0.099809
0.099809
0.399239
0.399239
0.399239
0.798479
0.798479
0.798479
0.399239
0.099809
0.539333
0.539333
0.623666
0.539333
0.539333
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.970799
0.722666
0.970799
3.217333
1.887500
1.887500
1.887500
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
2.651141
2.346785
1.173214
2.357142
0.662785
0.662785
1.214285
1.325570
1.325570
0.775000
1.325570
1.325570
0.266159
0.532319
0.133079
0.049904
0.049904
0.199619
0.199619
0.199619
0.399239
0.399239
0.399239
0.199619
0.049904
0.269666
0.269666
0.311833
0.269666
0.269666
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.485399
0.361333
0.485399
1.608666
0.943750
0.943750
0.943750
0.581964
0.361785
0.586607
1.178571
1.179000
0.565166
1.325570
1.173392
0.586607
1.178571
0.331392
0.331392
0.607142
0.662785
0.662785
0.387500
0.662785
0.662785
Nr. crt
cod ATC
306 C09CA03
307 C09CA03
308 C09CA03
309 C09CA04
310 C09CA04
311 C09CA04
312 C09CA04
313 C09CA04
314 C09CA04
315 C09CA04
316 C09CA04
317 C09CA04
318 C09CA04
319 C09CA04
320 C09CA04
321 C09CA04
322 C09CA04
323 C09CA04
324 C09CA04
325 C09CA04
326 C09CA04
327 C09CA04
328 C09CA04
329 C09CA04
330 C09CA04
331 C09CA04
332 C09CA04
333 C09CA04
334 C09CA04
335 C09CA06
336 C09CA06
337 C09CA06
338 C09CA06
339 C09CA06
340 C09CA06
341 C09CA06
342 C09CA06
343 C09CA06
344 C09CA06
345 C09CA06
346 C09CA06
347 C09CA06
348 C09CA06
349 C09CA06
350 C09CA06
351 C09CA06
352 C09CA06
353 C09CA06
354 C09CA06
355 C09CA06
356 C09CA06
357 C09CA06
DCI
VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
Denumire Comerciala
VALSACOR 80 mg
AVASSAN 80 mg
DIOVAN 3 mg/ml
APROVEL 150mg
IRBESARTAN WINTHROP 150mg
IRBESARTAN TERAPIA 150 mg
IRBESARTAN SANDOZ 150 mg
IRBEGAMMA 150 mg
IRBEGAMMA 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN DR. REDDY'S 150 mg
DEPALONG 150 mg
ATOKKEN 150 mg
IRBESARTAN TEVA 300 mg
APROVEL 300mg
IRBESARTAN WINTHROP 300mg
IRBESARTAN TERAPIA 300 mg
IRBESARTAN SANDOZ 300 mg
IRBEGAMMA 300 mg
IRBEGAMMA 300 mg
IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBESARTAN DR. REDDY'S 300 mg
DEPALONG 300 mg
ATOKKEN 300 mg
IRBEGAMMA 75 mg
ATOKKEN 75 mg
ATACAND
TANDESAR 16 mg
tara det.
forma farm.
concentratie
APP
Detinator APP
COMPR. FILM. 80mg
COMPR. FILM. 80mg
TERAPIA S.A.
ROMANIA
SOL. ORALA 3mg/ml

COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 300 mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 75mg
COMPR. FILM. 75mg
COMPR.
16mg
COMPR.
16mg
CANDESARTAN CILEXETIL ZENTIVA 16 mg COMPR.
16mg
HIPOSTYN 16 mg
COMPR.
16mg
CANDESARTAN SANDOZ 16 mg
COMPR.
16mg
KARBIS 16 mg
COMPR.
16mg
CANDEPOL 16 mg
COMPR.
16mg
CANDESARTAN TORRENT 16 mg
COMPR.
16mg
CLASTINOL 16 mg
COMPR.
16mg
ATACAND 32 mg
COMPR.
32mg
32mg
HIPOSTYN 32 mg
COMPR.
32mg
KARBIS 32 mg
COMPR.
32mg
CANDEPOL 32 mg
COMPR.
32mg
COMPR.
32mg
CLASTINOL 32 mg
COMPR.
32mg
ATACAND
COMPR.
8mg
TANDESAR 8 mg
COMPR.
8mg
8mg
HIPOSTYN 8 mg
COMPR.
8mg
COMPR.
8mg
KARBIS 8 mg
COMPR.
8mg
CANDEPOL 8 mg
COMPR.
8mg
Ambalaj
Prescriptie
P6L
P6L
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1
P-6L
CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L
FRANTA
FRANTA
TERAPIA S.A.
SANDOZ S.R.L.
ROMANIA
ROMANIA
P-6L
P-6L
GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L
ISLANDA
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L
TEVA PHARMA B.V. OLANDA
CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.
P-6L
ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L

MEDANA PHARMA S.A. POLONIA CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L

FRANTA
FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA
CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM.
P-6L
CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-6L
P-6L
P-6L
ISLANDA

CUTIE CU 2 BLIST. PVC-PCTFE/AL X 14 COMPR. FILM. P6L
ROMASTRU TRADING SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L
MEDANA PHARMA S.A. POLONIA
ROMASTRU TRADING SRL
ROMANIA
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
SUEDIA
ROMANIA
REPUBLICA SLOVACA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
ASTRAZENECA AB
ZENTIVA K.S.
SUEDIA
REPUBLICA SLOVACA
P6L
P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL CU DESICANT X 28 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.
P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
POLONIA
CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR.
SUEDIA
ROMANIA
P6L
PHARMACEUTICAL WORKS POLPHARMA SA
ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
SANDOZ SRL

REPUBLICA SLOVACA
Pagina 7 din 22
POLONIA
P6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28 28.84
28 47.40
1 41.42
28 66.75
28 44.88
28 54.57
28 33.50
30 38.29
100 121.22
30 33.50
28 37.35
28 33.50
28 44.94
28 44.88
28 44.88
28 57.50
28 88.08
28 60.27
28 71.28
28 64.85
30 64.58
100 193.87
30 48.64
28 60.27
28 60.27
28 60.27
28 60.29
100 91.26
28 40.39
28 66.74
28 44.87
30 48.06
30 42.50
28 39.65
30 43.24
28 44.88
30 48.03
28 44.85
28 117.40
30 81.77
30 71.36
30 81.75
28 76.32
30 81.75
28 69.33
28 56.10
28 36.46
30 39.02
30 24.13
28 33.45
30 33.01
28 36.46
Pret
amanuntul
maximal/UT
(RON)
1.030000
1.692857
41.420000
2.383928
1.602857
1.948928
1.196428
1.276333
1.212200
1.116666
1.333928
1.196428
1.605000
1.602857
1.602857
2.053571
3.145714
2.152500
2.545714
2.316071
2.152666
1.938700
1.621333
2.152500
2.152500
2.152500
2.153214
0.912600
1.442500
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
2.003571
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
1.030000
1.325570
7.953425
1.325570
1.325570
1.325570
1.196428
1.276333
1.212200
1.116666
1.325570
1.196428
1.325570
1.325570
1.325570
2.053571
2.651141
2.152500
2.545714
2.316071
2.152666
1.938700
1.621333
2.152500
2.152500
2.152500
2.153214
0.662785
0.662785
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
1.325570
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142
0.515000
0.662785
3.976712
0.662785
0.662785
0.662785
0.598214
0.638166
0.606100
0.558333
0.662785
0.598214
0.662785
0.662785
0.662785
1.026785
1.325570
1.076250
1.272857
1.158035
1.076333
0.969350
0.810666
1.076250
1.076250
1.076250
1.076607
0.331392
0.331392
1.191785
0.801250
0.801000
0.708333
0.708035
0.720666
0.801428
0.800500
0.800892
2.096428
1.362833
1.189333
1.362500
1.362857
1.362500
1.238035
0.662785
0.651071
0.650333
0.402166
0.597321
0.550166
0.651071
Nr. crt
cod ATC
DCI
Denumire Comerciala
376 C09CA07
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
377 C09DA01
COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)
378 C09DA01
379 C09DA01
380 C09DA01
381 C09DA03
COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/12,5 mg
382 C09DA03
COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/25 mg
383 C09DA03
384 C09DA03
COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/25 mg
385 C09DA03
386 C09DA04
COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)
387 C09DA04
COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg
388 C09DA04
IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 150mg/12,5mg
389 C09DA04
IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 300mg/12,5mg
390 C09DA04
IRPREZIDE 150 mg/12,5 mg
391 C09DA04
IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,15 mg
392 C09DA04
393 C09DA04
394 C09DA04
IRBEZYD COMBI 150 mg/12,5 mg

IFIRMACOMBI 150mg/12,5mg
IRPREZIDE 300 mg/12,5 mg
395 C09DA04
IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,15 mg
396 C09DA04
397 C09DA04
398 C09DA04
399 C09DA04
400 C09DA04
401 C09DA04
402 C09DA07
COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)
403 C09DA07
404 C09DA07
405 C09DA07
358 C09CA06
359 C09CA06
360 C09CA07
361 C09CA07
362 C09CA07
363 C09CA07
364 C09CA07
365 C09CA07
366 C09CA07
367 C09CA07
368 C09CA07
369 C09CA07
370 C09CA07
371 C09CA07
372 C09CA07
373 C09CA07
374 C09CA07
375 C09CA07
406 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)

CLASTINOL 8 mg
TELMISARTAN ACTAVIS 40mg
MICARDIS 40 mg
PRITOR 40 mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN ACTAVIS 80mg
MICARDIS 80 mg
PRITOR 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMARK 20 mg
TELMARK 40 mg
TELMARK 40 mg
TANYDON 40 mg
TELMARK 80 mg
TELMARK 80 mg
TANYDON 80 mg
HYZAAR (R) 50 mg/12,5 mg
LOSARTAN HCT FARMAL 50mg/12,5mg
LORISTA HL 100 mg/12,5 mg
LORISTA H
IRPREZIDE 300 mg/25 mg

IRBEZYD COMBI 300 mg/12,5 mg
IFIRMACOMBI 300mg/12,5mg
COAPROVEL 300mg/25mg
IRBEZYD COMBI 300 mg/25 mg
IFIRMACOMBI 300mg/25mg
MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
PRITOR PLUS 80mg/12,5mg
PRITOR PLUS 80mg/25mg
EXFORGE 10mg/160mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/160mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
8mg
8mg
40 mg
40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
20mg
40mg
40mg
40mg
80mg
80mg
80mg
Detinator APP
tara det.
APP
Ambalaj

GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L
GERMANIA
CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )
ZENTIVA, K.S.
REPUBLICA CEHA
ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L
GERMANIA
CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L
ZENTIVA, K.S.
REPUBLICA CEHA
REPUBLICA CEHA
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
REPUBLICA CEHA
REPUBLICA CEHA
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
P6L
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
ROMANIA CUTIE X 2 BLIST. PVC-PE PCDC/AL X 14 COMPR. FILM. P-6L
REPUBLICA CEHA
COMPR.FILM 100mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM.
COMPR. FILM. 160mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 160mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR. FILM. 320mg/25mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
COMPR.
150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
COMPR.
300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
COMPR. FILM 150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
COMPR. FILM 300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
COMPR. FILM. 150 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
COMPR. FILM. 150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.
COMPR. FILM. 150mg/12,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST.OPA-AL-PVC/AL X 28 COMPR. P-6L
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. 50mg+12,5mg MERCK SHARP & DOHME
COMPR. FILM. 50mg/12,5mg FARMAL INTERNATIONAL S.R.L.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
Prescriptie
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
150mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA
CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM.
P-6L
P-6L
P6L
P6L
P6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L
P6L
P-6L
P6L
P6L
P6L
ISLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

300 mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM. P-6L
300 mg/25 mg ACTAVIS GROUP PTC EHF. IRLANDA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P6L
300mg/12,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L
300 mg/12,5 mg ACTAVIS GROUP PTC EHF.
300mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA
P6L
300mg/25mg SANOFI PHARMA - BRISTOL MYERS SQUIBB

300mg/25mg PHARMACEUTICAL WORKS POLPHARMA SA
300mg/25mg KRKA D.D. NOVO MESTO
80/12,5mg
80/25mg
FRANTA
POLONIA
SLOVENIA
80mg/12,5mg
80mg/25mg
10mg/160mg
10mg/160mg
5mg/160mg
5mg/160mg
GERMANIA
CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA)
NOVARTIS EUROPHARM LTD.
MAREA BRITANIE
CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L
MAREA BRITANIE
CUTIE X 28 COMPR. FILM.(BLIST.PVC/PVDC )
MAREA BRITANIE
MAREA BRITANIE
CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.
P6L
P6L
GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L
GERMANIA
GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE) P-6L
Pagina 8 din 22
CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)
P-6L
P-6L
P-6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
28
28
28
28
28
30
28
28
28
28
30
30
28
30
30
28
30
30
28
28
28
28
28
28
28
28
28
28
28
28
28
30
28
28
30
30
28
30
28
30
28
28
30
28
28
28
28
56
28
56
28
39.07
36.46
39.46
60.70
64.10
39.46
42.26
52.99
77.42
77.42
52.99
56.77
32.36
39.46
42.27
42.27
52.99
56.78
56.78
79.46
30.06
29.31
18.06
122.45
136.15
132.23
150.44
105.59
83.18
112.31
56.93
73.02
38.41
56.93
56.93
39.59
46.28
73.02
56.93
73.02
73.91
112.36
73.04
73.91
77.42
104.85
79.57
104.85
252.74
128.66
252.74
128.66
Pret
amanuntul
maximal/UT
(RON)
1.302333
1.302142
1.409285
2.167857
2.289285
1.409285
1.408666
1.892500
2.765000
2.765000
1.892500
1.892333
1.078666
1.409285
1.409000
1.409000
1.892500
1.892666
1.892666
2.837857
1.073571
1.046785
0.645000
4.373214
4.862500
4.722500
5.372857
3.771071
2.970714
4.011071
2.033214
2.607857
1.280333
2.033214
2.033214
1.319666
1.542666
2.607857
1.897666
2.607857
2.463666
4.012857
2.608571
2.463666
2.765000
3.744642
2.841785
3.744642
4.513214
4.595000
4.513214
4.595000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
1.302333
1.302142
1.325570
1.325570
1.325570
1.325570
1.325570
1.892500
2.651141
2.651141
1.892500
1.892333
0.662785
1.325570
1.325570
1.325570
1.892500
1.892666
1.892666
1.829892
1.073571
1.046785
0.645000
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.280333
1.829892
1.829892
1.319666
1.542666
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
1.829892
4.162053
4.162053
4.162053
4.162053
0.651166
0.651071
0.662785
0.662785
0.662785
0.662785
0.662785
0.946250
1.325570
1.325570
0.946250
0.946166
0.331392
0.662785
0.662785
0.662785
0.946250
0.946333
0.946333
0.914946
0.536785
0.523392
0.322500
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.640166
0.914946
0.914946
0.659833
0.771333
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
0.914946
2.081026
2.081026
2.081026
2.081026
Nr. crt
cod ATC
DCI

412 C10AA04
413 C10AA04
414 C10AA04
415 C10AA05
416 C10AA05
417 C10AA05
418 C10AA05
419 C10AA05
420 C10AA05
421 C10AA05
422 C10AA05
423 C10AA05
424 C10AA05
425 C10AA05
426 C10AA05
427 C10AA05
428 C10AA05
429 C10AA05
430 C10AA05
431 C10AA05
432 C10AA05
433 C10AA05
434 C10AA05
435 C10AA05
436 C10AA05
437 C10AA05
438 C10AA05
439 C10AA05
440 C10AA05
441 C10AA05
442 C10AA05
443 C10AA05
444 C10AA05
445 C10AA05
446 C10AA05
447 C10AA05
448 C10AA05
449 C10AA05
450 C10AA05
451 C10AA05
452 C10AA05
453 C10AA05
454 C10AA05
455 C10AA05
456 C10AA05
457 C10AA05
458 C10AA05
459 C10AA05
460 C10AA05
461 C10AA05
FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
Denumire Comerciala
EXFORGE 5mg/80mg
EXFORGE 5mg/80mg
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
AMICOR 10 mg
TORVALIPIN 10 mg
SORTIS 10 mg
TORVACARD 10 mg
ATORIS 10 mg
GLETOR 10 mg
ASCORD 10 mg
ATORGAMMA 10 mg
ATORGAMMA 10 mg
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
VOREDANIN 10 mg
AMICOR 20 mg
TORVALIPIN 20 mg
SORTIS 20 mg
TORVACARD 20 mg
ATORIS 20 mg
GLETOR 20 mg
ASCORD 20 mg
ATORGAMMA 20 mg
ATORGAMMA 20 mg
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
VOREDANIN 20 mg
AMICOR 40 mg
TORVALIPIN 40 mg
SORTIS 40 mg
TORVACARD 40 mg
ATORIS 40 mg
ATORIS 40 mg
GLETOR 40 mg
ASCORD 40 mg
ATORGAMMA 40 mg
ATORGAMMA 40 mg
TULIP 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
VOREDANIN 40 mg
SORTIS 80 mg
forma farm.
concentratie
COMPR. FILM. 5mg/80mg
CAPS.
CAPS.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
20mg
40mg
80mg
10 mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
MAREA BRITANIE
CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L
MAREA BRITANIE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/PVDC ) P-6L

CUTIE X 4 BLIST. AL/AL X 7 CAPS.

P-6L
P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL.
P-6L

ACTAVIS GROUP PTC EHF. ISLANDA
P6L
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM.
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L
MAREA BRITANIE
ZENTIVA K.S.
CEHIA
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L
P-6L
CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM.
P-6L
REPUBLICA SLOVACA
P-6L
TERAPIA SA
ROMANIA
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.
P-6L
GERMANIA
P-6L
GERMANIA
CUTIE CU BLIST. OPA-AL-PVC/AL X 100 COMPR. FILM. P-6L
SANDOZ S.R.L.
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L
ISLANDA
MAREA BRITANIE
ZENTIVA K.S.
CEHIA

P-6L
P-6L
REPUBLICA SLOVACA
P-6L
TERAPIA SA
ROMANIA
P-6L
GERMANIA
P-6L
GERMANIA
SANDOZ S.R.L.
SANDOZ S.R.L.

CUTIE CU BLIST. DIN AL/AL X 14 COMPR. FILM. P6L
ISLANDA
MAREA BRITANIE
ZENTIVA K.S.
CEHIA

P-6L
P-6L
P-6L
REPUBLICA SLOVACA
P-6L
TERAPIA SA
ROMANIA
P-6L
GERMANIA
P-6L
GERMANIA
SANDOZ S.R.L.
SANDOZ S.R.L.

Pagina 9 din 22
MAREA BRITANIE
P-6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
56
28
28
28
28
30
30
30
30
30
30
30
30
100
30
90
28
30
30
30
30
30
30
30
30
30
30
30
100
30
90
28
30
30
30
14
30
14
30
14
30
30
30
30
100
30
90
28
30
30
30
14
214.81
113.26
15.98
29.09
46.24
18.38
16.75
41.50
19.43
19.43
21.14
21.05
16.75
54.07
21.23
55.45
19.83
18.77
27.86
25.61
26.90
24.56
53.41
29.46
29.45
31.51
34.71
24.14
73.89
30.65
79.50
31.37
28.64
34.71
38.02
28.58
50.55
45.27
53.71
25.86
53.61
63.06
56.69
52.86
159.32
61.73
152.32
58.84
52.68
63.04
68.44
72.66
Pret
amanuntul
maximal/UT
(RON)
3.835892
4.045000
0.570714
1.038928
1.651428
0.612666
0.558333
1.383333
0.647666
0.647666
0.704666
0.701666
0.558333
0.540700
0.707666
0.616111
0.708214
0.625666
0.928666
0.853666
0.896666
0.818666
1.780333
0.982000
0.981666
1.050333
1.157000
0.804666
0.738900
1.021666
0.883333
1.120357
0.954666
1.157000
1.267333
2.041428
1.685000
3.233571
1.790333
1.847142
1.787000
2.102000
1.889666
1.762000
1.593200
2.057666
1.692444
2.101428
1.756000
2.101333
2.281333
5.190000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
3.835892
4.045000
0.506631
1.013263
1.651428
0.612666
0.558333
0.759948
0.647666
0.647666
0.704666
0.701666
0.558333
0.540700
0.707666
0.616111
0.708214
0.625666
0.759948
0.759948
0.896666
0.818666
1.519896
0.982000
0.981666
1.050333
1.157000
0.804666
0.738900
1.021666
0.883333
1.120357
0.954666
1.157000
1.267333
2.041428
1.685000
3.039792
1.790333
1.847142
1.787000
2.102000
1.889666
1.762000
1.593200
2.057666
1.692444
2.101428
1.756000
2.101333
2.281333
5.190000
1.917946
2.022500
0.253315
0.506631
0.825714
0.306333
0.279166
0.379974
0.323833
0.323833
0.352333
0.350833
0.279166
0.270350
0.353833
0.308055
0.354107
0.312833
0.379974
0.379974
0.448333
0.409333
0.759948
0.491000
0.490833
0.525166
0.578500
0.402333
0.369450
0.510833
0.441666
0.560178
0.477333
0.578500
0.633666
1.020714
0.842500
1.519896
0.895166
0.923571
0.893500
1.051000
0.944833
0.881000
0.796600
1.028833
0.846222
1.050714
0.878000
1.050666
1.140666
2.595000
Nr. crt
cod ATC
462 C10AA05
463 C10AA05
464 C10AA05
465 C10AA05
466 C10AA07
467 C10AA07
468 C10AA07
469 C10AA07
470 C10AA07
471 C10AA07
472 C10AA07
473 C10AA07
474 C10AA07
475 C10AA07
476 C10AA07
477 C10AA07
478 C10AA07
479 C10AA07
480 C10AA07
481 C10AA07
482 C10AA07
483 C10AA07
484 C10AA07
485 C10AA07
486 C10AA07
487 C10AA07
488 C10AA07
489 C10AA07
490 C10AA07
491 C10AA07
492 C10AA07
493 C10AA07
494 C10AA07
495 C10AB02
496 C10AB08
497 C10AX06
498 C10AX09
499 C10AX09
500 C10BX03
501 C10BX03
502 C10BX03
503 C10BX03
504 C10BX03
505 C10BX03
506 D01AA02
507 D01BA02
508 D01BA02
509 D01BA02
510 D01BA02
511 D01BA02
512 D01BA02
513 D01BA02
DCI
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM
CIPROFIBRATUM
Denumire Comerciala
ASCORD 80 mg
ATILEN 80 mg
XAMARA 80 mg
TORVACARD 80 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA TEVA 10 mg
ROXARDIO 10 mg
ROSTAT 10 mg
ROSWERA 10 mg
TINTAROS 10 mg
SURVAL 10 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROXARDIO 20 mg
ROSTAT 20 mg
ROSWERA 20 mg
TINTAROS 20 mg
SURVAL 20 mg
ROSUCARD 40 mg
ROSTAT 40 mg
ROSWERA 40 mg
TINTAROS 40 mg
SURVAL 40 mg
CRESTOR 5 mg
ROXARDIO 5 mg
ROSTAT 5 mg
ROSWERA 5 mg
TINTAROS 5 mg
SURVAL 5 mg
REGADRIN (R) B
LIPANOR (R) 100 mg
ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R)
EZETIMIBUM
EZETROL (R)
EZETIMIBUM
EZETROL (R)
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 10mg/10mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) DUPLECOR 10 mg/10 mg
COMBINATII (ATORVASTATINUM+AMLODIPINUM) CADUET 5mg/10mg
NATAMYCINUM
PIMAFUCIN
TERBINAFINUM
EXIFINE 125 mg
TERBINAFINUM
LAMISIL (R)
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINAFINE 250 mg
TERBINAFINUM
TERBINAFINA SLAVIA 250mg
TERBINAFINUM
TERBINAFINA BIOGALENICA 250 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS.
CAPS. MOI
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CREMA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
80mg
80mg
80mg
80mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
200mg
100mg
1000mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/5mg
20mg/10mg
20mg/5mg
5mg/10mg
20mg/g
125mg
250mg
250mg
250mg
250mg
250mg
250mg
Detinator APP
TERAPIA SA
tara det.
APP
Ambalaj
Prescriptie
P-6L
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
ZENTIVA, K.S.
REPUBLICA SLOVACA
P6L
ASTRAZENECA UK LTD.
MAREA BRITANIE
P-6L
ZENTIVA K.S.
REPUBLICA CEHA
P-6L
CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.
P-6L
P-6L
P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
ROMANIA
SANDOZ S.R.L.
ROMANIA
GEDEON RICHTER PLC. UNGARIA
P-6L
P-6L
ISLANDA
CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.
REPUBLICA SLOVACA
CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM.
P6L
P6L
P6L
ASTRAZENECA UK LTD.
MAREA BRITANIE
P-6L
ZENTIVA K.S.
REPUBLICA CEHA
P-6L
P-6L
P-6L
P-6L
ROMANIA
SANDOZ S.R.L.
ROMANIA
ISLANDA
REPUBLICA SLOVACA
P6L
P6L
P6L
ZENTIVA K.S.
REPUBLICA CEHA
P-6L
ROMANIA
P-6L
P-6L
P6L
P6L
P6L

ISLANDA
REPUBLICA SLOVACA
ASTRAZENECA UK LTD.
MAREA BRITANIE
ROMANIA
SANDOZ S.R.L.
ROMANIA

P-6L
P-6L
P-6L
P6L
P6L
P6L
ISLANDA
REPUBLICA SLOVACA
GERMANIA
SANOFI-AVENTIS FRANCE
PRONOVA BIOPHARMA NORGE A.S.
CUTIE X 5 BLIST. X 10 DRAJ.

FRANTA CUTIE X 3 BLIST. X 10 CAPS.
NORVEGIA FALC. DIN PEID X 28 CAPS. MOI
P-6L
P-6L
P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF
MAREA BRITANIE
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE
ASTELLAS EUROPE B.V.
OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA
P-RF
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.
P-RF

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.
P-6L
CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.
P6L
P6L
P6L
P6L
CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM.
P-6L

RANBAXY UK LIMITED
RANBAXY UK LIMITED
MAREA BRITANIE
CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF
MAREA BRITANIE
ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
Pagina 10 din 22
P-RF
P-RF
P-RF
P-RF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
28
30
30
28
30
30
28
30
30
28
30
28
30
30
28
30
30
28
30
30
30
30
30
28
30
28
30
28
30
30
28
30
50
30
28
14
28
30
30
30
30
30
30
1
14
14
30
28
28
14
28
101.21
94.46
101.21
101.71
105.02
63.42
53.55
69.51
73.16
53.56
39.44
53.56
149.38
99.58
92.42
102.39
109.71
92.43
52.95
92.43
109.71
109.71
109.71
109.71
68.64
109.71
91.37
50.53
62.54
64.78
50.55
27.73
50.55
28.55
25.67
100.04
95.45
180.99
81.46
55.75
48.82
71.26
64.10
71.34
12.48
27.04
87.90
234.95
107.44
29.74
18.21
31.99
Pret
amanuntul
maximal/UT
(RON)
3.373666
3.373571
3.373666
3.390333
3.750714
2.114000
1.785000
2.482500
2.438666
1.785333
1.408571
1.785333
5.335000
3.319333
3.080666
3.656785
3.657000
3.081000
1.891071
3.081000
3.657000
3.657000
3.657000
3.657000
2.451428
3.657000
3.263214
1.684333
2.233571
2.159333
1.685000
0.990357
1.685000
0.571000
0.855666
3.572857
6.817857
6.463928
2.715333
1.858333
1.627333
2.375333
2.136666
2.378000
12.480000
1.931428
6.278571
7.831666
3.837142
1.062142
1.300714
1.142500
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
3.373666
3.373571
3.373666
3.390333
1.519896
1.519896
1.519896
1.519896
1.519896
1.519896
1.408571
1.519896
3.039792
3.039792
3.039792
3.039792
3.039792
3.039792
1.891071
3.039792
3.657000
3.657000
3.657000
3.657000
2.451428
3.657000
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.528299
0.855666
3.572857
6.552410
6.463928
1.927916
1.858333
1.627333
1.927916
1.927916
1.927916
12.480000
0.535500
1.071000
1.071000
1.071000
1.062142
1.071000
1.071000
1.686833
1.686785
1.686833
1.695166
0.759948
0.759948
0.759948
0.759948
0.759948
0.759948
0.704285
0.759948
1.519896
1.519896
1.519896
1.519896
1.519896
1.519896
0.945535
1.519896
1.828500
1.828500
1.828500
1.828500
1.225714
1.828500
0.379974
0.379974
0.379974
0.379974
0.379974
0.379974
0.379974
0.264149
0.427833
1.786428
3.276205
3.231964
0.963958
0.929166
0.813666
0.963958
0.963958
0.963958
6.240000
0.267750
0.535500
0.535500
0.535500
0.531071
0.535500
0.535500
Nr. crt
cod ATC
DCI
516 D05AX02
TERBINAFINUM
TERBINAFINUM
CALCIPOTRIOLUM*
517 D05AX52
COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
518 D05AX52
519 D05AX52
520 D05BB02
ACITRETINUM**
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
PODOPHYLLOTOXINUM*
PODOPHYLLOTOXINUM*
IMIQUIMODUM*
514 D01BA02
515 D01BA02
521 D06AX01
522 D06AX01
523 D06BA01
524 D06BB04
525 D06BB04
526 D06BB10
527 D07AB02
528 D07AB02
529 D07AB02
530 D07AB02
531 D07AC13
532 D07AC13
533 D07AC13
534 D07AC13
535 D07AC13
HYDROCORTISONUM BUTYRATUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
536 D07AC14 METHYLPREDNISOLONUM ACEPONAT

544 D07AD01
FLUTICASONUM PROPIONAT
FLUTICASONUM PROPIONAT
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*
545 D07CA01
COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)
546 D07CC01
COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)
539 D07AC17
540 D07AC17
541 D07AD01
542 D07AD01
543 D07AD01
547 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)

548 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
549 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM)
550 D10AX03
551 D10AX03
552 D10BA01
553 D10BA01
554 D10BA01
555 D10BA01
556 D10BA01
557 G01AA02
558 G01AA51
559 G01AA51
560 G01AA51
561 G01AA51
562 G01AF12
563 G01AF12
564 G01AF12
565 G01AF15
ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
NATAMYCINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
FENTICONAZOLUM
FENTICONAZOLUM
FENTICONAZOLUM
BUTOCONAZOLUM
Denumire Comerciala
EXIFINE 250 mg
TERBISIL 250 mg
DAIVONEX
XAMIOL 50 micrograme/ 0,5 mg/g
DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET (R) UNGUENT
NEOTIGASON 10 mg
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
WARTEC 1,5 mg/g
CONDYLINE
ALDARA 5%
LOCOID (R) crema 0,1%
LOCOID (R) LIPOCREAM 0,1%
LOCOID CRELO (R) 0,1%
LOCOID (R)
ELOCOM
ELOCOM
ELOCOM
MOMERID 1 mg/g
MOMERID 1 mg/g
ADVANTAN
ADVANTAN (R) MILK
ADVANTAN
CUTIVATE
CUTIVATE
DERMOVATE 0,5 mg/g
DERMOVATE (R)
DERMOVATE
DERMIONE
FUCIDIN H
FUCICORT 20 mg/1mg pe gram
ELOSALIC
ELOSALIC
ISOTREXIN GEL
SKINOREN
SKINOREN 150mg/g
ROACCUTANE 10 mg
SOTRET 10 mg
SOTRET 10 mg
SOTRET 20 mg
SOTRET 20 mg
PIMAFUCIN (R)
MACMIROR COMPLEX
POLYGYNAX
POLYGYNAX
MACMIROR COMPLEX
LOMEXIN 1000 mg
LOMEXIN 600 mg
LOMEXIN CREMA VAGINALA
GYNOFORT 2%
forma farm.
COMPR.
COMPR.
CREMA
GEL
GEL
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
CREMA
concentratie
250mg
250mg
50mcg/g
0,5 mg/g
Detinator APP
Prescriptie
P-RF
LEO PHARMACEUTICAL PRODUCTS

DANEMARCA
CUTIE CU 1 FLAC. PEID X 15 G GEL
P-RF
LEO PHARMA A/S
DANEMARCA
CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 30 G GEL
PRF
DANEMARCA
CUTIE X 1 TUB X 15 G
P-RF
FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS
10mg
20mg/g
20mg/g
1%
1,5 mg/g
5mg/ml
5%
0,1%
0,1%
EMULSIE CUT. 0.1%
SOL. CUT.
0,1%
CREMA
1mg/g
SOL. CUT.
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
1mg/g
EMULSIE CUT. 0,1%
UNGUENT
1mg/g
CREMA
0,05%
UNGUENT
0,005%
CREMA
0,5mg/g
SOL. CUT.
0,05%
UNGUENT
0,05%
UNGUENT
0,05%
CREMA
FARA CONCENTRATIE
CREMA
20mg/1mg pe gram
UNGUENT
1mg+5mg/gram
UNGUENT
1mg+5mg/gram
GEL
0,05%/0,2%
CREMA
200mg/g
GEL
150mg/g
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 20mg
CAPS. MOI 20mg
OVULE
100mg
Ambalaj
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR.

ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR.
DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA
50micrograme/0,5mg/g
tara det.
APP
P-RF
P-6L
ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.
P-RF
DANEMARCA
P-RF
DANEMARCA
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
P-RF
CN UNIFARM
ROMANIA BORCAN X 500 G CREMA

ROMANIA CUTIE X 1 TUB X 5 G CREMA

MEDA AB
SCHERING PLOUGH EUROPE

NEPENTES S.A.
NEPENTES S.A.
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
OLANDA
SUEDIA
OLANDA
OLANDA
OLANDA
OLANDA
BELGIA
BELGIA
BELGIA
POLONIA
POLONIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE
PRF
P-RF
P-RF
CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA P-RF
CUTIE X 1 TUB DIN AL X 30 G

CUTIE X 1 FLACON X 30 G
P-RF
P-RF
P-RF
CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF
P-RF
CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA P-RF

CUTIE X 1 TUB AL X 15 G UNGUENT
CUTIE X 1 TUB AL X 30 G UNGUENT
P-RF
P-RF
P-RF
GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF

GERMANIA
P-RF
GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF
GLAXO WELLCOME UK LIMITED MAREA BRITANIE
P-RF
P-RF
MAREA BRITANIE
CUTIE CU 1 TUB AL X 25 G CREMA
P-RF
MAREA BRITANIE
CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF
MAREA BRITANIE
MAREA BRITANIE
DANEMARCA
DANEMARCA
BELGIA
BELGIA
STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE
INTENDIS GMBH
INTENDIS GMBH
P-RF

P-RF
CUTIE X 1 TUB DIN AL X 30 G GEL
P-RF
P-RF
P-RF
P-RF
P-RF
GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF

GERMANIA
CUTIE X 1 TUB AL X 30 G GEL
P-RF
ROCHE ROMANIA SRL ROMANIA

RANBAXY U.K. LIMITED MAREA BRITANIE
CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI
P-RF
TERAPIA S.A.
ROMANIA
P-RF
MAREA BRITANIE
P-RF
TERAPIA S.A.
ROMANIA
P-RF
POLICHEM SA
CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT.
CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT.
CREMA VAG. 10g/400000UI POLICHEM SA
CAPS. MOI VAG. 1000mg
RECORDATI SPA
CAPS. MOI VAG. 600mg
RECORDATI SPA
CREMA VAG. 2%
RECORDATI SPA
CREMA VAG. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA
CAPS. MOI VAG. 500mg/200000UI
Pagina 11 din 22
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF
OLANDA CUTIE X 1 FOLIE X 3 OVULE
P-RF
LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF
FRANTA
FRANTA
CUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF

CUTIE X 2 BLIST. AL/PVC X 6 CAPS. MOI. VAG. P-RF
LUXEMBURG CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR
P-RF
ITALIA
ITALIA
ITALIA
CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI
P-RF
CUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE
P-RF
ROMANIA
CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.
CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA P-RF

P-RF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
14
28
1
1
1
1
30
1
1
1
1
1
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
30
30
30
30
30
3
12
6
12
1
2
1
1
1
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
16.66
1.190000
1.071000
108.77
3.884642
1.071000
43.26 43.260000 43.260000
81.72 81.720000 71.985000
108.59 108.590000 71.985000
62.25 62.250000 62.250000
74.74
2.491333
2.491333
15.19 15.190000 15.190000
15.19 15.190000 15.190000
105.59 105.590000 105.590000
85.55 85.550000 45.803214
75.96 75.960000 75.960000
265.43 22.119166 22.119166
12.93 12.930000 12.407500
13.39 13.390000 12.407500
12.80 12.800000 12.407500
11.23 11.230000 11.230000
15.69 15.690000 10.200000
18.78 18.780000 13.600000
15.69 15.690000 10.200000
10.20 10.200000 10.200000
20.40 20.400000 20.400000
13.27 13.270000 13.270000
19.61 19.610000 17.693333
13.27 13.270000 13.270000
10.31 10.310000 10.310000
10.31 10.310000 10.310000
12.08 12.080000
6.032250
5.21
5.210000
5.210000
8.91
8.910000
6.032250
5.76
5.760000
4.825800
21.74 21.740000 21.740000
23.82 23.820000 23.820000
16.66 16.660000 15.915000
47.00 47.000000 47.000000
36.22 36.220000 36.220000
34.10 34.100000 34.100000
44.47 44.470000 36.692500
53.29
1.776333
1.071333
33.09
1.103000
1.071333
33.09
1.103000
1.071333
64.28
2.142666
2.142666
64.28
2.142666
2.142666
11.08
3.693333
3.693333
38.11
3.175833
2.404332
17.46
2.910000
2.404332
33.74
2.811666
2.404332
35.47 35.470000 35.470000
51.21 25.605000 17.454807
20.09 20.090000 10.472884
36.01 36.010000 27.229500
40.29 40.290000
1.745480
0.535500
0.535500
21.630000
35.992500
35.992500
31.125000
1.245666
7.595000
7.595000
52.795000
22.901607
37.980000
11.059583
6.203750
6.203750
6.203750
5.615000
5.100000
6.800000
5.100000
5.100000
10.200000
6.635000
8.846666
6.635000
5.155000
5.155000
3.016125
2.605000
3.016125
2.412900
10.870000
11.910000
7.957500
23.500000
18.110000
17.050000
18.346250
0.535666
0.535666
0.535666
1.071333
1.071333
1.846666
1.202166
1.202166
1.202166
17.735000
8.727403
5.236442
13.614750
0.872740
Nr. crt
cod ATC
DCI
566 G01AF20
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
567 G01AF20
568 G01AF20
569 G01AF20
570 G01AF20
571 G02CB03
CABERGOLINUM*
CABERGOLINUM*
LEVONORGESTRELUM***#
ESTRIOLUM*
ESTRIOLUM*
PROMESTRIENUM*
PROMESTRIENUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
DYDROGESTERONUM*
LYNESTRENOLUM*
TIBOLONUM**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
FOLLITROPINUM ALFA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
CLOMIFENUM
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
TROSPIUM
572 G02CB03
573 G03AC03
574 G03CA04
575 G03CA04
576 G03CA09
577 G03CA09
578 G03DA04
579 G03DA04
580 G03DA04
581 G03DA04
582 G03DA04
583 G03DA04
584 G03DA04
585 G03DB01
586 G03DC03
587 G03DC05
588 G03FA14
589 G03FA14
590 G03FA17
591 G03FB01
592 G03FB08
593 G03FB08
594 G03GA05
595 G03GA05
596 G03GA05
597 G03GA05
598 G03GA06
599 G03GA06
600 G03GA07
601 G03GB02
602 G03GB02
603 G03XC01
604 G04BD04
605 G04BD07
606 G04BD07
607 G04BD07
608 G04BD07
609 G04BD08
610 G04BD08
611 G04BD08
612 G04BD08
613 G04BD09
614 G04BD09
615 G04BD09
616 G04BD09
617 G04BD09
Denumire Comerciala
MECLODIN
MECLON
MECLON
MECLON
MECLON
DOSTINEX
DOSTINEX
MIRENA 20 mcg/24 h
OVESTIN
OVESTIN
COLPOTROPHINE (R)
COLPOTROPHINE (R)
UTROGESTAN (R) 100 mg
AREFAM 100 mg
AREFAM 100 mg
UTROGESTAN (R) 200 mg
AREFAM 200 mg
PROGESTOGEL
MASTOPROFEN 1%
DUPHASTON 10 mg
ORGAMETRIL
LIVIAL (R) 2,5 mg
FEMOSTON CONTI 1 mg/ 5mg
FEMOSTON (R) conti 1/5
ANGELIQ
CYCLO PROGINOVA (R)
FEMOSTON 2/10
FEMOSTON 2/10
GONAL - f 75 UI (5,5 mcg)
GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml)
GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml)
GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml)
PUREGON 300UI/0,36 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
CLOSTILBEGYT
OVA - MIT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
DETRUSITOL SR 4 mg
UROFLOW 1
TOLTERODINA ACCORD 2 mg
UROFLOW 2
ZEVESIN 10 mg
VESICARE 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 15 mg
INKONTAN 30 mg
INKONTAN 30 mg
tara det.
forma farm.
concentratie
APP
Detinator APP
COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA
CREMA
CREMA VAG.
OVULE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
SOL. VAGINALA
FARA CONCENTRATIE
COMPR.
COMPR.
0,5mg
0,5mg
52mg
0.1%
0,5mg
10mg
1%
100mg
100mg
100mg
200mg
200mg
1%
1%
10mg
5mg
2,5mg
1mg/5mg
DISPOZITIV INTRAUTERIN
CREMA VAG.
OVULE
CAPS. MOI VAG.
CREMA VAG.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
GEL
GEL
COMPR. FILM.
COMPR.
COMPR.
ITALIA
ALFA WASSERMAN SPA ITALIA
ALFA WASSERMANN SPA
Ambalaj
Prescriptie
CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG.
P-RF
P-RF
CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA
P-RF
CUTIE X 2 FOLII PVC-PE X 5 OVULE
P-RF
CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE
P-RF
P-RF
MAREA BRITANIE

FINLANDA
CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR
P-RF
CUTIE X 1 FLACON X 15 G + APLICATOR
P-RF
CUTIE X 3 FOLII X 5 OVULE
P-RF
PFIZER EUROPE MA EEG
MAREA BRITANIE

ORGANON NV
ORGANON NV
LAB. THERAMEX
LAB. THERAMEX
OLANDA
OLANDA
MONACO
MONACO
LAB. BESINS INTERNATIONAL FRANTA
LADEE PHARMA KFT. UNGARIA
MEDICO UNO PHARMA KFT. UNGARIA
ANTIBIOTICE SA
ROMANIA
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA
ORGANON NV
OLANDA
ORGANON NV
OLANDA
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA
SOLVAY PHARMACEUTICALS BV OLANDA
P-RF
CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG. P-RF
CUTIE X 2 BLIST. X 15 CAPS. MOI
P-RF
P-6L
CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L
CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI P-6L

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI P-6L
CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L
P-6L
CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-RF

P-6L
CUTIE CU 1 BLIST. TIP CALENDAR AL/PVC X 28 COMPR. FILM.
P-6L
P-RF
CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM.
P-RF
P-RF
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
FARA CONCENTRATIE
FARA CONCENTRATIE BAYER SCHERING PHARMA AG
GERMANIA
DRAJ.
FARA CONCENTRATIE BAYER SCHERING PHARMA AG
GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF
COMPR. FILM.
COMPR. FILM.
FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV
PULB. + SOLV. PT. SOL. INJ.

SOL. INJ. IN STILOU INJECTOR PREUMPLUT
SOL. INJ.
SOL. INJ.
PULB+SOLV.PT.SOL.INJ
COMPR.
COMPR.
COMPR. FILM.
COMPR.
CAPS. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
FARA CONCENTRATIE ABBOTT HEALTHCARE PRODUCTS B.V.
75UI
300UI/0,5ml
450UI/0,75ml
900UI/0,75ml
300UI/0,36ml
900UI/1,08ml
75UI
50mg
50mg
60mg
5mg
4mg
1mg
2mg
2mg
10 mg
10mg
5 mg
5mg
15mg
15mg
15mg
30mg
30mg
OLANDA
OLANDA
CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL
P-RF
CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL
P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV.
P-RF/R
MAREA BRITANIE
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM.
P-RF/R
MAREA BRITANIE
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA
P-RF/R
MAREA BRITANIE
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA
P-RF/R
SERONO EUROPE LTD.

SERONO EUROPE LTD.
SERONO EUROPE LTD.
SERONO EUROPE LTD.
MAREA BRITANIE
N. V. ORGANON
N. V. ORGANON
OLANDA CUTIE X 1 CARTUS + 6 ACE

OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE
P-RF
SERONO EUROPE LTD.
MAREA BRITANIE
P-RF/R
REMEDICA LTD.
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR.

CIPRU
DAIICHI SANKYO EUROPE GMBH
GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.
LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR.

MAREA BRITANIE
ZENTIVA K.S.
REPUBLICA CEHA
P-RF
P-RF
P-RF
P-6L
CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
ZENTIVA K.S.
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
REPUBLICA CEHA
CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.
P6L
P6L
OLANDA
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.
OLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
Pagina 12 din 22
P6L

Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
10
1
1
10
5
2
8
1
1
15
10
1
30
30
30
14
30
1
1
20
30
28
28
28
28
21
28
28
1
1
1
1
1
1
1
10
10
28
60
28
28
28
28
30
30
30
30
20
50
30
30
20
15.01
9.63
12.87
11.17
21.99
43.59
123.74
513.53
14.76
20.62
12.08
13.87
30.00
19.49
19.49
30.00
37.74
18.00
5.82
14.38
9.12
72.82
28.91
28.91
68.38
8.07
30.99
30.99
137.81
527.76
756.26
Pret
amanuntul
maximal/UT
(RON)
1.501000
9.630000
12.870000
1.117000
4.398000
21.795000
15.467500
513.530000
14.760000
1.374666
1.208000
13.870000
1.000000
0.649666
0.649666
2.142857
1.258000
18.000000
5.820000
0.719000
0.304000
2.600714
1.032500
1.032500
2.442142
0.384285
1.106785
1.106785
137.810000
527.760000
756.260000
1,441.72 1,441.720000
517.31 517.310000
1,410.83 1,410.830000
146.72 146.720000
14.31
1.431000
13.27
1.327000
124.97
4.463214
26.63
0.443833
174.60
6.235714
27.30
0.975000
48.46
1.730714
52.86
1.887857
147.62
4.920666
227.12
7.570666
106.65
3.555000
183.34
6.111333
28.95
1.447500
58.69
1.173800
38.11
1.270333
63.52
2.117333
46.94
2.347000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
0.850500
0.425250
9.630000
4.815000
12.870000
6.435000
0.850500
0.425250
0.850500
0.425250
8.262750
4.131375
8.262750
4.131375
513.530000 256.765000
14.760000
7.380000
1.038599
0.519299
0.415439
0.207719
6.231597
3.115798
0.649666
0.324833
0.649666
0.324833
0.649666
0.324833
1.299332
0.649666
1.258000
0.629000
7.978500
3.989250
5.820000
2.910000
0.719000
0.359500
0.304000
0.152000
2.600714
1.300357
1.032500
0.516250
1.032500
0.516250
1.032500
0.516250
0.384285
0.192142
0.670981
0.335490
0.670981
0.335490
109.456500 54.728250
437.826000 218.913000
656.739000 328.369500
1,313.478000 656.739000
437.650869 218.825434
1,312.952609 656.476304
146.720000 73.360000
1.353000
0.676500
1.327000
0.663500
4.463214
2.231607
0.443833
0.221916
2.816580
1.408290
0.704145
0.352072
1.408290
0.704145
1.408290
0.704145
4.920666
2.460333
5.633160
2.816580
2.816580
1.408290
2.816580
1.408290
1.056217
0.528108
1.056217
0.528108
1.056217
0.528108
2.112435
1.056217
2.112435
1.056217
Nr. crt
cod ATC
618 G04CA01
619 G04CA01
620 G04CA01
621 G04CA02
622 G04CA02
623 G04CA02
624 G04CA02
625 G04CA02
626 G04CA02
627 G04CA02
628 G04CA02
629 G04CB01
630 G04CB01
631 G04CB01
632 G04CB01
633 G04CB01
634 G04CB01
635 G04CB02
636 H01AA02
637 H01AC01
638 H01AC01
639 H01AC01
640 H01AC01
641 H01AC01
642 H01AC01
643 H01AC01
644 H01AC01
645 H01CC01
646 H01CC02
647 H02AA02
648 H02AB01
649 H02AB06
650 H02AB06
651 H03BB01
652 H03BB02
653 H03BB02
654 H03BB02
655 H05BA01
656 H05BA01
657 H05BA01
658 H05BA01
659 H05BA01
660 J01CR01
661 J01CR01
662 J01CR04
663 J01CR04
664 J01DD14
665 J01DD14
666 J01FA02
667 J01FA02
668 J01FA10
669 J01FA10
DCI
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*
TETRACOSACTIDUM
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
CEFTIBUTENUM
CEFTIBUTENUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
Denumire Comerciala
ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
TAMSUNORM 0,4 mg
TAMSULOSIN TEVA 400 g
TANYZ 0,4 mg
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg
FINASTERIDE TEVA 5mg
FINANORM 5 mg
TAREDOX 5 mg
FINASTERIDA BIOGALENICA 5 mg
AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
NORDITROPIN SIMPLEXx 10 mg/1,5ml
NORDITROPIN FLEXPRO 10 mg/1,5 ml
ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
ASTONIN H
DIPROPHOS (R)
SOLU - DECORTIN H 250
CARBIMAZOLE 5
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
TONOCALCIN 100 UI
NYLEX (R)
MIACALCIC (R)
NYLEX 100 UI/doza
NYLEX (R)
AMPIPLUS (R) 1,5 g
AMPIPLUS (R) 1,5 g
UNASYN
UNASYN
CEDAX
CEDAX
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg
forma farm.
concentratie
Detinator APP
10mg
10mg
5mg
0,4mg
0,4mg
0,4mg
0,4mg
0,4mg
400 g
0,4mg
0,4mg
5mg
5mg
5mg
5mg
5mg
5mg
0,5mg
1mg/ml
4mg (12ui)
5,3mg/ml (16ui) PFIZER EUROPE MA EEIG
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
CAPS. ELIB. MODIF.

CAPS. ELIB. MODIF.
CAPS. ELIB. PREL.

CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS. MOI
SUSP. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT
SOL. INJ.
PULB+SOLV. PT. SOL. INJ.
COMPR.
SUSP. INJ. I.M.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SPRAY NAZ.,SOL.
SPRAY NAZAL - SOL.
PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
COMPR. FILM.
CAPS.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
TERAPIA SA
tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ZENTIVA KS
RANBAXY UK LTD.
MAREA BRITANIE

CEHIA

POLONIA
ROMANIA

OLANDA

TEVA PHARMACEUTICAL S.R.L.
ROMANIA
POLONIA
ROMANIA

ROMANIA
FERING GMBH
10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml
GERMANIA
MAREA BRITANIE
IPSEN PHARMA
FRANTA
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
NOVO NORDISK A/S DANEMARCA
0,25mg/0,5ml N. V. ORGANON
OLANDA
0,25mg
SERONO EUROPE LTD. MAREA BRITANIE
0,1mg
MERCK KGAA
GERMANIA
7mg/ml
SCHERING PLOUGH EUROPE BELGIA
250mg
MERCK KGAA
GERMANIA
50mg
MERCK KGAA
GERMANIA
5mg
REMEDICA LTD.
CIPRU
10mg
MERCK KGAA
GERMANIA
20mg
MERCK KGAA
GERMANIA
5mg
MERCK KGAA
GERMANIA
100UI
ALFA WASSERMANN SPA ITALIA
100UI/ml
PROEL E.P. CORONIS SA GRECIA
50ui/ml
100UI/doza
GRECIA
200UI/doza PROEL E.P. CORONIS SA GRECIA
1g+500mg ANTIBIOTICE SA
ROMANIA
1g+500mg ANTIBIOTICE SA
ROMANIA
375mg
PFIZER EUROPE MA EEIG MAREA BRITANIE
250mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE
400mg
36mg/ml
1,5 M ui
LAB. AVENTIS
FRANTA
3M ui
LAB. AVENTIS
FRANTA
250mg
BALKANPHARMA RAZGRAD AD BULGARIA
250mg
PLIVA LJUBLIJANA D.O.O. SLOVENIA
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA
Pagina 13 din 22
Ambalaj
Prescriptie
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
30
CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL. P-6L
28
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
30
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-6L
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. CU ELIB. PRELUNG.
P6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. CU ELIB. PREL. P6L
30
CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
30
CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L
14
CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L
28
30
30
28
28
CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L
30
CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ. S/P-RF
1
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF
1
CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.
P-RF
1
CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R
1
CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
1
CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R
1
CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
P-RF
1
P-RF
1
P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT
P-RF/R
1
P-RF
7
CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF
50
P-RF
5
P-RF
3
CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF
3
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100
CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
50
50
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L/S 100
CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF
5
CUTIE X 5 FIOLE X 1ML
P-RF
5
P-RF
5
CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
P-RF
1
P-RF
1
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF
1
CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S
50
CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF
12
CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA P-RF
1
P-RF
5
P-RF
1
16
10
CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF
6
CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF
6
CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL.
P-6L
CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L
CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ
CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII
CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.
CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML
CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC
36.04
58.87
33.76
36.34
34.86
26.93
21.20
22.96
20.08
31.90
63.98
33.27
64.36
35.18
35.26
32.91
32.91
95.62
5.75
445.43
555.63
991.21
484.12
765.73
Pret
amanuntul
maximal/UT
(RON)
1.201333
1.962333
1.205714
1.211333
1.162000
0.897666
0.706666
0.765333
0.669333
1.063333
2.132666
2.376428
2.298571
1.172666
1.175333
1.175357
1.175357
3.187333
5.750000
445.430000
555.630000
991.210000
484.120000
765.730000
1,320.72 1,320.720000
1,726.64 1,726.640000
898.74 898.740000
176.88 176.880000
845.15 120.735714
47.78
0.955600
34.53
6.906000
95.62 31.873333
35.71 11.903333
16.87
0.168700
21.00
0.420000
25.52
0.510400
30.86
0.308600
64.55 12.910000
32.36
6.472000
34.46
6.892000
48.36 48.360000
71.29 71.290000
25.25 25.250000
728.96 14.579200
33.18
2.765000
24.41 24.410000
70.49 14.098000
43.69 43.690000
9.86
0.616250
27.87
2.787000
25.50
4.250000
37.99
6.331666
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
1.201333
1.962333
1.080198
1.211333
1.162000
0.897666
0.706666
0.765333
0.669333
1.063333
1.620299
1.175339
1.175339
1.172666
1.175333
1.175339
1.175339
3.187333
5.750000
394.187000
525.582666
985.467500
484.120000
765.730000
985.467500
985.467500
492.733750
121.294607
120.735714
0.955600
6.906000
31.873333
6.981149
0.113639
0.340920
0.510400
0.170460
8.721900
6.472000
4.360950
38.823750
71.290000
15.522210
14.579200
2.765000
22.692500
14.020200
43.690000
0.616250
1.430568
3.576424
3.576424
0.600666
0.981166
0.540099
0.605666
0.581000
0.448833
0.353333
0.382666
0.334666
0.531666
0.810149
0.587669
0.587669
0.586333
0.587666
0.587669
0.587669
1.593666
2.875000
197.093500
262.791333
492.733750
242.060000
382.865000
492.733750
492.733750
246.366875
60.647303
60.367857
0.477800
3.453000
15.936666
3.490574
0.056819
0.170460
0.255200
0.085230
4.360950
3.236000
2.180475
19.411875
35.645000
7.761105
7.289600
1.382500
11.346250
7.010100
21.845000
0.308125
0.715284
1.788212
1.788212
Nr. crt
cod ATC
670 J01FA10
671 J01FA10
672 J01FA10
673 J01FA10
674 J01FA10
675 J01FA10
676 J01FA10
677 J01FA10
678 J01FA10
679 J01FA10
680 J01FA10
681 J01FA10
682 J01FA10
683 J01FA10
684 J01FA10
685 J01FA10
686 J01FA10
687 J01FA10
688 J01FA10
689 J01FA10
690 J01FF01
691 J01FF01
692 J01FF01
693 J01FF01
694 J01FF01
695 J01FF01
696 J01MA12
697 J01MA12
698 J01MA12
699 J01MA12
700 J01MA12
701 J01MA12
702 J01MA12
703 J01MA12
704 J01MA12
705 J01MA12
706 J01MA12
707 J01MA12
708 J01MA14
709 J02AC02
710 J02AC02
711 J02AC02
712 J02AC02
713 J02AC02
714 J02AC02
715 J02AC02
716 J05AB11
717 J05AB15
718 L01AA01
719 L02AE02
720 L02AE02
721 L02AE03
DCI
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#
Denumire Comerciala
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE
AZITROMICINA TERAPIA 250 mg

SUMAMED 500 mg
AZIBIOT 500 mg
ZITROCIN 500 mg
AZITROX (R) 500
ZMAX 2 g
AZITROX 200 mg/5 ml
AZITROMICINA SANDOZ 100 mg/5 ml
SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
DALACIN C 150 mg
DALACIN C 300 mg
CLINDAMYCIN - MIP 300 mg
FLERADAY 250 mg
LEVOFLOXACINA ACTAVIS 250 mg
TAVANIC 250 mg
LEVOTOR 250 mg
LEVOFLOXACINA ACCORD 250 mg
FLERADAY 500 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA ACCORD 500 mg
AVELOX (R) 400 mg
ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL 100 mg
OMICRAL 100 mg
SPORILIN 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
VALTREX 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. ELIB. PREL. PT. SUSP. ORALA
PULB. + SOLV. SUSP. ORALA

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR.
DRAJ.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.
IMPLANT
concentratie
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
150mg
300mg
300mg
300mg
600mg
600mg
250 mg
250mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
500mg
500mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
500mg
125mg
50mg
11,25mg
3,75mg
3,6mg
tara det.
APP
Ambalaj
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.
Detinator APP
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
Prescriptie
P-RF
P-RF
P-RF
P-RF
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
SANDOZ S.R.L.
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
TERAPIA SA
TERAPIA SA

P-RF
P-RF
P-RF
ZENTIVA K.S.
TERAPIA SA
TERAPIA SA
CEHIA
ROMANIA
ROMANIA
CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF
MAREA BRITANIE
CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF
ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF
CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.
P-RF
CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP
P-RF
CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP
P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE
P-RF

MAREA BRITANIE
MAREA BRITANIE
MIP PHARMA GMBH

MIP PHARMA GMBH
MIP PHARMA GMBH
MIP PHARMA GMBH
GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF
ROMANIA
P-RF
ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.

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

CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
TERAPIA S.A.
P-RF
CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF
ROMANIA
P-RF
ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.
P-RF
CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
TERAPIA S.A.
SUEDIA
SUEDIA
P-RF

CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM. PRF
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF
BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.

MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
JANSSEN PHARMACEUTICA N.V.
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF
BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF
SPANIA
SPANIA
ASTRAZENECA UK LTD.
MAREA BRITANIE
Pagina 14 din 22
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
CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB
S/P-RF
CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG
S/P-RF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
6
6
6
6
3
3
3
3
3
3
3
3
3
1
1
1
1
1
1
1
16
16
16
30
16
30
7
7
7
7
7
7
7
7
7
7
7
7
5
15
15
15
15
15
15
15
10
7
50
1
1
1
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
25.36
4.226666
1.788210
0.894105
48.80
8.133333
3.576424
1.788212
44.47
7.411666
3.576424
1.788212
44.47
7.411666
3.576424
1.788212
38.17 12.723333
7.152849
3.576424
48.80 16.266666
7.152849
3.576424
25.65
8.550000
7.152849
3.576424
37.16 12.386666
7.152849
3.576424
37.16 12.386666
7.152849
3.576424
25.65
8.550000
7.152849
3.576424
25.64
8.546666
7.152849
3.576424
44.61 14.870000
8.583422
4.291711
44.61 14.870000
8.583422
4.291711
63.52 63.520000 28.611405 14.305702
16.36 16.360000 16.360000
8.180000
22.45 22.450000 15.151996
7.575998
34.36 34.360000 30.303992 15.151996
25.18 25.180000 22.728000 11.364000
48.58 48.580000 45.456000 22.728000
60.36 60.360000 56.820000 28.410000
12.14
0.758750
0.736484
0.368242
23.33
1.458125
1.458125
0.729062
23.31
1.456875
1.456875
0.728437
54.01
1.800333
1.472968
0.736484
52.16
3.260000
2.945937
1.472968
95.84
3.194666
2.945937
1.472968
28.06
4.008571
2.379600
1.189800
17.41
2.487142
2.379600
1.189800
26.78
3.825714
2.379600
1.189800
17.40
2.485714
2.379600
1.189800
17.40
2.485714
2.379600
1.189800
33.85
4.835714
4.759200
2.379600
33.86
4.837142
4.759200
2.379600
52.08
7.440000
4.759200
2.379600
33.65
4.807142
4.759200
2.379600
31.96
4.565714
4.565714
2.282857
31.96
4.565714
4.565714
2.282857
33.40
4.771428
4.759200
2.379600
83.41 16.682000
4.759200
2.379600
76.92
5.128000
5.128000
2.564000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.55
3.503333
3.503333
1.751666
56.95
5.695000
4.907470
2.453735
332.58 47.511428 47.511428 23.755714
26.13
0.522600
0.522600
0.261300
994.94 994.940000 994.940000 497.470000
429.71 429.710000 378.914998 189.457499
436.52 436.520000 402.272493 201.136246
Nr. crt
cod ATC
722 L02AE04
723 L02AE04
724 L02AE04
725 L02AE04
726 L04AX01
727 M01AC01
728 M01AC01
729 M01AC01
730 M01AC01
731 M01AC01
732 M01AC01
733 M01AC01
734 M01AC01
735 M01AC01
736 M01AC01
737 M01AC01
738 M01AC01
739 M01AC01
740 M01AC01
741 M01AC05
742 M01AC05
743 M01AC05
744 M01AC05
745 M01AC05
746 M01AC05
747 M01AC05
748 M01AC05
749 M01AC05
750 M01AC05
751 M01AE17
752 M01AE17
753 M01AH01
754 M01AH01
755 M01AH01
756 M01AH05
757 M01AH05
758 M01AH05
759 M01AH05
760 M01AH05
761 M01AH05
762 M01AH05
763 M01AH05
764 M01AH05
765 M01AH05
766 M01AH05
767 M01AH05
768 M01AX05
769 M01AX05
770 M01AX17
771 M01AX17
772 M01AX17
773 M01AX17
DCI
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
Denumire Comerciala
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN (R)
PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM ARENA 20 MG
FLAMEXIN
FLAMEXIN
FLAMEXIN
FLAMEXIN (R)
FELDENE (R) 20 mg/ml
HOTEMIN
PIROXICAM ATB 20 mg
PIROXICAM ATB 20 mg
PIROXICAM 20 mg
XEFO 4 mg
XEFO 4 mg
XEFO 4 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO 8 mg
XEFO 8 mg
XEFO 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
TADOR INJECT
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 30 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
SLIDEFLEX 1178mg
DONA (R)
LEMESIL
AULIN (R) 100 mg
NIMESULID 100 mg
NIMESULID SLAVIA
forma farm.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
SOL. INJ.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. EFF.
COMPR. EFF.
COMPR. EFF.
SOL. INJ.
SOL. INJ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ./CONC. PT. SOL. PERF.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
0,1mg
11,25mg
3,75mg
0,1mg/ml
50mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg/plic
20mg/ml
20mg/ml
20 mg
20 mg
20mg
4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/2ml
25mg
50mg/2ml
100mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
1178mg
1500mg
100mg
100mg
100mg
100mg
Detinator APP
IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA
FERRING ARZEIMITTEL GES.MBH
tara det.
APP
FRANTA
FRANTA
FRANTA
AUSTRIA
Ambalaj
Prescriptie
CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.
S/P-RF
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B
S/P-RF
S/P-RF
CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF
S/P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR.

CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
CHIESI FARMACEUTICI SPA ITALIA
CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR.
P-6L
P-6L
P-6L
ARENA GROUP SA
P-6L
ITALIA
ITALIA
ITALIA
ITALIA
CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA
P-6L
MAREA BRITANIE
CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML P-RF

UNGARIA
ROMANIA
ROMANIA
ROMANIA
NYCOMED AUSTRIA GMBH AUSTRIA
NYCOMED AUSTRIA AUSTRIA
CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L

CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SINTOFARM SA
CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ.
BERLIN CHEMIE AG (MENARINI GROUP)
CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ.
P6L
P6L
CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L
P6L
P6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L

P6L
CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV
PRF
GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF.
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
MAREA BRITANIE

P-RF
P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
IRLANDA
ROTTAPHARM SPA ITALIA
ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA
MAGISTRA C & C
ROMANIA
BLUE BIO PHARMACEUTICALS LIMITED
Pagina 15 din 22
CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPR. FILM.
P-6L
CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L
P-RF

P-RF
P-RF
P-RF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
7
1
1
28
100
20
30
10
20
20
10
20
30
20
6
5
6
6
10
10
20
30
10
20
30
10
20
30
10
10
5
30
10
30
7
28
14
14
28
14
28
14
14
7
14
28
30
20
20
10
10
10
134.62
Pret
amanuntul
maximal/UT
(RON)
19.231428
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
10.104391
5.052195
1,184.81 1,184.810000 1,136.745010 568.372505
440.58 440.580000 440.580000 220.290000

827.20 29.542857 10.104391
5.052195
80.90
0.809000
0.539866
0.269933
2.63
0.131500
0.131500
0.065750
29.01
0.967000
0.967000
0.483500
17.58
1.758000
1.114875
0.557437
3.13
0.156500
0.156500
0.078250
2.47
0.123500
0.123500
0.061750
20.80
2.080000
1.114875
0.557437
39.37
1.968500
1.114875
0.557437
48.42
1.614000
1.114875
0.557437
27.37
1.368500
1.114875
0.557437
9.54
1.590000
1.590000
0.795000
11.77
2.354000
2.354000
1.177000
4.44
0.740000
0.740000
0.370000
4.44
0.740000
0.740000
0.370000
2.85
0.285000
0.285000
0.142500
6.21
0.621000
0.371624
0.185812
12.43
0.621500
0.371624
0.185812
18.44
0.614666
0.371624
0.185812
16.61
1.661000
0.743249
0.371624
33.22
1.661000
0.743249
0.371624
48.22
1.607333
0.743249
0.371624
11.69
1.169000
0.743249
0.371624
23.65
1.182500
0.743249
0.371624
28.37
0.945666
0.743249
0.371624
137.31 13.731000
1.412398
0.706199
14.05
1.405000
0.496874
0.248437
30.51
6.102000
4.198000
2.099000
63.57
2.119000
1.165874
0.582937
33.03
3.303000
2.331749
1.165874
94.10
3.136666
2.331749
1.165874
35.09
5.012857
4.663499
2.331749
128.69
4.596071
4.596071
2.298035
67.83
4.845000
4.663499
2.331749
67.83
4.845000
4.663499
2.331749
86.14
3.076428
1.165874
0.582937
55.68
3.977142
2.331749
1.165874
105.76
3.777142
2.331749
1.165874
55.68
3.977142
2.331749
1.165874
59.15
4.225000
3.497624
1.748812
30.54
4.362857
3.497624
1.748812
59.15
4.225000
3.497624
1.748812
112.36
4.012857
3.497624
1.748812
41.65
1.388333
1.388333
0.694166
43.20
2.160000
1.865870
0.932935
9.72
0.486000
0.486000
0.243000
7.49
0.749000
0.745312
0.372656
4.87
0.487000
0.487000
0.243500
7.24
0.724000
0.724000
0.362000
Nr. crt
cod ATC
DCI
810 M05BA07
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
811 M05BB03
COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*
812 M05BB03
813 M05BB03
814 M05BB03
815 M05BX03
STRONTIUM RANELATUM*
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*
COMBINATII
COMBINATII
774 M01AX17
775 M01AX17
776 M01AX17
777 M01AX17
778 M01AX17
779 M01AX17
780 M03BX01
781 M03BX01
782 M05BA04
783 M05BA04
784 M05BA04
785 M05BA04
786 M05BA04
787 M05BA04
788 M05BA04
789 M05BA04
790 M05BA04
791 M05BA04
792 M05BA04
793 M05BA04
794 M05BA06
795 M05BA06
796 M05BA06
797 M05BA06
798 M05BA06
799 M05BA06
800 M05BA07
801 M05BA07
802 M05BA07
803 M05BA07
804 M05BA07
805 M05BA07
806 M05BA07
807 M05BA07
808 M05BA07
809 M05BA07
816 M05BX03
817 N02AA05
818 N02AA05
819 N02AA05
820 N02AA05
821 N02AA08
822 N02AA08
823 N02AA08
824 N02AX52
825 N02AX52
Denumire Comerciala
APONIL
NIMESULID ARENA 100 mg
NIMESULID FARMEX 100 mg
NISE 100 mg
AULIN (R)
NIMESIL
LIORESAL (R)
LIORESAL (R)
ACID ALENDRONIC ACCORD 10 mg
TEVANAT 70 mg
FOSAMAX 70 mg
RANOS 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
INSTREL 70 mg
ALENDRONAT SANDOZ 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ACID IBANDRONIC TEVA 150 mg
BONVIVA 150mg
OSSICA 150 mg
ACID IBANDRONIC SANDOZ 150 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
RISEDRONAT BLUEFISH 35 mg
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
JUVERITAL 35 mg
LORINE 35mg
JUVERITAL 35 mg
OSTEORON 35 mg
OSODENS 35 mg
ACTONEL SAPTAMANAL 35 mg
PEXALIT 35 mg
ACTONEL 75 mg
FOSAVANCE 70mg/2800UI
OSSEOR 2 g
OSSEOR 2 g
OXYCONTIN (R) 10 mg
OXYCONTIN (R) 20 mg
OXYCONTIN (R) 40 mg
OXYCONTIN (R) 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
DORETA 37,5mg/325mg
DORETA 37,5mg/325mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
concentratie
100mg
100mg
100mg
100mg
100mg/plic
100mg/plic
10mg
25mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg
150mg
3mg/3ml
1mg/1ml
35 mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
75mg
70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI
2g
2g
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
Detinator APP
tara det.
APP
Ambalaj
MEDOCHEMIE LTD CIPRU

Prescriptie
P-RF
P-RF
FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF

AUSTRIA
LAB. GUIDOTTI SPA ITALIA
CSC PHARMACEUTICALS HANDELS GMBH

CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA
P-RF
P-RF
CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA P-RF

ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.
P-6L
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L
TERAPIA SA
SANDOZ S.R.L.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
TEVA PHARMA B.V.
ROMANIA
CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L
SUEDIA
SUEDIA

P-6L

ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
P-RF
OLANDA
P-RF
MAREA BRITANIE
CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L
CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.
P-6L
SANDOZ S.R.L.
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.
P6L
P6L
MAREA BRITANIE
CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC
P-6L
CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM.
P6L
ROMANIA
ZENTIVA A.S.
SUEDIA
CEHIA
MAREA BRITANIE
P-6L
OLANDA
CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE
P-6L
ANTIBIOTICE S.A.
CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L
ROMANIA
CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
ISLANDA
CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L
ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM. P6L
MERCK SHARP & DOHME
MAREA BRITANIE
CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)
P-6L
MERCK SHARP & DOHME
MAREA BRITANIE
P-6L
MERCK SHARP & DOHME
MAREA BRITANIE
P-6L
MERCK SHARP & DOHME
MAREA BRITANIE
P-6L
LES LAB. SERVIER

LES LAB. SERVIER
FRANTA
FRANTA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA
P-RF
P-RF
CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF.
P-TS
P-TS
P-TS
P-TS
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
GMBH
GMBH
GMBH
GMBH
GMBH
GMBH
GMBH
COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA

COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA
Pagina 16 din 22
P-6L
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
20
10
10
10
15
9
50
50
28
4
2
4
4
2
4
4
2
12
2
4
1
1
1
1
1
1
4
4
4
4
4
4
4
4
4
4
2
4
2
2
4
14
28
56
56
56
56
56
56
56
10
20
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
8.20
0.410000
0.410000
0.205000
4.78
0.478000
0.478000
0.239000
7.20
0.720000
0.720000
0.360000
3.59
0.359000
0.359000
0.179500
11.25
0.750000
0.745312
0.372656
7.66
0.851111
0.745312
0.372656
20.37
0.407400
0.291839
0.145919
33.50
0.670000
0.670000
0.335000
48.27
1.723928
1.549124
0.774562
48.27 12.067500 10.843872
5.421936
37.13 18.565000 10.843872
5.421936
48.27 12.067500 10.843872
5.421936
47.66 11.915000 10.843872
5.421936
24.93 12.465000 10.843872
5.421936
24.71
6.177500
6.177500
3.088750
47.66 11.915000 10.843872
5.421936
12.82
6.410000
6.410000
3.205000
131.92 10.993333 10.843872
5.421936
24.78 12.390000 10.843872
5.421936
47.97 11.992500 10.843872
5.421936
83.20 83.200000 46.473738 23.236869
129.32 129.320000 46.473738 23.236869
72.31 72.310000 46.473738 23.236869
52.90 52.900000 46.473738 23.236869
283.25 283.250000 254.181375 127.090687
424.57 424.570000 254.181375 127.090687
35.79
8.947500
8.947500
4.473750
56.69 14.172500 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
36.50
9.125000
9.125000
4.562500
72.55 18.137500 10.843872
5.421936
56.66 14.165000 10.843872
5.421936
72.55 18.137500 10.843872
5.421936
111.62 27.905000 10.843872
5.421936
36.50
9.125000
9.125000
4.562500
94.97 47.485000 23.236869 11.618434
89.84 22.460000 10.843872
5.421936
47.30 23.650000 10.843872
5.421936
47.30 23.650000 10.843872
5.421936
89.84 22.460000 10.843872
5.421936
104.74
7.481428
6.547142
3.273571
174.60
6.235714
6.235714
3.117857
116.83
2.086250
1.519651
0.759825
214.65
3.833035
3.039302
1.519651
395.50
7.062500
6.078615
3.039307
652.80 11.657142 11.657142
5.828571
128.54
2.295357
1.504445
0.752222
29.34
0.523928
0.523928
0.261964
101.69
1.815892
1.128334
0.564167
7.89
0.789000
0.705825
0.352912
15.58
0.779000
0.705825
0.352912
Nr. crt
cod ATC
DCI
826 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM

834 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
839 N03AE01
840 N03AE01
841 N03AX16
842 N03AX16
843 N03AX16
844 N03AX16
845 N03AX16
846 N03AX16
847 N04AA02
848 N04BC05
849 N04BC05
850 N04BC05
851 N04BC05
852 N04BC05
853 N04BC05
854 N04BC05
855 N04BC05
856 N04BC05
857 N04BC05
858 N04BC05
859 N04BC05
860 N04BC05
861 N04BC05
862 N04BC05
863 N04BC05
864 N04BC05
865 N04BC05
866 N04BC05
867 N04BC05
868 N04BC05
869 N04BC05
870 N04BC05
871 N04BC05
872 N04BC05
873 N04BC05
874 N04BC05
875 N04BC05
876 N04BC05
877 N04BC08
CLONAZEPAMUM
CLONAZEPAMUM
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
BIPERIDENUM
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**
Denumire Comerciala
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
PADOLTEN 37,5 mg/325 mg
PADOLTEN 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
RIVOTRIL
RIVOTRIL 2 mg
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
AKINETON 2 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
PRAMIPEXOL BLUEFISH 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg
MIPARKAN 0,7 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
MIGLASEN 0,7 mg
MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
DRAJ. ELIB. PREL.
concentratie
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
0,5mg
2mg
150mg
150mg
300mg
300mg
75mg
75mg
2mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,52mg
1,05mg
2,1mg
3,15mg
50mg
S.C.TEVA PHARMACEUTICALS S.R.L.

S.C.TEVA PHARMACEUTICALS S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.

POLONIA
POLONIA
POLONIA
P-RF
P-RF
CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
DESMA GMBH
KRKA D.D.
ZENTIVA, K.S.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 14 CAPS. (BLIST. PVC/AL)

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L
SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
P-RF
REPUBLICA CEHA
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF
GERMANIA
P-RF
KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.
REPUBLICA SLOVACA
RANBAXY (UK) LIMITED
MAREA BRITANIE
CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF
SUEDIA
P-6L
ROMANIA
ROMANIA
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
P6L
P-RF
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.
P-RF
ROMANIA
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.
P-RF/R
CIPRU

P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.
PRF
ZENTIVA, K.S.
REPUBLICA CEHA
GERMANIA
P-RF
KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
P-RF
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF

P-RF
P-RF/R
REPUBLICA SLOVACA
MAREA BRITANIE
CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF
SUEDIA
ROMANIA
P-RF
P-6L
P6L
GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
LES LAB. SERVIER IND. FRANTA
Pagina 17 din 22
CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
10
20
30
10
50
50
20
10
20
10
20
30
50
30
14
56
56
14
14
56
50
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10
30
30
30
30
30
34.76
12.14
23.96
34.76
12.14
57.78
57.78
23.96
7.89
15.59
7.90
15.59
23.36
6.89
6.56
76.16
288.91
422.67
114.28
53.71
193.52
10.57
19.75
30.00
49.77
30.11
33.41
33.42
33.42
30.35
30.86
25.30
30.35
33.50
48.92
107.26
167.86
107.65
115.05
115.05
115.05
108.52
106.21
90.45
107.65
115.10
58.12
314.07
650.35
1,229.85
1,809.33
28.69
Pret
amanuntul
maximal/UT
(RON)
1.158666
1.214000
1.198000
1.158666
1.214000
1.155600
1.155600
1.198000
0.789000
0.779500
0.790000
0.779500
0.778666
0.137800
0.218666
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
0.211400
0.658333
1.000000
1.659000
1.003666
1.113666
1.114000
1.114000
1.011666
1.028666
0.843333
1.011666
1.116666
1.630666
3.575333
5.595333
3.588333
3.835000
3.835000
3.835000
3.617333
3.540333
3.015000
3.588333
3.836666
5.812000
10.469000
21.678333
40.995000
60.311000
0.956333
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.705825
0.067904
0.218666
5.440000
5.159107
7.547678
8.162857
3.234383
3.234383
0.211400
0.181096
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.370424
0.720270
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
1.440540
0.535057
1.070115
2.160810
4.321621
6.482432
0.956333
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.352912
0.033952
0.109333
2.720000
2.579553
3.773839
4.081428
1.617191
1.617191
0.105700
0.090548
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.185212
0.360135
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.720270
0.267528
0.535057
1.080405
2.160810
3.241216
0.478166
Nr. crt
cod ATC
878 N05AL03
879 N05AL03
880 N05BE01
881 N05BE01
882 N06AA21
883 N06AA21
884 N06AB10
885 N06AX05
886 N06AX05
887 N06AX05
888 N06AX12
889 N06AX14
890 N06AX14
891 N06AX14
892 N06AX17
893 N06AX17
894 N06AX21
895 N06AX21
896 N06BX16
897 N06BX18
898 N06BX18
899 N06BX18
900 N06BX18
901 N06DX02
902 N06DX02
903 N06DX02
904 N06DX02
905 N07CA01
906 N07CA01
907 N07CA01
908 N07CA01
909 N07CA01
910 N07CA01
911 N07CA01
912 N07CA01
913 N07CA01
914 N07CA01
915 N07CA01
916 N07CA01
917 N07CA01
918 N07CA01
919 N07CA01
920 N07CA01
921 N07CA01
922 N07CA01
923 N07CA01
924 N07CA01
925 N07CA01
926 N07CA01
927 N07CA01
DCI
TIAPRIDUM
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM*
MAPROTILINUM*
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
928 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)

929 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)
Denumire Comerciala
TIAPRIDAL (R) 100 mg

TIAPRIDAL 100 mg/2 ml
SPITOMIN 10 mg
SPITOMIN 5 mg
LUDIOMIL (R) 10 mg
LUDIOMIL (R) 25 mg
CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
ELONTRIL 150 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
COAXIL (R)
IXEL
IXEL
CYMBALTA 30mg
CYMBALTA 60mg
PRAMISTAR
VIMPOCETIN 5 mg
CAVINTON(R) FORTE
VICEBROL
CAVINTON(R)
GINKOFAR 40 mg (vezi C04AXN1)
forma farm.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. MODIF.
COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS.
CAPS.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM.
BETAHISTINA DICLORHIDRAT ACCORD 16 mg COMPR.
VERTIMED 16 mg
BETAHISTINA LPH 16 mg
EMPERIN 24 mg
BETAHISTIN MCC 24 mg
BETAHISTIN MCC 24 mg
BETASERC 24 mg
VERTIMED 24 mg
VERTIMED 24 mg
MARBETA 24 mg
EMPERIN 8 mg
MICROSER
VESTIBO 8 mg
VESTIBO 8 mg
BETAHISTIN MCC 8 mg
BETASERC 8 mg
BETASERC 8 mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
BETAHISTINA DICLORHIDRAT ACCORD 8 mg COMPR.
VERTIMED 8 mg
COMPR.
ACUVER 8 mg/doza
SOL. ORALA
ACUVER 8 mg/doza
SOL. ORALA
ARLEVERT
COMPR.
ARLEVERT
COMPR.
concentratie
100mg
100mg/2ml
10mg
5mg
10mg
25mg
10mg
150mg
75mg
75mg
150mg
12,5 mg
12,5 mg
12,5mg
25mg
50mg
30mg
60mg
600mg
5mg
10mg
5mg
5mg
40mg
40mg
40mg
40mg
16mg
16mg
16mg
24 mg
24 mg
24mg
24mg
24mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza
Detinator APP
SANOFI-SYNTHELABO FRANCE
tara det.
APP
Ambalaj
FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML
UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR.
UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR.
Prescriptie
P-RF
P-RF
P-RF
P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
H. LUNDBECK A/S
DANEMARCA
CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.
ANGELINI FRANCESCO SPA
ITALIA
ITALIA
ITALIA
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF

ROMANIA
P-RF

CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF.
P-RF
PRF
PRF
LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.
P-RF
FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS.

PIERRE FABRE MEDICAMENT PRODUCTION FRANTA
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
F.I.R.M.A. S.P.A. (MENARINI GROUP) ITALIA
CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
BMF PHARM S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
P-RF

P-6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC/PVDC-AL X 10 COMPR.
P6L
P6L
PIERRE FABRE MEDICAMENT PRODUCTION
BMF PHARM S.R.L.

BMF PHARM S.R.L.
BMF PHARM S.R.L.
BIOFARM S.A.
CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.
P-RF
P-RF
P-RF
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

UNGARIA
CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR.
P6L
LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
MAGISTRA C&C SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR.
MEDREG S.R.O.
REPUBLICA SLOVACA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 100 COMPR.
PRODOTTI FORMENTI ITALIA
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR.
P-6L
P-6L
P-6L
P6L
P6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. PVC/PVDC-AL X 10 COMPR.

AUSTRIA
AUSTRIA
CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH
CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH
P6L
P6L
CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA P-6L

CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA
P-6L
FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG
GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF
FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG
GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF
Pagina 18 din 22
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
20
9.23
12
9.51
60 17.75
60 10.82
50 15.19
30 10.45
28 90.38
20 24.95
30 18.71
30 18.71
30 63.54
30 22.65
90 63.54
30 33.74
56 71.52
56 117.26
28 105.39
28 178.89
20 71.94
50 10.29
30 14.45
50 10.29
50 15.82
20
9.18
60 26.61
90 36.73
30 12.30
30 19.18
30 19.17
30 16.84
60 34.85
60 53.26
20 18.35
50 39.78
20 27.97
30 19.81
60 38.37
60 34.85
100 21.53
50 26.66
30
8.23
100 21.53
30
9.58
30 14.76
100 29.63
30
9.58
30
9.58
30
7.15
1 38.11
1 70.00
50 32.23
48 26.13
Pret
amanuntul
maximal/UT
(RON)
0.461500
0.792500
0.295833
0.180333
0.303800
0.348333
3.227857
1.247500
0.623666
0.623666
2.118000
0.755000
0.706000
1.124666
1.277142
2.093928
3.763928
6.388928
3.597000
0.205800
0.481666
0.205800
0.316400
0.459000
0.443500
0.408111
0.410000
0.639333
0.639000
0.561333
0.580833
0.887666
0.917500
0.795600
1.398500
0.660333
0.639500
0.580833
0.215300
0.533200
0.274333
0.215300
0.319333
0.492000
0.296300
0.319333
0.319333
0.238333
38.110000
70.000000
0.644600
0.544375
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
0.461500
0.792500
0.295833
0.156020
0.273959
0.348333
1.130399
1.247332
0.623666
0.623666
2.118000
0.730500
0.706000
0.730500
1.104508
2.093928
3.336830
6.388928
3.597000
0.205800
0.411600
0.205800
0.205800
0.381791
0.381791
0.381791
0.381791
0.412599
0.412599
0.412599
0.580833
0.618899
0.618899
0.618899
0.618899
0.618899
0.618899
0.580833
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
0.206299
15.472493
30.944986
0.569431
0.544375
0.230750
0.396250
0.147916
0.078010
0.136979
0.174166
0.565199
0.623666
0.311833
0.311833
1.059000
0.365250
0.353000
0.365250
0.552254
1.046964
1.668415
3.194464
1.798500
0.102900
0.205800
0.102900
0.102900
0.190895
0.190895
0.190895
0.190895
0.206299
0.206299
0.206299
0.290416
0.309449
0.309449
0.309449
0.309449
0.309449
0.309449
0.290416
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
0.103149
7.736246
15.472493
0.284715
0.272187
forma farm.
concentratie
930 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)** THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM. 600mg
931 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)** THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml
Nr. crt
cod ATC
DCI
CEREBROLYSIN
CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HYDROXYCHLOROQUINUM
PLAQUENIL
BUDESONIDUM*
RHINOCORT (R) AQUA
FLUTICASONUM PROPIONAT* FLIXONASE (R)
MOMETASONUM*
NASONEX 50mcg/doza
MOMETASONUM*
NASONEX
FENOTEROLUM
BEROTEC N - 100 mcg
COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100
932 N07XXN3
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**
933 N07XXN3
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**
934 N07XXN3
935 P01BA02
936 R01AD05
937 R01AD08
938 R01AD09
939 R01AD09
940 R03AC04
941 R03AK03
942 R03AK06
943 R03AK06
944 R03AK06
Denumire Comerciala
Detinator APP
GERMANIA
215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML
215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML
SOL. INJ./PERF. 215,2mg/ml EVER NEURO PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML
COMPR. FILM. 200mg
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.
SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB
SUEDIA CUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE
SPRAY NAZAL SUSP. 50mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE
SPRAY NAZAL SUSP. 50mcg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON PP X 140 DOZE
SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON PP X 140 DOZE
100mcg/doza
GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA
P-RF
P-RF
AEROSOL SOL. INHAL.
0,020mg+0,050mg
PULB. INHAL. 50mg/100mg

P-6L
MAREA BRITANIE
CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA
P-6L
MAREA BRITANIE
P-6L
MAREA BRITANIE
P-6L
ASTRAZENECA AB
ASTRAZENECA AB
ASTRAZENECA AB
SUEDIA
SUEDIA
SUEDIA

949 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)*
SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie
PULB. DE INHAL.
320micrograme/9micrograme/inha
SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie
PULB. DE INHAL.
80micrograme/4,5micrograme/inh
FLIXOTIDE DISKUS 100 mcg

FLIXOTIDE 125 INHALER CFC - Free
FLIXOTIDE (R) 50 INHALER CFC - Free
FLIXOTIDE NEBULES 0,5 mg/2 ml
FLIXOTIDE NEBULES 2 mg/2 ml
ASMANEX TWISTHALER 200 mcg
ALVESCO 160 INHALER
ALVESCO 160 INHALER
ALVESCO 80 INHALER
ALVESCO 80 INHALER
SPIRIVA 18 micrograme
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN
ASTHATOR 10 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 10 mg
SPIROKAST 10 mg
MONTELUKAST ACTAVIS 10 mg
MONTEXAL 10 mg
MONKASTA 10 mg
ASTMASAN 10 mg
PULB. INHAL. 100mcg/doza

0,5mg/2ml
2mg/2ml
SOL. DE INHALAT PRESURIZATA 160g/doza
962 R03BA08
963 R03BA08
964 R03BA08
965 R03BA08
966 R03BB04
967 R03DA05
968 R03DA05
969 R03DA05
970 R03DA05
971 R03DA05
972 R03DC03
973 R03DC03
974 R03DC03
975 R03DC03
976 R03DC03
977 R03DC03
978 R03DC03
979 R03DC03
980 R03DC03
981 R03DC03
P-6L
P-6L
160micrograme/4,5micrograme/in
961 R03BA07
P-6L
CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.
PULB. DE INHAL.
960 R03BA07
P-RF
CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.
SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie
959 R03BA07
P-RF
MAREA BRITANIE
958 R03BA07
P-RF
MAREA BRITANIE
25mcg/50mcg
957 R03BA05
P-RF
956 R03BA05
CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA
P-6L
947 R03AK06 SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE
955 R03BA05
GERMANIA
P-RF
GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L
25mcg/125mcg GLAXOWELLCOME UK LTD.

25mcg/250mcg GLAXOWELLCOME UK LTD.
954 R03BA05
S/P-RF
SOL. INJ./PERF.
953 R03BA05
SOL. INJ./PERF.
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
Prescriptie
GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L
952 R03BA05
Ambalaj
951 R03BA05
tara det.
APP
CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.
P6L
P6L
P6L
MAREA BRITANIE
CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA
P-RF
MAREA BRITANIE
CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE
P-RF

SUSP. INHAL. PRIN NEBULIZATOR
CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB
P-RF
SUSP. INHAL. PRIN NEBULIZATOR
CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB
P-RF
CAPS. CU PULB. INHAL.
18micrograme
CAPS.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
100mg
100mg
100mg
200mg
24mg/ml
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
NYCOMED GMBH
BELGIA
BELGIA
BELGIA
BELGIA
CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L

GERMANIA
CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT
PRF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF
CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ.
S/P-RF
ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.
ZENTIVA, K.S.
REPUBLICA CEHA
ISLANDA
POLONIA
Pagina 19 din 22
ROMANIA
P-RF
P-RF
CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF
CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF
CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-RF
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. FILM.

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM.
SANDOZ S.R.L.
P-RF
P6L
P6L
P6L
P6L
P6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
30
10
5
5
10
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
10
1
1
1
1
1
1
1
1
30
20
50
40
20
5
28
14
28
28
30
28
30
28
28
28
96.76
263.89
124.46
86.41
39.22
33.44
25.42
40.11
47.31
47.31
16.66
40.29
117.43
157.36
223.87
164.30
233.63
122.59
120.12
227.81
95.11
40.65
84.46
137.24
44.60
36.40
31.39
90.66
57.33
140.00
249.44
98.82
250.11
124.79
226.54
112.34
164.34
3.62
6.78
6.95
7.72
11.82
99.55
76.80
145.70
82.04
87.90
63.22
65.41
74.05
63.22
77.66
Pret
amanuntul
maximal/UT
(RON)
3.225333
26.389000
24.892000
17.282000
3.922000
0.557333
25.420000
40.110000
47.310000
47.310000
16.660000
40.290000
117.430000
157.360000
223.870000
164.300000
233.630000
122.590000
120.120000
227.810000
95.110000
40.650000
84.460000
137.240000
44.600000
36.400000
3.139000
9.066000
57.330000
140.000000
249.440000
98.820000
250.110000
124.790000
226.540000
112.340000
5.478000
0.181000
0.135600
0.173750
0.386000
2.364000
3.555357
5.485714
5.203571
2.930000
2.930000
2.257857
2.180333
2.644642
2.257857
2.773571
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
2.169500
22.982400
24.892000
14.864000
2.972800
0.557333
25.420000
40.110000
47.310000
47.310000
16.660000
40.290000
45.702450
114.256125
223.870000
114.256125
228.512250
45.702450
117.012500
227.810000
58.506250
31.258800
78.147000
137.240000
39.073500
31.258800
1.041958
4.167838
49.410000
98.820000
197.640000
98.820000
249.977500
124.790000
124.988750
62.494375
5.478000
0.181000
0.135600
0.173750
0.386000
2.364000
2.255714
2.255714
2.255714
2.255714
2.255714
2.255714
2.180333
2.255714
2.255714
2.255714
1.084750
11.491200
12.446000
7.432000
1.486400
0.278666
12.710000
20.055000
23.655000
23.655000
8.330000
20.145000
22.851225
57.128062
111.935000
57.128062
114.256125
22.851225
58.506250
113.905000
29.253125
15.629400
39.073500
68.620000
19.536750
15.629400
0.520979
2.083919
24.705000
49.410000
98.820000
49.410000
124.988750
62.395000
62.494375
31.247187
2.739000
0.090500
0.067800
0.086875
0.193000
1.182000
1.127857
1.127857
1.127857
1.127857
1.127857
1.127857
1.090166
1.127857
1.127857
1.127857
Nr. crt
cod ATC
982 R03DC03
983 R03DC03
984 R03DC03
985 R03DC03
986 R03DC03
987 R03DC03
988 R03DC03
989 R03DC03
990 R03DC03
991 R03DC03
992 R03DC03
993 R03DC03
994 R03DC03
995 R03DC03
996 R03DC03
997 R03DC03
998 R03DC03
999 R03DC03
1000
R03DC03
1001
R03DC03
1002
R03DC03
1003
R03DC03
1004
R03DC03
1005
R03DC03
1006
R03DC03
1007
R03DC03
1008
R03DC03
1009
R03DC03
1010
R03DC03
1011
R03DC03
1012
R03DX03
1013
R03DX03
1014
R05CB15
1015
R05CB15
1016
R05CB15
1017
R05DA09
1018
R05DA09
1019
R05DA09
1020
R05DA09
1021
R05DA09
1022
R05DA09
1023
R05DA09
1024
R05DA09
1025
R06AE09
1026
R06AE09
1027
R06AE09
1028
R06AE09
1029
R06AE09
1030
R06AE09
1031
R06AE09
1032
R06AE09
1033
R06AX26
DCI
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM**
ERDOSTEINUM**
ERDOSTEINUM**
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM
Denumire Comerciala
MONTELUKAST ALVOGEN 10 mg
STANGEN 10 mg
MONTELUKAST ACCORD 10 mg
MONTELUKAST ACCORD 10 mg
SOLOK 10 mg
ASTHATOR 4 mg
SINGULAIR
SINGULAIR
SPIROKAST 4 mg
MONKASTA 4 mg
STANGEN 4 mg
SOLOK 4 mg
ASTHATOR 5 mg
SINGULAIR (R)
SINGULAIR (R)
SPIROKAST 5 mg
MONTEXAL 5 mg
MONKASTA 5 mg
STANGEN 5 mg
SOLOK 5 mg
ASTMASAN 4 mg
SINGULAIR 4 mg
EURESPAL 80 mg
EURESPAL 2 mg/ml
ERDOMED 300 mg
ERDOMED 225 mg
ERDOMED 175 mg/5 ml
TUSSIN FORTE
TUSALIN 15 mg
HUMEX
HUMEX 0,133 g/100 ml
ROFEDEX
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR
ROBITUSSIN ANTITUSSICUM
XYZAL (R)
XYZAL (R)
CEZERA 5 mg
LEVOCETIRIZINA SANDOZ 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
ZENARO 5 mg
XYZAL
ZENARO 0,5 mg/ml
EWOFEX 120 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
GRANULE
GRANULE
COMPR. FILM.
SIROP
CAPS.
COMPR.
COMPR. FILM.
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE, SOL.
SIROP
COMPR. FILM.
concentratie
10mg
10mg
10mg
10mg
10mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
4mg
4mg
80mg
2mg/ml
300mg
225mg
175mg/5ml
20mg
15mg
0,1%
0,13%
15mg/5ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg
5mg/ml
0,5mg/ml
120mg
Detinator APP
tara det.
APP
Ambalaj
Prescriptie
P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM. P6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P-RF
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L
KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PAPVC/AL X 28 COMPR. MAST. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L
KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST. P6L
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PA/PVC/AL X 28 COMPR. MAST. P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE P6L
MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L
LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML P-6L
EUROPHARM SA
BMF PHARM SRL
LAB. URGO SA
LAB. URGO SA
BIOFARM SA
ROPHARMA S.A.
WYETH WHITEHALL EXPORT GMBH
WYETH WHITEHALL EXPORT GMBH
U.C.B. GMBH
U.C.B. GMBH
AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.

AUSTRIA CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE
AUSTRIA
P-6L

P-RF
FRANTA
FRANTA
CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1
P-RF
CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA
P-RF
CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE
P-RF
CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML
P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA
P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA
P-RF
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA
ROMANIA
ROMANIA
AUSTRIA
AUSTRIA
P-6L
P-6L
P-RF
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L

GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL CU 30 COMPR. FILM. P-6L
SANDOZ S.R.L.
ROMANIA
ISLANDA
ZENTIVA K.S.
REPUBLICA CEHA
UCB PHARMA GMBH GERMANIA
ZENTIVA, K.S.
REPUBLICA SLOVACA
EWOPHARMA INTERNATIONAL S.R.O.
Pagina 20 din 22
SLOVACIA
CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM.
P-6L
CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR
P-6L
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML SIROP + 1 LINGURITA DOZATOARE DE 5 ML GRADATA LA 2,5 ML S
P6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
28
28
28
30
28
28
28
14
28
30
28
30
28
28
28
28
28
14
28
28
30
28
28
30
28
28
28
28
28
28
30
1
10
20
1
20
10
1
1
1
1
1
1
10
30
30
10
10
20
1
1
10
82.04
63.22
52.55
56.29
63.10
107.38
157.51
83.04
42.84
45.90
42.84
45.87
42.84
57.78
42.84
42.32
99.55
76.63
145.31
53.46
57.27
53.46
73.75
57.26
53.46
57.78
53.46
53.25
77.86
158.93
28.09
20.02
15.81
33.14
24.95
6.78
2.70
8.46
10.82
5.27
7.87
8.61
8.61
16.92
42.17
28.34
10.99
10.99
22.00
36.23
24.35
11.96
Pret
amanuntul
maximal/UT
(RON)
2.930000
2.257857
1.876785
1.876333
2.253571
3.835000
5.625357
5.931428
1.530000
1.530000
1.530000
1.529000
1.530000
2.063571
1.530000
1.511428
3.555357
5.473571
5.189642
1.909285
1.909000
1.909285
2.633928
1.908666
1.909285
2.063571
1.909285
1.901785
2.780714
5.676071
0.936333
20.020000
1.581000
1.657000
24.950000
0.339000
0.270000
8.460000
10.820000
5.270000
7.870000
8.610000
8.610000
1.692000
1.405666
0.944666
1.099000
1.099000
1.100000
36.230000
24.350000
1.196000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
2.255714
2.255714
1.876785
1.876333
2.253571
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.527428
1.511428
1.909285
1.909285
1.909285
1.909285
1.909000
1.909285
1.909285
1.908666
1.909285
1.909285
1.909285
1.901785
1.527428
1.527428
0.936333
20.020000
1.581000
1.303562
24.950000
0.339000
0.265124
8.460000
4.595503
5.270000
2.642415
5.363550
2.651251
1.692000
1.405666
0.944666
1.099000
1.099000
1.100000
36.230000
24.350000
1.119833
1.127857
1.127857
0.938392
0.938166
1.126785
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.763714
0.755714
0.954642
0.954642
0.954642
0.954642
0.954500
0.954642
0.954642
0.954333
0.954642
0.954642
0.954642
0.950892
0.763714
0.763714
0.468166
10.010000
0.790500
0.651781
12.475000
0.169500
0.132562
4.230000
2.297751
2.635000
1.321207
2.681775
1.325625
0.846000
0.702833
0.472333
0.549500
0.549500
0.550000
18.115000
12.175000
0.559916
DCI
Nr. crt
cod ATC
1034
R06AX26
1035
R06AX26
1036
R06AX26
1037
R06AX27
1038
R06AX27
1039
R06AX27
1040
R06AX27
1041
R06AX27
1042
R06AX27
1043
R06AX27
1044
R06AX27
1045
R06AX27
1046
R06AX27
1047
R06AX27
1048
R06AX27
1049
R06AX27
1050
R06AX27
1051
R06AX27
1052
S01AA11
1053
S01AA12
1054
S01AA12
1055
S01AA12
1056
S01AA12
1057
S01AA23
1058
S01AA23
1059
S01AA23
1060
S01AX11
1061
S01AX11
1062
S01BA01
1063
S01BA01
1064
S01BA01
1065
S01BA06
1066
S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)
1067
S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)
1068
S01CA01
1069
S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)
1070
1071
1072
S01GX09
1073
S01XA02
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
GENTAMICINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM
COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)
OLOPATADINUM
RETINOLUM
Denumire Comerciala
TELFAST 120 mg
EWOFEX 180 mg
TELFAST 180 mg
DESLORATADINE ACTAVIS
DESLORATADINE ACTAVIS
AERIUS 5mg
AERIUS 5mg
AERIUS 5mg
DASSELTA
DESLORATADINAE RATIOPHARM
DESLORATADINA ALVOGEN 5 mg
DESLORATADINA TERAPIA 5 mg
LORDESTIN 5 mg
AERIUS 2,5mg
AERIUS 5mg
AERIUS 0,5mg/ml
DESLORATADINA ALVOGEN 0,5 mg/ml
AERIUS 0,5mg/ml
GENTAMICIN SULPHATE
TOBROM 3 mg/ml
TOBREX
TOBREX 2 X
TOBREX (R)
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
FLOXAL (R)
FLOXAL (R)
DEXAMETAZONA ROMPHARM 1mg/ml
MAXIDEX (R)
OPHTAMESONE
NETILDEX
NETILDEX
SPERSADEX COMP
DEXATOBROM 3 mg+1 mg/ml
TOBRADEX ( R )
TOBRADEX (R)
OPATANOL 1mg/ml
OCULOTECT
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
SOL. OFT.
120mg
180mg
180mg
5 mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
2,5mg
5mg
0,5mg/ml
0,5mg/ml
0,5mg/ml
0,3%
3mg/ml
3mg/ml
0,3%
0,3%
0,3%
0,3%
3mg/g
0,3%
0,3%
1mg/ml
1mg/ml
0,1%
0,1%
SOL. ORALA
SOL. ORALA
SOL. ORALA
PIC. OFT., SOL
PIC. OFT., SOL
PIC. OFT.,SOL.
PICATURI OFT.-SOL.
UNG. OFT.
PIC. OFT., SOL
PICATURI OFT.-SOL.
UNG. OFT.
PICATURI OFT.-SOL.
UNG. OFT.
PIC. OFT. SUSP.
PIC. OFT. SUSP.
PICATURI OFT.-SUSP.
Detinator APP
tara det.
APP
ROMANIA
CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L
EWOPHARMA INTERNATIONAL S.R.O.
SLOVACIA
ROMANIA
ISLANDA
ISLANDA
BELGIA
BELGIA
BELGIA
CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 10 PRF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X30 PRF
SP EUROPE
SP EUROPE
SP EUROPE
RATIOPHARM GMBH GERMANIA

ALVOGEN IPCO S.A.R.L LUXEMBURG
Ambalaj
Prescriptie
P-6L
CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF

CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF
CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE
PRF
CUTIE CU BLIST. DIN PVC/PVDC/AL X 30 COMPRIMATE FILMATE
PRF
CUTIE CU BLIST. PCTFE-PVC/AL X 30 COMPR. FILM.
ROMANIA
ROMANIA
P6L
P6L
P6L
SP EUROPE
SP EUROPE
SP EUROPE
BELGIA
BELGIA
BELGIA
CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)
P-RF
CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)
P-RF
CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML
P-RF
TERAPIA SA
CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR
P6L
SP EUROPE
CUTIE X 1 FLACON X 150 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5ML
P-RF
BELGIA
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML

ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL
P-RF
ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL.
P-RF
CUTIE X 1 FLAC. PEID CU PICURATOR DIN PEID X 5 ML
P-RF
P-RF
CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF
S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA
ITALIA
ITALIA
ITALIA
CUTIE X 1 FLACON X 5ML
P-RF
CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML
P-RF
CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR
P-RF
DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH
GERMANIA
CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL. P-RF
GERMANIA
CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G
ROMANIA
ROMANIA
CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE
P-RF
P-RF
CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF
ROMANIA CUTIE X 1 FLACON X 10ML
P-RF
S.I.F.I. SPA
S.I.F.I. SPA
ITALIA
ITALIA
P-RF
PIC. OFT.,SOL.
FARA CONCENTRATIE
PIC. OFT.SOL. UNIDOZA
FARA CONCENTRATIE
PICATURI OFT.-SOL.
5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF
3mg+1mg/ml ROMPHARM COMPANY S.R.L.

1mg+3mg
ALCON COUVREUR NV
UNG. OFT.
1mg+3mg
ALCON COUVREUR NV
PIC. OFT., SOL. 1mg/ml
ALCON LABORATORIES LTD.
GEL OFT.
10mg/g
PIC. OFT. SUSP.
PICATURI OFT.-SUSP.
CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL. P-RF

CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL.
ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR
P-RF
BELGIA
BELGIA
CUTIE X 1 FLACON PICURATOR PEJD X 5 ML
P-RF
CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G
P-RF
GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT.
MAREA BRITANIE
NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sntii i cu aprobarea comisiilor
de la nivelul Caselor Judeene de Asigurri de Sntate;
- 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;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (2) se prescrie numai in etapa pregtitoare pentru colonoscopie;
Pagina 21 din 22
P-RF
P-6L
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
10
10
10
10
30
30
10
7
30
30
30
30
30
30
30
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
1
20
1
1
1
1
1
1
13.31
17.92
19.38
9.35
28.06
54.55
21.77
17.46
25.45
35.44
35.44
25.45
35.46
49.67
42.82
20.49
13.31
25.93
4.71
4.08
11.31
20.80
8.64
14.18
28.94
32.50
14.45
15.38
10.12
5.55
8.55
4.50
31.39
51.31
12.53
10.00
15.39
13.07
30.49
16.43
Pret
amanuntul
maximal/UT
(RON)
1.331000
1.792000
1.938000
0.935000
0.935333
1.818333
2.177000
2.494285
0.848333
1.181333
1.181333
0.848333
1.182000
1.655666
1.427333
20.490000
13.310000
25.930000
4.710000
4.080000
11.310000
20.800000
8.640000
14.180000
1.929333
32.500000
14.450000
15.380000
10.120000
5.550000
8.550000
4.500000
31.390000
2.565500
12.530000
10.000000
15.390000
13.070000
30.490000
16.430000
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
1.119833
1.679749
1.679749
0.935000
0.935333
1.119833
1.119833
1.119833
0.848333
1.119833
1.119833
0.848333
1.119833
0.559916
1.119833
12.982500
12.982500
16.228125
4.710000
4.080000
4.080000
4.080000
3.060000
14.180000
1.251059
20.850997
11.302500
15.380000
9.108000
4.554000
4.554000
4.500000
11.920500
0.715230
11.920500
10.000000
11.920500
8.344350
30.490000
16.430000
0.559916
0.839874
0.839874
0.467500
0.467666
0.559916
0.559916
0.559916
0.424166
0.559916
0.559916
0.424166
0.559916
0.279958
0.559916
6.491250
6.491250
8.114062
2.355000
2.040000
2.040000
2.040000
1.530000
7.090000
0.625529
10.425498
5.651250
7.690000
4.554000
2.277000
2.277000
2.250000
5.960250
0.357615
5.960250
5.000000
5.960250
4.172175
15.245000
8.215000
Nr. crt
cod ATC
DCI
Denumire Comerciala
forma farm.
concentratie
Detinator APP
- Pentru medicamentele corespunztoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.
Pagina 22 din 22
tara det.
APP
Ambalaj
Prescriptie
Pret
amanunt
ul
cant/a maximal/
mbala ambalaj
j
(RON)
Pret
amanuntul
maximal/UT
(RON)
Val suportata
de CNAS/UT
nr. 95/2006 art
CNAS/UT
213 alin.1 lit. a)
(RON) pt.
si f)
Adulti
ANEXA 3
SECIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREUL DE REFERIN CONFORM
DCI-urilor UTILIZATE N TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII I CONSUMULUI PRIN COMISIILE PARITARE;
MEDICAMENTELE DIN ACEAST SUBLIST SE ELIBEREAZ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZ DE PRESCRIPIE MEDICAL CU REINERE N FARMACIE ( P-RF)
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 IULIE 2012
NR.CRT
COD ATC
DCI
Denumire Comerciala
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
ambal
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
aj
(RON)
(RON)
a) si f)
ADULTI
1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
B01AA07
B01AA07
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
ACENOCUMAROLUM
ACENOCUMAROLUM
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN 0,25 mg
DIGOXIN 0,5 mg/2 ml
NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
VEROSPIRON
VEROSPIRON
SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL 100 mg
METOPROLOL TERAPIA 100 mg
METOPROLOL VIM SPECTRUM 100 mg
METOPROLOL ARENA 100 MG
METOPROLOL 100 mg
METOPROLOL 100 mg
METOPROLOL TARTRAT INTAS 100 mg
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
2mg
4mg
0,25mg
0,5mg/2ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
TERAPIA SA
30
20
ZENTIVA S.A.
25
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
5
ZENTIVA SA
25
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
BIO EEL SRL
P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
20
20
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
30
30
BIO EEL SRL
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
50
TERAPIA SA
50
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
20
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L
30
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
30
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
100
50
30
TERAPIA SA
30
20
30
20
20
30
P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
P-RF
Pagina 1 din 42
6.53
6.76
2.79
6.64
3.48
3.02
2.28
5.42
6.02
3.04
6.02
6.07
28.51
16.07
19.46
16.72
16.24
4.30
10.79
10.79
16.21
4.30
13.74
14.05
10.94
6.56
7.12
9.12
19.75
13.00
9.49
15.12
7.38
7.01
8.09
8.09
8.09
0.217666
0.338000
0.111600
1.328000
0.139200
0.151000
0.114000
0.271000
0.301000
0.152000
0.301000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215800
0.215800
0.324200
0.215000
0.687000
0.468333
0.364666
0.328000
0.237333
0.304000
0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.404500
0.269666
0.217666
0.338000
0.111600
1.328000
0.139200
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.237000
0.237000
0.217666
0.338000
0.111600
1.328000
0.139200
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.237000
0.237000
NR.CRT
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
COD ATC
DCI
C07AB02
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB02
C07AB07
C07AB07
C07AB07
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AG02
C07AG02
C07AG02
C07AG02
Denumire Comerciala
forma farm.
EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg
COMPR.
COMPR.
COMPR.
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TARTRAT INTAS 50 mg COMPR.
METOPROLOL RETARD 100 mg COMPR. ELIB. PREL.

EMZOK 100 mg


METOPROLOL SUCCINAT POLPHARMA 47,5 mg

EMZOK 50 mg

METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD.
BETALOC
CONCOR COR 10 mg
CONCOR COR 2,5 mg
CONCOR COR 5 mg
EZOCEM 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
VOXNEBIN 5 mg
NEBINORM 5 mg
NEBICARD 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
CARVEDILOL SANDOZ
CORYOL 12,5 mg
TALLITON (R) 12,5 mg
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
190mg
47,5mg
50mg
50mg
95mg
190mg
47,5mg
95mg
5mg/5ml
10mg
2,5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
12,5 mg
12,5mg
12,5mg
12,5mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
20
20
30
30
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
20
30
30
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100
50
30
TERAPIA SA
30
20
30
20
20
30
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L
20
30
30
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L
28
28
30
30
28
HEXAL AG
30
HEXAL AG
30
HEXAL AG
30
ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S
5
MERCK KGAA
30
MERCK KGAA
30
MERCK KGAA
30
OZONE LABORATORIES BV OLANDA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L
28
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L
28
ACTAVIS S.R.L.
30
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L
30
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L
28
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L
28
CEHIA
30
BIOFARM SP.ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L
28
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L
28
TERAPIA S.A.
28
TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L
30
HEXAL AG
30
28
28
30
UNGARIA
Pagina 2 din 42
1.90
1.90
2.85
2.85
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
3.51
5.27
11.12
25.70
16.70
21.20
9.51
15.69
10.22
15.59
22.71
8.14
13.59
22.16
32.72
14.76
22.31
25.53
34.55
23.20
27.09
24.87
22.80
24.44
13.84
24.87
22.93
13.84
22.65
24.59
8.74
29.94
12.48
13.30
0.095000
0.095000
0.095000
0.095000
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.175500
0.175666
0.556000
0.856666
0.556666
0.757142
0.339642
0.523000
0.340666
0.556785
0.757000
0.271333
0.453000
4.432000
1.090666
0.492000
0.743666
0.911785
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.494285
0.829000
0.818928
0.494285
0.808928
0.819666
0.291333
1.069285
0.445714
0.443333
0.095000
0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.237000
0.757142
0.325599
0.100800
0.100800
0.543600
0.757000
0.271333
0.453000
4.432000
0.593160
0.492000
0.300120
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.494285
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599
0.095000
0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.237000
0.757142
0.325599
0.100800
0.100800
0.543600
0.757000
0.271333
0.453000
4.432000
0.593160
0.492000
0.300120
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.494285
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599
NR.CRT
87
88
89
90
91
92
93
94
95
96
97
98
99
COD ATC
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
100 C07AG02
101 C07AG02
102 C07AG02
103 C07AG02
104 C07AG02
105 C07AG02
106 C07AG02
107 C07AG02
108 C07AG02
109 C07AG02
110 C07AG02
111 C07AG02
112 C07AG02
113 C07AG02
114 C09AA01
115 C09AA01
116 C09AA01
117 C09AA01
118 C09AA01
119 C09AA01
120 C09AA01
121 C09AA01
122 C09AA01
123 C09AA01
124 C09AA01
125 C09AA01
126 C09AA01
127 C09AA01
128 C09AA02
129 C09AA02
130 C09AA02
131 C09AA02
132 C09AA02
133 C09AA02
134 C09AA02
135 C09AA02
DCI
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
Denumire Comerciala

CARVEDILOL VIM SPECTRUM 12,5mg
GLADYCOR 12,5 mg
MIOCARVIL 12,5 mg
ATRAM 12,5
CARVEDILOL HELCOR 12,2 mg
DILATREND (R) 25 mg
CORYOL 25 mg
TALLITON (R) 25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 25 mg
GLADYCOR 25 mg
MIOCARVIL 25 mg
ATRAM 25
CARVEDILOL HELCOR 25 mg

CORYOL (R)
TALLITON 6,25 mg
CARVEDILOL SANDOZ
CARVEDILOL VIM SPECTRUM 6,25 mg
GLADYCOR 6,25 mg
MIOCARVIL 6,25 mg
ATRAM 6,25
CARVEDIGAMMA 25 mg
CAPTOPRIL MCC 12,5 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
CAPTOPRIL SINTOFARM 25 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL AL 10
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
12,5mg
25mg
6,25mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg
50mg
50mg
50mg
50mg
50mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
TARA
DET. APP
ANTIBIOTICE S.A.
ROMANIA
ZENTIVA K.S.
DETINATOR APP
CEHIA
AMBALAJ
Prescriptie

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
P-6L

UNGARIA
HEXAL AG
P-6L
ANTIBIOTICE S.A.

ZENTIVA K.S.
CEHIA
P-6L

KRKA D.D.
UNGARIA
HEXAL AG
P-6L

ANTIBIOTICE S.A.
ZENTIVA K.S.
CEHIA
P-6L
P-6L
P-6L
P-6L
MAGISTRA C & C
TERAPIA SA
BIO EEL SRL

P-6L
LABORMED PHARMA SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAREA BRITANIE
CUTIE X 2 FOLII X 10 COMPR.
P-6L
MAGISTRA C & C
LABORMED PHARMA SA
SINTOFARM SA
ARENA GROUP SA
ARENA GROUP SA
TERAPIA SA
BIO EEL SRL
MAGISTRA C & C
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
MAGISTRA C & C
SANDOZ SRL

P-6L
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
FABIOL SA
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.
Pagina 3 din 42
P-6L
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
20
30
30
30
20
28
28
30
30
30
30
30
30
20
28
28
30
30
30
20
30
30
30
30
30
30
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
20
20
30
13.36
6.72
13.10
13.36
12.87
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
19.57
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
6.44
13.93
24.30
9.06
3.41
4.10
3.02
2.28
3.42
3.42
4.64
2.28
2.67
6.67
3.87
2.67
4.50
3.93
4.39
4.39
3.96
4.39
4.39
4.39
4.39
6.59
0.445333
0.336000
0.436666
0.445333
0.429000
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.652333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.464333
0.810000
0.302000
0.113666
0.136666
0.151000
0.114000
0.114000
0.114000
0.154666
0.114000
0.133500
0.222333
0.193500
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666
0.349599
0.336000
0.349599
0.349599
0.349599
0.349599
0.367200
0.367200
0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.367200
0.257599
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.349599
0.367200
0.257599
0.113666
0.136666
0.136800
0.114000
0.114000
0.114000
0.136800
0.114000
0.133500
0.157200
0.157200
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666
0.349599
0.336000
0.349599
0.349599
0.349599
0.349599
0.367200
0.367200
0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.367200
0.257599
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.214666
0.349599
0.367200
0.257599
0.113666
0.136666
0.136800
0.114000
0.114000
0.114000
0.136800
0.114000
0.133500
0.157200
0.157200
0.133500
0.150000
0.131000
0.219500
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.219666
NR.CRT
DCI
COD ATC
136 C09AA02
137 C09AA02
138 C09AA02
139 C09AA02
140 C09AA02
141 C09AA02
142 C09AA02
143 C09AA02
144 C09AA02
145 C09AA02
146 C09AA02
147 C09AA02
148 C09AA02
149 C09AA02
150 C09AA02
151 C09AA02
152 C09AA02
153 C09AA02
154 C09AA02
155 C09AA02
156 C09AA02
157 C09AA02
158 C09AA02
159 C09AA02
160 C09AA02
161 C09AA02
162 C09AA02
163 C09AA02
164 C09AA02
165 C09AA02
166 C09AA02
167 C09AA03
168 C09AA03
169 C09AA03
170 C09AA03
171 C09AA03
172 C09AA03
173 C09AA03
174 C09AA03
175 C09AA03
176 C09AA03
177 C09AA03
178 C09AA03
179 C09AA03
180 C09AA03
181 C09AA03
182 C09AA03
183 C09AA03
184 C09AA03
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
Denumire Comerciala
RENITEC 10 mg
EDNYT 10 mg
ENALAPRIL 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL AL 20
RENITEC 20 mg
ENALAPRIL 5 mg
ENALAPRIL 5 mg
ENALAPRIL AL 5
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENAP (R)
RANOLIP
LISIREN 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISIGAMMA 20 mg
LISINOPRIL 20 MEDO
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
concentratie
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
DETINATOR APP
TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
ROMANIA
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
20
30
50
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100
CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
20
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
MAGISTRA C & C
P-6L
20
SANDOZ SRL
P-6L
20
LABORMED PHARMA SA
20
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
FABIOL SA
20
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
TERAPIA SA
20
30
50
20
P-6L
20
MAGISTRA C & C
P-6L
20
SANDOZ SRL
P-6L
20
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
30
20
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L
28
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
20
TERAPIA SA
20
30
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
20
KRKA D.D.
S/P-RF
5
P-6L
30
AC HELCOR SRL
20
HEXAL AG
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
ANTIBIOTICE SA
20
ANTIBIOTICE SA
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
28
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
28
P-6L
30
AC HELCOR SRL
20
HEXAL AG
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
30
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L
30
ANTIBIOTICE SA
10
ANTIBIOTICE SA
30
MERCK SHARP & DOHME
TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
VIM SPECTRUM SRL
Pagina 4 din 42
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR.
P-6L
10.52
7.30
6.87
11.25
22.02
11.28
4.10
10.20
7.94
10.18
8.75
7.94
7.12
11.62
17.12
11.11
11.12
16.43
7.92
3.67
3.67
3.67
5.25
3.67
7.87
3.84
3.93
5.58
3.65
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
6.27
9.72
15.47
8.75
23.11
15.65
15.05
12.93
14.44
23.37
7.43
23.48
0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.340000
0.397000
0.509000
0.437500
0.397000
0.356000
0.387333
0.611428
0.555500
0.370666
0.328600
0.396000
0.183500
0.183500
0.183500
0.175000
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.313500
0.324000
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.722000
0.779000
0.743000
0.782666
0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.237600
0.394320
0.394320
0.394320
0.394320
0.356000
0.387333
0.394320
0.394320
0.370666
0.328600
0.394320
0.183500
0.183500
0.183500
0.175000
0.183500
0.210000
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.313500
0.324000
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200
0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.237600
0.394320
0.394320
0.394320
0.394320
0.356000
0.387333
0.394320
0.394320
0.370666
0.328600
0.394320
0.183500
0.183500
0.183500
0.175000
0.183500
0.210000
0.192000
0.196500
0.186000
0.182500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.313500
0.324000
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200
COD ATC
DCI
185 C09AA03
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
NR.CRT
186 C09AA03
187 C09AA03
188 C09AA03
189 C09AA03
190 C09AA03
191 C09AA03
192 C09AA03
193 C09AA03
194 C09AA05
195 C09AA05
196 C09AA05
197 C09AA05
198 C09AA05
199 C09AA05
200 C09AA05
201 C09AA05
202 C09AA05
203 C09AA05
204 C09AA05
205 C09AA05
206 C09AA05
207 C09AA05
208 C09AA05
209 C09AA05
210 C09AA05
211 C09AA05
212 C09AA05
213 C09AA05
214 C09AA05
215 C09AA05
216 C09AA05
217 C09AA05
218 C09AA05
219 C09AA05
220 C09AA05
221 C09AA05
222 C09CA03
223 C09CA03
224 C09CA03
225 C09CA03
226 C09CA03
227 C09CA03
228 C09CA03
229 C09CA03
230 C09CA03
231 C09CA03
232 C09CA03
233 C09CA03
Denumire Comerciala
TONOLYSIN 20 mg
RANOLIP
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
TONOLYSIN 5 mg
VIVOKAR 10 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
RAMIGAMMA 10 mg
TRITACE 10
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
RAMIGAMMA 5 mg
TRITACE 5
RAMIRAN 1,25 mg
RAMIRAN 10 mg
RAMIRAN 2,5 mg
RAMIRAN 5 mg
CORETON 160 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
VALSARTAN TORRENT 160 mg COMPR. FILM.
VALSACOR 160 mg
COMPR. FILM.
AVASSAN 160 mg
COMPR. FILM.
DIOVAN 40 mg
COMPR. FILM.
AVASSAN 40 mg
COMPR. FILM.
concentratie
20mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg
10mg
2,5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
ANTIBIOTICE SA
ANTIBIOTICE SA
TARA
DET. APP
AMBALAJ
MAREA BRITANIE
HEXAL AG
DETINATOR APP
Prescriptie

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS.
SANDOZ SRL
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.
SANDOZ SRL
P-6L
ZENTIVA S.A.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

ZENTIVA S.A.
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
SANDOZ SRL
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
ZENTIVA S.A.

GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR.
P-6L
P-6L
P-6L
P-6L

MAREA BRITANIE
CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
ROMANIA
ZENTIVA K.S.
REPUBLICA CEHA

ROMANIA
ROMANIA
GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
P-6L
P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
ROMANIA
P6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L
TERAPIA S.A.
ROMANIA
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.
TERAPIA S.A.
Pagina 5 din 42
ROMANIA
P6L
P6L
P6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28 22.90
10 13.81
30 39.31
30
7.64
30
7.15
30
6.50
30
8.67
30
7.37
28
9.28
30 24.95
28 23.28
28 23.28
30 24.95
30 24.93
28 23.28
28 23.28
20 10.51
28 34.64
28
7.46
28
9.37
30 10.05
30 10.02
28
9.37
28
9.37
28 14.41
28 10.15
28 10.17
30 10.83
30 10.85
28 10.17
28 10.17
20
7.09
28 15.62
30
6.89
30 33.00
30 11.23
30 20.51
28 32.59
28 20.26
28 32.85
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 71.91
28 42.63
0.817857
1.381000
1.310333
0.254666
0.238333
0.216666
0.289000
0.245666
0.331428
0.831666
0.831428
0.831428
0.831666
0.831000
0.831428
0.831428
0.525500
1.237142
0.266428
0.334642
0.335000
0.334000
0.334642
0.334642
0.514642
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.557857
0.229666
1.100000
0.374333
0.683666
1.163928
0.723571
1.173214
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
2.568214
1.522500
0.517200
1.381000
1.310333
0.254666
0.238333
0.216666
0.259999
0.245666
0.259999
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.525500
0.630600
0.266428
0.319713
0.319713
0.319713
0.319713
0.319713
0.319713
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.425400
0.229666
0.630600
0.319713
0.425400
1.163928
0.723571
1.173214
1.356399
1.356399
1.130333
1.356399
1.356399
1.173214
1.356399
1.827000
1.522500
0.517200
1.381000
1.310333
0.254666
0.238333
0.216666
0.259999
0.245666
0.259999
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.630600
0.525500
0.630600
0.266428
0.319713
0.319713
0.319713
0.319713
0.319713
0.319713
0.362500
0.363214
0.361000
0.361666
0.363214
0.363214
0.354500
0.425400
0.229666
0.630600
0.319713
0.425400
1.163928
0.723571
1.173214
1.356399
1.356399
1.130333
1.356399
1.356399
1.173214
1.356399
1.827000
1.522500
NR.CRT
COD ATC
234 C09CA03
235 C09CA03
236 C09CA03
237 C09CA03
238 C09CA03
239 C09CA03
240 C09CA03
241 C09CA03
242 C09CA03
243 C09CA06
244 C09CA06
245 C09CA06
246 C09CA06
247 C09CA06
248 C09CA06
249 C09CA06
250 C09CA06
251 C09CA06
252 C09CA06
253 C09CA06
254 C09CA06
255 C09CA06
256 C09CA06
257 C09CA06
258 C09CA06
259 C09CA06
260 C09CA06
261 C09CA06
262 C09CA06
263 C09CA06
264 C09CA06
265 C09CA06
266 C09CA06
267 C09CA06
DCI
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
CANDESARTANUM CILEXETIL**
Denumire Comerciala
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSACOR 80 mg
AVASSAN 80 mg
DIOVAN 3 mg/ml
ATACAND
TANDESAR 16 mg
CANDESARTAN CILEXETIL ZENTIVA 16 mg
HIPOSTYN 16 mg
KARBIS 16 mg
CANDEPOL 16 mg
CLASTINOL 16 mg
ATACAND 32 mg
HIPOSTYN 32 mg
KARBIS 32 mg
CANDEPOL 32 mg
CLASTINOL 32 mg
ATACAND
TANDESAR 8 mg
HIPOSTYN 8 mg
KARBIS 8 mg
CANDEPOL 8 mg
CLASTINOL 8 mg
forma farm.
concentratie
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
COMPR.
COMPR.
2mg
4mg
DETINATOR APP
ZENTIVA K.S.
TARA
DET. APP
REPUBLICA CEHA
AMBALAJ
Prescriptie
ROMANIA
ROMANIA
GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
P-6L
P-6L
P6L
P6L
P6L
P6L
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1
P-6L
TERAPIA SA
ROMANIA
ZENTIVA K.S.
P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.
P-6L
ZENTIVA K.S.
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.
ROMANIA
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
TERAPIA S.A.
ROMANIA
P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
SANDOZ SRL
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L
REPUBLICA SLOVACA
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.


ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
SANDOZ SRL
P-6L
P6L
REPUBLICA SLOVACA
POLONIA
ROMANIA
UNGARIA
SUEDIA
ROMANIA
P-6L
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.
P-6L
P6L
REPUBLICA SLOVACA
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
P-6L
POLONIA
ROMANIA
UNGARIA
TERAPIA SA
P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
P-RF
P6L
P6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28 34.00
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
1 41.42
28 66.74
28 44.87
30 48.06
30 42.50
28 39.65
30 43.24
28 44.88
30 48.03
28 44.85
28 117.40
30 81.77
30 71.36
30 81.75
28 76.32
30 81.75
28 69.33
28 56.10
28 36.46
30 39.02
30 24.13
28 33.45
30 33.01
28 36.46
30 39.07
28 36.46
1.214285
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
41.420000
2.383571
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
4.192857
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
2.003571
1.302142
1.300666
0.804333
1.194642
1.100333
1.302142
1.302333
1.302142
0.868285
0.868285
0.868285
0.775000
0.868285
0.868285
0.868285
0.868285
41.420000
1.699285
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
2.854399
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
0.965199
0.965199
0.965199
0.804333
0.965199
0.965199
0.965199
0.965199
0.965199
0.868285
0.868285
0.868285
0.775000
0.868285
0.868285
0.868285
0.868285
41.420000
1.699285
1.602500
1.602000
1.416666
1.416071
1.441333
1.602857
1.601000
1.601785
2.854399
2.725666
2.378666
2.725000
2.725714
2.725000
2.476071
0.965199
0.965199
0.965199
0.804333
0.965199
0.965199
0.965199
0.965199
0.965199
6.53
6.76
0.217666
0.338000
0.217666
0.338000
0.217666
0.338000
30 780.80
28 79.52
28 90.49
26.026666
2.840000
3.231785
26.026666
1.644428
1.644428
26.026666
1.644428
1.644428
2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

1
2
B01AA07
B01AA07
ACENOCUMAROLUM*
ACENOCUMAROLUM*
TROMBOSTOP 2 mg
SINTROM 4 mg
30
20
Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari
3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
1
2
3
B01AC04
B01AC04
B01AC04
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
PLAVIX 300mg
COMPR. FILM.
CLOPIDOGREL TEVA 75 mg COMPR. FILM.
ZYLLT
COMPR. FILM.
300mg
75 mg
75 mg
TEVA PHARMA BV
FRANTA
OLANDA
CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)
P-RF
CUTIE CU BLIST. AL/AL X 28 X 1 COMPR. FILM. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF
Pagina 6 din 42
NR.CRT
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
COD ATC
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
B01AC04
DCI
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
Denumire Comerciala
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75mg
TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
TUXEDON 75 mg
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg
PLATEL 75 mg
DEPLATT 75 mg
CLOPIDOGREL ACCORD 75 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
ZENTIVA K.S.
FRANTA
CEHIA
UNGARIA
ZENTIVA K.S.
MYLAN S.A.S.
CEHIA
FRANTA
REPUBLICA CEHA
GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF
GERMANIA
SANDOZ S.R.L.
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
ROMANIA
POLONIA
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL)
P-RF
P-RF
CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF

P-RF
CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM. P-RF
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM. P-RF
ROMANIA
IWA CONSULTING APS

IWA CONSULTING APS
DANEMARCA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 30 COMPR. FILM.
P-RF
DANEMARCA CUTIE CU BLIST. PA-AL-PVC/AL (AL-AL) X 28 COMPR. FILM. P-RF
LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-RF

CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.
P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.
CIPRU
CIPRU
ROMANIA
CIPRU
ROMANIA

PRF
PRF
CUTIE CU 3 BLIST. AL/AL X 10 COMPR. FILM. PRF
SP EUROPE
CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )
P-RF/R
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.
P-RF/R
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
30
28
90
28
28
28
28
28
28
28
28
30
28
28
28
28
28
30
28
60
90
30
28
30
30
122.34
83.81
79.52
242.40
79.52
79.52
68.52
68.52
89.49
38.37
79.49
79.49
85.21
68.48
68.48
73.81
68.22
79.49
85.18
79.52
161.58
242.38
85.21
67.70
85.19
85.21
4.369285
2.793666
2.840000
2.693333
2.840000
2.840000
2.447142
2.447142
3.196071
1.370357
2.838928
2.838928
2.840333
2.445714
2.445714
2.636071
2.436428
2.838928
2.839333
2.840000
2.693000
2.693111
2.840333
2.417857
2.839666
2.840333
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.370357
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.370357
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
1.644428
611.90
4.370714
665.28
3.960000
194.11
6.470333
278.73
9.954642
386.16
6.436000
557.58
9.293000
386.16 12.872000
160.92 160.920000
1,928.98 64.299333
1,748.63 58.287666
1,938.42 64.614000
326.02 326.020000
514.01 514.010000
197.89 197.890000
318.52 318.520000
494.26 98.852000
261.45 261.450000
4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
Tratamentul se iniiaz de ctre medicul n specialitatea cardiologie.
4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C i D - G4

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
J05AB04
J05AB04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. ORALA
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
200mg
200mg
100 mg
100mg
LAMIVUDINE TEVA PHARMA B.V. 150 mg
150 mg
EPIVIR 150mg
150mg
300 mg
EPIVIR 10mg/ml
10mg/ml
HEPSERA
10mg
BARACLUDE 0,5mg
0,5mg
BARACLUDE 1mg
1mg
NEUPOGEN (R)
30MU/0,5ml
NEUPOGEN (R)
48MU/0,5ml
ZARZIO 30MU/0,5ml
60MU/ml
ZARZIO 48MU/0,5ml
96MU/ml
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF. 120g/0,2ml
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA
BELGIA
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
P-RF/R
GILEAD SCIENCE INTERNATIONAL LIMITED
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID X 30 COMPR.
P-RF/R
BRISTOL-MYERS SQUIBB
MAREA BRITANIE
CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)
P-RF/R
MAREA BRITANIE
CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)
P-RF/R
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML
S/P-RF
S/P-RF
SANDOZ GMBH
SANDOZ GMBH
AUSTRIA
AUSTRIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
P-RF/R
P-RF/R
HOSPIRA UK LIMITED
MAREA BRITANIE
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.
P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
S/P-RF/R
TEVA GENERICS GMBH GERMANIA
Pagina 7 din 42
140
168
30
28
60
60
30
1
30
30
30
1
1
1
1
5
1
NR.CRT
18
19
20
21
22
23
24
25
26
27
28
29
30
COD ATC
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01
DCI
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**
TARA
DET. APP
DETINATOR APP
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF. 300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
ROFERON A
SOL. INJ.
3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
ROFERON A
SOL. INJ.
Denumire Comerciala
INTRON A 18 milioane U.I.

PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K
forma farm.
concentratie
AMBALAJ
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.
P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
S/P-RF/R
P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL
S/P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL
S/P-RF
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE
P-RF/R
CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE
P-RF/R
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV.
P-RF/R
P-RF/R
SP EUROPE
30 milioane U.I. SP EUROPE
100mcg
SP EUROPE
120mcg
SP EUROPE
150mcg
SP EUROPE
50mcg
SP EUROPE
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
180mcg/0,5ml
MAREA BRITANIE
CAPS.
100mg
UNGARIA CUTIE X 1 FLAC. X 50 CAPS.
SOL. INJ. PEN MULTIDOZA

18 milioane U.I.
Prescriptie
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R

P-RF/R
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC
P-RF/R
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
5
1
5
1
1
1
1
1
1
1
1
1
50
1,129.37
225.874000
426.08 426.080000
1,843.52 368.704000
87.43 87.430000
183.22 183.220000
490.77 490.770000
772.57 772.570000
820.00 820.000000
969.85 969.850000
225.874000
382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000
225.874000
382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000
50
20
30
1
1
3
3
50
100
100
32.62
29.65
6.53
8.81
31.02
95.62
35.71
55.38
80.90
78.89
0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900
0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900
0.652400
1.482500
0.217666
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900
100 124.28
50 71.49
50 68.77
60 54.19
20 35.88
1.242800
1.429800
1.375400
0.903166
1.794000
1.242800
1.429800
1.375400
0.903166
1.794000
1.242800
1.429800
1.375400
0.903166
1.794000
1,193.66 1,193.660000 1,193.660000 1,193.660000
445.72 445.720000 445.720000 445.720000

975.16 975.160000 975.160000 975.160000
17.07
0.341400
0.341400
0.341400
Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)
5. HEPATITA AUTOIMUNA - G5
1
2
3
4
5
6
7
8
9
10
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB06
H02AB06
L04AX01
L04AX01
L04AX01
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
COMPR.
COMPR.
COMPR.
16mg
32mg
4mg
LIOF. PT. SOL. INJ. 125mg
LIOF. + SOLV. PT. SOL. INJ. 250mg
COMPR. FILM. 100mg
COMPR. FILM. 50mg
COMPR. FILM. 75mg
MAREA BRITANIE
CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF
MAREA BRITANIE
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF
ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

STADA HEMOFARM S.R.L.
MERCK KGAA
MERCK KGAA
EBEWE PHARMA GES.M.B.H. NFG KG
S/P-RF
GERMANIA
P-RF
GERMANIA
CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT
P-RF
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COMPR. FILM. PR

S/P-RF
AUSTRIA
S/P-RF
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
PR
Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie
6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
1
2
3
4
5
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
ACIDUM URSODEOXYCHOLICUM
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
250mg
250mg
250mg
150mg
300mg

ZAMBON S.P.A.
ZAMBON S.P.A.
Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie
7. CIROZA HEPATICA - G7
Pagina 8 din 42
CEHIA
ITALIA
ITALIA
CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S

CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L
CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L
NR.CRT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
COD ATC
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A07AA11
A07AA11
A07AA11
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
H02AB06
H02AB06
J05AB04
J05AB04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
DCI
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM*
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
Denumire Comerciala
DUPHALAC (R)
DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
LAEVOLAC 670mg/ml
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
VEROSPIRON
VEROSPIRON
SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
REBETOL 200 mg
COPEGUS 200mg
ZEFFIX 100 mg
EPIVIR 150mg
EPIVIR 10mg/ml
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
TEVAGRASTIM 30MUI/0,5ml
forma farm.
LICHID ORAL
LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
concentratie
66,7%
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
200mg
200mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
SOL. INJ.
10mg/ml
CAPS.
100mg
CAPS.
25mg
CAPS.
25mg
CAPS.
50mg
CAPS.
50mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 50mg
CAPS.
200mg
COMPR. FILM. 200mg
COMPR. FILM. 100 mg
COMPR. FILM. 100mg
COMPR. FILM. 150 mg
COMPR. FILM. 150mg
COMPR. FILM. 300 mg
SOL. ORALA
10mg/ml
COMPR.
10mg
COMPR. FILM. 0,5mg
COMPR. FILM. 1mg
SOL. INJ.
30MU/0,5ml
SOL. INJ.
48MU/0,5ml
60MU/ml
96MU/ml
SOL. INJ./PERF. 300mcg/0,5ml
DETINATOR APP
TARA
DET. APP
Prescriptie
1
1
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML
P-6L
1
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML
P-6L
1
MIP PHARMA GMBH GERMANIA
P-6L
1
MIP PHARMA GMBH GERMANIA
P-6L
1
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L
1
FRESENIUS KABI AUSTRIA GMBH AUSTRIA
P-RF
1
12
36
P-RF
1
MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
BIO EEL SRL
P-6L
20
ZENTIVA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
20
20
ZENTIVA SA
5
30
50
LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
30
30
BIO EEL SRL
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
50
TERAPIA SA
50
20
20
MERCK KGAA
GERMANIA
P-RF
3
MERCK KGAA
GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF
3
SP EUROPE
BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R
28
60
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R
60
30
GLAXO GROUP LTD. MAREA BRITANIE
P-RF/R
1
MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R
30
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R
30
BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R
30
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
SANDOZ GMBH
1
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF
5
TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
1
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
5
OLANDA
OLANDA
AMBALAJ
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML
P-RF
FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML
P-RF
CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP
CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D
CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
S/P-RF/R
Pagina 9 din 42
10.37 10.370000
10.37 10.370000
10.42 10.420000
3.47
3.470000
17.23 17.230000
33.34 33.340000
7.09
7.090000
3.57
3.570000
33.10
2.758333
91.26
2.535000
19.11 19.110000
3.02
0.151000
2.28
0.114000
5.42
0.271000
6.02
0.301000
3.04
0.152000
6.02
0.301000
6.07
1.214000
28.51
0.950333
16.07
0.321400
19.46
0.324333
16.72
0.557333
16.24
0.541333
4.30
0.215000
10.79
0.215800
10.79
0.215800
16.21
0.324200
4.30
0.215000
13.74
0.687000
95.62 31.873333
35.71 11.903333
611.90
4.370714
665.28
3.960000
194.11
6.470333
278.73
9.954642
386.16
6.436000
557.58
9.293000
386.16 12.872000
160.92 160.920000
1,928.98 64.299333
1,748.63 58.287666
1,938.42 64.614000
326.02 326.020000
514.01 514.010000
197.89 197.890000
318.52 318.520000
494.26 98.852000
261.45 261.450000
1,129.37 225.874000
10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
31.873333
11.903333
4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.215800
0.258000
0.215000
0.649599
31.873333
11.903333
4.370714
3.960000
6.470333
7.764399
6.436000
7.723200
12.872000
160.920000
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
NR.CRT
50
51
52
53
54
55
56
57
58
59
60
61
COD ATC
L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01
DCI
PEGINTERFERON ALFA-2A****
AMANTADINUM**
TARA
concentratie
DET. APP
DETINATOR APP
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
ROFERON A
SOL. INJ.
ROFERON A
SOL. INJ.
Denumire Comerciala

PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K
forma farm.
AMBALAJ
S/P-RF/R
P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL
S/P-RF
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL
S/P-RF
P-RF/R
P-RF/R
P-RF/R
P-RF/R
SP EUROPE
30 milioane U.I. SP EUROPE
100mcg
SP EUROPE
120mcg
SP EUROPE
150mcg
SP EUROPE
50mcg
SP EUROPE
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
180mcg/0,5ml
MAREA BRITANIE
CAPS.
100mg

18 milioane U.I.
Prescriptie
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R

P-RF/R
P-RF/R
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
5
1
1
1
1
1
1
1
1
1
50
426.08 426.080000
368.704000
87.43 87.430000
183.22 183.220000
490.77 490.770000
772.57 772.570000
820.00 820.000000
969.85 969.850000
1,843.52
382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000
382.224000
368.704000
87.430000
183.220000
490.770000
772.570000
820.000000
969.850000
1,193.66 1,193.660000 1,193.660000 1,193.660000
445.72 445.720000 445.720000 445.720000

975.16 975.160000 975.160000 975.160000
17.07
0.341400
0.341400
0.341400
Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase
8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
PALONOSETRONUM**
PALONOSETRONUM**
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM BETA***
EPOETINUM BETA***
OSETRON 4 mg
OSETRON 8 mg
COMPR. FILM.
COMPR. FILM.
OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ.
OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ.
EMESET 8 mg/4 ml
SOL. INJ./PERF.
EMESET 4 mg/2 ml
SOL. INJ./PERF.
KYTRIL (R) 1 mg
COMPR. FILM.
GRANISETRON ACTAVIS 1 mg COMPR. FILM.
GRANEGIS 1 mg
COMPR. FILM.
GRANORED 1 mg
COMPR. FILM.
GRANORED 2 mg
COMPR. FILM.
GRANISETRON KABI 1 mg/ml
GRANISETRON TEVA 1mg/1ml
GRANISETRON TEVA 3mg/3ml
CONC. PT. SOL. INJ./PERF.
KYTRIL
ALOXI 500mcg
ALOXI
BINOCRIT 10000UI/1,0ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
SOL. INJ.
CAPS. MOI
SOL. INJ.
4mg
8mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
1mg
1mg
1mg
1mg
2mg
1mg/ml
1mg/ml
1mg/ml
1mg/1ml
3mg/3ml
3mg/3ml
500mcg
250 mcg/5ml
10000UI/1,0ml SANDOZ GMBH
NEORECORMON 10000UI/0,6ml

CONC. PT. SOL. PERF./INJ.
CONC. PT. SOL. PERF./INJ.

CIPLA (UK) LIMITED

CIPLA (UK) LIMITED
ROMANIA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.
P-RF
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.
P-RF
CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.
S/P-RF
CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.
S/P-RF
MAREA BRITANIE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF
MAREA BRITANIE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF

ISLANDA
UNGARIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM.

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ.
ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ.
HELSINN BIREX PHARMACEUTICALS LTD.

HELSINN BIREX PHARMACEUTICALS LTD.
IRLANDA
IRLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
P-RF
PRF
PRF
S/P-RF
S/P-RF
S/P-RF
S
S
S
CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE
PRF
CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ.
P-RF
CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
S/P-RF/R
CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
S/P-RF/R
S/P-RF/R

40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
10000UI/0,6ml
MAREA BRITANIE
CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE
S/P-RF/R
2000UI/0,3ml
MAREA BRITANIE
CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE
S/P-RF/R

Pagina 10 din 42
CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
P-RF/R
S/P-RF/R
SLOVENIA
CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.
S/P-RF
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.
P-RF/R
S/P-RF/R
S/P-RF/R
10
10
5
5
5
5
10
10
10
10
10
10
5
10
5
5
1
1
1
6
6
6
1
6
1
1
6
6
6
6
19.04
1.904000
1.904000
33.31
3.331000
3.331000
43.75
8.750000
8.750000
23.79
4.758000
4.758000
43.73
8.746000
8.746000
23.79
4.758000
4.758000
287.59 28.759000 17.835600
148.63 14.863000 14.863000
148.63 14.863000 14.863000
178.35 17.835000 17.835000
271.77 27.177000 27.177000
135.28 13.528000 13.528000
199.30 39.860000 39.860000
394.03 39.403000 39.403000
71.52 14.304000 14.304000
199.86 39.972000 39.972000
66.02 66.020000 47.283600
403.43 403.430000 403.430000
381.18 381.180000 381.180000
1,728.54 288.090000 288.090000
218.42 36.403333 36.403333
425.83 70.971666 70.971666
788.23 788.230000 788.230000
603.73 100.621666 100.621666
1.904000
3.331000
8.750000
4.758000
8.746000
4.758000
17.835600
14.863000
14.863000
17.835000
27.177000
13.528000
39.860000
39.403000
14.304000
39.972000
47.283600
403.430000
381.180000
288.090000
36.403333
70.971666
788.230000
100.621666
1,353.47 1,353.470000 1,193.316000 1,193.316000
994.43 994.430000 994.430000 994.430000

781.57 130.261666 130.261666 130.261666
959.37 159.895000 159.895000 159.895000
2,346.60 391.100000 391.100000 391.100000
526.27 87.711666 87.711666 87.711666
NR.CRT
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
COD ATC
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
G03HA01
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J02AX04
J02AX04
L01XX35
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
DCI
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
Denumire Comerciala
ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 20mcg/0,5ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
ANDROCUR
DEXAMED
forma farm.
concentratie
DETINATOR APP
30000 UI/0,6ml ROCHE REGISTRATION LTD.
TARA
DET. APP
AMBALAJ
Prescriptie
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
MAREA BRITANIE
CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE
S/P-RF/R
100mcg/0,5ml AMGEN EUROPE BV OLANDA
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
P-RF/R
10mcg/0,4ml AMGEN EUROPE BV

500mcg/ml AMGEN EUROPE BV
50mg
0,5mg
CN UNIFARM S.A.
8mg
8mg
8mg/2ml
MEDOCHEMIE LTD.
8mg/2ml
MEDOCHEMIE LTD.
100mg
100mg
SLAVIA PHARM SRL
100mg
ARENA GROUP S.A.
100mg
MEDICO UNO PHARMACEUTICAL SRL
100mg
100mg
LABORMED PHARMA S.A.
100mg
200mg
PFIZER LIMITED
50mg
PFIZER LIMITED
200mg
PFIZER LIMITED
40mg/ml
PFIZER LIMITED
40mg/ml
SP EUROPE
40mg/ml
MERCK SHARP & DOHME
50mg
MERCK SHARP & DOHME
70mg
MERCK SHARP & DOHME
0,5mg
0,5mg
100mg
25mg
25mg
50mg
50mg
50mg
HEXAL AG
10mg
MUNDIPHARMA GMBH
20mg
MUNDIPHARMA GMBH
100mg
MUNDIPHARMA GES.M.B.H
10mg
200mg
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
P-RF/R
P-RF/R
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML
P-RF/R
P-RF/R
P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML
P-RF/R
P-RF/R
P-RF/R
P-RF/R
GERMANIA
P-RF


COMPR.
COMPR.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMED
SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
PULB. PT. CONC. PT. SOL. PERF.
CANCIDAS 70 mg
THROMBOREDUCTIN
CAPS.
THROMBOREDUCTIN
CAPS.
EQUORAL (R) 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL (R) 25 mg
CAPS. MOI
EQUORAL (R) 50 mg
CAPS. MOI
CICLORAL 50 mg
CAPS. MOI
SEVREDOL 10 mg
COMPR. FILM.
SEVREDOL 20 mg
COMPR. FILM.
MST CONTINUS 100 mg
MST CONTINUS 10 mg
MST CONTINUS 200 mg
ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH
Pagina 11 din 42
ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF

ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF
CIPRU
CIPRU
BELGIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

MAREA BRITANIE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
MAREA BRITANIE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA
P-RF
BELGIA
MAREA BRITANIE
CUTIE X 1 FLAC. X 105ML SUSP. ORALA

MAREA BRITANIE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
MAREA BRITANIE
P-RF/S
CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS.

AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS.
CEHIA
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CEHIA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/R
P-RF/R
S
S
P-RF
P-RF/S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
S/P-RF
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD.
P-TS
P-TS
P-TS
CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS

CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
6
6
6
4
4
4
4
1
4
4
1
4
4
4
50
100
100
5
100
10
15
15
15
15
15
15
15
28
28
1
1
1
1
1
1
42
100
50
50
50
50
50
50
56
56
60
60
60
1,174.53 1,174.530000 1,174.530000 1,174.530000
981.05 163.508333 163.508333 163.508333

201.383333 201.383333 201.383333
143.93 23.988333 23.988333 23.988333
3,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000
1,208.30
4,708.35 1,177.087500 1,177.087500 1,177.087500
702.64 175.660000 175.660000 175.660000

2,208.61 2,208.610000 2,208.610000 2,208.610000
1,009.47
1,318.95
252.367500 252.367500 252.367500

329.737500 329.737500 329.737500
3,633.81 3,633.810000 3,633.810000 3,633.810000

1,626.76
1,937.17
2,555.95
162.33
18.38
123.66
6.98
92.18
10.39
76.92
52.56
52.56
52.56
52.56
52.56
52.55
3,917.72
1,032.33
537.45
406.690000
484.292500
638.987500
3.246600
0.183800
1.236600
1.396000
0.921800
1.039000
5.128000
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000
406.690000
484.292500
638.987500
3.246600
0.183800
1.106160
1.106160
0.921800
1.039000
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000
406.690000
484.292500
638.987500
3.246600
0.183800
1.106160
1.106160
0.921800
1.039000
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000
2,439.99 2,439.990000 2,439.990000 2,439.990000

2,750.28 2,750.280000 2,750.280000 2,750.280000
2,750.28 2,750.280000 2,750.280000 2,750.280000
1,348.76 1,348.760000 1,348.760000 1,348.760000
1,738.70 1,738.700000 1,738.700000 1,738.700000
875.92
1,655.48
471.31
137.32
94.13
292.16
189.90
305.21
46.96
67.34
248.14
46.12
422.55
20.855238
16.554800
9.426200
2.746400
1.882600
5.843200
3.798000
6.104200
0.838571
1.202500
4.135666
0.768666
7.042500
19.865760
16.554800
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
0.838571
1.202500
3.401599
0.768666
7.042500
19.865760
16.554800
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
0.838571
1.202500
3.401599
0.768666
7.042500
NR.CRT
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
COD ATC
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA05
N02AA05
N02AA05
N02AA05
N02AA08
N02AA08
N02AA08
N02AB02
N02AB03
N02AB03
N02AB03
N02AB03
N02AB03
N02AB03
100 N02AB03
101 N02AB03
102 N02AB03
103 N02AB03
104 N02AB03
105 N02AB03
106 N02AB03
107 N02AB03
108 N02AB03
109 N02AX02
110 N02AX02
111 N02AX02
112 N02AX02
113 N02AX02
114 N02AX02
115 N02AX02
116 N02AX02
117 N02AX02
118 N02AX02
119 N02AX02
120 N02AX02
121 N02AX02
122 N02AX02
123 N02AX02
124 N02AX02
125 N02AX02
126 N02AX02
127 N02AX02
128 N02AX02
DCI
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
PETHIDINUM
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire Comerciala
MST CONTINUS 30 mg
MST CONTINUS 60 mg
VENDAL (R) RETARD 100 mg
forma farm.
VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL.

VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL.
MORFINA 20 mg/ml
SOL. INJ.
OXYCONTIN (R) 10 mg
OXYCONTIN (R) 20 mg
OXYCONTIN (R) 40 mg
OXYCONTIN (R) 80 mg
DHC CONTINUS 120 mg
COMPR. ELIB. PREL.
DHC CONTINUS 60 mg
COMPR. ELIB. PREL.
DHC CONTINUS 90 mg
COMPR. ELIB. PREL.
MIALGIN (R) 100 mg/2 ml
SOL. INJ.
concentratie
30mg
60mg
100mg
30mg
60mg
20mg/ml
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
50mg/ml
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ZENTIVA S.A.
P-TS
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
P-TS
P-TS
P-TS
P-TS
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
GMBH
GMBH
GMBH
GMBH
GMBH
GMBH
GMBH
ZENTIVA SA
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.
P-TS
P-TS
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
P-TS
P-TS
P-TS

ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML

ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC
P-TS
FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h ACTAVIS GROUP PTC EHF.
ISLANDA
CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC
P-TS
DOLFORIN 100 g/ORA
ROMANIA
ROMANIA
ROMANIA
CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC
P-TS
CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
P-TS
CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC
P-TS
P-TS
P-TS
FENTANYL SANDOZ MATRIX 75mcg/h PLASTURE TRANSDERM. 17,34mg/31,50cmp

FENTANYL SANDOZ MATRIX 100mcg/h PLASTURE TRANSDERM. 23,12mg/42.00cmp
FENTANYL TTS SANDOZ 100 mcg/h
PLASTURE TRANSDERMIC
100mcg/h
100g/ora
FENTANYL SANDOZ MATRIX 50mcg/h PLASTURE TRANSDERMIC 11,56mg/21,00cmp
SANDOZ S.R.L.
SANDOZ S.R.L.
P-TS
P-TS
P-TS
25mcg/h
FENTANYL ACTAVIS 25micrograme/h
25micrograme/h ACTAVIS GROUP PTC EHF.
ISLANDA
DOLFORIN 25 g/ORA
25g/ora
ROMANIA
ROMANIA
ROMANIA
CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
FENTANYL SANDOZ MATRIX 25mcg/h PLASTURE TRANSDERMIC 5,78mg/10,5cmp
SANDOZ S.R.L.
SANDOZ S.R.L.
50mcg/h
FENTANYL ACTAVIS 50micrograme/h
50micrograme/h ACTAVIS GROUP PTC EHF.
ISLANDA
DOLFORIN 50 g/ORA
DOLFORIN 75 g/ORA
TRALGIT 50
TRAMADOL
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL 50 mg
50g/ora
75mcg/h
75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
100mg
ROMANIA
ROMANIA
ROMANIA
ZENTIVA A.S.
KRKA D.D.
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
P-RF

ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS.
ANTIBIOTICE SA
AC HELCOR SRL
P-RF
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. MODIF.
SANDOZ S.R.L.
GERMANIA
P-RF
P-RF
P-RF
P-RF
P-RF
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

P-RF
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GERMANIA
CUTIE X BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
MAGISTRA C & C
BIO EEL SRL
P-RF

HEXAL AG
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF
Pagina 12 din 42
P-RF
P-RF
P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
60
60
30
30
30
5
56
56
56
56
56
56
56
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
20
20
30
10
10
20
10
20
10
20
10
30
10
20
30
30
20
20
20
10
76.46
154.65
85.04
27.06
55.81
8.29
116.83
214.65
395.50
652.80
128.54
29.34
101.69
7.80
154.58
191.24
191.24
190.93
191.24
120.78
71.80
69.07
69.71
71.80
120.78
120.72
120.78
154.58
154.58
5.82
5.82
11.53
3.85
3.85
7.67
3.85
7.67
3.82
9.00
17.38
47.39
26.09
48.58
68.71
78.13
7.67
7.67
7.67
6.30
1.274333
2.577500
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.384333
0.385000
0.385000
0.383500
0.385000
0.383500
0.382000
0.450000
1.738000
1.579666
2.609000
2.429000
2.290333
2.604333
0.383500
0.383500
0.383500
0.630000
1.082400
2.232399
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.755599
0.755599
1.342800
1.342800
1.342800
2.127999
0.349200
0.349200
0.349200
0.630000
1.082400
2.232399
2.834666
0.902000
1.860333
1.658000
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.560000
30.916000
38.248000
38.248000
38.186000
38.248000
24.156000
14.360000
13.814000
13.942000
14.360000
24.156000
24.144000
24.156000
30.916000
30.916000
0.291000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.755599
0.755599
1.342800
1.342800
1.342800
2.127999
0.349200
0.349200
0.349200
0.630000
NR.CRT
DCI
COD ATC
129 N02AX02
130 N02AX02
131 N02AX02
132 N02AX02
133 N02AX02
134 N02AX02
135 N02AX02
136 N02AX02
137 N02AX02
138 N02AX02
139 N02AX02
140 N02AX02
141 N02AX02
142 N02AX02
143 N02AX02
144 N02AX02
145 N02AX02
146 N02AX02
147 N02AX02
148 N02AX02
149 N02AX02
150 N02AX02
151 N07BC02
152 N07BC02
153 R05DA04
154 R05DA04
155 R05DA04
156 R05DA04
157 R05DA04
158 R05DA04
159 R05DA04
160 V03AC01
161 V03AC03
162 V03AC03
163 V03AC03
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
DEFEROXAMINUM**3)
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***
Denumire Comerciala
forma farm.
TRAMADOL (R) RETARD

TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
SINTALGON 2,5 mg
METADON BIOEEL 5 mg
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT
COMPR. ELIB. PREL.
concentratie
100mg
100mg
100mg
100mg
150mg
150mg
200mg
50mg
100mg
150mg
150mg
200mg
200mg
PIC. ORALE, SOL.
FARA CONCENTRATIE
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CODEINA FOSFAT LPH 15 mg COMPR.
CODEINA FOSFAT MCC 15 mg COMPR.
CODEINA FOSFAT 15 mg
COMPR.
DESFERAL
LIOF. PT. SOL. INJ./PERF.
EXJADE 125mg
COMPR. DISP.
EXJADE 250mg
COMPR. DISP.
EXJADE 500mg
COMPR. DISP.
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
2,5mg
5mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
500mg
125mg
250mg
500mg
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
TARA
DET. APP
AMBALAJ
SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.
SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
AUSTRIA
DETINATOR APP
Prescriptie
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.
P-RF
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.
P-RF
P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL.
P-RF
S/P-RF
S/P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.
CIPRU
CIPRU
SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF
S/P-RF
KRKA D.D.
ZENTIVA S.A.
BIO EEL SRL
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL
S/P-RF
KRKA D.D.
S/P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
S/P-RF
P-RF
P-TS
P-TS

P-RF
P-RF

P-RF
CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.
S/P-RF
MAREA BRITANIE
CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)
P-RF/R
MAREA BRITANIE
CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)
P-RF/R
MAREA BRITANIE
P-RF/R
P-RF
P-RF
P-RF
P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
50
10
30
30
10
10
30
10
10
30
10
30
1
5
100
5
5
5
5
5
5
50
50
30
25
20
20
20
20
20
10
28
28
28
18.91
32.56
6.30
18.89
33.57
21.05
27.50
10.65
9.69
22.03
41.57
28.18
53.20
5.04
9.83
134.56
12.28
4.93
4.90
13.10
7.67
5.58
24.41
15.72
6.01
5.13
3.02
3.02
3.19
3.65
2.96
135.07
787.57
0.630333
0.630333
0.630333
0.651200
0.651200
0.651200
0.630000
0.630000
0.630000
0.629666
0.629666
0.629666
1.119000
1.119000
1.119000
2.105000
1.342800
1.342800
2.750000
2.127999
2.127999
0.355000
0.349200
0.349200
0.969000
0.755599
0.755599
2.203000
1.342800
1.342800
1.385666
1.342800
1.342800
2.818000
2.127999
2.127999
1.773333
1.773333
1.773333
5.040000
5.040000
5.040000
1.966000
1.614720
1.614720
1.345600
1.345600
1.345600
2.456000
1.614720
1.614720
0.986000
0.986000
0.986000
0.980000
0.980000
0.980000
2.620000
1.614720
1.614720
1.534000
1.534000
1.534000
1.116000
1.116000
1.116000
0.488200
0.488200
0.488200
0.314400
0.314400
0.314400
0.200333
0.177600
0.177600
0.205200
0.177600
0.177600
0.151000
0.151000
0.151000
0.151000
0.151000
0.151000
0.159500
0.159500
0.159500
0.182500
0.177600
0.177600
0.148000
0.148000
0.148000
13.507000 13.507000 13.507000
28.127500 28.127500 28.127500
1,631.03 58.251071 58.251071 58.251071
2,937.68 104.917142 104.917142 104.917142
Tratamentul se iniiaz de ctre medicul n specialitatea oncologie sau hematologie.

9. EPILEPSIE - G11
1
2
3
4
5
6
7
8
9
N03AA02
N03AA02
N03AA02
N03AA02
N03AB02
N03AB02
N03AE01
N03AE01
N03AF01
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM
FENOBARBITAL 100 mg
FENOBARBITAL 100 mg
COMPR.
COMPR.
FENOBARBITAL ARENA 100mg COMPR.
FENOBARBITAL 200 mg/ 2 ml SOL. INJ.
FENITOINA RICHTER 100 mg COMPR.
PHENHYDAN 250 mg/5 ml
SOL. INJ.
RIVOTRIL
COMPR.
RIVOTRIL 2 mg
COMPR.
TEGRETOL (R) 200
COMPR.
100 mg
100mg
100mg
10%
100mg
250mg/5ml
0,5mg
2mg
200mg
ZENTIVA SA

SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
ZENTIVA S.A
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
P-6L
GERMANIA
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
Pagina 13 din 42
25
10
10
5
20
5
50
30
50
4.39
1.14
1.14
10.96
2.77
67.73
6.89
6.56
17.38
0.175600
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.347600
0.136800
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.173760
0.136800
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.173760
NR.CRT
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
COD ATC
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF02
N03AF02
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
DCI
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
OXCARBAZEPINUM
OXCARBAZEPINUM
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
Denumire Comerciala
forma farm.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
CARBEPSIL 200
TAVER
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
COMPR. RET.
150mg
COMPR. RET.
300mg
COMPR. RET.
600mg
COMPR.FILM.ELIB.PREL 200mg
SUSP. ORALA
100mg/5ml
COMPR. FILM. 300mg
COMPR. FILM. 600mg
CAPS. MOI GASTROREZ. 150mg
COMPR. FILM. ELIB. PREL. DIVIZ. 300mg
COMPR. FILM. GASTROREZ. 150mg
LIOF. + SOLV. PT. SOL. 400mg/4ml
MINICOMPR. ELIB. PREL. 1000mg
SIROP
300mg/5ml
SIROP
57,64mg/ml
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
200mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
TAVER
COMPR.
CARBAMAZEPINA
COMPR.
CARBEPSIL 400
COMPR.
TEGRETOL CR 200
TEGRETOL CR 400
TIMONIL 150 RETARD
TIMONIL 300 RETARD
TIMONIL 600 RETARD
TIMONIL SIROP
TRILEPTAL (R) 300 mg
TRILEPTAL (R) 600 mg
ORFIRIL LONG 150 mg
ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg
DEPAKINE (R) CHRONO 500 mg
DEPAKINE CHRONO 300 mg

ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.
ORFIRIL LONG 1000 mg

ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
LAMOTRIGINE FARMAL 100 mg
LAMICTAL 100 mg
LAMOTRIGINA SUN 100 mg
LAMOTRIGINE TORRENT 100 mg
LAMOTRIX 200 mg
concentratie
TARA
DET. APP
AMBALAJ
AC HELCOR SRL
P-6L
DETINATOR APP
Prescriptie

BIO EEL SRL
GERMANIA
P-6L
P-6L
P-6L
CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.
P-6L

P-6L
P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L

AC HELCOR SRL
P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
AUSTRIA
AUSTRIA
CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL
P-6L
CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL.
P-6L
P-6L
P-6L
CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.
P-6L

GERMANIA
DESITIN
DESITIN
DESITIN
GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L
GERMANIA
CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL.
P-6L
GERMANIA
CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE
P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
GERMANIA
CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.
P-6L
GERMANIA
CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.
P-6L
CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ.
P-6L
P-6L
CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.
P-6L
AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-6L

CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE
P-6L
GERMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.
P-6L
FRANTA
CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ.
P-6L
GERMANIA
P-6L
GERMANIA
P-6L
FRANTA
CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF
GERMANIA
CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.
P-6L
GERMANIA
P-6L
GERMANIA
CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML
P-6L
SANOFI - AVENTIS FRANCE
FRANTA
CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA
P-6L
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR.

CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR.
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
TORRENT PHARMA S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
P-RF
Pagina 14 din 42
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
50 11.31
50 11.31
50 11.31
50
7.24
20
4.42
20
4.50
50 11.31
20
4.96
20
4.50
20
4.51
50 26.26
20 10.51
50 20.68
50 36.59
50 19.17
30 25.35
50 27.10
50 15.16
50 20.62
50 36.53
50 12.43
1 22.51
50 64.73
50 118.30
50 21.96
50 36.76
100 20.26
100 33.28
100 51.12
30 16.06
100 34.76
100 29.14
40 10.72
100 37.58
50 39.99
4 127.06
50 94.92
50 59.48
1 36.26
1 23.13
28 26.66
30 28.86
30 28.86
30 28.86
30 28.84
28 40.13
56 52.11
30 28.24
30 60.33
0.226200
0.226200
0.226200
0.144800
0.221000
0.225000
0.226200
0.248000
0.225000
0.225500
0.525200
0.525500
0.413600
0.731800
0.383400
0.845000
0.542000
0.303200
0.412400
0.730600
0.248600
22.510000
1.294600
2.366000
0.439200
0.735200
0.202600
0.332800
0.511200
0.535333
0.347600
0.291400
0.268000
0.375800
0.799800
31.765000
1.898400
1.189600
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.433214
0.930535
0.941333
2.011000
0.173760
0.173760
0.173760
0.144800
0.173760
0.173760
0.173760
0.173760
0.173760
0.173760
0.525200
0.525500
0.413600
0.731800
0.173760
0.630240
0.542000
0.303200
0.412400
0.730600
0.173760
22.510000
1.294600
2.366000
0.243120
0.399360
0.202600
0.332800
0.511200
0.535333
0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
0.173760
0.173760
0.173760
0.144800
0.173760
0.173760
0.173760
0.173760
0.173760
0.173760
0.525200
0.525500
0.413600
0.731800
0.173760
0.630240
0.542000
0.303200
0.412400
0.730600
0.173760
22.510000
1.294600
2.366000
0.243120
0.399360
0.202600
0.332800
0.511200
0.535333
0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
NR.CRT
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
COD ATC
DCI
N03AX09
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
100 N03AX11
101 N03AX11
102 N03AX11
103 N03AX11
104 N03AX11
105 N03AX11
106 N03AX11
107 N03AX11
Denumire Comerciala

LAMOTIRAN 25 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg
LAMICTAL 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
TOPAMAX 100 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg
TOPIRAMAT ACTAVIS 100 mg
ZIDOXER 100 mg
TOPILEX 100 mg
LUSITRAX 100mg
ZIDOXER 100 mg
TORLEPTA 100 mg
TOPIRAMAT BLUEFISH 100 mg
ETOPRO 100 mg
TOPIRAMAT EGIS 100 mg
NEXTOP 100 mg
TOPRAN 200 mg
ZIDOXER 200 mg
NEXTOP 200 mg
TOPAMAX 25 mg
TOPRAN 25 mg
ZIDOXER 25 mg
TOPILEX 25 mg
LUSITRAX 25 mg
ZIDOXER 25 mg
TORLEPTA 25 mg
NEXTOP 25 mg
TOPAMAX 50 mg
TOPRAN 50 mg
ZIDOXER 50 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
200mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

Prescriptie
P-6L
P-6L
P-6L
GERMANIA CUTIE X 3 BLIST. X 10 COMPR.

P-6L
P-RF
CIPLA (UK) LIMITED
MAREA BRITANIE
ACTAVIS GROUP HF. ISLANDA

P-6L
P-6L
P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE
P-6L
P-6L
P-6L
JOHNSON & JOHNSON D.O.O.
SLOVENIA
TERAPIA SA

ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF
ACTAVIS S.R.L.
OLANDA
AUSTRIA
ROMANIA
REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM.
P-6L
CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.
P-RF
SUEDIA CUTIE CU BLIST. AL/AL X 60 COMPR. FILM.

SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.
UK
CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.
P-RF

TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
P-6L

P-RF
P-6L
PRF
P-6L
P-RF
P-6L
P-6L
SLOVENIA
TERAPIA SA

ACTAVIS S.R.L.
OLANDA
AUSTRIA
ROMANIA
REPUBLICA SLOVACA

P-6L
P-RF

UK
ROMANIA
SLOVENIA
TERAPIA SA
ACTAVIS S.R.L.

OLANDA
Pagina 15 din 42
P-RF
PRF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
56
28
30
28
30
28
30
30
30
28
56
30
30
30
28
60
30
60
28
30
30
28
30
60
60
60
60
30
60
30
28
30
28
60
30
60
28
30
30
28
30
60
60
30
28
60
30
60
28
99.51
6.66
7.26
10.40
14.41
13.33
14.41
14.41
14.42
20.69
26.89
28.84
3.82
16.95
125.11
165.90
90.25
159.80
84.23
87.49
87.45
84.23
80.21
142.68
142.68
134.01
133.79
87.16
310.81
159.08
148.47
155.05
40.62
53.96
29.21
55.59
27.29
27.81
27.87
27.29
26.67
51.29
48.19
27.57
73.20
97.27
53.67
89.22
50.09
1.776964
0.237857
0.242000
0.371428
0.480333
0.476071
0.480333
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
4.468214
2.765000
3.008333
2.663333
3.008214
2.916333
2.915000
3.008214
2.673666
2.378000
2.378000
2.233500
2.229833
2.905333
5.180166
5.302666
5.302500
5.168333
1.450714
0.899333
0.973666
0.926500
0.974642
0.927000
0.929000
0.974642
0.889000
0.854833
0.803166
0.919000
2.614285
1.621166
1.789000
1.487000
1.788928
1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
2.675799
2.675799
2.675799
2.663333
2.675799
2.675799
2.675799
2.675799
2.673666
2.378000
2.378000
2.233500
2.229833
2.675799
5.180166
5.302666
5.302500
5.168333
0.963799
0.899333
0.963799
0.926500
0.963799
0.927000
0.929000
0.963799
0.889000
0.854833
0.803166
0.919000
1.495999
1.495999
1.495999
1.487000
1.495999
1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
2.675799
2.675799
2.675799
2.663333
2.675799
2.675799
2.675799
2.675799
2.673666
2.378000
2.378000
2.233500
2.229833
2.675799
5.180166
5.302666
5.302500
5.168333
0.963799
0.899333
0.963799
0.926500
0.963799
0.927000
0.929000
0.963799
0.889000
0.854833
0.803166
0.919000
1.495999
1.495999
1.495999
1.487000
1.495999
NR.CRT
COD ATC
108 N03AX11
109 N03AX11
110 N03AX11
111 N03AX11
112 N03AX11
113 N03AX11
114 N03AX11
115 N03AX11
116 N03AX12
117 N03AX12
118 N03AX12
119 N03AX12
120 N03AX12
121 N03AX12
122 N03AX12
123 N03AX12
124 N03AX12
125 N03AX12
126 N03AX12
127 N03AX12
128 N03AX12
129 N03AX12
130 N03AX12
131 N03AX12
132 N03AX12
133 N03AX12
134 N03AX12
135 N03AX14
136 N03AX14
137 N03AX14
138 N03AX14
139 N03AX14
140 N03AX14
141 N03AX14
142 N03AX14
143 N03AX14
144 N03AX14
145 N03AX14
146 N03AX14
147 N03AX14
148 N03AX14
149 N03AX14
150 N03AX14
151 N03AX14
152 N03AX14
153 N03AX14
154 N03AX14
155 N03AX14
156 N03AX14
DCI
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
Denumire Comerciala
TOPILEX 50 mg
LUSITRAX 50 mg
ZIDOXER 50 mg
TORLEPTA 50 mg
NEXTOP 50 mg
GABAGAMMA 100 mg
GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAGAMMA 300 mg
GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAGAMMA 400 mg
GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABARAN 600 mg
GABAGAMMA 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GABAGAMMA 800 mg
GRIMODIN 800 mg
LEVETIRACETAM TORRENT 1000 mg
KEPPRA 1000 mg
LEVETIRACETAM ACCORD 1000mg
LEVETIRACETAM ACTAVIS 1000mg
LEVETIRACETAM PHARMASWISS 1000 mg
LEVETIRACETAM TEVA 1000mg
TRUND 1000 mg
EPILETAM 1000 mg
LEVETIRACETAM DR. REDDY'S 1000 mg
LERETAN 1000 mg
MYAKELL 1000 mg
LEVETIRACETAM TEVA 250 mg
KEPPRA 250 mg
LEVETIRACETAM PHARMASWISS 250 mg
TRUND 250 mg
EPILETAM 250 mg
MYAKELL 250 mg
KEPPRA 500 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
300mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
800mg
800mg
800mg
1000 mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
250 mg
250 mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500 mg
500mg
DETINATOR APP
TARA
DET. APP
AUSTRIA
ROMANIA
REPUBLICA SLOVACA
AMBALAJ
Prescriptie
P-6L
P-RF

SUEDIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
UK
ROMANIA
GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L
P-RF
P-RF
PRF
UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L
RANBAXY UK LTD.
MAREA BRITANIE
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.
MAREA BRITANIE
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

RANBAXY UK LTD.
MAREA BRITANIE
GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
UNGARIA
RANBAXY UK LTD.
MAREA BRITANIE
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
UNGARIA
ROMANIA
P-6L
P-RF
UCB PHARMA SA
BELGIA
CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF
ISLANDA
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA
P-6L
CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. PRF

CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.
PRF
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF
TEVA PHARMA
OLANDA
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
REPUBLICA SLOVACA
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM.
PRF
UNGARIA
ROMASTRU TRADING SRL ROMANIA
PRF
PRF
PRF
PRF
TEVA PHARMA
OLANDA
ROMANIA
UCB PHARMA SA
BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

ISLANDA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.
PRF
P-RF
PRF
PRF
UNGARIA
PRF
PRF
PRF
UCB PHARMA LTD
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF
REPUBLICA SLOVACA
Pagina 16 din 42
BELGIA
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
30
28
30
60
60
60
30
100
50
60
50
100
50
100
60
50
100
50
100
60
30
100
60
30
100
60
30
30
30
30
30
30
60
30
30
30
30
30
30
30
30
30
30
60
30
30
30
30
51.21
51.21
50.09
47.85
84.54
84.54
74.80
50.82
60.61
31.05
33.34
70.89
133.56
65.96
133.09
63.62
94.53
175.18
72.72
169.16
85.96
65.21
195.74
123.68
104.24
329.52
197.38
222.17
345.20
222.85
183.44
183.44
222.99
435.10
202.47
100.56
224.38
220.10
62.36
61.87
91.13
62.31
61.87
60.36
118.46
52.05
62.36
116.79
171.53
1.707000
1.707000
1.788928
1.595000
1.409000
1.409000
1.246666
1.694000
0.606100
0.621000
0.555666
1.417800
1.335600
1.319200
1.330900
1.060333
1.890600
1.751800
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
7.405666
11.506666
7.428333
6.114666
6.114666
7.433000
7.251666
6.749000
3.352000
7.479333
7.336666
2.078666
2.062333
3.037666
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
3.893000
5.717666
1.495999
1.495999
1.495999
1.495999
1.409000
1.409000
1.246666
1.495999
0.606100
0.621000
0.555666
1.272399
1.272399
1.272399
1.272399
1.060333
1.719199
1.719199
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
3.352000
4.022400
4.022400
2.078666
2.062333
2.082000
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
2.002399
2.002399
1.495999
1.495999
1.495999
1.495999
1.409000
1.409000
1.246666
1.495999
0.606100
0.621000
0.555666
1.272399
1.272399
1.272399
1.272399
1.060333
1.719199
1.719199
1.454400
1.691600
1.432666
2.173666
1.957400
2.061333
3.474666
3.295200
3.289666
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
4.022400
3.352000
4.022400
4.022400
2.078666
2.062333
2.082000
2.077000
2.062333
2.012000
1.974333
1.735000
2.078666
2.002399
2.002399
NR.CRT
COD ATC
157 N03AX14
158 N03AX14
159 N03AX14
160 N03AX14
161 N03AX14
162 N03AX14
163 N03AX14
164 N03AX14
165 N03AX14
166 N03AX14
167 N03AX14
168 N03AX14
169 N03AX14
170 N03AX14
171 N03AX14
172 N03AX14
173 N03AX14
174 N03AX14
175 N03AX16
176 N03AX16
177 N03AX16
178 N03AX16
179 N03AX16
180 N03AX16
DCI
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
Denumire Comerciala
forma farm.
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM PHARMASWISS 500 mg COMPR. FILM.
LEVETIRACETAM TEVA 500 mg COMPR. FILM.
TRUND 500 mg
COMPR. FILM.
EPILETAM 500 mg
COMPR. FILM.
LEVETIRACETAM DR. REDDY'S 500 mg COMPR. FILM.
LERETAN 500 mg
COMPR. FILM.
MYAKELL 500 mg
COMPR. FILM.
LEVETIRACETAM TORRENT 750 mg COMPR. FILM.
MYAKELL 750 mg
COMPR. FILM.
SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750 mg
750mg
1000mg
250mg
500mg
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
150mg
150mg
300mg
300mg
75mg
75mg
COMPR.
COMPR.
2mg
2mg

LEVETIRACETAM DESITIN 1000 mg
GRANULE ACOPERITE, IN PLIC UNIDOZA
LEVETIRACETAM ACTAVIS GROUP 100mg/ml
KEPPRA 100 mg/ml

TRUND 100 mg/ml
LEVETIRACETAM RATIOPHARM 100mg/ml
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
concentratie
DETINATOR APP
TARA
DET. APP
ISLANDA
AMBALAJ
Prescriptie

CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM.
PRF
TEVA PHARMA
OLANDA
REPUBLICA SLOVACA
PRF
PRF
PRF
PRF
PRF
PRF
PRF
UNGARIA
GERMANIA
CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE
PRF
GERMANIA
PRF
GERMANIA
PRF
UCB PHARMA SA
ISLANDA
BELGIA
REPUBLICA SLOVACA
CUTIE CU UN FLACON DIN STICLA BRUNA A 300ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, CU
PRF
CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA
P-RF
CUTIE CU 1 FLAC DIN STICLA BRUNA X 300 ML SOL. ORALA + 1 SERINGA DOZATOARE (PP,PE) DE 10 ML SI UN AD
PRF
RATIOPHARM GMBH GERMANIA

PRF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
CUTIE CU UN FLACON DIN STICLA BRUNA A 300 ML, PREVAZUT CU SISTEM DE NCHIDERE SECURIZAT PENTRU COPI
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
30
30
30
60
30
30
30
30
30
30
30
30
30
1
1
1
1
14
56
56
14
14
56
117.50
117.50
100.30
117.57
222.99
105.46
50.06
117.57
117.57
163.07
167.66
224.38
62.36
117.57
147.72
339.28
147.72
123.49
76.16
288.91
422.67
114.28
53.71
193.52
50
50
100
100
30
30
30
30
20
100
100
7
100
100
100
100
100
100
19.49
10.57
58.87
38.28
48.36
24.21
15.73
19.21
19.31
62.05
74.57
3.916666
3.916666
3.343333
3.919000
3.716500
3.515333
1.668666
3.919000
3.919000
5.435666
5.588666
7.479333
2.078666
3.919000
147.720000
339.280000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
2.002399
2.002399
2.002399
2.002399
2.002399
2.002399
1.668666
2.002399
2.002399
5.435666
5.588666
4.022400
2.078666
2.002399
147.720000
148.188000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
2.002399
2.002399
2.002399
2.002399
2.002399
2.002399
1.668666
2.002399
2.002399
5.435666
5.588666
4.022400
2.078666
2.002399
147.720000
148.188000
147.720000
123.490000
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
Tratamentul se initiaz de ctre medicul n specialitatea neurologie
10. BOALA PARKINSON - G12

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
N04AA01
N04AA02
TRIHEXYPHENIDYLUM
BIPERIDENUM
N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)**
ROMPARKIN (R) 2 mg
AKINETON 2 mg
MADOPAR HBS
N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 100mg/25mg

MADOPAR (R) 250

MADOPAR 250
N04BA02 COMBINATII (LEVODOPUM+BENSERAZIDUM)** LEVODOPA/BENSERASIDE TEVA 200mg/50mg
N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**
ZIMOX
CREDANIL 25/250
NAKOM
ISICOM 250 mg/25 mg
DUODOPA
N04BA03
COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***
STALEVO 100 mg/25 mg/200 mg
N04BA03
STALEVO 125 mg/31,25 mg/200 mg
N04BA03
N04BA03
N04BA03
STALEVO 200 mg/50 mg/200 mg

N04BA03

TERAPIA SA
DESMA GMBH

GERMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L
CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL INT.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
100mg/25mg TEVA PHARMACEUTICALS S.R.L.

200mg+50mg TERAPIA SA
200mg+50mg ROCHE ROMANIA SRL
200mg/50mg TEVA PHARMACEUTICALS S.R.L.
250mg+25mg FARAN LABORATORIES S.A.
250mg+25mg REMEDICA LTD.
250mg+25mg LEK PHARMACEUTICALS D.D.
250mg/25mg DESITIN ARZNEIMITTEL GMBH
ROMANIA CUTIE X 1 FLACON PEID X 100 COMPR.

ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.
ROMANIA CUTIE X 1 FLACON PEID X 30 COMPR.
P-6L
GRECIA CUTIE X 3 BLIST. X 10 COMPR.

CIPRU
P-6L
GERMANIA
100mg/25mg/200mg
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
ORION CORPORATION
FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA
FINLANDA
150mg/37,5mg/200mg
200mg/50mg/200mg
50mg/12,5mg/200mg
75mg/18,5mg/200mg
Pagina 17 din 42
P-6L
P-6L
P-6L
SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L

GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L
FARA CONCENTRATIE
125mg/31,25mg/200mg
P-6L
CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC
S/P-RF
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF

CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L

CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. P-6L
3,424.76
414.46
414.46
414.46
544.89
414.46
414.46
0.389800
0.389800
0.389800
0.211400
0.211400
0.211400
0.588700
0.459360
0.459360
0.382800
0.382800
0.382800
1.612000
0.629199
0.629199
0.807000
0.629199
0.629199
0.524333
0.524333
0.524333
0.640333
0.640333
0.640333
0.965500
0.744600
0.744600
0.620500
0.620500
0.620500
0.745700
0.744600
0.744600
489.251428 489.251428 489.251428
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
5.448900
5.448900
5.448900
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
NR.CRT
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
COD ATC
N04BB01
N04BC01
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
DCI
AMANTADINUM**
BROMOCRIPTINUM
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
Denumire Comerciala
VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROPINIROL TEVA 2 mg
ROPINIROL TEVA 4 mg
ROPINIROL TEVA 8 mg
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg
ROLPRYNA EP 8 mg
forma farm.
CAPS.
DRAJ.
COMPR. CU ELIBERARE PRELUNGITA
ROPINIROL ACTAVIS 0,25 mg COMPR. FILM.
ALETA 0,25mg
ALETA 0,25mg
ROPINIROL ACTAVIS 1 mg
ALETA 1mg
ALETA 1mg
ROPINIROL TEVA 1 mg
ALETA 2mg
ROPINIROL TEVA 2 mg
ALETA 5mg
ALETA 5mg
REQUIP-MODUTAB 2 mg
REQUIP-MODUTAB 4 mg
REQUIP-MODUTAB 8 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
MIRAPEXIN 0,26 mg
COMPR. ELIB. PREL.
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg
MIPARKAN 0,7 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
MIGLASEN 0,7 mg
concentratie
100mg
2,5mg
2mg
4mg
8mg
2 mg
4 mg
8 mg
0,25mg
0,25mg
0,25mg
1mg
1mg
1mg
1mg
2mg
2mg
2mg
5mg
5mg
5mg
2mg
4mg
8mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
DETINATOR APP
BIOFARM SA
TARA
DET. APP
AMBALAJ

ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG.
Prescriptie
P-6L
P-RF
PRF
PRF
PRF
KRKA ,D.D., NOVO MESTO SLOVENIA
CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.
PRF
PRF
PRF
P-RF
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.
P-RF
P-RF
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
TERAPIA SA
ROMANIA
ROMANIA
P-RF
TERAPIA SA
TERAPIA SA
ROMANIA
ROMANIA
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM.
P-RF
SMITHKLINE BEECHAM PLC
MAREA BRITANIE
CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL.
P-RF
MAREA BRITANIE
CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL,
P-RF
MAREA BRITANIE
CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL.
P-RF
KRKA D.D.
ZENTIVA, K.S.
P-RF
REPUBLICA CEHA
GERMANIA

P-RF
KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
P-RF
P-RF/R
CUTIE X 3 BLIST.PVC-ACLAR/AL X 10 COMPR. FILM. P-RF

P-RF

PRF
P-RF
REPUBLICA SLOVACA
P-RF
MAREA BRITANIE
CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.
P-RF
SUEDIA
CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
ROMANIA
P6L
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR.
PRF
ZENTIVA, K.S.
REPUBLICA CEHA
GERMANIA

P-RF
KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
P-RF
P-RF/R
PRF
P-RF
REPUBLICA SLOVACA
P-RF
MAREA BRITANIE
CUTIE CU BLIST. PA-AL-PVC X 30 COMPR.
P-RF
SUEDIA
CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
ROMANIA
ROMANIA

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR.
Pagina 18 din 42
P6L

P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
50
40
30
30
30
28
28
28
21
30
30
21
30
30
21
21
30
21
21
30
30
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10
17.07
21.16
42.74
81.12
153.89
39.89
75.71
143.63
6.32
9.06
9.06
23.00
32.87
32.87
23.02
30.92
42.74
35.77
76.80
109.74
109.74
61.36
116.48
220.96
19.75
30.00
49.77
30.11
33.41
33.42
33.42
30.35
30.86
25.30
30.35
33.50
48.92
107.26
167.86
107.65
115.05
115.05
115.05
108.52
106.21
90.45
107.65
115.10
58.12
0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
2.191428
4.160000
7.891428
0.658333
1.000000
1.659000
1.003666
1.113666
1.114000
1.114000
1.011666
1.028666
0.843333
1.011666
1.116666
1.630666
3.575333
5.595333
3.588333
3.835000
3.835000
3.835000
3.617333
3.540333
3.015000
3.588333
3.836666
5.812000
0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
1.709570
3.244713
6.155570
0.658333
1.000000
1.011999
1.003666
1.011999
1.011999
1.011999
1.011666
1.011999
0.843333
1.011666
1.011999
1.630666
3.575333
3.618000
3.588333
3.618000
3.618000
3.618000
3.617333
3.540333
3.015000
3.588333
3.618000
5.812000
0.341400
0.529000
1.424666
2.704000
5.129666
1.424642
2.703928
5.129642
0.300952
0.302000
0.302000
1.095238
1.095666
1.095666
1.096190
1.472380
1.424666
1.703333
3.657142
3.658000
3.658000
1.709570
3.244713
6.155570
0.658333
1.000000
1.011999
1.003666
1.011999
1.011999
1.011999
1.011666
1.011999
0.843333
1.011666
1.011999
1.630666
3.575333
3.618000
3.588333
3.618000
3.618000
3.618000
3.617333
3.540333
3.015000
3.588333
3.618000
5.812000
NR.CRT
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
COD ATC
N04BC05
N04BC05
N04BC05
N04BC05
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BC09
N04BD01
N04BD01
N04BD01
N04BD02
N04BX02
N04BX02
N05AH02
N05AH02
DCI
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
SELEGILINUM
SELEGILINUM
SELEGILINUM
RASAGILINUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**
Denumire Comerciala
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
NEUPRO 2mg/24h
NEUPRO 2mg/24h
NEUPRO 4mg/24h
NEUPRO 4mg/24h
NEUPRO 6mg/24h
NEUPRO 6mg/24h
NEUPRO 8mg/24h
NEUPRO 8mg/24h
SELEGOS
SELEGOS
JUMEX 5 mg
AZILECT 1mg
COMTAN 200mg
COMTAN 200mg
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg
forma farm.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
concentratie
0,52mg
1,05mg
2,1mg
3,15mg
2mg/24h
2mg/24h
4mg/24h
4mg/24h
6mg/24h
6mg/24h
8mg/24h
8mg/24h
5mg
5mg
5mg
1mg
200mg
200mg
100mg
25mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
P-RF
P-RF
P-RF
P-RF
P-RF
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
IRLANDA
CIPRU
CIPRU
CHINOIN PRIVATE CO. LTD.
UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L
SCHWARZ PHARMA LTD

SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
SCHWARZ PHARMA LTD
CUTIE X 28 PLASTURI TRANSDERMICI

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L

CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L
TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL)
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM.
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM.
P-RF

P-RF

P-RF
P-RF

P-RF
AUSTRIA CUTIE X 1 FLACON X 50 ML

AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE
S
S
S
S
PR
PR
PR
PR
MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE
GERMANIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF

P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
30
30
30
28
7
7
28
28
7
28
7
50
100
50
30
100
30
50
50
314.07
650.35
367.49
98.15
101.65
382.31
477.57
127.57
571.41
154.18
36.31
70.37
41.74
523.59
391.65
125.26
106.79
33.65
10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000
10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000
10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.834800
17.453000
3.916500
4.175333
2.135800
0.673000
2.65
2.62
2.47
3.71
2.57
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
55.38
80.90
78.89
13.73
0.132500
0.087333
0.082333
0.123666
0.128500
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500
0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500
0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
1.107600
0.809000
0.788900
0.686500
1,229.85
1,809.33
Tratamentul se initiaza de catre medicul in specialitatea neurologie
11. MIASTENIA GRAVIS - G13

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AX01
L04AX01
L04AX01
N07AA01
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM
PREDNISON MCC 5 mg
N - PREDNISON
PREDNISON 5 mg
COMPR.
COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.

MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
METHOTREXAT "EBEWE" 5000 mg
EBEWE PHARMA GMBH NFG. KG

METOTREXAT EBEWE 10 mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
NEOSTIGMINA LPH 15 mg
5mg
5mg
5mg
5mg
5mg
CONC. PT. SOL. INJ./PERF. 100mg/ml
SOL. INJ.
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
SOL. INJ./PERF. 10mg/ml
COMPR. FILM. 100mg
COMPR. FILM. 50mg
COMPR. FILM. 75mg
COMPR.
15mg


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

S

P-RF
AUSTRIA
S/P-RF
PR
Pagina 19 din 42
20
30
30
30
20
1
5
1
10
1
1
1
1
1
1
1
1
1
50
100
100
20
NR.CRT
23
COD ATC
N07AA02
DCI
PYRIDOSTIGMINI BROMIDUM
Denumire Comerciala
MESTINON 60 mg
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
DRAJ.
60mg
POLONIA CUTIE X 1 FLAC. X 20 DRAJ.
COMPR.
COMPR.
COMPR.
16mg
32mg
4mg
125mg
500mg
5mg
5mg
5mg
5mg
5mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
10mg/ml
2mg/ml
100mg
50mg
75mg
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
S/P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
20
16.56
0.828000
0.828000
0.828000
50
20
30
1
1
20
30
30
30
20
1
5
1
10
1
1
1
1
1
1
1
1
1
1
50
100
100
32.62
29.65
6.53
8.81
31.02
2.65
2.62
2.47
3.71
2.57
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
643.62
55.38
80.90
78.89
0.652400
1.482500
0.217666
8.810000
31.020000
0.132500
0.087333
0.082333
0.123666
0.128500
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900
0.652400
1.482500
0.217666
8.810000
31.020000
0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900
0.652400
1.482500
0.217666
8.810000
31.020000
0.098799
0.087333
0.082333
0.098799
0.098799
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
643.620000
1.107600
0.809000
0.788900
0.439200
0.735200
0.202600
0.332800
0.511200
0.535333
0.243120
0.399360
0.202600
0.332800
0.511200
0.535333
0.243120
0.399360
0.202600
0.332800
0.511200
0.535333
12. SCLEROZA MULTIPLA - G14

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01DB07
L04AX01
L04AX01
L04AX01
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
N - PREDNISON
PREDNISON 5 mg
LIOF. PT. SOL. INJ.

LIOF. PT. SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
METHOTREXAT "EBEWE" 5 mg SOL. INJ.

METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml

METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.

ONKOTRONE
CONC. PT. SOL. INJ.
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML
S/P-RF
CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
S/P-RF

P-RF
P-RF

P-RF

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
S
S
S
S
PR
PR
PR
PR
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF

P-RF
P-RF
S
S
BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

AUSTRIA
S/P-RF
PR

Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple)
13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15
1
2
3
4
5
6
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

ORFIRIL LONG 150 mg

ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg

GERMANIA
CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.
P-6L
GERMANIA
CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL.
P-6L
150mg
300mg
500mg
500mg
AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
P-6L
P-6L
CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.
P-6L

DEPAKINE (R) CHRONO 500 mg COMPR. ELIB. PREL.

Pagina 20 din 42
CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-6L
50
50
100
100
100
30
21.96
36.76
20.26
33.28
51.12
16.06
NR.CRT
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
COD ATC
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N04AA01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AE03
N05AE03
N05AE04
N05AE04
N05AE04
N05AE04
N05AE04
DCI
Denumire Comerciala

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
DEPAKINE CHRONO 300 mg

ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v.
ORFIRIL LONG 1000 mg

ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTIRAN 100 mg
LAMOTRIX 100 mg
EPIMIL 100 mg
PLEXXO (R) 100 mg
LAMICTAL 100 mg
LAMOTRIGINE TORRENT 100 mg
LAMOTRIX 200 mg
LAMOTIRAN 25 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTIRAN 50 mg
LAMOTRIX 50 mg
EPIMIL 50 mg
LAMICTAL 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
ROMPARKIN (R) 2 mg
HALOPERIDOL LAROPHARM 0,5 mg
HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL
HALOPERIDOL ROMPHARM 2 mg/ml
HALOPERIDOL 2 mg/ml
HALOPERIDOL DECANOAT
HALOPERIDOL RICHTER 5 mg/ml
SERDOLECT 16 mg
SERDOLECT 4 mg
ZELDOX (R) 40 mg
ZYPSILA 40 mg
ZIXADOX 40 mg
ZELDOX (R) 60 mg
ZYPSILA 60 mg
forma farm.
concentratie
300mg
150mg
LIOF. + SOLV. PT. SOL. 400mg/4ml
SIROP
300mg/5ml
SIROP
57,64mg/ml
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
200mg
COMPR.
200mg
COMPR.
25mg
COMPR.
25mg
COMPR.
25mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. DISP. 100mg
COMPR. DISP. 25mg
COMPR. DISP. 50mg
COMPR.
2mg
COMPR.
0,5mg
COMPR.
1mg
COMPR.
2mg
COMPR.
5mg
PIC. OFT., SOL. 2 mg/ml
PIC. ORALE-SOL. 2mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
5mg/ml
COMPR. FILM. 16mg
COMPR. FILM. 4mg
CAPS.
40mg
CAPS.
40mg
CAPS.
40mg
CAPS.
60mg
CAPS.
60mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
COMPR. FILM. ELIB. PREL. DIVIZ.
FRANTA
CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE
P-6L
GERMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.
P-6L
FRANTA
P-6L
GERMANIA
P-6L
GERMANIA
P-6L
FRANTA
CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF
GERMANIA
P-6L
GERMANIA
P-6L
GERMANIA
CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML
P-6L
SANOFI - AVENTIS FRANCE
FRANTA
CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA
P-6L

DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L

MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
CIPRU
MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 14 COMPR.
P-RF

THE WELLCOME FOUNDATION LTD.
CIPLA (UK) LIMITED

MEDOCHEMIE LTD.
CIPLA (UK) LIMITED
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

P-6L
P-RF
CIPLA (UK) LIMITED
MAREA BRITANIE

TERAPIA SA
ROMANIA
LAROPHARM S.R.L. ROMANIA
P-6L
P-6L
P-6L

P-6L
P-6L
P-6L

BELGIA
ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF
ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
P-RF
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

H. LUNDBECK A/S
H. LUNDBECK A/S
DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
MAREA BRITANIE
DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS.
P-RF
MAREA BRITANIE
P-RF
Pagina 21 din 42
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
100
100
40
100
50
4
50
50
1
1
28
30
30
30
30
28
56
30
30
56
28
30
28
30
28
30
30
30
28
56
30
30
30
50
20
30
30
25
1
1
5
5
28
30
56
60
56
56
60
34.76
29.14
10.72
37.58
39.99
127.06
94.92
59.48
36.26
23.13
26.66
28.86
28.86
28.86
28.84
40.13
52.11
28.24
60.33
99.51
6.66
7.26
10.40
14.41
13.33
14.41
14.41
14.42
20.69
26.89
28.84
3.82
16.95
19.49
3.24
7.72
10.80
17.94
4.31
6.66
44.52
12.48
484.77
127.86
416.90
291.19
277.12
542.18
358.39
0.347600
0.291400
0.268000
0.375800
0.799800
31.765000
1.898400
1.189600
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.433214
0.930535
0.941333
2.011000
1.776964
0.237857
0.242000
0.371428
0.480333
0.476071
0.480333
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
7.444642
4.853166
4.948571
9.681785
5.973166
0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
5.823799
4.853166
4.948571
7.167799
5.973166
0.347600
0.243120
0.268000
0.375800
0.799800
31.765000
1.898400
0.613440
36.260000
23.130000
0.952142
0.962000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.152799
0.480333
0.476071
0.480333
0.480333
0.480666
0.571285
0.480178
0.961333
0.127333
0.565000
0.389800
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
5.823799
4.853166
4.948571
7.167799
5.973166
NR.CRT
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
COD ATC
N05AE04
N05AE04
N05AE04
N05AF01
N05AF05
N05AF05
N05AF05
N05AF05
N05AF05
N05AH02
N05AH02
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
100 N05AH03
101 N05AH03
102 N05AH03
103 N05AH03
104 N05AH03
DCI
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
FLUPENTIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
CLOZAPINUM**
CLOZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
Denumire Comerciala
ZELDOX (R) 80 mg
ZYPSILA 80 mg
ZELDOX (R) 20 mg/ml
FLUANXOL DEPOT
CLOPIXOL (R) 10 mg
CLOPIXOL (R) 25 mg
CLOPIXOL 20 mg/ml
CLOPIXOL (R) DEPOT
CLOPIXOL ACUPHASE (R)
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg
ZALASTA 10mg
OLAZAX 10 mg
ZALASTA 5mg
OLAZAX 5 mg
ZYPREXA 10 mg
OLIPAZIX 10 MG
OLANZAPINA ACCORD 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
OLANZAPINA ACTAVIS 10 mg
BLOONIS 10 mg
OLANZAPINA DR. REDDY'S 10 mg
EGOLANZA 10 mg
NYKOB 10 mg
OLANZAPINA LPH 10 mg
OLANZAPINA LILLY 10 mg
OLANZAPINE GSK 10 mg
LAPOZAN 15 mg
EGOLANZA 15 mg
NYKOB 15 mg
OLANZAPINA ACCORD 2,5 mg
EGOLANZA 20 mg
NYKOB 20 mg
ZYPREXA 5 mg
OLIPAZIX 5 MG
LAPOZAN 5 mg
LAPOZAN 5 mg
BLOONIS 5 mg
EGOLANZA 5 mg
NYKOB 5 mg
forma farm.
CAPS.
CAPS.
concentratie
80mg
80mg
LIOF. PT. SOL. INJ. + SOLV. 20mg/ml
SOL. INJ.
20mg/ml
COMPR. FILM. 10mg
COMPR. FILM. 25mg
PIC. ORALE-SOL. 20mg/ml
SOL. INJ.
200mg/ml
SOL. INJ.
50mg/ml
COMPR.
100mg
COMPR.
25mg
COMPR.
10mg
COMPR.
10mg
COMPR.
5mg
COMPR.
5mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 2,5mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
DETINATOR APP
TARA
DET. APP
MAREA BRITANIE
AMBALAJ
Prescriptie
P-RF
MAREA BRITANIE
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

DANEMARCA
DANEMARCA
CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV.
FLAC. X 50 COMPR. FILM.

FLAC. X 50 COMPR. FILM.
S/P-RF
P-RF
P-RF
DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML
P-RF
DANEMARCA CUTIE X 5 FIOLE X 1 ML
P-RF
DANEMARCA
P-RF
P-RF
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
REPUBLICA CEHA
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR. (BLISTER OPA/AL/PVC/AL) P-RF
P-RF
REPUBLICA CEHA
ELI LILLY NEDERLAND BV
OLANDA
SPANIA
CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF
LABORATORIOS LESVI, SL
CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. DIN AL X 28 COMPR. FILM. PRF
GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
UNGARIA
PHARMASWISS MEDICINES S.R.L. ROMANIA
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF

CUTIE CU 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. PRF
ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF

UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
PHARMASWISS MEDICINES S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
OLANDA
SPANIA
CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF

LABORATORIOS LESVI, SL
CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM.
P-RF

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.
P-RF

UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM.
P-RF

Pagina 22 din 42
P-RF
P-RF
P-RF
P-RF
P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
56
60
1
10
50
50
1
10
5
50
50
28
28
28
28
28
28
28
28
30
30
28
35
28
28
28
28
28
28
28
28
28
28
28
28
35
28
28
28
28
28
28
28
30
30
28
35
28
28
583.10
386.47
64.19
71.81
23.13
33.57
32.70
157.82
46.49
106.79
33.65
134.53
139.69
71.47
73.21
208.23
130.06
135.34
135.35
145.02
124.89
135.09
169.19
135.34
114.62
133.72
134.56
135.35
203.00
197.35
205.18
171.62
196.62
37.58
270.68
835.65
274.48
228.83
262.17
109.79
68.55
71.36
71.36
76.46
65.84
71.15
89.20
71.36
60.36
10.412500
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.988928
2.552500
2.614642
7.436785
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
23.875714
9.802857
8.172500
9.363214
3.921071
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714
7.729399
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.912285
2.552500
2.586856
4.912285
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
9.807000
9.802857
8.172500
9.363214
2.586856
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714
7.729399
6.441166
64.190000
7.181000
0.462600
0.671400
32.700000
15.782000
9.298000
2.135800
0.673000
4.804642
4.912285
2.552500
2.586856
4.912285
4.645000
4.833571
4.833928
4.834000
4.163000
4.824642
4.834000
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
9.807000
9.802857
8.172500
9.363214
2.586856
2.448214
2.548571
2.548571
2.548666
2.194666
2.541071
2.548571
2.548571
2.155714
NR.CRT
COD ATC
105 N05AH03
106 N05AH03
107 N05AH03
108 N05AH03
109 N05AH03
110 N05AH03
111 N05AH03
112 N05AH03
113 N05AH03
114 N05AH03
115 N05AH03
116 N05AH03
117 N05AH03
118 N05AH03
119 N05AH03
120 N05AH03
121 N05AH03
122 N05AH03
123 N05AH03
124 N05AH03
125 N05AH03
126 N05AH03
127 N05AH03
128 N05AH03
129 N05AH03
130 N05AH03
131 N05AH03
132 N05AH03
133 N05AH03
134 N05AH03
135 N05AH03
136 N05AH03
137 N05AH03
138 N05AH03
139 N05AH03
140 N05AH03
141 N05AH03
142 N05AH03
143 N05AH03
144 N05AH03
145 N05AH03
146 N05AH03
147 N05AH03
148 N05AH03
149 N05AH03
150 N05AH03
151 N05AH03
152 N05AH03
153 N05AH03
DCI
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
Denumire Comerciala
forma farm.
OLANZAPINA LPH 5 mg
OLANZAPINE GSK 5 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
OLANZAPINA DR. REDDY'S 7,5 mg COMPR. FILM.
ZYPREXA VELOTAB 10 mg COMPR. ORODISPERSABILE
ZALASTA 10mg
OLANZAPINE TEVA 10mg
OLANZAPINA TERAPIA 10 mg
OLAZAX DISPERZI 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
BLOONIS 10 mg
NYKOB 10 mg
IRROPIA 10 mg
OLANZAPINA TORRENT 10 mg
OLANZAPINE GSK 10 mg
ZYPREXA VELOTAB 15 mg
ZALASTA 15mg
BLOONIS 15 mg
NYKOB 15 mg
IRROPIA 15 mg
ZALASTA 20mg
BLOONIS 20 mg
NYKOB 20 mg
IRROPIA 20 mg
ZALASTA 5mg
OLANZAPINE TEVA 5mg
LAPOZAN 5 mg
concentratie
5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
TARA
DET. APP
AMBALAJ
ELI LILLY ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. DIN AL X 28 COMPR. FILM. PRF
GLAXOSMITHKLINE S.R.L. ROMANIA CUTIE CU BLIST. DIN PA-AL-PVC/AL X 28 COMPR. FILM. P-RF
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. AL/AL X 35 COMPR. FILM. P-RF
DETINATOR APP
Prescriptie
OLANDA
TEVA PHARMA BV
TERAPIA S.A.
OLANDA
REPUBLICA CEHA
P-RF
CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE
P-RF
P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE
P-RF
P-RF
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE
P-RF
P-RF
CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE
PRF
ISLANDA
ROMANIA
ELI LILLY ROMANIA S.R.L. ROMANIA
GLAXOSMITHKLINE S.R.L. ROMANIA
OLANDA
TEVA PHARMA BV
TERAPIA S.A.
OLANDA
REPUBLICA CEHA
ISLANDA
ROMANIA
OLANDA
TEVA PHARMA BV
TERAPIA S.A.
OLANDA
REPUBLICA CEHA
ISLANDA
ROMANIA
OLANDA
TEVA PHARMA BV
TERAPIA S.A.
OLANDA
REPUBLICA CEHA
P-RF
CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL )
P-RF
CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)
P-RF
CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
CUTIE CU BLIST. AL X 28 COMPR. ORODIPSERSABILE
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
PRF
P-RF
P-RF
P-RF
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.
P-RF
P-RF
P-RF
Pagina 23 din 42
CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE
P-RF
P-RF

ROMANIA
ROMANIA
ROMANIA
PRF
P-RF

ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF
ROMANIA
ROMANIA
ROMANIA
P-RF


VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
28
28
35
28
28
30
28
28
30
50
28
35
28
28
28
28
28
28
28
28
30
28
28
28
35
28
28
28
28
28
28
28
30
28
28
28
35
28
28
28
28
28
28
28
30
28
28
30
68.89
70.95
71.36
296.13
466.24
134.53
142.72
134.53
139.69
148.62
247.69
135.09
171.82
114.62
120.72
134.25
136.15
245.20
316.62
616.92
203.82
214.08
203.82
205.88
205.93
257.36
171.62
171.71
201.86
205.86
359.46
1,013.57
271.77
285.43
271.77
274.46
274.59
342.90
228.83
228.96
269.05
274.48
472.92
243.53
71.47
75.25
73.57
73.21
78.30
2.460357
2.533928
2.548571
8.460857
16.651428
4.804642
4.757333
4.804642
4.988928
4.954000
4.953800
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
8.757142
11.307857
22.032857
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
12.837857
36.198928
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
16.890000
8.697500
2.552500
2.508333
2.627500
2.614642
2.610000
2.460357
2.533928
2.548571
8.460857
4.912285
4.804642
4.757333
4.804642
4.912285
4.912285
4.912285
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
4.912285
4.912285
7.355142
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
7.355142
9.807000
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
9.807000
2.586856
2.552500
2.508333
2.586856
2.586856
2.586856
2.460357
2.533928
2.548571
8.460857
4.912285
4.804642
4.757333
4.804642
4.912285
4.912285
4.912285
4.824642
4.909142
4.093571
4.311428
4.794642
4.862500
4.912285
4.912285
7.355142
7.279285
7.136000
7.279285
7.352857
7.354642
7.353142
6.129285
6.132500
7.209285
7.352142
7.355142
9.807000
9.706071
9.514333
9.706071
9.802142
9.806785
9.797142
8.172500
8.177142
9.608928
9.802857
9.807000
2.586856
2.552500
2.508333
2.586856
2.586856
2.586856
COD ATC
DCI
154 N05AH03
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM**
NR.CRT
155 N05AH03
156 N05AH03
157 N05AH03
158 N05AH03
159 N05AH03
160 N05AH03
161 N05AH03
162 N05AH03
163 N05AH03
164 N05AH03
165 N05AH03
166 N05AH03
167 N05AH03
168 N05AH03
169 N05AH04
170 N05AH04
171 N05AH04
172 N05AH04
173 N05AH04
174 N05AH04
175 N05AH04
176 N05AH04
177 N05AH04
178 N05AH04
179 N05AH04
180 N05AH04
181 N05AH04
182 N05AH04
183 N05AH04
184 N05AH04
185 N05AH04
186 N05AH04
187 N05AH04
188 N05AH04
189 N05AH04
190 N05AH04
191 N05AH04
192 N05AH04
193 N05AH04
194 N05AH04
195 N05AH04
196 N05AH04
197 N05AH04
198 N05AH04
199 N05AH04
200 N05AL01
201 N05AL01
202 N05AL05
Denumire Comerciala
NYKOB 5 mg
IRROPIA 5 mg
OLANZAPINE GSK 5 mg
ZAPILUX 10 mg
ZAPILUX 15 mg
ZAPILUX 20 mg
ZAPILUX 5 mg
ZYPADHERA 210mg
ZYPADHERA 300mg
ZYPADHERA 405mg
ZYPREXA 10 mg
SEROQUEL XR 150 mg
KETILEPT 100 mg
QUETIAPINE TEVA 100 mg
SETININ 100 mg
HEDONIN 100 mg
KVENTIAX 100 mg
QUETROP 100 mg
QUETIAPINE ACCORD 100 mg
QUETIAPINA POLPHARMA 100 mg
SETININ 150 mg
KETILEPT 200 mg
SETININ 200 mg
HEDONIN 200 mg
KVENTIAX 200 mg
QUETROP 200 mg
HEDONIN 25 mg
KETILEPT 300 mg
SETININ 300 mg
KVENTIAX 300 mg
QUETROP 300 mg
SEROQUEL XR 200 mg
SEROQUEL XR 300 mg
SEROQUEL XR 400 mg
SEROQUEL XR 50 mg
EGLONYL (R) 50 mg
EGLONYL (R) 200 mg
AMISULPRIDA LPH 100 mg
TARA
DET. APP
ROMANIA
ROMANIA
ISLANDA
forma farm.
concentratie
5mg
5mg
COMPR. ORODISPERSABILE 5mg
FILM ORODISPERSABIL 10mg
210mg
300mg
405mg
PULB. PT. SOL. INJ. 10mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 150mg
COMPR. FILM. 150mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
CAPS.
50mg
COMPR.
200mg
COMPR.
100mg
DETINATOR APP
ROMANIA
GLAXOSMITHKLINE S.R.L. ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
SANDOZ S.R.L.
ROMANIA
AMBALAJ
Prescriptie
P-RF
P-RF
P-RF
PRF
PRF
P-RF
CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE
P-RF
CUTIE CU PLICULETE PET/AL/PE X 28 FILME ORODISPERSABILE
P-RF
P-RF
P-RF
P-RF
OLANDA
OLANDA
OLANDA
OLANDA
ASTRAZENECA UK LIMITED
MAREA BRITANIE
CUTIE CU 6 BLIST. PVC-PCTFE/AL X 10 COMPR. ELIB. PREL.
UNGARIA
ROMANIA
CUTIE CU BLIST. PVC-PE-ACLAR/AL X 60 COMPR. FILM.
ISLANDA
AUSTRIA

CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R

CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. P-RF

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

P-RF/S
KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF
REPUBLICA SLOVACA
POLONIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.

ISLANDA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.
P-RF
P-RF
UNGARIA
CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-RF
ISLANDA
AUSTRIA
REPUBLICA SLOVACA

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

P-RF
P-RF

UNGARIA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM.
ISLANDA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.
P-RF
P-RF
P-RF
REPUBLICA SLOVACA
P-RF
ASTRAZENECA UK LTD.
MAREA BRITANIE
CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.
P-RF
ASTRAZENECA UK LTD.
MAREA BRITANIE
CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.
P-RF
MAREA BRITANIE
CUTIE X 6 BLIST. PVC-PCTFE/AL X 10 COMPR. CU ELIB. PREL.
P-RF
ASTRAZENECA UK LTD.
MAREA BRITANIE
CUTIE X 6 BLIST. OPACE DIN AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.
P-RF

FRANTA CUTIE X 1 BLIST. X 12 COMPR.
P-RF
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF
Pagina 24 din 42
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
35
28
28
28
28
28
28
28
28
28
28
1
1
1
1
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
30
60
30
60
60
60
60
60
60
60
60
60
60
30
12
30
90.49
2.585428
2.585428
2.585428
60.36
2.155714
2.155714
2.155714
63.57
2.270357
2.270357
2.270357
70.95
2.533928
2.533928
2.533928
71.80
2.564285
2.564285
2.564285
126.00
4.500000
2.586856
2.586856
158.29
5.653214
2.586856
2.586856
316.62 11.307857
4.912285
4.912285
425.80 15.207142
7.355142
7.355142
683.62 24.415000
9.807000
9.807000
158.29
5.653214
2.586856
2.586856
893.61 893.610000 893.610000 893.610000
1,379.83 1,379.830000 1,379.830000 1,379.830000
1,716.38 1,716.380000 1,716.380000 1,716.380000
19.95
444.50
73.82
66.38
79.30
99.41
69.71
84.46
83.49
87.35
105.47
105.47
114.86
105.47
125.95
98.66
108.59
128.64
185.81
28.60
43.97
14.19
183.06
131.47
123.81
156.27
159.59
294.10
444.50
576.10
743.17
232.04
10.77
10.52
56.56
19.950000
7.408333
1.230333
1.106333
1.321666
1.656833
1.161833
1.407666
1.391500
1.455833
1.757833
1.757833
1.914333
1.757833
2.099166
1.644333
1.809833
2.144000
3.096833
0.953333
0.732833
0.473000
3.051000
2.191166
2.063500
2.604500
2.659833
4.901666
7.408333
9.601666
12.386166
3.867333
0.359000
0.876666
1.885333
19.950000
7.408333
1.230333
1.106333
1.321666
1.327599
1.161833
1.327599
1.327599
1.327599
1.757833
1.757833
1.914333
1.757833
1.973199
1.644333
1.809833
1.973199
1.973199
0.567600
0.567600
0.473000
2.476200
2.191166
2.063500
2.476200
2.476200
2.476200
7.408333
9.601666
12.386166
3.867333
0.359000
0.876666
1.885333
19.950000
7.408333
1.230333
1.106333
1.321666
1.327599
1.161833
1.327599
1.327599
1.327599
1.757833
1.757833
1.914333
1.757833
1.973199
1.644333
1.809833
1.973199
1.973199
0.567600
0.567600
0.473000
2.476200
2.191166
2.063500
2.476200
2.476200
2.476200
7.408333
9.601666
12.386166
3.867333
0.359000
0.876666
1.885333
COD ATC
DCI
203 N05AL05
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
NR.CRT
204 N05AL05
205 N05AL05
206 N05AL05
207 N05AL05
208 N05AX08
209 N05AX08
210 N05AX08
211 N05AX08
212 N05AX08
213 N05AX08
214 N05AX08
215 N05AX08
216 N05AX08
217 N05AX08
218 N05AX08
219 N05AX08
220 N05AX08
221 N05AX08
222 N05AX08
223 N05AX08
224 N05AX08
225 N05AX08
226 N05AX08
227 N05AX08
228 N05AX08
229 N05AX08
230 N05AX08
231 N05AX08
232 N05AX08
233 N05AX08
234 N05AX08
235 N05AX08
236 N05AX08
237 N05AX08
238 N05AX08
239 N05AX08
240 N05AX08
241 N05AX08
242 N05AX08
243 N05AX08
244 N05AX08
245 N05AX08
246 N05AX08
247 N05AX08
248 N05AX08
249 N05AX08
250 N05AX08
251 N05AX08
Denumire Comerciala
AMISAN 200 mg
AMISULPRIDA LPH 200 mg
MIDORA 200 mg
SOLIAN 200 mg
SOLIAN 400 mg
RILEPTID 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONA 1 mg
RISPERIDONA ACCORD 1 mg
SPRING 1 mg
SPRING 1 mg
RISPERIDONA FARMAL 1 mg
RONYDAL 1 mg
RISPEN 1
RISPERIDONE TORRENT 1 mg
RISPEN 2
RILEPTID 2 mg
RISON 2 mg
RISPERIDONA 2 mg
SPRING 2 mg
SPRING 2 mg
RISPERIDONA FARMAL 2 mg
RISPEMAR 2 mg
RONYDAL 2 mg
TORENDO 3 mg
RISON 3 mg
RISPERIDONA 3 mg
SPRING 3 mg
RISPEMAR 3 mg
RISPEMAR 3 mg
RONYDAL 3 mg
XENOMA 3 mg
RISPEN 3
RISPEN 4
TORENDO 4 mg
RISON 4 mg
RISPERIDONA 4 mg
SPRING 4 mg
forma farm.
COMPR.
COMPR.
COMPR.
COMPR. DIVIZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
200mg
200mg
200mg
200mg
400mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2 mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
DETINATOR APP
TARA
DET. APP
REPUBLICA CEHA
AMBALAJ
CUTIE CU BLIST. PVC/AL X 30 COMPR.
Prescriptie
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF
TERAPIA S.A.
P-RF
FRANTA
FRANTA
P-RF
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ.
UNGARIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
ZENTIVA KS
CEHIA
ROMANIA
CUTIE X 2 BLIST. PVC-PEJD-PVDC/AL X 10 COMPR. FILM.
ZENTIVA KS
CEHIA
UNGARIA
ROMANIA
ROMANIA



ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
ICN POLFA RZESZOW POLONIA
P-RF
P-RF

P-RF
ROMANIA
ROMANIA


ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA
P-RF

ZENTIVA KS
CEHIA
ROMANIA
ZENTIVA KS
CEHIA
P-RF
ROMANIA
ROMANIA

ANTIBIOTICE S.A.
ROMANIA
Pagina 25 din 42

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
30
30
30
30
60
20
60
20
60
20
30
50
60
50
20
50
60
20
60
20
20
60
20
30
50
60
60
20
30
20
60
20
20
60
30
20
60
60
60
50
20
50
30
60
20
20
20
20
85.93
85.93
85.59
127.65
128.44
51.35
8.34
24.62
8.78
23.54
10.31
15.45
23.94
24.02
23.64
6.96
45.73
101.34
16.07
46.70
17.15
17.49
44.78
21.73
32.56
44.47
52.65
53.40
16.21
34.62
27.18
75.48
27.44
29.61
69.74
51.62
26.78
75.28
82.53
74.79
66.32
27.50
86.87
47.61
100.81
35.38
37.41
36.59
46.97
2.864333
2.864333
2.853000
4.255000
4.281333
0.855833
0.417000
0.410333
0.439000
0.392333
0.515500
0.515000
0.478800
0.400333
0.472800
0.348000
0.914600
1.689000
0.803500
0.778333
0.857500
0.874500
0.746333
1.086500
1.085333
0.889400
0.877500
0.890000
0.810500
1.154000
1.359000
1.258000
1.372000
1.480500
1.162333
1.720666
1.339000
1.254666
1.375500
1.246500
1.326400
1.375000
1.737400
1.587000
1.680166
1.769000
1.870500
1.829500
2.348500
2.864333
2.864333
2.853000
3.423600
4.281333
0.417600
0.417000
0.410333
0.417600
0.392333
0.417600
0.417600
0.417600
0.400333
0.417600
0.348000
0.895599
0.895599
0.803500
0.778333
0.857500
0.874500
0.746333
0.895599
0.895599
0.889400
0.877500
0.890000
0.810500
1.154000
1.359000
1.258000
1.372000
1.384800
1.162333
1.384800
1.339000
1.254666
1.375500
1.246500
1.326400
1.375000
1.737400
1.587000
1.680166
1.769000
1.870500
1.829500
1.904400
2.864333
2.864333
2.853000
3.423600
4.281333
0.417600
0.417000
0.410333
0.417600
0.392333
0.417600
0.417600
0.417600
0.400333
0.417600
0.348000
0.895599
0.895599
0.803500
0.778333
0.857500
0.874500
0.746333
0.895599
0.895599
0.889400
0.877500
0.890000
0.810500
1.154000
1.359000
1.258000
1.372000
1.384800
1.162333
1.384800
1.339000
1.254666
1.375500
1.246500
1.326400
1.375000
1.737400
1.587000
1.680166
1.769000
1.870500
1.829500
1.904400
NR.CRT
COD ATC
252 N05AX08
253 N05AX08
254 N05AX08
255 N05AX08
256 N05AX08
257 N05AX08
258 N05AX08
259 N05AX08
260 N05AX08
261 N05AX08
262 N05AX08
263 N05AX08
264 N05AX08
265 N05AX08
266 N05AX08
267 N05AX08
268 N05AX08
269 N05AX08
270 N05AX08
271 N05AX12
272 N05AX12
273 N05AX12
274 N06AB04
275 N06AB04
276 N06AB04
277 N06AB04
278 N06AB04
279 N06AB04
280 N06AB04
281 N06AB04
282 N06AB04
283 N06AB10
284 N06AX05
285 N06AX05
286 N06AX05
287 N06AX14
288 N06AX14
289 N06AX14
290 N06AX16
291 N06AX16
292 N06AX16
293 N06AX16
294 N06AX16
295 N06AX16
296 N06AX16
297 N06AX16
298 N06AX16
299 N06AX16
300 N06AX16
DCI
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
Denumire Comerciala
forma farm.
SPRING 4 mg
SPRING 4 mg
COMPR. FILM.
COMPR. FILM.
RISPERIDONA FARMAL 4 mg COMPR. FILM.
RISPEMAR 4 mg
COMPR. FILM.
RONYDAL 4 mg
COMPR. FILM.
RISPERIDONE TORRENT 4 mg COMPR. FILM.
TORENDO Q-TAB 1 mg
ESSENS OD 1 mg
TORENDO Q-TAB 2 mg
ESSENS OD 2 mg
ESSENS OD 3 mg
RISPOLEPT CONSTA (R) 25 mg
RISPOLEPT CONSTA 25 mg
RISPOLEPT CONSTA (R) 37,5 mg
RISPOLEPT CONSTA 37,5 mg
RISPOLEPT CONSTA (R) 50 mg
RISPOLEPT CONSTA 50 mg
RISPOLEPT
RISPOLEPT
ABILIFY 10mg
ABILIFY 15mg
ABILIFY 7,5mg/ml
CITALORAN 10 mg
LINISAN 10 mg
DALSAN 10 mg
CITALORAN 20mg
LINISAN 20 mg
DALSAN 20 mg
CITALORAN 40 mg
LINISAN 40 mg
DALSAN 40 mg
CIPRALEX 10 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
COAXIL (R)
IVRYX 150mg
EFECTIN EP 150 mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
NOPEKAR 150 mg
ADOXA EP 150 mg
ELIFY EP 150 mg
VENLAGAMMA 150 mg
JARVIS 150 mg
SOL. ORALA
SOL. ORALA
COMPR.
COMPR.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
concentratie
4mg
4mg
4mg
4mg
4mg
4mg
1mg
1mg
2mg
2mg
3mg
25mg
25mg
37,5mg
37,5mg
50mg
50mg
1mg/ml
1mg/ml
10mg
15mg
7,5mg/ml
10mg
10mg
10mg
20mg
20mg
20mg
40mg
40mg
40mg
10mg
150mg
75mg
75mg
12,5 mg
12,5 mg
12,5mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
DETINATOR APP
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA

TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
AMBALAJ
Prescriptie

P-RF
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE
P-RF
P-RF
P-RF
P-RF
P-RF
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA
P-RF
OTSUKA PHARMACEUTICAL EUROPE LTD.
MAREA BRITANIE
CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.
P-RF
MAREA BRITANIE
CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.
P-RF
MAREA BRITANIE
CUTIE X 1FLAC. X 1,3ML SOL.INJ
P-RF
RANBAXY UK LIMITED
MAREA BRITANIE
CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA
CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL
S/P-RF
S/P-RF
S/P-RF
S/P-RF
P-RF

UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. FILM.
RANBAXY UK LIMITED
MAREA BRITANIE
P-RF
P-RF

RANBAXY UK LIMITED
MAREA BRITANIE
S/P-RF
CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA
S/P-RF
P-RF
P-RF

P-RF
H. LUNDBECK A/S
DANEMARCA
CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.
P-RF
ITALIA
ITALIA
ITALIA
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL.
P-RF
P-RF
P-RF
ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.
PRF

P-RF
PRF
P-RF
ROMANIA
CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.
MAREA BRITANIE
CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.
PRF
WYETH LEDERLE PHARMA GMBH
AUSTRIA
CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.
P-RF
UNGARIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF
P-RF
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.
P-RF
CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
AUSTRIA
OLANDA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF
MAREA BRITANIE
CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.
P-RF
P-RF
GERMANIA
CUTIE CU BLIST. PVC- PCTF/AL X 100 CAPS. CU ELIB. PREL.
P-RF/S
ROMANIA
CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.
P-RF
Pagina 26 din 42
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
30
60
50
60
60
20
30
30
30
30
30
1
1
1
1
1
1
1
1
28
28
1
28
30
28
28
30
28
28
30
28
28
20
30
30
30
90
30
28
28
28
28
30
30
28
30
30
100
30
68.05
128.35
93.52
100.62
110.91
33.34
12.34
12.56
26.86
26.86
41.56
424.25
424.25
597.43
597.43
719.03
719.03
52.14
156.63
483.22
483.22
21.00
7.40
7.12
7.40
10.72
39.54
10.72
33.59
32.37
33.59
90.38
24.95
18.71
18.71
22.65
63.54
33.74
91.54
58.69
58.69
91.54
75.31
98.02
91.54
90.38
98.08
304.19
98.08
2.268333
2.139166
1.870400
1.677000
1.848500
1.667000
0.411333
0.418666
0.895333
0.895333
1.385333
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.264285
0.237333
0.264285
0.382857
1.318000
0.382857
1.199642
1.079000
1.199642
3.227857
1.247500
0.623666
0.623666
0.755000
0.706000
1.124666
3.269285
2.096071
2.096071
3.269285
2.510333
3.267333
3.269285
3.012666
3.269333
3.041900
3.269333
1.904400
1.904400
1.870400
1.677000
1.848500
1.667000
0.411333
0.417600
0.895333
0.895333
1.384800
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.264285
0.237333
0.264285
0.382857
0.459428
0.382857
1.199642
1.079000
1.199642
3.227857
1.247500
0.623666
0.623666
0.755000
0.706000
0.847200
2.515285
2.096071
2.096071
2.515285
2.510333
2.515285
2.515285
2.515285
2.515285
2.515285
2.515285
1.904400
1.904400
1.870400
1.677000
1.848500
1.667000
0.411333
0.417600
0.895333
0.895333
1.384800
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.264285
0.237333
0.264285
0.382857
0.459428
0.382857
1.199642
1.079000
1.199642
3.227857
1.247500
0.623666
0.623666
0.755000
0.706000
0.847200
2.515285
2.096071
2.096071
2.515285
2.510333
2.515285
2.515285
2.515285
2.515285
2.515285
2.515285
NR.CRT
COD ATC
301 N06AX16
302 N06AX16
303 N06AX16
304 N06AX16
305 N06AX16
306 N06AX16
307 N06AX16
308 N06AX16
309 N06AX16
310 N06AX16
311 N06AX16
312 N06AX16
313 N06AX16
314 N06AX16
315 N06AX16
316 N06AX16
317 N06AX16
318 N06AX16
319 N06AX16
320 N06AX16
321 N06AX16
322 N06AX16
323 N06AX16
324 N06AX16
325 N06AX16
326 N06AX16
327 N06AX16
328 N06AX16
329 N06AX16
330 N06AX16
331 N06AX16
332 N06AX16
333 N06AX16
334 N06AX16
335 N06AX16
336 N06AX16
337 N06AX16
338 N06AX17
339 N06AX17
340 N06AX21
341 N06AX21
DCI
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**
Denumire Comerciala

NOPEKAR 150 mg
FOBILESS 37,5 mg
NOPEKAR 37,5 mg
VENLAGAMMA 37,5 mg
VENLAFAXINA ARENA EP 37,5 mg
NOPEKAR 37,5 mg
IVRYX 75mg
EFECTIN EP 75 mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
NOPEKAR 75 mg
ADOXA EP 75 mg
ELIFY EP 75 mg
VENLAGAMMA 75 mg
JARVIS 75 mg
forma farm.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
NOPEKAR 75 mg
VENLAFAXINA LPH 37,5 mg COMPR.
VELAXIN 37,5 mg
COMPR.
ADOXA 37,5 mg
COMPR.
VENLAFAXINA ARENA 37,5 mg COMPR.
ADOXA 50 mg
COMPR.
VENLAFAXINA LPH 75 mg
COMPR.
VELAXIN 75 mg
COMPR.
ADOXA 75 mg
COMPR.
ADOXA 75 mg
COMPR.
ARGOFAN 150 SR
COMPR. ELIB. PREL.
ARGOFAN 75 SR
COMPR. ELIB. PREL.
VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM.
VENLAFAXINA ACTAVIS 75 mg COMPR. FILM.
IXEL
CAPS.
IXEL
CAPS.
CYMBALTA 30mg
CAPS. GASTROREZ.
CYMBALTA 60mg
CAPS. GASTROREZ.
concentratie
150mg
150mg
150mg
37,5mg
37,5mg
37,5mg
37,5mg
37,5mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
37,5mg
37,5mg
37,5mg
50mg
50mg
75mg
75mg
75mg
75mg
75mg
150mg
75mg
37,5 mg
75mg
25mg
50mg
30mg
60mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
ISLANDA
P-RF
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.
P-RF

P-RF
OLANDA
OLANDA
CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
P-RF
CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)
P-RF
28
30
28
30
28
100
30
28
28
28
28
28
30
30
28
30
30
100
30
28
30
28
60
56
30
30
30
30
60
56
30
30
30
30
30
56
56
56
56
28
28
CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.
P-RF
28
AUSTRIA
OLANDA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL.
P-RF
GERMANIA
P-RF/S
P-RF
P-RF
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL.
P-RF
ROMANIA
CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.
P-RF
MAREA BRITANIE
CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.
PRF
AUSTRIA
CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL.
P-RF
UNGARIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL
P-RF
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.
P-RF
P-RF
AUSTRIA
OLANDA
MAREA BRITANIE
P-RF
P-RF
GERMANIA
P-RF/S
ROMANIA
CUTIE X 3 BLIST. PVC/AL X 10 CAPS. CU ELIB. PREL.
P-RF
ISLANDA
P-RF
P-RF

UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR.

ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
TERAPIA SA
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR.
P-RF
TERAPIA SA
ARENA GROUP S.A.
TERAPIA SA
ARENA GROUP S.A.
P-RF
ZENTIVA A.S.
ZENTIVA A.S.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
P-RF
P-RF


VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
SLOVACIA
SLOVACIA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
75.38
85.18
91.54
35.58
46.57
65.80
32.88
46.57
47.52
35.58
35.58
47.52
32.91
50.89
47.52
39.50
50.94
111.93
50.94
31.74
47.73
47.52
62.25
58.14
32.20
32.20
38.50
38.50
77.52
72.46
40.87
40.87
40.87
90.38
39.48
38.11
61.43
71.52
117.26
105.39
178.89
2.692142
2.839333
3.269285
1.186000
1.663214
0.658000
1.096000
1.663214
1.697142
1.270714
1.270714
1.697142
1.097000
1.696333
1.697142
1.316666
1.698000
1.119300
1.698000
1.133571
1.591000
1.697142
1.037500
1.038214
1.073333
1.073333
1.283333
1.283333
1.292000
1.293928
1.362333
1.362333
1.362333
3.012666
1.316000
0.680535
1.096964
1.277142
2.093928
3.763928
6.388928
2.515285
2.515285
2.515285
0.789600
0.789600
0.658000
0.789600
0.789600
1.316356
1.270714
1.270714
1.316356
1.097000
1.316356
1.316356
1.316356
1.316356
1.119300
1.316356
1.133571
1.316356
1.316356
0.789600
0.789600
0.789600
0.789600
1.283333
1.283333
1.292000
1.293928
1.316356
1.316356
1.316356
2.515285
1.316000
0.680535
1.096964
1.277142
2.093928
3.763928
6.388928
2.515285
2.515285
2.515285
0.789600
0.789600
0.658000
0.789600
0.789600
1.316356
1.270714
1.270714
1.316356
1.097000
1.316356
1.316356
1.316356
1.316356
1.119300
1.316356
1.133571
1.316356
1.316356
0.789600
0.789600
0.789600
0.789600
1.283333
1.283333
1.292000
1.293928
1.316356
1.316356
1.316356
2.515285
1.316000
0.680535
1.096964
1.277142
2.093928
3.763928
6.388928
90.63
3.236785
3.236785
3.236785
Tratamentul se initiaza de catre medicul in specialitatea psihiatrie
14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16

1
N06DA02
DONEPEZILUM***
YASNAL 10 mg
COMPR. FILM.
10mg
Pagina 27 din 42
NR.CRT
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
COD ATC
DCI
N06DA02
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
Denumire Comerciala
ZILDON 10mg
DAVIA 10 mg
DAVIA 10 mg
TUADIN 10 mg
PRIDIA 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
DONECEPT 10 MG
COGITON 10 mg
COGNEZIL 10 mg
DONEPEZIL TEVA 10 mg
DONEPEZIL ACCORD 10 mg
DOSPELIN 10 mg
DONEPEZIL BLUEFISH 10 mg
DONEPEZIL TORRENT 10 mg
XALINAT 10 mg
YASNAL 5 mg
ZILDON 5 mg
DAVIA 5 mg
DAVIA 5 mg
TUADIN 5 mg
PRIDIA 5 mg
ALZEPIL 5 mg
ALZEPIL 5 mg
ALZEPIL 5 mg
DONECEPT 5 MG
COGITON 5 mg
COGNEZIL 5 mg
DONEPEZIL TEVA 5 mg
DOSPELIN 5 mg
DONEPEZIL ACCORD 5 mg
DONEPEZIL BLUEFISH 5 mg
XALINAT 5 mg
YASNAL 10 mg
ARICEPT EVESS
DONEPEZIL TEVA 10 mg
COGNEZIL 10 mg
DONECTIL 10 mg
DARIZOL 10 mg
YASNAL 5 mg
ARICEPT EVESS
DONEPEZIL TEVA 5 mg
COGNEZIL 5 mg
DONECTIL 5 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
5 mg
5mg
5mg
5mg
5mg
TARA
DET. APP
AMBALAJ
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
DETINATOR APP
Prescriptie
P-RF
P-RF
P-RF
P-RF
P-RF
UNGARIA
UNGARIA
UNGARIA
UNGARIA
ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
P-RF
BMF PHARM S.R.L.
P-RF
REPUBLICA CEHA
ROMANIA

P-RF
P-RF



ROMANIA CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. PRF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PRF
GALENICA S.A.
GRECIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.
P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM.
P-RF
ISLANDA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
BMF PHARM S.R.L.
REPUBLICA CEHA
ROMANIA
SUEDIA

GALENICA S.A.
KRKA D.D.
GRECIA
SLOVENIA
CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL TIP "PEEL-OPEN" A CATE 28 COMPR. ORODISP.
PRF
MAREA BRITANIE
CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE
P-RF
ROMANIA
CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.
P-RF
REPUBLICA SLOVACA
CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE
P-RF
P-RF
POLONIA
ROMANIA
CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE
PRF
KRKA D.D.
SLOVENIA
CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL "PEEL-OPEN" A CATE 28 COMPR. ORODISP.
PRF
MAREA BRITANIE
CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE
P-RF
ROMANIA
CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.
P-RF
REPUBLICA SLOVACA
CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. ORODISPERSABILE
P-RF
POLONIA
P-RF
Pagina 28 din 42
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
30
30
30
28
28
56
28
56
28
28
28
30
28
28
28
28
30
28
28
28
30
30
30
28
28
28
56
28
28
28
30
28
28
28
28
30
28
28
28
28
28
30
28
28
28
28
28
30
171.82
154.06
154.06
211.13
129.31
141.88
283.75
141.88
283.75
129.31
134.46
143.63
231.98
170.94
143.02
150.35
232.26
248.86
173.24
84.97
145.89
139.30
139.30
183.41
118.93
127.57
127.57
250.57
118.93
118.91
130.00
175.19
129.88
143.02
52.03
197.01
211.10
150.15
90.63
379.17
143.78
170.94
128.38
143.69
84.97
305.48
130.00
145.37
116.07
6.136428
5.135333
5.135333
7.037666
4.618214
5.067142
5.066964
5.067142
5.066964
4.618214
4.802142
5.129642
7.732666
6.105000
5.107857
5.369642
8.295000
8.295333
6.187142
3.034642
5.210357
4.643333
4.643333
6.113666
4.247500
4.556071
4.556071
4.474464
4.247500
4.246785
4.642857
5.839666
4.638571
5.107857
1.858214
7.036071
7.036666
5.362500
3.236785
13.541785
5.135000
6.105000
4.279333
5.131785
3.034642
10.910000
4.642857
5.191785
3.869000
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
1.858214
2.229856
2.229856
2.229856
3.236785
3.884142
3.884142
3.884142
3.884142
3.884142
2.229856
2.229856
2.229856
2.229856
2.229856
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
3.884142
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
2.229856
1.858214
2.229856
2.229856
2.229856
3.236785
3.884142
3.884142
3.884142
3.884142
3.884142
2.229856
2.229856
2.229856
2.229856
2.229856
NR.CRT
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
COD ATC
N06DA02
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DX01
N06DX01
DCI
DONEPEZILUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
MEMANTINUM***
MEMANTINUM***
Denumire Comerciala
forma farm.
DARIZOL 5 mg
EXELON 1,5mg
CAPS.
RIVASTIGMINA TEVA 1,5mg CAPS.
RIVASTIGMINA RATIOPHARM 1,5 mg CAPS.
EVERTAS 1,5 mg
CAPS.
RIVASTIGMINE SANDOZ1,5mg CAPS.
RIDAXIN 1,5 mg
CAPS.
RISTIDIC 1,5 mg
CAPS.
RIVASTIGMINA ACTAVIS 1,5 mg CAPS.
RIVASTIGMINA TORRENT 1,5 mg CAPS.
NIMVASTID 1.5mg
CAPS.
EXELON 3mg
CAPS.
RIVASTIGMINA TEVA 3mg CAPS.
NIMVASTID 3mg
CAPS.
RIVASTIGMINA RATIOPHARM 3 mg CAPS.
RIVASTIGMINE SANDOZ 3mg CAPS.
RIDAXIN 3 mg
CAPS.
RISTIDIC 3 mg
CAPS.
EVERTAS 3 mg
CAPS.
RIVASTIGMINA ACTAVIS 3 mg CAPS.
RIVASTIGMINA TORRENT 3 mg CAPS.
RIVASTIGMINA TEVA 4,5mg CAPS.
EVERTAS 4,5 mg
CAPS.
RIDAXIN 4,5 mg
CAPS.
RIVASTIGMINA ACTAVIS 4,5 mg CAPS.
RIVASTIGMINA TEVA 6mg CAPS.
EVERTAS 6 mg
CAPS.
RIDAXIN 6 mg
CAPS.
RIVASTIGMINA ACTAVIS 6 mg CAPS.
NIMVASTID 1.5 mg
NIMVASTID 3mg
NIMVASTID 4.5 mg
NIMVASTID 6mg
EXELON 4,6mg/24h
EXELON 9,5mg/24h
RIVASTIGMINA TEVA 2 mg/ml SOL. ORALA
REMINYL 16 mg
CAPS. ELIB. PREL.
GALSYA 16 mg
CAPS. ELIB. PREL.
REMINYL 24 mg
CAPS. ELIB. PREL.
GALSYA 24 mg
CAPS. ELIB. PREL.
REMINYL 8 mg
CAPS. ELIB. PREL.
GALSYA 8 mg
CAPS. ELIB. PREL.
REMINYL (R) 4 mg/ml
SOL. ORALA
EBIXA 10 mg
COMPR. FILM.
EBIXA 5mg/doza
PICATURI ORALE - SOL.
concentratie
5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1.5mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4,5mg
4,5mg
4,5mg
4,5mg
6mg
6mg
6mg
6mg
1.5mg
3mg
4.5mg
6mg
4,6mg/24h
9,5mg/24h
2mg/ml
16mg
16mg
24mg
24mg
8mg
8mg
4mg/ml
10mg
5mg/doza
TARA
DET. APP
ROMANIA
CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE
PRF
MAREA BRITANIE
P-RF/R
DETINATOR APP
TEVA PHARMA BV
RATIOPHARM GMBH
ZENTIVA K.S.
SANDOZ S.R.L.
AMBALAJ
Prescriptie
OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.
P-RF/R
GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS.
P-RF/R
CEHIA
P-RF/R
ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS.

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS.
POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS.
ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR
P-RF/R
P-RF/R
P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS.
P-RF/R
KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE
P-RF/R
P-RF/R
MAREA BRITANIE
TEVA PHARMA BV
OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS.
KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PVDC/AL X 28 CAPSULE
P-RF/R
P-RF/R
RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. P-RF/R

SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS. P-RF/R
ROMASTRU TRADING SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. P-RF/R
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS. P-RF/R
ZENTIVA K.S.
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56 CAPS. PR
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 CAPS. P-RF/R
TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R
ZENTIVA K.S.
CEHIA
TEVA PHARMA BV OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 CAPS. P-RF/R
ZENTIVA K.S.
CEHIA
CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE
P-RF/R
P-RF/R
P-RF/R
P-RF/R
MAREA BRITANIE
CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC
P-RF/R
MAREA BRITANIE
CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC
P-RF/R
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 125 ML SOL. ORALA + 1 SERINGA DOZATOARE
P-RF/R
BELGIA
CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF

BELGIA

BELGIA
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. CU ELIB. PREL.
PRF

PRF

PRF
JANSSEN-PHARMACEUTICA NV
BELGIA
H. LUNDBECK A/S
H LUNDBECK A/S
DANEMARCA
CUTIE X 56 COMPR. FILM. (BLIST. AL/PP)
P-RF/R
DANEMARCA
CUTIE X 1 FLACON DIN STICLA BRUNA CU POMPA DOZATOARE X 50 ML SOLUTIE
P-RF/R
Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie
Pagina 29 din 42
CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
56
56
56
30
56
56
56
56
56
28
56
56
28
56
56
56
56
30
56
56
56
30
56
56
56
30
56
56
28
28
28
28
30
30
1
28
30
28
30
28
30
1
56
1
129.65
4.630357
2.229856
2.229856
332.26
5.933214
1.368856
1.368856
194.50
3.473214
1.368856
1.368856
79.35
1.416964
1.368856
1.368856
41.08
1.369333
1.368856
1.368856
70.74
1.263214
1.263214
1.263214
63.91
1.141250
1.141250
1.141250
70.74
1.263214
1.263214
1.263214
63.88
1.140714
1.140714
1.140714
72.39
1.292678
1.292678
1.292678
37.89
1.353214
1.353214
1.353214
348.68
6.226428
2.787000
2.787000
215.96
3.856428
2.787000
2.787000
78.01
2.786071
2.786071
2.786071
150.48
2.687142
2.687142
2.687142
133.98
2.392500
2.392500
2.392500
130.32
2.327142
2.327142
2.327142
133.98
2.392500
2.392500
2.392500
83.75
2.791666
2.787000
2.787000
130.06
2.322500
2.322500
2.322500
143.02
2.553928
2.553928
2.553928
323.93
5.784464
3.217500
3.217500
96.65
3.221666
3.217500
3.217500
150.36
2.685000
2.685000
2.685000
150.15
2.681250
2.681250
2.681250
407.51
7.276964
3.639642
3.639642
109.54
3.651333
3.639642
3.639642
170.40
3.042857
3.042857
3.042857
169.85
3.033035
3.033035
3.033035
37.89
1.353214
1.353214
1.353214
78.01
2.786071
2.786071
2.786071
89.80
3.207142
3.207142
3.207142
101.04
3.608571
3.608571
3.608571
390.58 13.019333 13.019333 13.019333
390.58 13.019333 13.019333 13.019333
420.26 420.260000 420.260000 420.260000
374.39 13.371071
8.958799
8.958799
223.97
7.465666
7.465666
7.465666
417.57 14.913214
9.830400
9.830400
245.76
8.192000
8.192000
8.192000
201.08
7.181428
5.601600
5.601600
140.04
4.668000
4.668000
4.668000
254.22 254.220000 254.220000 254.220000
417.38
7.453214
7.453214
7.453214
352.22 352.220000 352.220000 352.220000
NR.CRT
COD ATC
DCI
Denumire Comerciala
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMICOZA, VASCULITE SISTEMICE) - G 17
1
2
3
4
5
6
7
8
9
H02AB04
H02AB04
H02AB04
L01AA01
L01AA01
L04AX01
L04AX01
L04AX01
P01BA02
METHYLPREDNISOLONUM5)
CYCLOPHOSPHAMIDUM*
CYCLOPHOSPHAMIDUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
HYDROXYCHLOROQUINUM
MEDROL A 16
MEDROL 32
MEDROL 4 mg
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
PLAQUENIL
COMPR.
COMPR.
COMPR.
DRAJ.
PULB. PT. SOL. PERF./INJ. I.V.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
16mg
32mg
4mg
50mg
200mg
100mg
50mg
75mg
200mg
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S
S/P-RF
PR
AUSTRIA
ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L
50
20
30
50
1
50
100
100
60
32.62
29.65
6.53
26.13
15.89
55.38
80.90
78.89
33.44
0.652400
1.482500
0.217666
0.522600
15.890000
1.107600
0.809000
0.788900
0.557333
0.652400
1.482500
0.217666
0.522600
15.890000
1.107600
0.809000
0.788900
0.557333
0.652400
1.482500
0.217666
0.522600
15.890000
1.107600
0.809000
0.788900
0.557333
50
100
5
50
20
30
1
5
1
10
1
1
1
1
1
1
1
1
1
30
30
30
30
30
30
30
30
30
30
50
28.24
31.25
34.53
32.62
29.65
6.53
400.81
241.07
89.66
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
182.03
280.03
182.03
160.47
133.74
190.22
292.65
190.22
190.22
190.22
471.31
0.564800
0.312500
6.906000
0.652400
1.482500
0.217666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
6.067666
9.334333
6.067666
5.349000
4.458000
6.340666
9.755000
6.340666
6.340666
6.340666
9.426200
0.375000
0.312500
6.906000
0.652400
1.482500
0.217666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
5.349600
5.349600
5.349600
5.349000
4.458000
6.340666
7.608799
6.340666
6.340666
6.340666
9.426200
0.375000
0.312500
6.906000
0.652400
1.482500
0.217666
400.810000
48.214000
89.660000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
5.349600
5.349600
5.349600
5.349000
4.458000
6.340666
7.608799
6.340666
6.340666
6.340666
9.426200
Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie si boli infectioase.
16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
A07EC01
A07EC01
H02AB01
H02AB04
H02AB04
H02AB04
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AA13
L04AD01
SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
CICLOSPORINUM*
SULFASALAZIN EN
SALAZOPYRIN EN
DIPROPHOS (R)
MEDROL A 16
MEDROL 32
MEDROL 4 mg

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
LEFLUNOMIDA SANDOZ 10 mg
ARAVA 10mg
LEFLUNOMIDA RATIOPHARM 10 MG
LEFLUNOMIDE WINTHROP 10mg
LEFLUNOMIDA MEDAC 10 mg
LEFLUNOMIDA SANDOZ 20 mg
ARAVA 20mg
LEFLUNOMIDA RATIOPHARM 20 MG
LEFLUNOMIDE WINTHROP 20mg
LEFLUNOMIDA MEDAC 20 mg
EQUORAL (R) 100 mg
500mg
500mg
SUSP. INJ. I.M. 7mg/ml
COMPR.
16mg
COMPR.
32mg
COMPR.
4mg
SOL. INJ.
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
COMPR. FILM. 10 mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 20 mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
COMPR. FILM. 20mg
CAPS. MOI
100mg
P-6L
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.
P-6L
BELGIA
P-RF
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
S
S
S
S
PR
PR
PR
PR
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
SANDOZ S.R.L.
ROMANIA
SANOFI- AVENTIS DEUTSCHLAND GMBH
GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.
P-RF/R

CUTIE CU 1 FLACON PEID CU CAPAC PP CU DESICANT X 30 COMPR. FILM.
S
PR
RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.
P-RF/R
P-RF/R
GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR. FILM.
SANDOZ S.R.L.
ROMANIA
CUTIE CU 1 FLACON PEID CU CAPAC PP DESICANT X 30 COMPR. FILM.
PR
PR
P-RF/R
RATIOPHARM GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM.
P-RF
P-RF/R
GERMANIA CUTIE CU 1 FLACON DIN PEID X 30 COMPR.FILM
PR
CEHIA
S/P-RF
Pagina 30 din 42
NR.CRT
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
COD ATC
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
P01BA02
DCI
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
HYDROXYCHLOROQUINUM
Denumire Comerciala
SANDIMMUN NEORAL (R)

EQUORAL (R) 25 mg
EQUORAL (R) 50 mg
CICLORAL 50 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
DICLOREUM 150 mg
forma farm.
concentratie
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
25mg
25mg
50mg
50mg
50mg
100mg
50mg
75mg
DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg
TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
VOLTAREN RAPID (R)
DRAJ.
50mg
DICLOFENAC ARENA 25 mg DRAJ. GASTROREZ. 25mg
N - DICLOFENAC
DRAJ. GASTROREZ. 50mg
VOLTAREN (R)
SOL. INJ.
25mg/ml
RHEUMAVEK
SOL. INJ.
25mg/ml
TRATUL (R)
SOL. INJ.
30mg/ml
DICLAC
SOL. INJ.
75mg
DICLOFENAC 75 mg
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
REFEN 75 mg
CLAFEN 100 mg
SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
100mg
DICLOFENAC 100 mg
SUPOZ.
100mg
DICLOFENAC SODIC 100 mg SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
50mg
PLAQUENIL
COMPR. FILM. 200mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie

CEHIA
HEXAL AG

CEHIA
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
PR
AUSTRIA
ITALIA
CEHIA
AUSTRIA
HEXAL AG
ALFA WASSERMANN SPA

TERAPIA SA
ROMANIA
ROMANIA
GRECIA
TERAPIA SA
ANTIBIOTICE SA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
P-6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.
P-6L
P-6L
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.
P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL
P-6L
P-6L
P-6L
P-6L
CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L

P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L
ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.

ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.
P-6L
P-6L
P-6L
P-6L

HEXAL AG
TERAPIA SA
GRECIA
AUSTRIA
P-RF
P-RF
GERMANIA
P-RF
ROMANIA
P-RF

ANTIBIOTICE SA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ.
P-RF
ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF

ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L
SINTOFARM SA
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ.
GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.
P-6L
P-6L
P-6L
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
50
50
50
50
50
50
100
100
20
30
30
10
10
20
20
30
20
20
20
20
10
30
20
20
30
5
5
5
5
5
5
10
5
6
5
10
10
10
60
137.32
94.13
292.16
189.90
305.21
55.38
80.90
78.89
47.70
20.49
6.39
3.93
6.56
8.55
8.21
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
5.10
9.45
33.44
2.746400
1.882600
5.843200
3.798000
6.104200
1.107600
0.809000
0.788900
2.385000
0.683000
0.213000
0.393000
0.656000
0.427500
0.410500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.510000
0.945000
0.557333
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.385000
0.471600
0.136200
0.393000
0.492600
0.427500
0.410500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.612000
0.612000
0.612000
0.510000
0.945000
0.557333
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.385000
0.471600
0.136200
0.393000
0.492600
0.427500
0.410500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.612000
0.612000
0.612000
0.510000
0.945000
0.557333
0.375000
0.312500
0.375000
0.312500
Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie, medicina interna sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul
Sanatatii pt specialitatea recuperare, medicina fizica balneofizioterapie )
17. SPONDILITA ANKILOZANTA - G 19

1
2
A07EC01
A07EC01
SULFASALAZINUM
SULFASALAZINUM
SULFASALAZIN EN
SALAZOPYRIN EN

500mg
500mg
P-6L
CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ.
P-6L
Pagina 31 din 42
MAREA BRITANIE
50
100
28.24
31.25
0.564800
0.312500
NR.CRT
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
COD ATC
H02AB01
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
M01AB05
DCI
BETAMETHASONUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
Denumire Comerciala
DIPROPHOS (R)
DICLOREUM 150 mg
forma farm.
SUSP. INJ. I.M.
concentratie
7mg/ml
DICLOFENAC DUO PHARMASWISS 75 mg

TRATUL 50
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
RHEUMAVEK
VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
VOLTAREN RAPID (R)
N - DICLOFENAC
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
VOLTAREN (R)
50mg
DRAJ.
50mg
SOL. INJ.
25mg/ml
SOL. INJ.
25mg/ml
SOL. INJ.
30mg/ml
SOL. INJ.
75mg
SOL. INJ.
75mg/3ml
SOL. INJ.
75mg/3ml
SOL. INJ.
75mg/3ml
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
100mg
SUPOZ.
50mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
BELGIA CUTIE X 5 FIOLE X 1 ML

ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. MOI GASTROREZ.
HEXAL AG
ALFA WASSERMANN SPA

TERAPIA SA
ROMANIA
ROMANIA
GRECIA
TERAPIA SA
ANTIBIOTICE SA
ROMANIA
ROMANIA
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
P-RF
P-6L
P-6L
P-6L
P-6L
CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL.
P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL
P-6L
P-6L
P-6L
P-6L
CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L

P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L
ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ.

ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ.
P-6L
P-6L
P-6L
P-6L

HEXAL AG
TERAPIA SA
GRECIA
AUSTRIA
P-RF
P-RF
GERMANIA
P-RF
ROMANIA
P-RF

ANTIBIOTICE SA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ.
P-RF
ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ./PERF. P-RF

ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L
SINTOFARM SA
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L

ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L
5
20
30
30
10
10
20
20
30
20
20
20
20
10
30
20
20
30
5
5
5
5
5
5
10
5
6
5
10
10
10
34.53
47.70
20.49
6.39
3.93
6.56
8.55
8.21
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
5.10
9.45
6.906000
2.385000
0.683000
0.213000
0.393000
0.656000
0.427500
0.410500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.510000
0.945000
6.906000
2.385000
0.471600
0.136200
0.393000
0.492600
0.427500
0.410500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.612000
0.612000
0.612000
0.510000
0.945000
6.906000
2.385000
0.471600
0.136200
0.393000
0.492600
0.427500
0.410500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.612000
0.612000
0.612000
0.510000
0.945000
Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii pt
specialitatea recuperare, medicina fizica balneofizioterapie )
18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARENALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI NEUROENDOCRINE) G 22
1
2
3
4
5
6
7
8
G02CB03
G02CB03
H01AX01
H01AX01
H01BA02
H01BA02
H01BA02
H01BA02
CABERGOLINUM**
CABERGOLINUM**
PEGVISOMANTUM****
PEGVISOMANTUM****
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DOSTINEX
DOSTINEX
SOMAVERT 10 mg
SOMAVERT 20 mg
COMPR.
COMPR.
DESMOPRESINA TEVA 0,2mg COMPR.
MINIRIN 0,2 mg
MINIRIN MELT 120 mcg
MINIRIN MELT 60 mcg
COMPR.
LIOF. ORAL
LIOF. ORAL
0,5mg
0,5mg
10mg
20mg
0,2mg
0,2mg
120mcg
60mcg
MAREA BRITANIE
MAREA BRITANIE

MAREA BRITANIE
CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE
P-RF/R
MAREA BRITANIE
CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE
P-RF/R
ROMANIA
CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF
FERRING GMBH
FERRING GMBH
FERRING GMBH
GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF
PFIZER LIMITED
PFIZER LIMITED
Pagina 32 din 42
P-RF
P-RF
GERMANIA
CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL
P-RF
GERMANIA
CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL
P-RF
2
8
30
30
30
30
30
30
43.59
123.74
8,603.01
17,135.17
128.50
120.65
185.47
98.08
21.795000 18.561000 18.561000

15.467500 15.467500 15.467500
286.767000 286.767000 286.767000
571.172333 571.172333 571.172333
4.283333
4.283333
4.283333
4.021666
4.021666
4.021666
6.182333
6.182333
6.182333
3.269333
3.269333
3.269333
NR.CRT
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
COD ATC
H01CB02
H01CB02
H01CB02
H01CB02
H01CB03
H01CB03
H02AA02
H02AB06
H02AB06
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB09
H02AB09
H02AB09
H02AB09
H02AB09
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03CA01
H03CA01
H03CA01
H03CA01
N04BC01
DCI
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
LANREOTIDUM****
LANREOTIDUM****
FLUDROCORTISONUM
PREDNISOLONUM
PREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
BROMOCRIPTINUM
forma farm.
Denumire Comerciala
SANDOSTATIN LAR 20 mg
SANDOSTATIN (R)
SOL. INJ.
SOMATULINE (R) PR 30 mg LIOF. PT. SOL. INJ. + SOLV.
PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU
PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.
SOMATULINE AUTOGEL 120 mg
ASTONIN H
PREDNISON MCC 5 mg
N - PREDNISON
PREDNISON 5 mg
SOL. INJ. CU ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
HYDROCORTISONE ROUSSEL COMPR.
HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ.
HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ.
HYDROCORTISONE 500 mg
LIOF. PT. SOL. INJ. + SOLV.
HIDROCORTIZON HEMISUCCINAT
SOL. INJ. I.V.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
DRAJ.
L-THYROXIN 100 BERLIN - CHEMIE
EUTHYROX 100mcg
EUTHYROX 200mcg
EUTHYROX 25mcg
L-THYROXIN 50
EUTHYROX 50mcg
JODID 100
JODID 100
JODID 200
JODID 200
BROCRIPTIN (N04BC01)
concentratie
20mg
10mg
30mg
0,1mg/ml
30mg
120mg
0,1mg
250mg
50mg
5mg
5mg
5mg
5mg
5mg
10mg
100mg
100mg
500mg
25mg/5ml
100mcg
100mcg
200mcg
25mcg
50mcg
50mcg
100mcg
100mcg
200mcg
200mcg
2,5mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE
S/P-RF
S/P-RF
CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE
S/P-RF
S/P-RF
CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC
S/P-RF
BEAUFOUR IPSEN PHARMA
IPSEN PHARMA
MERCK KGAA
MERCK KGAA
MERCK KGAA
FRANTA
FRANTA
GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF

GERMANIA
P-RF
GERMANIA
CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT
P-RF

P-RF
P-RF

P-RF
CUTIE X 1 FLAC. 25 COMPR.
PRF

MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
CN UNIFARM
ROMANIA
ZENTIVA S.A.
ROMANIA
P-RF
P-RF
CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML
S/P-RF
CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. P-RF

CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B
S/P-RF
P-6L
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
BIOFARM SA
Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie
Pagina 33 din 42
GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L

P-6L/S
GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF

GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF
GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF
GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF
P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
1
1
5
1
1
50
3
3
20
30
30
30
20
25
1
1
1
5
100
100
100
100
100
100
100
100
100
100
40
3,829.62 3,829.620000 3,829.620000 3,829.620000

2,400.54 2,400.540000 2,400.540000 2,400.540000
5,288.92 5,288.920000 5,288.920000 5,288.920000
152.62
30.524000
30.524000
30.524000
1,573.19 1,573.190000 1,573.190000 1,573.190000

5,089.12 5,089.120000 5,089.120000 5,089.120000
47.78
95.62
35.71
2.65
2.62
2.47
3.71
2.57
12.20
3.91
3.91
11.91
21.33
12.48
11.69
24.14
9.51
8.40
8.27
12.33
12.33
19.23
19.23
21.16
0.955600
31.873333
11.903333
0.132500
0.087333
0.082333
0.123666
0.128500
0.488000
3.910000
3.910000
11.910000
4.266000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.123300
0.123300
0.192300
0.192300
0.529000
0.955600
31.873333
11.903333
0.098799
0.087333
0.082333
0.098799
0.098799
0.488000
3.910000
3.910000
11.910000
4.266000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.123300
0.123300
0.192300
0.192300
0.529000
0.955600
31.873333
11.903333
0.098799
0.087333
0.082333
0.098799
0.098799
0.488000
3.910000
3.910000
11.910000
4.266000
0.124800
0.116900
0.241400
0.095100
0.084000
0.082700
0.123300
0.123300
0.192300
0.192300
0.529000
NR.CRT
DCI
COD ATC
forma farm.
Denumire Comerciala
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
19. BOALA WILSON - G23

1
2
M01CC01
M01CC01
PENICILLAMINUM**4)
PENICILLAMINUM**4)
CUPRENIL
CUPRENIL
COMPR. FILM.
COMPR. FILM.
250mg
250mg
CN UNIFARM
CN UNIFARM
1mcg
2mcg
5 mcg/ml
5 mcg/ml
20mg/ml
ROMANIA CUTIE X 1FLAC. X 100 COMPR. FILM.

ROMANIA CUTIE X 30 CPR.FILM.
P-RF
P-RF
100 113.72
30 37.44
1.137200
1.248000
1.137200
1.248000
1.137200
1.248000
468.00 16.714285
931.18 33.256428
902.02 180.404000
474.83 94.966000
149.77 29.954000
1,728.54 288.090000
218.42 36.403333
425.83 70.971666
788.23 788.230000
603.73 100.621666
16.714285
33.256428
180.404000
94.966000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666
16.714285
33.256428
180.404000
94.966000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666
Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie
20. BOALA CRONICA DE RINICHI - faza predializa - G 25

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
A11CC07
A11CC07
A11CC07
A11CC07
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA**
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
ZEMPLAR 1mcg
ZEMPLAR 2mcg
ZEMPLAR
ZEMPLAR
VENOFER (R)
EPREX 40000 UI/ml
ARANESP 10mcg/0,4ml
ARANESP 20mcg/0,5ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
APROVEL 150mg
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF

SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF
ABBOTT LABORATORIES LTD. SPANIA
CUTIE X 5 FIOLE X 2 ML SOL. INJ. S
CUTIE X 5 FIOLE X 1 ML SOL. INJ. S
VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML
S/P-RF
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R
40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF
40000 UI/1 ml SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R
10000UI/0,6ml
MAREA BRITANIE
S/P-RF/R
2000UI/0,3ml
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R

S/P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R
S/P-RF/R
4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml
MAREA BRITANIE
S/P-RF/R
100mcg/0,5ml AMGEN EUROPE BV OLANDA
P-RF/R

500mcg/ml AMGEN EUROPE BV
150mg
150mg
150mg
TERAPIA S.A.
150mg
SANDOZ S.R.L.
150mg
150mg
150mg
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
FRANTA
FRANTA
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.
P-6L
P-6L
ROMANIA
ROMANIA
P-6L


COMPR. FILM.
IRBESARTAN WINTHROP 150mg COMPR. FILM.
IRBESARTAN TERAPIA 150 mg COMPR. FILM.
IRBESARTAN SANDOZ 150 mg COMPR. FILM.
IRBEGAMMA 150 mg
COMPR. FILM.
IRBEGAMMA 150 mg
COMPR. FILM.
IRPRESTAN 150 mg
COMPR. FILM.
Pagina 34 din 42

ISLANDA
P-6L
28
28
5
5
5
6
6
6
1
6
1
1
6
6
6
6
1
6
6
6
4
4
4
4
1
4
4
1
4
4
4
28
28
28
28
30
100
30
1,353.47 1,353.470000 1,193.316000 1,193.316000
994.43 994.430000 994.430000 994.430000

781.57 130.261666 130.261666 130.261666
959.37 159.895000 159.895000 159.895000
2,346.60 391.100000 391.100000 391.100000
526.27 87.711666 87.711666 87.711666
1,174.53 1,174.530000 1,174.530000 1,174.530000
981.05 163.508333 163.508333 163.508333

201.383333 201.383333 201.383333
143.93 23.988333 23.988333 23.988333
3,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000
1,208.30
4,708.35 1,177.087500 1,177.087500 1,177.087500
702.64 175.660000 175.660000 175.660000

2,208.61 2,208.610000 2,208.610000 2,208.610000
1,009.47
1,318.95
252.367500 252.367500 252.367500

329.737500 329.737500 329.737500
3,633.81 3,633.810000 3,633.810000 3,633.810000

1,626.76
1,937.17
2,555.95
66.75
44.88
54.57
33.50
38.29
121.22
33.50
406.690000 406.690000 406.690000

484.292500 484.292500 484.292500
638.987500 638.987500 638.987500
2.383928
1.339999
1.339999
1.602857
1.339999
1.339999
1.948928
1.339999
1.339999
1.196428
1.196428
1.196428
1.276333
1.276333
1.276333
1.212200
1.212200
1.212200
1.116666
1.116666
1.116666
NR.CRT
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
DCI
COD ATC
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
C09CA04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
L01AA01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
V06DDN1
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CYCLOPHOSPHAMIDUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
COMBINATII (AMINOACIZI)**
Denumire Comerciala
forma farm.
IFIRMASTA 150 mg
COMPR. FILM.
IRBESARTAN TEVA 150 mg COMPR. FILM.
IRBESARTAN DR. REDDY'S 150 mg COMPR. FILM.
DEPALONG 150 mg
COMPR. FILM.
ATOKKEN 150 mg
COMPR. FILM.
IRBESARTAN TEVA 300 mg COMPR. FILM.
APROVEL 300mg
COMPR. FILM.
IRBESARTAN WINTHROP 300mg COMPR. FILM.
IRBESARTAN TERAPIA 300 mg COMPR. FILM.
IRBESARTAN SANDOZ 300 mg COMPR. FILM.
IRBEGAMMA 300 mg
COMPR. FILM.
IRBEGAMMA 300 mg
COMPR. FILM.
IRPRESTAN 300 mg
COMPR. FILM.
IFIRMASTA 300mg
COMPR. FILM.
IRBESARTAN DR. REDDY'S 300 mg COMPR. FILM.
DEPALONG 300 mg
COMPR. FILM.
ATOKKEN 300 mg
COMPR. FILM.
IRBEGAMMA 75 mg
COMPR. FILM.
ATOKKEN 75 mg
COMPR. FILM.
PREDNISON MCC 5 mg
COMPR.
PREDNISON ARENA 5 mg COMPR.
N - PREDNISON
COMPR.
PREDNISON 5 mg
COMPR.
ENDOXAN (R) 50 mg
DRAJ.
EQUORAL (R) 100 mg
CAPS. MOI
EQUORAL (R) 25 mg
CAPS. MOI
EQUORAL (R) 50 mg
CAPS. MOI
CICLORAL 50 mg
CAPS. MOI
IMMUNOPRIN 100 mg
COMPR. FILM.
IMURAN (R)
COMPR. FILM.
IMMUNOPRIN 75 mg
COMPR. FILM.
KETOSTERIL
COMPR. FILM.
concentratie
150mg
150mg
150mg
150mg
150mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
5mg
5mg
5mg
5mg
5mg
50mg
100mg
25mg
25mg
50mg
50mg
50mg
100mg
50mg
75mg
FARA CONCENTRATIE
TARA
DET. APP
CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-6L
CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L
DETINATOR APP
AMBALAJ
Prescriptie

ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L


FRANTA
FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA
CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P-6L

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.
P-6L
P-6L
P-6L
ISLANDA
P-6L

ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L
ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
P6L

P-RF
P-RF

P-RF
P-RF
P-RF

CEHIA
CEHIA
HEXAL AG
CEHIA
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
PR
AUSTRIA
FRESENIUS KABI DEUTSCHLAND GMBH
GERMANIA CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM. P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
28
28
28
28
28
28
28
28
28
28
30
100
30
28
28
28
28
100
28
20
30
30
30
20
50
50
50
50
50
50
50
50
100
100
100
37.35
33.50
44.94
44.88
44.88
57.50
88.08
60.27
71.28
64.85
64.58
193.87
48.64
60.27
60.27
60.27
60.29
91.26
40.39
2.65
2.62
2.47
3.71
2.57
26.13
471.31
137.32
94.13
292.16
189.90
305.21
55.38
80.90
78.89
233.98
1.333928
1.196428
1.605000
1.602857
1.602857
2.053571
3.145714
2.152500
2.545714
2.316071
2.152666
1.938700
1.621333
2.152500
2.152500
2.152500
2.153214
0.912600
1.442500
0.132500
0.087333
0.082333
0.123666
0.128500
0.522600
9.426200
2.746400
1.882600
5.843200
3.798000
6.104200
1.107600
0.809000
0.788900
2.339800
1.333928
1.196428
1.339999
1.339999
1.339999
1.945599
1.945599
1.945599
1.945599
1.945599
1.945599
1.938700
1.621333
1.945599
1.945599
1.945599
1.945599
0.912600
1.095120
0.098799
0.087333
0.082333
0.098799
0.098799
0.522600
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.339800
1.333928
1.196428
1.339999
1.339999
1.339999
1.945599
1.945599
1.945599
1.945599
1.945599
1.945599
1.938700
1.621333
1.945599
1.945599
1.945599
1.945599
0.912600
1.095120
0.098799
0.087333
0.082333
0.098799
0.098799
0.522600
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.339800
27.37
40.75
50.95
15.39
3.11
4.98
27.370000
40.750000
50.950000
15.390000
3.110000
4.980000
27.370000
32.844000
50.950000
15.390000
3.110000
4.980000
27.370000
32.844000
50.950000
15.390000
3.110000
4.980000
Tratamentul se initiaza de catre medicul in specialitatea nefrologie. Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de supleere a functiei renale la bolnavii cu
insuficienta renala cronica.
21. GLAUCOM - G 26
1
2
3
4
5
6
S01EC03
S01EC03
S01EC04
S01ED01
S01ED01
S01ED01
DORZOLAMIDUM
DORZOLAMIDUM
BRINZOLAMIDUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
DORZOPT 20 mg/ml
TRUSOPT
AZOPT 10mg/ml
NYOLOL GEL
TIMOLOL ROMPHARM 0,25%
TIMOLOL ROMPHARM 0,5%
PIC. OFT., SOL

SOL. OFT.
20mg/ml
20mg/ml
PICATURI OFT.-SUSP. 10mg/ml
GEL OFT.
1mg/g
PIC. OFT., SOL. 2,5mg/ml
PIC. OFT.,SOL. 5mg/ml
ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL

MAREA BRITANIE

Pagina 35 din 42
ROMANIA
ROMANIA
P-RF
CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT.
P-6L
CUTIE X 1 FLACON PEJD X 5 ML
P-6L
CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR
P-6L
CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.
P-6L
CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.
P-6L
1
1
1
1
1
1
NR.CRT
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
DCI
COD ATC
S01ED01
S01ED01
S01ED01
S01ED02
S01ED02
S01ED02
S01ED05
S01ED05
S01ED05
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
CARTEOLOLUM
CARTEOLOLUM
CARTEOLOLUM
S01ED51 COMBINATII (BIMATOPROSTUM + TIMOLOLUM)

S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM)
Denumire Comerciala
TIMOPTIC
TIMOLOL 0,25%
TIMOLOL 0,5%
BETAX
BETOPTIC
BETOPTIC - S
FORTINOL EP 2%
CARTEOL 2%
CARTEOL 2%
GANFORT
COSOPT
S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALOPTIC COMBI 50 micrograme/ml + 5 mg/ml
forma farm.
PIC. OFT.-SOL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
PIC. OFT.-SOL.
PIC.OFTALMICE,SOL.
PICATURI OFT.-SUSP.
PIC. OFTALMICE CU ELIB. PREL.
PICATURI OFT.-SOL.
PICATURI OFT.-SOL.
S01EE01
S01EE01
S01EE01
S01EE03
S01EE03
S01EE04
ITALIA
ITALIA
IRLANDA
P-6L
P-6L
P-6L
P-6L
CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT.SUSP. P-6L

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFTALMICE CU ELIB. PREL.
P-6L
CUTIE X 30 FLACOANE UNIDOZA DIN PEJD X 0,3 ML
P-6L/S
CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.
P-6L
FARA CONCENTRATIE
CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL.
P-6L
POLONIA
CUTIE CU 1 FLAC. PEJD X 2,5 ML PIC. OFT., SOL.
P6L
SOL. OFT.
FARA CONCENTRATIE
DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL.

XALAPROST 50 micrograme/ml PIC. OFT., SOL
UNILAT 50 micrograme/ml
GLAUTAN 0,05 mg/ml
XALATAN (R)
XALOPTIC
LUMIGAN 0,1mg/ml
LUMIGAN 0,3mg/ml
TRAVATAN 40mcg/ml
S.I.F.I. SPA
S.I.F.I. SPA
CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL.
P-6L
50micrograme/ml+5mg/ml
XALCOM (R)
S01EE01

GERMANIA
Prescriptie
PIC. OFTALMICE SOL.
S01ED51 COMBINATII (TAVOPROSTUM+TIMOLOLUM)
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
BIMATOPROSTUM
BIMATOPROSTUM
TRAVOPROSTUM
5mg/ml
0,25%
0,5%
5mg/ml
5mg/ml
0,25%
20mg/ml
2%
20mg/ml
TARA
DET. APP
AMBALAJ
MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR X 5 ML
ROMPHARM SRL
ROMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL.
DETINATOR APP
PIC. OFT.,SOL.
PIC. OFT.-SOL.
S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM)
S01EE01
concentratie
300mcg/ml+5mg/ml
ALLERGAN PHARMACEUTICALS IRELAND
CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. P-RF
MAREA BRITANIE
CUTIE X 1 FLACON X 2,5 ML
P-6L
40mcg/ml + 5mg/ml ALCON LABORATORIES (UK) LTD.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE
P-RF
50micrograme/ml ICN POLFA RZESZOW S.A.
POLONIA
CUTIE CU 1 FLAC. PEJD CU PICURATOR PEJD X 2,5 ML PIC. OFT., SOL.
P-6L
UNIMED PHARMA SPOL. S.R.O.
REPUBLICA SLOVACA
CUTIE CU 1 FLAC. PICURATOR PE X 2,5 ML PIC. OFT., SOL.
P-6L
ROMANIA
CUTIE CU 1 FLAC. PEJD CU CAPACITATEA DE 5 ML+PICURATOR DIN PEJD, CU CAPAC DE SIGURANTA DIN PEJD X 2,
P6L
MAREA BRITANIE
CUTIE X 1 FLACON PICURATOR PE X 2,5 ML P-6L
PIC. OFT., SOL. 50micrograme/ml

PIC. OFT.,SOL. 0,05mg/ml
PICATURI OFT.SOL. 40mcg/ml
POLONIA
IRLANDA
IRLANDA
MAREA BRITANIE
CUTIE X 1 FLACON PICURATOR PEJD X 2,5 ML PIC. OFT. SOL.
P-6L
CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF

CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF
CUTIE X 1 FLACON X 2,5 ML
P-6L
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10.12
3.13
5.41
5.32
15.32
15.32
13.59
33.74
15.95
81.85
69.75
56.71
82.84
88.49
50.73
51.53
51.47
75.25
46.18
76.07
68.27
72.03
10.120000
3.130000
5.410000
5.320000
15.320000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
56.710000
82.840000
88.490000
50.730000
51.530000
51.470000
75.250000
46.180000
76.070000
68.270000
72.030000
5.976000
3.130000
5.410000
5.320000
6.384000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
56.710000
68.052000
88.490000
50.730000
51.530000
51.470000
55.416000
46.180000
76.070000
68.270000
72.030000
5.976000
3.130000
5.410000
5.320000
6.384000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
56.710000
68.052000
88.490000
50.730000
51.530000
51.470000
55.416000
46.180000
76.070000
68.270000
72.030000
Tratamentul se iniiaz de ctre medicul n specialitatea oftalmologie.
22. PEMFIGUS - G 27
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
J04BA02
L01AA01
L01AA01
L01BA01
L01BA01
L01BA01
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
DAPSONUM4)
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
DEXAMED
0,5mg
8mg
DEXAMETHASONE SODIUM PHOSPHATE
8mg
DEXAMED
8mg/2ml
DEXAMED
8mg/2ml
MEDROL A 16
16mg
MEDROL 32
32mg
MEDROL 4 mg
4mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
COMPR.
5mg
PREDNISON ARENA 5 mg COMPR.
5mg
N - PREDNISON
COMPR.
5mg
PREDNISON 5 mg
COMPR.
5mg
5mg
DISULONE
COMPR.
100mg
ENDOXAN (R) 50 mg
DRAJ.
50mg
ENDOXAN 200 mg
PULB. PT. SOL. PERF./INJ. I.V. 200mg
METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml
DEXAMETHASONE SODIUM PHOSPHATE
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
CN UNIFARM S.A.
ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
CN UNIFARM
ROMANIA
P-RF/S
CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML
S/P-RF
CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
S/P-RF

P-RF
P-RF

P-RF
CUTIE X 100 COMPR.
P-RF
P-RF
P-RF
ACTAVIS S.R.L.

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

Pagina 36 din 42
100 18.38
0.183800
0.183800
0.183800
100 123.66
1.236600
1.106160
1.106160
5
6.98
1.396000
1.106160
1.106160
100 92.18
0.921800
0.921800
0.921800
10 10.39
1.039000
1.039000
1.039000
50 32.62
0.652400
0.652400
0.652400
20 29.65
1.482500
1.482500
1.482500
30
6.53
0.217666
0.217666
0.217666
1
8.81
8.810000
8.810000
8.810000
1 31.02 31.020000 31.020000 31.020000
20
2.65
0.132500
0.098799
0.098799
30
2.62
0.087333
0.087333
0.087333
30
2.47
0.082333
0.082333
0.082333
30
3.71
0.123666
0.098799
0.098799
20
2.57
0.128500
0.098799
0.098799
100 32.97
0.329700
0.329700
0.329700
50 26.13
0.522600
0.522600
0.522600
1 15.89 15.890000 15.890000 15.890000
1 400.81 400.810000 400.810000 400.810000
5 241.07 48.214000 48.214000 48.214000
1 89.66 89.660000 89.660000 89.660000
NR.CRT
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
COD ATC
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
DCI
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
Denumire Comerciala
forma farm.
concentratie

5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
EQUORAL (R) 100 mg
CAPS. MOI
100mg
25mg
EQUORAL (R) 25 mg
CAPS. MOI
25mg
50mg
EQUORAL (R) 50 mg
CAPS. MOI
50mg
CICLORAL 50 mg
CAPS. MOI
50mg
IMMUNOPRIN 100 mg
COMPR. FILM. 100mg
IMURAN (R)
COMPR. FILM. 50mg
IMMUNOPRIN 75 mg
COMPR. FILM. 75mg
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
S
PR
PR
PR
PR
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF


CEHIA
CEHIA
CEHIA
HEXAL AG



AUSTRIA
S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
PR
CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.
S
S
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
10
1
1
1
1
1
1
1
1
1
50
50
50
50
50
50
50
100
100
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
13.33
471.31
137.32
94.13
292.16
189.90
305.21
55.38
80.90
78.89
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
13.330000
9.426200
2.746400
1.882600
5.843200
3.798000
6.104200
1.107600
0.809000
0.788900
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
13.330000
9.426200
2.259120
1.882600
4.557600
3.798000
4.557600
1.107600
0.809000
0.788900
Tratamentul se iniiaz de ctre medicul n specialitatea dermatologie.
23. BOALA GAUCHER - G 29

1
2
A16AB02
A16AB02
IMIGLUCERASUM****
IMIGLUCERASUM****
CEREZYME 200U
CEREZYME 400U
PULB. PT.CONC. PT.SOL. PERF.

200U
400U
GENZYME EUROPE BV OLANDA

1 3,492.21 3,492.210000 3,492.210000 3,492.210000

1 6,907.43 6,907.430000 6,907.430000 6,907.430000
Dup precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de ctre medicul in specialitatea gastroenterologie, hematologie, neurologie si pediatrie.
24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30

1
2
3
4
5
6
7
8
9
10
11
12
13
14
J01AA02
J01AA02
J01AA02
J01AA02
J01AA02
J01AA07
J01AA07
J01AA07
J01CE01
J01CE01
J01CE01
J01CE01
J01CE01
J01CE01
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
DOXICICLINA ATB 100 mg

DOXICICLINA
DOXICICLINA 100 mg
CAPS.
CAPS.
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
TETRACICLINA 250 mg
CAPS.
TETRACICLINA ARENA 250 mg CAPS.
TETRACICLINA ATB 250 mg CAPS.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA G POTASICA
PULB. PT. SOL. INJ.
PENICILINA G POTASICA
PULB. PT. SOL. INJ.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
PENICILINA G SODICA
PULB. PT. SOL. INJ.
100 mg
100mg
100mg
100mg
100mg
250mg
250mg
250mg
1 000 000ui
1 000 000ui
1000000ui
1000000ui
400 000ui
400 000ui
ANTIBIOTICE S.A.
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
OLANDA
ANTIBIOTICE SA
ARENA GROUP SA
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

P-RF
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF
ROMANIA CUTIE X 100 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF/S
ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF
Pagina 37 din 42
P-RF
P-RF
P-RF
CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP.
P-RF
10
3.59
20
7.00
10
3.59
10
3.61
10
9.58
20
3.17
20
2.99
20
6.47
100 271.77
1
3.11
1
3.11
100 271.77
100 183.44
1
2.11
0.359000
0.350000
0.359000
0.361000
0.958000
0.158500
0.149500
0.323500
2.717700
3.110000
3.110000
2.717700
1.834400
2.110000
0.359000
0.350000
0.359000
0.361000
0.420000
0.158500
0.149500
0.179400
2.717700
3.110000
3.110000
2.717700
1.834400
2.110000
0.359000
0.350000
0.359000
0.361000
0.420000
0.158500
0.149500
0.179400
2.717700
3.110000
3.110000
2.717700
1.834400
2.110000
NR.CRT
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
COD ATC
DCI
J01CE02
J01CE02
J01CE02
J01CE02
J01CE08
J01CE08
J01DD08
J01DD08
J01FA01
J01FA01
J01FA01
J01FA01
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
Denumire Comerciala
OSPEN (R) 1000

OSPEN (R) 1500
OSPEN (R) 500
OSPEN 400
CEFIXIMUM
EFICEF 100 mg
CEFIXIMUM
EFICEF (R) 200 mg
ERYTHROMYCINUM
ERITROMAGIS 200 mg
ERYTHROMYCINUM
ERITROMICINA 200 mg
ERYTHROMYCINUM
ERITROMICINA SANDOZ 200 mg COMPRIMATE
ERYTHROMYCINUM
ERITROMICINA SANDOZ 200mg/5ml
AZITHROMYCINUM
AZATRIL 250 mg
AZITHROMYCINUM
SUMAMED 250 mg
AZITHROMYCINUM
SUMAMED 125 mg
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
SUMAMED 500 mg
AZITHROMYCINUM
AZITHROMYCINUM
AZIBIOT 500 mg
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
ZITROCIN 500 mg
AZITHROMYCINUM
AZITROX (R) 500
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
ZMAX 2 g
AZITHROMYCINUM
SUMAMED (R)
AZITHROMYCINUM
AZITROX 200 mg/5 ml
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
SUMAMED FORTE
AZITHROMYCINUM
SUMAMED FORTE
AZITHROMYCINUM
SUMAMED FORTE
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROCIN 250 mg
CIPROFLOXACINUM
CIPRINOL 250 mg
CIPROFLOXACINUM
CIPROLEN (R) 250 mg
CIPROFLOXACINUM
CUMINOL 250 mg
CIPROFLOXACINUM
CUMINOL 250 mg
CIPROFLOXACINUM
CIPROFLOXACINUM
CIFRAN
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
ALVEBAR 250 mg
CIPROFLOXACINUM
CIPRINOL 500 mg
CIPROFLOXACINUM
CIPROCIN 500 mg
forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SIROP
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.


COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
concentratie
DETINATOR APP
1000000ui
1500000ui
500000ui
TARA
DET. APP
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
SANDOZ GMBH
AUSTRIA
400000ui/5ml SANDOZ GMBH
AUSTRIA
1200000UI ANTIBIOTICE S.A.
ROMANIA
1200000UI ANTIBIOTICE S.A.
ROMANIA
100mg
ANTIBIOTICE S.A.
ROMANIA
200mg
ANTIBIOTICE SA
ROMANIA
200mg
200mg
ANTIBIOTICE SA
ROMANIA
200mg
SANDOZ S.R.L.
ROMANIA
200mg/5ml SANDOZ S.R.L.
ROMANIA
250mg
250mg
125mg
250mg
SANDOZ S.R.L.
ROMANIA
250mg
TERAPIA SA
ROMANIA
250mg
TERAPIA SA
ROMANIA
500mg
500mg
SANDOZ S.R.L.
ROMANIA
500mg
500mg
TERAPIA SA
ROMANIA
500mg
TERAPIA SA
ROMANIA
500mg
500mg
ZENTIVA K.S.
CEHIA
600mg
TERAPIA SA
ROMANIA
600mg
TERAPIA SA
ROMANIA
2g
500mg
200mg/5ml ZENTIVA S.A.
ROMANIA
100mg/5ml SANDOZ SRL
ROMANIA
200 mg/5 ml SANDOZ SRL
ROMANIA
200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA
100mg
100mg
250mg
250mg
250mg
AC HELCOR SRL
ROMANIA
250mg
250mg
250mg
ALKALOID D.O.O.
SLOVENIA
250mg
RANBAXY UK LIMITED MAREA BRITANIE
250mg
250mg
250mg
500mg
500mg
Pagina 38 din 42
AMBALAJ
Prescriptie

P-RF
P-RF
S/P-RF
P-RF

P-RF
P-RF
P-RF
CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE
P-RF
P-RF

P-RF
P-RF

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


CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL.
P-RF
CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.
S/P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF



P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
12
3.47
12
6.10
12
2.62
1
9.51
1
3.62
100 315.25
10 21.56
10 34.77
20
7.09
20
9.60
20
8.44
1 11.46
6 25.50
6 37.99
6 25.36
6 48.80
6 44.47
6 44.47
3 38.17
3 48.80
3 25.65
3 37.16
3 37.16
3 25.65
3 25.64
3 44.61
3 44.61
1 63.52
5 161.75
1 16.36
1 22.45
1 34.36
1 25.18
1 48.58
1 60.36
10 37.31
20 65.61
10
6.83
10
6.83
10
6.83
10
6.83
20 12.30
10
7.87
10
6.93
10
6.56
20 12.30
10
4.76
10 13.22
10 13.22
0.289166
0.508333
0.218333
9.510000
3.620000
3.152500
2.156000
3.477000
0.354500
0.480000
0.422000
11.460000
4.250000
6.331666
4.226666
8.133333
7.411666
7.411666
12.723333
16.266666
8.550000
12.386666
12.386666
8.550000
8.546666
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
25.180000
48.580000
60.360000
3.731000
3.280500
0.683000
0.683000
0.683000
0.683000
0.615000
0.787000
0.693000
0.656000
0.615000
0.476000
1.322000
1.322000
0.289166
0.508333
0.218333
9.510000
3.620000
3.152500
2.156000
3.477000
0.354500
0.425400
0.422000
11.460000
4.250000
5.100000
4.226666
5.100000
5.100000
5.100000
10.255999
10.255999
8.550000
10.255999
10.255999
8.550000
8.546666
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.778800
0.778800
0.289166
0.508333
0.218333
9.510000
3.620000
3.152500
2.156000
3.477000
0.354500
0.425400
0.422000
11.460000
4.250000
5.100000
4.226666
5.100000
5.100000
5.100000
10.255999
10.255999
8.550000
10.255999
10.255999
8.550000
8.546666
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.778800
0.778800
NR.CRT
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
COD ATC
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
DCI
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Denumire Comerciala
forma farm.
CIPROLEN (R) 500 mg

CUMINOL 500 mg
COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM.
CIFRAN
COMPR. FILM.
CIPRO QUIN (R)
COMPR. FILM.
CIPRODAR
COMPR. FILM.
ALVEBAR 500 mg
COMPR. FILM.
CIPRINOL 750 mg
COMPR. FILM.
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPRINOL (R)
CIPRINOL (R)
CIPROFLOXACINA 100 mg/10 ml CONC. PT. SOL. PERF.
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml
CIPROFLOXACINA INFOMED 2 mg/ml
CIPRINOL (R)
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
concentratie
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml
ALKALOID D.O.O.
TARA
DET. APP
AMBALAJ
RANBAXY UK LIMITED
MAREA BRITANIE
DETINATOR APP
AC HELCOR SRL
Prescriptie
P-RF
P-RF
P-RF
ANTIBIOTICE SA
ROMANIA
ROMANIA
P-RF

BAYER HEALTHCARE AG GERMANIA
CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF
KRKA D.D.
KRKA D.D.
ZENTIVA S.A.

S/P-RF
ROMANIA
S/P-RF
CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML
CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF
200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA
2mg/ml
2mg/ml
2mg/ml
DEMO SA
GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S
INFOMED FLUIDS SRL ROMANIA CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S

400mg/200ml KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
10 13.22
10 13.22
10 15.12
10
8.78
10 13.22
10 13.22
10
9.23
20 16.43
10
6.49
10 38.50
10 37.31
7 84.70
3 27.63
50 136.56
5 16.79
5 16.79
1
4.79
1
9.58
10 162.58
10 87.49
10 157.33
1 19.31
1.322000
1.322000
1.512000
0.878000
1.322000
1.322000
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
9.210000
2.731200
3.358000
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
3.850000
3.731000
12.100000
0.778800
2.731200
3.277440
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
3.850000
3.731000
12.100000
0.778800
2.731200
3.277440
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
Tratamentul se iniiaz de ctre medicul n specialitatea dermatologie i obstetric-ginecologie (pentru gonoree i infecia cu Chlamidia).
IMUNOSUPRESOARE SELECTIVE - G31

25. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a
1
2
3
L04AB02
L04AB04
L04AB04
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg
SOL. INJ. IN PEN PRE-UMPLUTA

100mg
40mg
40mg
JANSSEN BIOLOGICS B.V.
OLANDA
CUTIE X 3 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF.
PR
MAREA BRITANIE
CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL
P-RF/R
MAREA BRITANIE
CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL
P-RF/R
Tratamentul se prescrie i se monitorizeaz de ctre medicul n specialitatea gastro-enterologie i medicin intern (uniti sanitare nominalizate de ctre Ministerul Sntii Publice)
Pagina 39 din 42
3 6,662.76 2,220.920000 2,220.920000 2,220.920000

2 4,784.50 2,392.250000 2,392.250000 2,392.250000
2 4,749.13 2,374.565000 2,374.565000 2,374.565000
NR.CRT
COD ATC
DCI
Denumire Comerciala
forma farm.
MABTHERA 100 mg
MABTHERA 500 mg
ENBREL 50 mg
ENBREL 25mg
ENBREL DE UZ PEDIATRIC
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
26. POLIARTITRITA REUMATOIDA - G31b

1
2
3
4
5
6
7
8
9
10
11
L01XC02
L01XC02
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04
RITUXIMABUM****
RITUXIMABUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****


10mg/ml
10mg/ml
50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)
S
S
WYETH EUROPA LIMITED
MAREA BRITANIE
CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA
P-RF/R
MAREA BRITANIE
CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL
P-RF/R
MAREA BRITANIE
CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE
P-RF/R
MAREA BRITANIE
CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL
P-RF/R
OLANDA
PR
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
2
1
4
4
4
4
4
4
3
2
2
2,459.64 1,229.820000 1,229.820000 1,229.820000

6,043.00 6,043.000000 6,043.000000 6,043.000000
4,565.66 1,141.415000 1,141.415000 1,141.415000
568.800000 568.800000 568.800000

567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500
2,275.20
2,270.01
4,469.17 1,117.292500 1,117.292500 1,117.292500

4,469.17 1,117.292500 1,117.292500 1,117.292500
6,662.76 2,220.920000 2,220.920000 2,220.920000
4,784.50 2,392.250000 2,392.250000 2,392.250000
4,749.13 2,374.565000 2,374.565000 2,374.565000
Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienii cu afectare renal), medicina interna sau recuperare medicina fizica i
balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
27. ARTROPATIA PSORIAZICA - G31c

1
2
3
4
5
6
7
8
9
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****
ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
OLANDA
PR
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
4
4
4
4
4
4
3
2
2
4,565.66 1,141.415000 1,141.415000 1,141.415000
4
4
4
4
4
4
3
2
2
4,565.66 1,141.415000 1,141.415000 1,141.415000
568.800000 568.800000 568.800000

567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500
2,275.20
2,270.01
4,469.17 1,117.292500 1,117.292500 1,117.292500

4,469.17 1,117.292500 1,117.292500 1,117.292500
6,662.76 2,220.920000 2,220.920000 2,220.920000
4,784.50 2,392.250000 2,392.250000 2,392.250000
4,749.13 2,374.565000 2,374.565000 2,374.565000
Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
28. SPONDILITA ANKILOZANTA - G 31d

1
2
3
4
5
6
7
8
9
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****
ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg
MAREA BRITANIE

P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
OLANDA
PR
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
Pagina 40 din 42
568.800000 568.800000 568.800000

567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500
2,275.20
2,270.01
4,469.17 1,117.292500 1,117.292500 1,117.292500

4,469.17 1,117.292500 1,117.292500 1,117.292500
6,662.76 2,220.920000 2,220.920000 2,220.920000
4,784.50 2,392.250000 2,392.250000 2,392.250000
4,749.13 2,374.565000 2,374.565000 2,374.565000
NR.CRT
COD ATC
DCI
Denumire Comerciala
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul
Sanatatii)
Pagina 41 din 42
NR.CRT
COD ATC
DCI
Denumire Comerciala
forma farm.
concentratie
DETINATOR APP
TARA
DET. APP
AMBALAJ
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
ambal
L
aj
(RON)
(RON)
a) si f)
ADULTI
29. ARTRITA JUVENILA - G 31e

1
2
3
4
5
6
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
50mg
25mg
25mg
25mg
50mg
50mg
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
4
4
4
4
4
4
4,565.66 1,141.415000 1,141.415000 1,141.415000
4
4
4
4
4
4
3
2
2
4,565.66 1,141.415000 1,141.415000 1,141.415000
568.800000 568.800000 568.800000

567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500
2,275.20
2,270.01
4,469.17 1,117.292500 1,117.292500 1,117.292500

4,469.17 1,117.292500 1,117.292500 1,117.292500
Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
30. PSORIAZIS CRONIC SEVER - G 31f

1
2
3
4
5
6
7
8
9
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB02
L04AB04
L04AB04
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****
ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

50mg
25mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg
MAREA BRITANIE

P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
OLANDA
PR
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
NOTA:
- Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1-INSUFICIENTA
CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- 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;
4
- Medicamentele corespunzatoare DCI-urilor notate cu ( ) se importa cu avizul MS;
5
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu ( ) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.
NOT: Medicamentele din aceast sublist se elibereaz prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).
Pagina 42 din 42
568.800000 568.800000 568.800000

567.502500 567.502500 567.502500
2,270.01 567.502500 567.502500 567.502500
2,275.20
2,270.01
4,469.17 1,117.292500 1,117.292500 1,117.292500

4,469.17 1,117.292500 1,117.292500 1,117.292500
6,662.76 2,220.920000 2,220.920000 2,220.920000
4,784.50 2,392.250000 2,392.250000 2,392.250000
4,749.13 2,374.565000 2,374.565000 2,374.565000
ANEXA 4
Grupa
Nr.
terape
crt
utica
Denumire generica
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
Firma
Tara
Ambalaj
Prescriptie
SECIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaionale corespunztoare
medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sntate cu scop curativ in tratamentul ambulatoriu si spitalicesc
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS NR. 1275/2011 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
amanuntul Pret cu amanuntul Pret de decontare
maximal /
maximal / U.T.
/ U.T.
ambalaj
P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
A07AA11
A07AA11
A07AA11
D01AC02
D01AC02
D01AC02
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
D06BB03
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04
G01AF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CF04
J01CR01
J01CR01
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
AMOXICILLINUM + ACIDUM CLAVULANICUM
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
MICONAZOL NITRAT 2%
MEDACTER
MICONAL ECOBI
CLOVIRAL (R) 5%
ACICLOVIR 50mg/g
ACICLOVIR 50mg/g
ACICLOVIR MK
ACICLOVIR MK
ZOVIRAX
ACICLOVIR SLAVIA 50 mg/g
ACICLOVIR HYPERION
ACICLOVIR TERAPIA 50 mg/g
ACICLOVIR TIS 50mg/g
GYNOZOL 200
GYNOZOL 400
MEDACTER
MICONAL ECOBI
MICONAL ECOBI
MICONAL ECOBI
OXACILINA FARMEX 250 mg
OXACILINA 250 mg
OXACILINA 250 mg
OXACILINA 500 mg
OXACILINA 500 mg
COMPR. FILM.
200mg
200mg
100mg/5ml ALFA WASSERMANN SPA ITALIA
COMPR. FILM.
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
CAPS. VAG.
CAPS. VAG.
2%
2%
20mg/g
5%
5%
5%
5%
5%
5%
50mg/g
50mg/g
50mg/g
50mg/g
200mg
400mg
CREMA VAG. 2%
CREMA VAG. 20mg/g
OVULE
50mg
SOL. VAGINALA 2mg/ml
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
500mg
CAPS.
500mg
CAPS.
500mg
CAPS.
500mg
CAPS.
500mg
CAPS.
500mg
500mg
500mg
1g
1g
AMPIPLUS (R) 1,5 g
PULB. PT. SOL. INJ. 1g+500mg
AMPIPLUS (R) 1,5 g
PULB. PT. SOL. INJ. 1g+500mg
AUGMENTIN SR 1000 mg/62,5 mg
COMPR. ELIB. PREL. 1000mg/62,5mg
MEDOCLAV 1000 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
AMOXIPLUS 875 mg/125 mg
COMPR. FILM.

AMOXIPLUS 1,2 g
ALFA WASSERMANN SPA

ALFA WASSERMANN SPA
ITALIA
ITALIA

GRECIA
ITALIA
ANTIBIOTICE SA
ROMANIA

ROMANIA
ROMANIA
FITERMAN PHARMA S.R.L. ROMANIA

FITERMAN PHARMA S.R.L. ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
HYPERION S.A.
TERAPIA S.A.
ROMANIA
ROMANIA
TIS FARMACEUTIC SA ROMANIA

PHARCO IMPEX 93 S.R.L. ROMANIA
PHARCO IMPEX 93 S.R.L. ROMANIA
GRECIA
ITALIA
ITALIA
ITALIA

SANDOZ SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
SANDOZ SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
BEECHAM GROUP PLC MAREA BRITANIE
1000mg
1000mg
LEK PHARMACEUTICALS D.D. SLOVENIA
COMPR. FILM.
COMPR. FILM.
500 mg/125 mg
RANBAXY UK LIMITED
COMPR. FILM. 500/125mg

ANTIBIOTICE S.A.
COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC

COMPR. FILM.
625mg
1000mg
625mg
1,2g
ROMANIA
MAREA BRITANIE
COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC

MAREA BRITANIE
ANTIBIOTICE S.A.
MAREA BRITANIE
ROMANIA
BIOMEDIAL PHARMA S.R.L. ROMANIA

BIOMEDIAL PHARMA S.R.L. ROMANIA
ANTIBIOTICE SA
ROMANIA
36
12
1
P-RF
1
CUTIE X 1 TUB X 30G
P-RF
1
P-RF
1
CUTIE X 1 TUB AL. X 12 G
P-RF
1
CUTIE X 1 TUB X 5 G CREMA
P-RF
1
CUTIE X 1 TUB X 15 G CREMA
P-RF
1
CUTIE X 1 TUB AL X 7,5 G
P-RF
1
P-RF
1
CUTIE X 1 TUB X 5G CREMA
P-RF
1
CUTIE CU 1 TUB AL X 15 G CREMA
P-RF
1
P-RF
1
CUTIE CU 1 TUB DIN AL X 15 G CREMA
PRF
1
CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF
1
CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI
P-RF
6
CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI
P-RF
3
P-RF
1
CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA P-RF
1
CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE P-RF
15
CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE P-RF
5
P-RF
20
P-RF
20
CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000
P-RF
20
CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000
P-RF
20
P-RF
10
P-RF/S
500
P-RF
20
P-RF
10
P-RF/S 1000
P-RF
10
P-RF
1
P-RF/S
100
P-RF/S
100
P-RF
1
CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S
50
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF
1
CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL. P-RF
28
CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF
14
CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF
14
CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF
28
14
P-RF
14
CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM. P-RF
14
P-RF
14
CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
14
CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
P-RF
14
CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
P-RF
14
CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. P-RF
1
P-RF
P-RF
Pagina 1 din 46
72.18
24.49
14.14
5.05
6.34
7.04
4.73
3.68
5.62
3.10
4.98
15.58
4.97
5.42
4.97
3.48
4.41
4.23
14.33
10.31
6.66
13.32
4.98
5.70
242.55
5.59
257.71
5.25
4.58
195.09
8.26
5.21
296.26
5.10
2.46
237.08
376.06
3.94
633.77
18.68
34.28
29.92
31.12
24.47
8.01
11.33
20.76
19.50
14.04
18.55
12.23
5.10
2.005000
2.040833
14.140000
5.050000
6.340000
7.040000
4.730000
3.680000
5.620000
3.100000
4.980000
15.580000
4.970000
5.420000
4.970000
3.480000
0.735000
1.410000
14.330000
10.310000
0.444000
2.664000
0.249000
0.285000
0.242550
0.279500
0.257710
0.262500
0.458000
0.390180
0.413000
0.521000
0.296260
0.510000
2.460000
2.370800
3.760600
3.940000
12.675400
18.680000
1.224285
2.137142
2.222857
0.873928
0.572142
0.809285
1.482857
1.392857
1.002857
1.325000
0.873571
5.100000
2.005000
2.040833
14.140000
5.050000
6.340000
7.040000
4.730000
3.680000
4.176000
3.100000
4.176000
4.416000
4.176000
4.176000
4.176000
3.480000
0.735000
1.410000
12.372000
10.310000
0.444000
2.664000
0.249000
0.285000
0.242550
0.279500
0.257710
0.262500
0.355512
0.355512
0.355512
0.355512
0.296260
0.355512
2.460000
2.370800
3.760600
3.940000
12.675400
15.210480
1.224285
1.203428
1.203428
0.686570
0.572142
0.686570
0.686570
1.203428
1.002857
1.203428
0.686570
5.100000
91.26
33.10
19.11
6.83
8.57
9.51
6.39
4.98
7.60
4.19
6.73
21.06
6.72
7.33
6.72
4.70
5.96
5.72
19.37
13.93
9.00
18.00
6.73
7.70
296.11
7.55
314.61
7.10
6.19
238.17
11.17
7.04
361.68
6.89
3.33
289.43
448.06
5.33
728.96
25.25
44.84
39.13
40.71
33.07
10.83
15.32
28.06
26.35
18.97
25.07
16.53
6.89
2.535000
2.758333
19.110000
6.830000
8.570000
9.510000
6.390000
4.980000
7.600000
4.190000
6.730000
21.060000
6.720000
7.330000
6.720000
4.700000
0.993333
1.906666
19.370000
13.930000
0.600000
3.600000
0.336500
0.385000
0.296110
0.377500
0.314610
0.355000
0.619000
0.476340
0.558500
0.704000
0.361680
0.689000
3.330000
2.894300
4.480600
5.330000
14.579200
25.250000
1.601428
2.795000
2.907857
1.181071
0.773571
1.094285
2.004285
1.882142
1.355000
1.790714
1.180714
6.890000
2.535000
2.758333
19.110000
6.830000
8.570000
9.510000
6.390000
4.980000
5.640000
4.190000
5.640000
5.976000
5.640000
5.640000
5.640000
4.700000
0.993333
1.906666
16.716000
13.930000
0.600000
3.600000
0.336500
0.355332
0.296110
0.355332
0.314610
0.355000
0.434016
0.434016
0.434016
0.434016
0.361680
0.434016
3.330000
2.894300
4.480600
5.330000
14.579200
17.495040
1.601428
1.626000
1.626000
0.928285
0.773571
0.928285
0.928285
1.626000
1.355000
1.626000
0.928285
6.700920
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD08
J01DD08
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD62
J01DD62
J01DD62
Denumire generica
Denumire comerciala

PIPERACILLINUM + TAZOBACTAMUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFIXIMUM
CEFIXIMUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
AMOXIPLUS 1,2 g
AMOXIPLUS 1,2 g
MEDOCLAV 156,25 mg/5 ml
MEDOCLAV FORTE 312,5mg/5ml
Forma
Concentr
farmaceutic
atie / U.T.
a
1.2g
1.2g
PULB. PT. SUSP. ORALA 125mg+31,25/5ml

Firma
Tara
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF.
P-RF/S
CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF.
P-RF/S
CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA
P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP.
P-RF
SLOVENIA
P-RF
SLOVENIA
P-RF
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE
P-RF
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA
P-RF
AUGMENTIN (R) ES
PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml
MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE
P-RF
ENHANCIN 250 mg/ 62,5 mg/5 ml
RANBAXY UK LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE
AMOKSIKLAV 2x
AMOKSIKLAV 2x
TAZOCIN 4,5
TAZOCIN 2,25
ZOPECILIN 2 g/0,25 g
PULB. PT. SUSP. ORALA 250mg+62,5mg/5ml
312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA
LIOF. PT. SOL. INJ.
FARA CONCENTRATIE
LIOF. PT. SOL. INJ.
FARA CONCENTRATIE
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
1000mg
1g
1g
2g
250mg
250mg
250mg
250mg
250mg
2g
2g
500mg
500mg
500mg
500mg
2g
2g
1g
1g
100mg
200mg
1g
2g
2g
500mg
2g
1g
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.
S.C. FRESENIUS KABI S.R.L. ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF

PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g
PERASIN 2g/0,25 g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g
BACTACIN 2 g/0,25 g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g
BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
250 mg/ 62,5 mg/5 ml

CEFTRIAXONA ACTAVIS 1 g PULB. PT. SOL. INJ.

OFRAMAX 1000 mg
SEFTRION 1 g
CEFORT 1 g
CEFTRIAXONA ACTAVIS 2 g PULB. PT. SOL. INJ./PERF.
CEFORT 250 mg
CEFORT 250 mg
CEFORT 250 mg
OFRAMAX 250 mg
CEFORT 250 mg
MEDAXONE 2 g
CEFORT 2 g
CEFORT 500 mg
SEFTRION 500 mg
CEFORT 500 mg
CEFORT 500 mg
ROCEPHIN (R)
SEFTRION 2 g
NOVOSEF 1 g i.m.
PULB.+SOLV. PT. SOL. INJ.
NOVOSEF 1 g i.v.
EFICEF 100 mg
CAPS.
EFICEF (R) 200 mg
CAPS.
MEDOCEF 1 g
PULB. PT. SOL. INJ.
MEDOCEF 2 g
PULB. PT. SOL. INJ.
LYZONE 2 g
PULB. PT. SOL. INJ.
CEFOZON 500 mg
PULB. PT. SOL. INJ.
CEFOZON 2 g
CEFOZON 1 g
COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
PULB.+SOLV. PT. SOL. INJ./PERF.
1000mg/1000mg
1000mg/1000mg
1000mg/1000mg
ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE
CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.

AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
MAREA BRITANIE
ROMANIA
FRANTA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.
ROMANIA
CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
MYLAN S.A.S.
FRANTA
CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF
TERAPIA SA
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ.
TERAPIA SA
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.
ANTIBIOTICE SA
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF.
CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
TERAPIA SA
ANTIBIOTICE SA
MEDOCHEMIE LTD.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
CUTIE CU 5 FLACOANE DIN STICLA INCOLORA X 20 ML, CU SIST. SIG. "FLIP - OFF" CU PULB. PT. SOL. INJ./P
ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF.
P-RF
P-RF
S/P-RF
S/P-RF
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
PR
S
S/P-RF
S/P-RF
PR
S/P-RF
S/P-RF
ROMANIA
CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF.
S/P-RF
CIPRU
S/P-RF
CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF.
S/P-RF
S/P-RF
ROMANIA
S/P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.
S/P-RF
S/P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ.
EIPICO MED SRL
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.
ANTIBIOTICE SA

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

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ.
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.
MEDICAROM GROUP S.R.L. ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.
Pagina 2 din 46
S/P-RF
P-RF
P-RF
S/P-RF
PRF
P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
cant/a
mbala
j
100
50
1
1
1
1
1
1
1
1
1
1
1
12
12
1
12
1
5
10
1
5
1
1
1
10
12
10
1
1
5
1
1
1
12
12
5
50
1
10
5
50
100
1
50
10
10
10
50
1
100
1
1
1
1
1
10
10
10
10
1
1
1
1
10
50
1
Pret cu
ridicata
maximal /
ambalaj
477.30
246.03
11.02
8.65
16.36
9.57
4.78
14.72
7.36
7.36
26.22
16.80
17.77
692.90
401.14
22.93
265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28
389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
46.17
456.00
10.31
133.84
90.67
262.42
505.00
5.48
246.03
54.63
210.87
228.45
412.34
7.74
792.54
8.75
44.01
12.94
6.02
6.02
15.95
26.58
154.50
257.49
20.07
3.88
11.61
7.04
180.16
848.93
18.67
Pret cu ridicata
maximal / U.T.
4.773000
4.920600
11.020000
8.650000
16.360000
9.570000
4.780000
14.720000
7.360000
7.360000
26.220000
16.800000
17.770000
57.741666
33.428333
22.930000
22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
9.234000
9.120000
10.310000
13.384000
18.134000
5.248400
5.050000
5.480000
4.920600
5.463000
21.087000
22.845000
8.246800
7.740000
7.925400
8.750000
44.010000
12.940000
6.020000
6.020000
1.595000
2.658000
15.450000
25.749000
20.070000
3.880000
11.610000
7.040000
18.016000
16.978600
18.670000
Pret cu ridicata
maximal de
decontare / U.T.
4.773000
4.920600
10.380000
8.650000
16.360000
9.570000
4.780000
11.484000
5.736000
5.736000
26.220000
16.800000
17.770000
46.081000
23.533200
22.930000
22.117500
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
23.533200
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
7.224000
7.224000
7.224000
7.224000
15.528000
5.248400
5.050000
5.480000
4.920600
5.463000
15.528000
15.528000
8.246800
7.740000
7.925400
8.750000
15.528000
12.940000
6.020000
6.020000
1.595000
2.658000
8.448000
13.932000
13.932000
3.880000
11.610000
7.040000
18.016000
16.978600
18.670000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
558.41
300.35
14.90
11.69
22.11
12.93
6.46
19.89
9.95
9.95
34.30
22.71
24.02
793.41
475.39
30.99
324.01
27.47
126.23
239.41
53.17
239.41
30.99
30.99
30.99
459.51
323.86
462.17
53.55
53.53
241.05
53.53
53.53
53.53
540.43
540.43
60.39
535.19
13.94
163.39
114.64
320.36
588.60
7.41
300.35
69.07
257.43
278.89
487.60
10.46
902.02
11.82
57.56
17.49
8.14
8.14
21.56
34.77
188.61
314.35
27.12
5.24
15.69
9.51
219.94
963.48
25.24
5.584100
6.007000
14.900000
11.690000
22.110000
12.930000
6.460000
19.890000
9.950000
9.950000
34.300000
22.710000
24.020000
66.117500
39.615833
30.990000
27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
12.078000
10.703800
13.940000
16.339000
22.928000
6.407200
5.886000
7.410000
6.007000
6.907000
25.743000
27.889000
9.752000
10.460000
9.020200
11.820000
57.560000
17.490000
8.140000
8.140000
2.156000
3.477000
18.861000
31.435000
27.120000
5.240000
15.690000
9.510000
21.994000
19.269600
25.240000
5.584100
6.007000
14.028000
11.690000
22.110000
12.930000
6.460000
15.516000
7.752000
7.752000
34.300000
22.710000
24.020000
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
9.768000
9.768000
9.768000
9.768000
20.988000
6.407200
5.886000
7.063200
6.007000
6.907000
20.988000
20.988000
9.752000
10.460000
9.020200
10.824240
20.988000
17.490000
8.140000
8.140000
2.156000
3.477000
11.412000
18.828000
18.828000
5.240000
15.690000
9.510000
21.994000
19.269600
22.273440
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
Denumire generica
J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM)
J01DE02
J01DE02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
CEFPIROMUM
CEFPIROMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
IMIPENEMUM + CILASTATINUM
J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

J01FA02
J01FA02
J01FA06
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
SPIRAMYCINUM
SPIRAMYCINUM
ROXITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
Denumire comerciala
SULCEF 1000 mg/1000 mg

CEFROM (R) 1 g
CEFROM (R) 2 g
MERONEM IV 1 g
MERONEM IV 500 mg
LODITER 1000 mg
MEROPENEM HOSPIRA 1 g
MEROPENEM KABI 1 g
MEROPENEM KABI 1 g
LODITER 500 mg
Forma
Concentr
farmaceutic
atie / U.T.
a
1000mg/1000mg
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S
LAB. AVENTIS
FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF
LAB. AVENTIS
ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF. S
ASTRAZENECA UK LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF. S
TERAPIA S.A.
ROMANIA
PR
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PR
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S
FRESENIUS KABI ROMANIA SRL ROMANIA
S
TERAPIA S.A.
ROMANIA
PR
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S
S
TERAPIA SA
ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF
TERAPIA SA
TERAPIA SA
TERAPIA SA
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF. PR
1g
2g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg
PULB. PT. SOL. INJ.
500mg/500mg
PULB. PT. SOL. INJ.
500mg/500mg
PULB. PT. SOL. INJ.
500mg/500mg
PULB. PT. SOL. INJ.
500mg/500mg
IMIPENEM/CILASTATIN HOSPIRA 500 mg/500 mg PULB. PT. SOL. PERF.
500mg/500mg
IMIPENEM/CILASTATIN KABI 500mg/500mg
500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
500mg/500mg MERCK SHARP & DOHME
ROMANIA
TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.
S/P-RF
ROMANIA
S/P-RF
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
400mg/80mg
SUSP. ORALA
200mg/40mg /5ml
COMPR. FILM.
1,5 M ui
3M ui
150mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
MEROPENEM HOSPIRA 500 mg
MEROPENEM KABI 500 mg

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
TIENAM I.V.
TIENAM I.V.
BITRIM 400mg/80mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
SUMETROLIM
EPITRIM
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
ROXAMED (R) 150
CLAXIRIT 500 mg
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
FROMILID 250
LEKOKLAR (R) 500 mg
ROCLARIN 500 mg
KLERIMED (R) 500
KLABAX 500 mg
FROMILID 500
CLAR 500
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLACID (R)
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg

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

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.


CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
AZITROMICINA TERAPIA 250 mg COMPR. FILM.

400mg/80mg
400mg/80mg
400mg/80mg
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

ZENTIVA S.A.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
250mg
250mg
125mg
250mg
250mg
250mg
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
LAB. AVENTIS
LAB. AVENTIS
ROMANIA
S/P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.
PRF

MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.
ABBOTT SPA
ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM.
P-RF
P-RF
P-RF
P-RF
P-RF

ANTIBIOTICE S.A.
TERAPIA SA
P-RF
P-RF
P-RF
P-RF
P-RF
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF.
P-RF
P-RF
TERAPIA SA
ROMANIA
P-RF
MAREA BRITANIE
P-RF
KRKA D.D.
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
TERAPIA SA
TERAPIA SA
SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.
P-RF
ROMANIA
P-RF
P-RF
P-RF
SLOVENIA
CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
ITALIA
ITALIA
P-RF
ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF
FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS.
PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
Pagina 3 din 46
S/P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
cant/a
mbala
j
100
1
1
10
10
1
1
10
1
10
1
10
1
10
1
5
10
5
10
5
10
25
10
20
20
20
20
1
1
16
10
10
7
14
20
14
14
14
14
14
20
14
14
14
20
7
5
7
5
7
1
1
1
1
1
1
1
1
1
1
1
6
6
6
6
6
6
Pret cu
ridicata
maximal /
ambalaj
1,667.86
59.93
104.25
1,030.68
539.60
72.84
57.22
540.86
72.84
680.43
37.77
303.59
37.77
361.25
31.46
146.26
292.52
146.26
292.52
146.26
296.98
1,068.64
445.46
5.71
5.71
3.06
5.21
6.07
3.52
7.30
20.62
11.28
23.71
23.85
17.01
12.35
10.85
21.14
12.35
29.01
33.14
24.13
23.73
24.13
33.91
19.04
13.60
26.92
27.85
20.78
19.39
29.92
18.11
17.24
23.38
14.01
47.03
34.29
39.06
23.44
41.12
18.87
29.04
18.76
37.31
34.00
34.00
Pret cu ridicata
maximal / U.T.
16.678600
59.930000
104.250000
103.068000
53.960000
72.840000
57.220000
54.086000
72.840000
68.043000
37.770000
30.359000
37.770000
36.125000
31.460000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
42.745600
44.546000
0.285500
0.285500
0.153000
0.260500
6.070000
3.520000
0.456250
2.062000
1.128000
3.387142
1.703571
0.850500
0.882142
0.775000
1.510000
0.882142
2.072142
1.657000
1.723571
1.695000
1.723571
1.695500
2.720000
2.720000
3.845714
5.570000
2.968571
19.390000
29.920000
18.110000
17.240000
23.380000
14.010000
47.030000
34.290000
39.060000
23.440000
41.120000
3.145000
4.840000
3.126666
6.218333
5.666666
5.666666
Pret cu ridicata
maximal de
decontare / U.T.
16.678600
59.930000
104.250000
64.903200
36.430800
64.903200
57.220000
54.086000
64.903200
64.903200
36.430800
30.359000
36.430800
36.125000
31.460000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
35.102400
35.102400
0.183600
0.183600
0.153000
0.183600
6.070000
3.520000
0.456250
2.062000
1.128000
1.988400
0.930000
0.850500
0.882142
0.775000
0.930000
0.882142
1.988400
1.657000
1.723571
1.695000
1.723571
1.695500
1.988400
1.988400
1.988400
1.988400
1.988400
16.812000
28.056000
16.812000
16.812000
23.380000
14.010000
46.872000
28.128000
39.060000
23.440000
41.120000
3.145000
3.774000
3.126666
3.774000
3.774000
3.774000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
1,856.12
75.78
127.27
1,161.59
626.31
92.10
72.35
627.69
92.10
779.82
49.40
369.06
49.40
431.91
41.15
178.55
357.11
178.55
357.11
178.55
362.55
1,202.97
523.70
7.72
7.72
4.13
7.04
8.20
4.76
9.86
27.87
15.24
32.05
32.23
22.99
16.69
14.67
28.57
16.69
37.95
43.35
32.62
32.08
32.62
44.36
25.73
18.38
35.21
36.43
28.09
26.21
39.14
24.48
23.30
31.60
18.94
61.52
44.85
51.09
31.68
53.78
25.50
37.99
25.36
48.80
44.47
44.47
18.561200
75.780000
127.270000
116.159000
62.631000
92.100000
72.350000
62.769000
92.100000
77.982000
49.400000
36.906000
49.400000
43.191000
41.150000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
48.118800
52.370000
0.386000
0.386000
0.206500
0.352000
8.200000
4.760000
0.616250
2.787000
1.524000
4.578571
2.302142
1.149500
1.192142
1.047857
2.040714
1.192142
2.710714
2.167500
2.330000
2.291428
2.330000
2.218000
3.675714
3.676000
5.030000
7.286000
4.012857
26.210000
39.140000
24.480000
23.300000
31.600000
18.940000
61.520000
44.850000
51.090000
31.680000
53.780000
4.250000
6.331666
4.226666
8.133333
7.411666
7.411666
18.561200
75.780000
127.270000
75.322800
44.287200
75.322800
72.350000
62.769000
75.322800
75.322800
44.287200
36.906000
44.287200
43.191000
41.150000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
0.247800
0.247800
0.206500
0.247800
8.200000
4.760000
0.616250
2.787000
1.524000
2.601000
1.257428
1.149500
1.192142
1.047857
1.257428
1.192142
2.601000
2.167500
2.330000
2.291428
2.330000
2.218000
2.601000
2.601000
2.601000
2.601000
2.601000
22.728000
37.920000
22.728000
22.728000
31.600000
18.940000
61.308000
38.016000
51.090000
31.680000
53.780000
4.250000
5.100000
4.226666
5.100000
5.100000
5.100000
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01GB03
J01GB03
J01GB03
J01GB03
J01GB06
J01GB06
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA03
J01MA06
J01MA06
J01MA06
J01MA06
J01MA06
Denumire generica
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
AMIKACINUM
AMIKACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg

AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg
COMPR. FILM.
SUMAMED 500 mg
AZITROX (R) 500
ZITROCIN 500 mg
AZIBIOT 500 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

ZMAX 2 g
SUMAMED (R)
AZITROX 200 mg/5 ml
500mg
500mg
500mg
500mg
500mg
600mg
600mg
2g
500mg
Firma
TERAPIA SA
TERAPIA SA
SANDOZ S.R.L.
Tara
Ambalaj
ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF

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

ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.
TERAPIA SA
TERAPIA SA
Prescriptie
Grupa
Nr.
terape
crt
utica
ROMANIA
MAREA BRITANIE
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF
CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.
S/P-RF
P-RF

100mg/5ml SANDOZ SRL
ROMANIA
ROMANIA
P-RF
200 mg/5 ml SANDOZ SRL
ROMANIA
P-RF
200mg/5ml PLIVA LJUBLIJANA D.O.O.

SLOVENIA
P-RF
SLOVENIA
P-RF
SLOVENIA
SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
GENTAMICIN KRKA
GENTAMICIN KRKA
GENTAMICIN KRKA
PAN - GENTAMICINE
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
ZANOCIN
OFLOXIN 200

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL.INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.

CIFRAN
COMPR. FILM.
COMPR. FILM.
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CIPROCIN 250 mg
ALVEBAR 250 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CUMINOL 250 mg
COMPR. FILM.
CIFRAN
CIPRINOL 500 mg
COMPR. FILM.
COMPR. FILM.
CIPRO QUIN (R)

ALVEBAR 500 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
COMPR. FILM.
COMPR. FILM.
CIPRODAR
CUMINOL 500 mg
CIPRINOL 750 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPROFLOXACINA 100 mg/10 ml
CIPRINOL (R)
CIPRINOL (R)
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml
CIPRINOL (R)
PEFLOXACIN LAROPHARM
NOR QUIN 400 mg
H - NORFLOXACIN 400 mg
NORFLOX - 400
NOLICIN 400 mg
EPINOR


SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
40mg/ml
80mg/2ml
80mg/2ml
80mg/2ml
1g/4ml
COMPR. FILM.
COMPR. FILM.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.
P-RF/S
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
LAB. PANPHARMA
CN UNIFARM S.A.
200mg
RANBAXY UK LIMITED
200mg
ZENTIVA K.S.
100mg
ARENA GROUP S.A.
100mg
ARENA GROUP S.A.
250mg
RANBAXY UK LIMITED
250mg
ALKALOID D.O.O.
250mg
250mg
AC HELCOR SRL
250mg
250mg
250mg
250mg
ARENA GROUP S.A.
250mg
250mg
ARENA GROUP S.A.
500mg
RANBAXY UK LIMITED
500mg
500mg
ALKALOID D.O.O.
500mg
ANTIBIOTICE SA
500mg
500mg
ARENA GROUP S.A.
500mg
500mg
AC HELCOR SRL
500mg
ARENA GROUP S.A.
500mg
500mg
750mg
750mg
ARENA GROUP S.A.
1000 mg BAYER HEALTHCARE AG
500 mg
BAYER HEALTHCARE AG
FRANTA
CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
ROMANIA
CUTIE CU 1 FL.X 1G SOL.INJ.

CUTIE X 1 FLACON DIN STICLA X 2 ML
ROMANIA

P-RF
P-RF
MAREA BRITANIE
P-RF
CEHIA
P-RF
MAREA BRITANIE
P-RF
P-RF
P-RF
SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

MAREA BRITANIE

SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF

ROMANIA
P-RF

ROMANIA
P-RF


GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF
GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF
ROMANIA
CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML
S/P-RF
SLOVENIA
S/P-RF
CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF.
S/P-RF
200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.
S/P-RF
SLOVENIA
100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA
2mg/ml
2mg/ml
2mg/ml
400mg/200ml
400mg
400mg
400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR. FILM.
P-RF
DEMO SA
GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S

KRKA D.D.
SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/S
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM.
P-RF
Pagina 4 din 46
P-RF
cant/a
mbala
j
3
3
3
3
3
3
3
3
3
1
5
1
1
1
1
1
1
10
50
10
10
1
1
10
10
10
20
10
10
10
10
10
10
10
10
20
20
10
10
10
10
10
20
10
10
10
10
10
10
10
7
3
5
50
5
1
1
10
10
10
1
10
20
20
10
20
14
Pret cu
ridicata
maximal /
ambalaj
28.41
28.41
37.31
29.18
18.97
18.98
18.98
34.11
34.11
48.56
132.49
12.10
16.61
26.27
18.63
37.14
46.15
5.28
31.71
7.09
5.00
9.47
5.15
8.40
14.81
28.52
51.89
5.13
5.82
5.05
5.05
5.05
5.05
3.52
4.85
9.10
9.10
6.50
9.78
11.19
9.78
4.80
12.16
9.78
9.78
6.83
9.78
9.78
29.43
28.52
66.99
20.44
12.42
111.86
12.42
3.54
7.09
133.17
69.19
128.87
14.29
20.61
13.02
13.02
4.58
13.02
5.70
Pret cu ridicata
maximal / U.T.
9.470000
9.470000
12.436666
9.726666
6.323333
6.326666
6.326666
11.370000
11.370000
48.560000
26.498000
12.100000
16.610000
26.270000
18.630000
37.140000
46.150000
0.528000
0.634200
0.709000
0.500000
9.470000
5.150000
0.840000
1.481000
2.852000
2.594500
0.513000
0.582000
0.505000
0.505000
0.505000
0.505000
0.352000
0.485000
0.455000
0.455000
0.650000
0.978000
1.119000
0.978000
0.480000
0.608000
0.978000
0.978000
0.683000
0.978000
0.978000
2.943000
2.852000
9.570000
6.813333
2.484000
2.237200
2.484000
3.540000
7.090000
13.317000
6.919000
12.887000
14.290000
2.061000
0.651000
0.651000
0.458000
0.651000
0.407142
Pret cu ridicata
maximal de
decontare / U.T.
7.588000
7.588000
7.588000
7.588000
6.323333
6.326666
6.326666
11.370000
11.370000
48.560000
26.498000
12.100000
16.610000
26.270000
13.644000
37.140000
46.150000
0.528000
0.600000
0.600000
0.500000
9.470000
5.150000
0.840000
1.008000
2.852000
2.594500
0.422400
0.422400
0.422400
0.422400
0.422400
0.422400
0.352000
0.422400
0.422400
0.422400
0.576000
0.576000
0.576000
0.576000
0.480000
0.576000
0.576000
0.576000
0.576000
0.576000
0.576000
2.943000
2.852000
9.570000
0.576000
2.484000
2.237200
2.484000
2.684640
7.090000
8.302800
6.919000
12.887000
14.290000
2.061000
0.488570
0.488570
0.458000
0.488570
0.407142
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
37.16
37.16
48.80
38.17
25.64
25.65
25.65
44.61
44.61
63.52
161.75
16.36
22.45
34.36
25.18
48.58
60.36
7.13
41.48
9.58
6.76
12.80
6.96
11.36
20.02
37.31
65.61
6.93
7.87
6.83
6.83
6.83
6.83
4.76
6.56
12.30
12.30
8.78
13.22
15.12
13.22
6.49
16.43
13.22
13.22
9.23
13.22
13.22
38.50
37.31
84.70
27.63
16.79
136.56
16.79
4.79
9.58
162.58
87.49
157.33
19.31
27.86
17.60
17.60
6.19
17.60
7.70
12.386666
12.386666
16.266666
12.723333
8.546666
8.550000
8.550000
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
25.180000
48.580000
60.360000
0.713000
0.829600
0.958000
0.676000
12.800000
6.960000
1.136000
2.002000
3.731000
3.280500
0.693000
0.787000
0.683000
0.683000
0.683000
0.683000
0.476000
0.656000
0.615000
0.615000
0.878000
1.322000
1.512000
1.322000
0.649000
0.821500
1.322000
1.322000
0.923000
1.322000
1.322000
3.850000
3.731000
12.100000
9.210000
3.358000
2.731200
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000
2.786000
0.880000
0.880000
0.619000
0.880000
0.550000
10.255999
10.255999
10.255999
10.255999
8.546666
8.550000
8.550000
14.870000
14.870000
63.520000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
0.713000
0.811200
0.811200
0.676000
12.800000
6.960000
1.136000
1.363200
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.571200
0.571200
0.571200
0.778800
0.778800
0.778800
0.778800
0.649000
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
3.850000
3.731000
12.100000
0.778800
3.277440
2.731200
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
2.786000
0.660000
0.660000
0.619000
0.660000
0.550000
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
J01MA06
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA14
J01MA14
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XB01
J01XB01
J01XB01
J01XB01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XX08
J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
Denumire generica
NORFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
COLISTINUM
COLISTINUM
COLISTINUM
COLISTINUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg

FLERADAY 250 mg
COMPR. FILM. 250 mg
250mg
LEVOTOR 250 mg
COMPR. FILM. 250mg
TAVANIC 250 mg
COMPR. FILM. 250mg
LEVOFLOXACINA ACCORD 250 mg COMPR. FILM. 250mg
FLERADAY 500 mg
COMPR. FILM. 500 mg
LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg
TAVANIC 500 mg
COMPR. FILM. 500mg
LEVOTOR 500 mg
COMPR. FILM. 500mg
LEVOFLOXACINA BLUEFISH 500 mg COMPR. FILM. 500mg
LEVOFLOXACINA BLUEFISH 500 mg COMPR. FILM. 500mg
LEVOFLOXACINA ACCORD 500 mg COMPR. FILM. 500mg
LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml
LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml
EVOLOX 5 mg/ml
SOL. PERF. 5mg/ml
EVOLOX 5 mg/ml
SOL. PERF. 5mg/ml
TAVANIC I.V. 500 mg
SOL. PERF. 5mg/ml
LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml
AVELOX (R) 400 mg
COMPR. FILM. 400mg
AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml
VANCOMYCIN TEVA
LIOF. PT. SOL. PERF. 1g
VANCOMYCIN TEVA
LIOF. PT. SOL. PERF. 500mg
VANCOMICINA PHARMASWISS 1000 mg PULB. PT. SOL. PERF. 1000mg
VANCOMICINA ACTAVIS 1000mg
1000mg
VANCOMICINA KABI 1000 mg
1000mg
500mg
EDICIN
1g
TARGOCID (R) 400 mg
400mg
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui
METRONIDAZOL ARENA 250 mg (J01XD01) COMPR.
250mg
COMPR. FILM. 250mg
SOL. PERF. 5g/l
SOL. PERF. 5g/l
SOL. PERF. 5g/l
SOL. PERF. 5g/l
METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml
SUSP. ORALA 4%
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
LINEZOLID TEVA 2 mg/ml
SOL. PERF. 2mg/ml
KETOSTIN 200 mg
COMPR.
200mg
200mg
NIZORAL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
FUNGOLON 100 mg
CAPS.
100mg
FLUCONAZOLE TEVA 100 mg CAPS.
100mg
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
FLUCONAZOL BIOGALENICA 150 mg CAPS.
150mg
150mg
FLUCONAZOL ARENA 150 MG CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM.
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
TERAPIA S.A.
ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF
ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
TERAPIA S.A.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.
P-RF
P-RF

SUEDIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF
SUEDIA CUTIE CU BLIST. PVC-PVDC/PVC X 7 COMPR. FILM. PRF
MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF
ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF. S
ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. S
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. S
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S

ACCORD HEALTHCARE LIMITED

TERAPIA S.A.
ROMANIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.
FRESENIUS KABI ROMANIA SRL
ROMANIA
CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 50 ML SOL. PERF. (250MG LEVOFLOXACINA)
ROMANIA
ROMANIA
ROMANIA
P-RF/S
S
S
S
S
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML
TEVA PHARM. WORKS PRIVATE LTD. COMPANY
UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.
S/P-RF
S/P-RF
CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
PR
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA
P-PR
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P
ROMANIA
PR
PR
PULB.LIOF.PT.SOL.PERF./INJ
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.
S/P-RF
AVENTIS PHARMA LTD.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ARENA GROUP SA
MAREA BRITANIE
CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.
ROMANIA
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.
ROMANIA
ROMANIA
ROMANIA
S
S
S
S
ROMANIA
P-RF
P-RF
LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
INFOMED FLUIDS SRL

INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL

ROMANIA
S/P-RF
ROMANIA
S/P-RF
ROMANIA
S/P-RF
S/P-RF
S/P-RF
S/P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
S/P-RF
LABORATOIRE AVENTIS FRANTA
CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML
P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
P-RF
MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
MAREA BRITANIE
CUTIE X 10 PUNGI X 300 ML
ROMANIA
10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA
AC HELCOR SRL
ARENA GROUP SA
TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ROMANIA
ROMANIA
KRKA D.D.
SLOVENIA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ARENA GROUP SA
ROMANIA
ROMANIA
KRKA D.D.
SLOVENIA

Pagina 5 din 46
P-RF
S
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
cant/a
mbala
j
20
7
7
7
7
7
7
7
7
7
7
7
7
1
1
1
1
1
1
25
1
25
5
5
1
1
10
10
1
1
1
1
1
10
150
100
50
30
20
1
12
12
1
20
10
10
1
10
1
10
10
10
10
10
10
10
16
2
7
28
4
7
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
11.64
20.76
12.88
12.87
19.81
12.87
25.88
25.89
39.82
25.73
23.65
23.65
25.54
37.71
74.10
37.79
74.25
112.19
37.79
858.58
74.25
1,687.14
65.97
619.74
48.56
24.28
456.00
234.30
48.45
48.39
24.17
56.90
118.16
173.48
2,394.53
1,606.36
818.19
5.71
6.21
6.74
79.29
77.74
6.59
228.10
36.98
37.40
5.88
1,603.26
879.36
1,603.26
1,052.62
9.34
6.78
15.15
5.94
5.08
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
Pret cu ridicata
maximal / U.T.
0.582000
2.965714
1.840000
1.838571
2.830000
1.838571
3.697142
3.698571
5.688571
3.675714
3.378571
3.378571
3.648571
37.710000
74.100000
37.790000
74.250000
112.190000
37.790000
34.343200
74.250000
67.485600
13.194000
123.948000
48.560000
24.280000
45.600000
23.430000
48.450000
48.390000
24.170000
56.900000
118.160000
17.348000
15.963533
16.063600
16.363800
0.190333
0.310500
6.740000
6.607500
6.478333
6.590000
11.405000
3.698000
3.740000
5.880000
160.326000
879.360000
160.326000
105.262000
0.934000
0.678000
1.515000
0.594000
0.508000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
Pret cu ridicata
maximal de
decontare / U.T.
0.488570
2.206285
1.840000
1.838571
2.206285
1.838571
3.697142
3.698571
4.054285
3.675714
3.378571
3.378571
3.648571
37.710000
74.100000
37.790000
74.250000
80.982720
37.790000
34.343200
74.250000
67.485600
13.194000
123.948000
48.560000
24.280000
45.600000
23.430000
48.450000
48.390000
24.170000
54.720000
118.160000
17.348000
15.963533
16.063600
16.363800
0.190333
0.228400
6.740000
6.607500
6.478333
6.590000
4.437600
3.698000
3.740000
5.880000
160.326000
879.360000
126.314400
105.262000
0.609600
0.609600
0.609600
0.594000
0.508000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
15.73
28.06
17.41
17.40
26.78
17.40
33.85
33.86
52.08
33.65
31.96
31.96
33.40
49.33
93.69
49.43
93.88
136.96
49.43
974.00
93.88
1,877.13
83.41
713.67
63.52
32.82
535.19
286.03
63.37
63.30
32.67
71.94
144.25
211.79
2,648.19
1,789.09
929.98
7.72
8.40
9.11
100.25
98.29
8.91
278.47
48.37
48.92
7.95
1,785.71
996.65
1,785.71
1,185.51
12.62
9.17
20.48
8.03
6.87
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
0.786500
4.008571
2.487142
2.485714
3.825714
2.485714
4.835714
4.837142
7.440000
4.807142
4.565714
4.565714
4.771428
49.330000
93.690000
49.430000
93.880000
136.960000
49.430000
38.960000
93.880000
75.085200
16.682000
142.734000
63.520000
32.820000
53.519000
28.603000
63.370000
63.300000
32.670000
71.940000
144.250000
21.179000
17.654600
17.890900
18.599600
0.257333
0.420000
9.110000
8.354166
8.190833
8.910000
13.923500
4.837000
4.892000
7.950000
178.571000
996.650000
178.571000
118.551000
1.262000
0.917000
2.048000
0.803000
0.687000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
0.660000
2.982857
2.487142
2.485714
2.982857
2.485714
4.835714
4.837142
5.478857
4.807142
4.565714
4.565714
4.771428
46.752000
90.102240
46.752000
90.102240
90.102240
46.752000
38.960000
90.102240
75.085200
16.682000
142.734000
63.520000
32.820000
53.519000
28.603000
63.370000
63.300000
32.670000
64.222800
144.250000
21.179000
17.654600
17.890900
18.599600
0.257333
0.308800
9.110000
8.354166
8.190833
8.910000
5.804400
4.837000
4.892000
7.950000
178.571000
996.650000
142.261200
118.551000
0.824400
0.824400
0.824400
0.803000
0.687000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
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345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J02AX04
J02AX04
J02AX06
J04AC01
J04AC01
J04AC01
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANIDULAFUNGINUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
Denumire comerciala

FLUCONAZOL ROMPHARM 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

Forma
Concentr
farmaceutic
atie / U.T.
a
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
FLUCONAZOL KABI 2 mg/ml SOL. PERF.
FLUCONAZOL B. BRAUN 2mg/ml SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
CANCIDAS 70 mg
ECALTA 100mg
ISONIAZIDA 100 mg
COMPR.
IZONIAZIDA ATB 100 mg
COMPR.
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
50mg
70mg
100mg
100mg
100mg
300mg
Firma
Tara
Ambalaj

TERAPIA SA
SANDOZ SRL
ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
TERAPIA SA
SANDOZ SRL
KRKA D.D.
ANTIBIOTICE S.A.
Prescriptie
Grupa
Nr.
terape
crt
utica
cant/a
mbala
j
1
1
1
P-RF
1
P-RF
1
P-RF
1
P-RF
1
P-RF
1
P-RF
4
PRF
1
P-RF
1
P-RF
7
P-RF
7
P-RF
7
P-RF
7
P-RF
7
P-RF
7
PRF
7
P-RF
7
P-RF
7
P-RF
7
P-RF
7
P-RF
8
P-RF
7
P-RF
7
P-RF
10
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF
1
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S
20
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF. S
20
10
20
10
1
FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.
S
10
S
20
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML S/PR-F
1
25
S
1
ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF.
S
1
S
25
S
1
10
10
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL
S
1
10
ZENTIVA K.S.
S
1
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S/P-RF
1
S/P-RF
1
P-RF
15
P-RF
15
P-RF
15
JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
15
P-RF
15
P-RF
15
P-RF
15
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
P-RF
28
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF
28
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
P-RF
1
PFIZER LIMITED
MAREA BRITANIE
P-RF
1
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R
1
SP EUROPE
BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R
1
MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S
1
1
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S
1
ANTIBIOTICE SA
S 1500
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PR
20
ANTIBIOTICE SA
ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500
ROMPHARM COMPANY S.R.L. ROMANIA
Pagina 6 din 46
PRF
PRF
P-RF
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
40.18
40.18
40.18
60.84
40.18
40.18
40.18
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
1,202.39
1,560.14
1,458.70
108.12
108.12
270.36
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
2.678666
2.678666
2.678666
4.056000
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
1,458.700000
0.072080
5.406000
0.180240
Pret cu ridicata
maximal de
decontare / U.T.
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
2.678666
2.678666
2.678666
3.214399
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
1,458.700000
0.072080
0.086496
0.180240
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
52.56
52.56
52.55
76.92
52.56
52.56
52.56
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
1,348.76
1,738.70
1,628.13
131.99
131.99
330.05
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
3.504000
3.504000
3.503333
5.128000
3.504000
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1,628.130000
0.087993
6.599500
0.220033
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
3.504000
3.504000
3.503333
4.204000
3.504000
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1,628.130000
0.087993
0.105592
0.220033
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
J04AC01
J04AK01
J04AK01
J04AK02
J04AK02
J04AM02
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB04
J05AB04
J05AB06
J05AB11
J05AB14
J05AB15
J05AE01
J05AE01
J05AE02
J05AE02
J05AE03
J05AE03
J05AE03
J05AE04
J05AE06
J05AE06
J05AE07
J05AE07
J05AE08
J05AE08
J05AE09
J05AE10
J05AE10
J05AE10
J05AF01
J05AF01
J05AF02
J05AF02
J05AF04
J05AF04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF06
J05AF06
J05AF07
J05AF09
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG01
J05AG03
J05AG03
J05AG04
Denumire generica
ISONIAZIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM
COMBINATII (RIFAMPICINUM+IZONIAZIDUM)
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
RIBAVIRINUM
RIBAVIRINUM
GANCICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**
BRIVUDINUM
SAQUINAVIRUM
SAQUINAVIRUM
INDINAVIRUM
INDINAVIRUM
RITONAVIRUM**
RITONAVIRUM**
RITONAVIRUM**
NELFINAVIRUM
LOPINAVIRUM+RITONAVIRUM**
LOPINAVIRUM+RITONAVIRUM**
FOSAMPRENAVIRUM**
FOSAMPRENAVIRUM**
ATAZANAVIRUM
ATAZANAVIRUM
TIPRANAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
ZIDOVUDINUM
ZIDOVUDINUM
DIDANOSINUM
DIDANOSINUM
STAVUDINUM
STAVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
ABACAVIRUM
ABACAVIRUM
TENOFOVIRUM DISOPROXIL FUMARATE
EMTRICITABINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
EFAVIRENZUM
EFAVIRENZUM
ETRAVIRINUM
Denumire comerciala

PIRAZINAMIDA ANTIBIOTICE 500 mg
PIRAZINAMIDA ANTIBIOTICE 500 mg
ETAMBUTOL 250 mg
ETAMBUTOL 400 mg
SINERDOL ISO
ACICLOVIR FARMEX 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR TERAPIA 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
REBETOL 200 mg
COPEGUS 200mg
CYMEVENE
VALTREX 500 mg
VALCYTE (R) 450 mg
BRIVAL 125mg
INVIRASE 200mg
INVIRASE 500 mg
CRIXIVAN 200mg
CRIXIVAN 400mg
NORVIR 100 mg
NORVIR 100 mg
NORVIR 100 mg
VIRACEPT 250 mg
KALETRA 200mg/50mg
KALETRA 80mg/ml+20mg/ml
TELZIR 700mg
TELZIR 50mg/ml
REYATAZ 150 mg
REYATAZ 300 mg
APTIVUS 250mg
PREZISTA 300mg
PREZISTA 400mg
PREZISTA 600mg
RETROVIR (R)
RETROVIR (R)
VIDEX EC 250 mg
VIDEX EC 400 mg
ZERIT 30 mg
ZERIT 40 mg
ZEFFIX 100 mg
EPIVIR 150mg
EPIVIR 10mg/ml
ZIAGEN 300 mg
ZIAGEN 20 mg/ml
VIREAD 245mg
EMTRIVA 200mg
NEVIRAPINA 200mg
VIRAMUNE 200mg
VIRAMUNE 100mg
VIRAMUNE 400mg
VIRAMUNE 50mg
VIRAMUNE 50mg/ml
STOCRIN 50 mg
STOCRIN 600 mg
INTELENCE
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR.
COMPR.
COMPR.
300mg
500mg
500mg
COMPR. FILM. 250mg
COMPR. FILM. 400mg
CAPS.
300mg+150mg
CAPS.
200mg
CAPS.
200mg
CAPS.
200mg
CAPS.
200mg
CAPS.
400mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
400mg
PULB. PT. SOL. INJ./PERF. 250mg
CAPS.
200mg
COMPR. FILM. 200mg
COMPR. FILM. 500mg
COMPR. FILM. 450mg
COMPR.
125mg
CAPS.
200mg
COMPR. FILM. 500mg
CAPS.
200mg
CAPS.
400mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 250mg
Firma
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
SUSP. ORALA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
Ambalaj
CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF

CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S
S/P-RF
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. S
S
P-RF
P-RF
CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S
P-RF
P-RF
P-RF
ARENA GROUP SA
ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP S.A.
LAROPHARM S.R.L.
ROMANIA
TERAPIA SA
ANTIBIOTICE SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
ROMANIA
SP EUROPE
BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC )

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.
ROCHE ROMANIA S.R.L. ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM.
GERMANIA
MAREA BRITANIE
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 1 FLAC. X 270 CAPS.
CUTIE X 1 FLAC. PEID X 120 COMPR. FILM.
CUTIE X 1 FLAC. PEID X 360 CAPS.
CUTIE X 1 FLAC DIN PEID. X 180 CAPS.
CUTIE X 1 FLAC. PEID X 60 COMPR.FILM.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.
80mg/ml+20mg/ml ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML
700mg
50mg/ml
CAPS.
150mg
CAPS.
300mg
CAPS. MOI 250mg
COMPR. FILM. 300mg
COMPR. FILM. 400mg
COMPR. FILM. 600mg
CAPS.
100mg
SOL. ORALA 1%
CAPS. GASTROREZ. 250mg
CAPS. GASTROREZ. 400mg
CAPS.
30mg
CAPS.
40mg
COMPR. FILM. 100 mg
COMPR. FILM. 100mg
COMPR. FILM. 150 mg
COMPR. FILM. 150mg
COMPR. FILM. 300 mg
SOL. ORALA 10mg/ml
COMPR. FILM. 300mg
SOL. ORALA 20mg/ml
COMPR. FILM. 245mg
CAPS.
200mg
COMPR.
200mg
COMPR.
200mg
SUSP. ORALA 50mg/5ml
COMPR. FILM. 50mg
COMPR. FILM. 600mg
COMPR.
100mg
COMPR. FILM.
ROMANIA
FARMEX COMPANY S.R.L. ROMANIA
COMPR. FILM. 200mg/50mg ABBOTT LABORATORIES LTD.
SOL. ORALA
Tara
GLAXO GROUP LTD.

GLAXO GROUP LTD.
MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII
MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII +
MAREA BRITANIE
MAREA BRITANIE
GERMANIA
CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)

CUTIE X 1 FLAC. PEID X 30 CAPS.
CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI
BELGIA
BELGIA
BELGIA
UK

CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA A 10 ML
JANSSEN-CILAG INTERNATIONAL NV
VIIV HEALTHCARE UK LIMITED

UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.
CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM
CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

TEVA PHARMA B.V. OLANDA BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.
MAREA BRITANIE

GERMANIA CUTIE CU UN FLACON DIN PEID X 90 COMPR. CU ELIB. PRELUNGITA
Prescriptie
Grupa
Nr.
terape
crt
utica
GERMANIA
MERCK SHARP & DOHME
MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII
MERCK SHARP & DOHME
MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII
BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR.
CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON
Pagina 7 din 46
cant/a
mbala
j
1500
1500
20
1500
1500
1000
20
20
1000
20
10
20
P-RF
20
P-RF
20
P-RF
20
P-RF
20
P-RF
10
S/P-RF
5
P-RF/R
140
P-RF/R
168
S
1
P-RF
10
P-RF
60
P-RF
7
P-RF/R
270
P-RF/R
120
P-RF/R
360
P-RF/R
180
P-RF/R
60
P-RF/R
30
P-RF/R
90
P-RF/R
270
P-RF/R
120
P-RF/R
5
P-RF/R
60
P-RF/R
1
P-RF/R
60
P-RF/R
30
P-RF/R
120
P-RF/R
120
P-RF/R
60
P-RF/R
60
S/P-RF
100
S/P-RF
1
S/P-RF
30
S/P-RF
30
P-RF/R
56
P-RF/R
56
P-RF/R
30
P-RF/R
28
P-RF/R
60
P-RF/R
60
P-RF/R
30
P-RF/R
1
P-RF/R
60
P-RF/R
1
P-RF/R
30
P-RF/R
30
P-RF/R
60
P-RF/R
60
PR
90
PR
30
PR 180
P-RF/R
1
P-RF/R
30
P-RF/R
30
P-RF/R
120
Pret cu
ridicata
maximal /
ambalaj
270.36
434.58
6.75
252.90
395.15
438.43
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23
231.79
2,210.48
2,406.37
92.79
43.54
4,863.09
272.43
1,020.66
1,013.90
167.56
167.56
387.06
196.38
565.59
1,020.66
1,564.58
1,487.86
1,219.58
384.56
1,579.88
1,691.40
2,969.40
2,768.37
2,015.15
2,841.59
354.20
84.40
421.93
657.08
487.42
502.69
159.00
228.32
319.27
476.54
319.27
131.82
787.53
209.91
1,097.01
656.22
416.84
625.14
731.60
966.78
731.60
186.84
12.04
67.45
1,947.00
Pret cu ridicata
maximal / U.T.
0.180240
0.289720
0.337500
0.168600
0.263433
0.438430
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
15.789142
14.323630
92.790000
4.354000
81.051500
38.918571
3.780222
8.449166
0.465444
0.930888
6.451000
6.546000
6.284333
3.780222
13.038166
297.572000
20.326333
384.560000
26.331333
56.380000
24.745000
23.069750
33.585833
47.359833
3.542000
84.400000
14.064333
21.902666
8.703928
8.976607
5.300000
8.154285
5.321166
7.942333
10.642333
131.820000
13.125500
209.910000
36.567000
21.874000
6.947333
10.419000
8.128888
32.226000
4.064444
186.840000
0.401333
2.248333
16.225000
Pret cu ridicata
maximal de
decontare / U.T.
0.180240
0.289720
0.337500
0.168600
0.263433
0.438430
0.577200
0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
15.789142
14.323630
92.790000
4.354000
81.051500
38.918571
3.780222
8.449166
0.465444
0.930888
6.451000
6.546000
6.284333
3.780222
13.038166
297.572000
20.326333
384.560000
26.331333
56.380000
24.745000
23.069750
33.585833
47.359833
3.542000
84.400000
14.064333
21.902666
8.703928
8.976607
5.300000
6.360000
5.321166
6.385399
10.642333
131.820000
13.125500
209.910000
36.567000
21.874000
6.947333
8.336800
8.128888
32.226000
4.064444
186.840000
0.401333
2.248333
16.225000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
330.05
511.84
9.12
308.74
468.86
516.04
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23
282.97
2,447.58
2,661.10
117.33
56.95
5,338.93
332.58
1,150.67
1,143.30
204.56
204.56
460.05
239.74
654.64
1,150.67
1,743.54
1,659.92
1,367.49
457.32
1,760.22
1,881.78
3,274.80
3,055.68
2,234.67
3,135.49
424.23
106.72
498.05
754.37
569.44
586.08
194.11
278.73
386.16
557.58
386.16
160.92
896.56
256.26
1,233.89
753.43
492.51
719.55
835.60
1,091.94
835.60
228.10
16.27
85.28
2,160.38
0.220033
0.341226
0.456000
0.205826
0.312573
0.516040
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
17.482714
15.839880
117.330000
5.695000
88.982166
47.511428
4.261740
9.527500
0.568222
1.136444
7.667500
7.991333
7.273777
4.261740
14.529500
331.984000
22.791500
457.320000
29.337000
62.726000
27.290000
25.464000
37.244500
52.258166
4.242300
106.720000
16.601666
25.145666
10.168571
10.465714
6.470333
9.954642
6.436000
9.293000
12.872000
160.920000
14.942666
256.260000
41.129666
25.114333
8.208500
11.992500
9.284444
36.398000
4.642222
228.100000
0.542333
2.842666
18.003166
0.220033
0.341226
0.409471
0.205826
0.312573
0.516040
0.780000
0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
17.482714
15.839880
117.330000
5.695000
88.982166
47.511428
4.261740
9.527500
0.568222
1.136444
7.667500
7.991333
7.273777
4.261740
14.529500
331.984000
22.791500
457.320000
29.337000
62.726000
27.290000
25.464000
37.244500
52.258166
4.242300
106.720000
16.601666
25.145666
10.168571
10.465714
6.470333
7.764400
6.436000
7.723200
12.872000
160.920000
14.942666
256.260000
41.129666
25.114333
8.208500
9.850200
9.284444
36.398000
4.642222
228.100000
0.542333
2.842666
18.003166
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
Denumire generica
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM. 150 mg/300 mg

J05AR01
J05AR02
J05AR04
J05AX07
J05AX08
J05AX09
J05AX09
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BB16
J06BB16
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
P01BC02
S01AA23
S01AA23
S01AA23
S01BA01
S01BA01
S01BA01
S01BA01
S03AAN2
ZIDOVUDINUM+LAMIVUDINUM**
ABACAVIRUM+LAMIVUDINUM**
COMBIVIR 150mg/300mg
KIVEXA 600mg/300mg
ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM** TRIZIVIR 300mg/150mg/300mg
ENFUVIRTIDUM**
FUZEON 90mg/ml
RALTEGRAVIRUM
ISENTRESS 400mg
MARAVIROCUM
CELSENTRI 150mg
MARAVIROCUM
CELSENTRI 300mg
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** HUMAGLOBIN
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM 10%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** PRIVIGEN 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** KIOVIG 100mg/ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 10g/200ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** IG VENA 2,5g/50ml
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** FLEBOGAMMA 5%
IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA** OCTAGAM
PALIVIZUMABUM**
SYNAGIS 100 mg
PALIVIZUMABUM**
SYNAGIS 50 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
MEFLOQUINUM4
ELOQUINE 250 mg
NETILMICINUM
NETTACIN (R)
NETILMICINUM
NETTACIN (R)
NETILMICINUM
NETTAVISC 3mg/g
DEXAMETHASONUM
OZURDEX
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
MAXIDEX (R)
NORFLOXACINUM
NORFLOX
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE
P-RF
COMPR. FILM. 150mg/300mg GLAXO GROUP LTD.
MAREA BRITANIE
P-RF/R
COMPR. FILM. 600mg/300mg GLAXO GROUP LTD.
MAREA BRITANIE
CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL )
P-RF/R
P-RF/R
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB.+SOLV. PT. SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
300mg/150mg/300mg
90mg/ml
400 mg
150mg
300mg
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
100mg
50mg
GLAXO GROUP LTD.
MAREA BRITANIE
MAREA BRITANIE CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T
MERCK SHARP & DOHME
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE

CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
HUMAN BIOPLAZMA MANUFACTURING AND TRADING LTD.
UNGARIA
CUTIE X 1 CUTIE X 1 FLAC. CU PULB. + 1 CUTIE X 1 FLAC. SOLV. X 50 ML
UNGARIA
OCTAPHARMA (IP) LIMITED
MAREA BRITANIE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CSL BEHRING GMBH

CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
GERMANIA
CUTIE X 1 FLAC.X 200 ML SOL. PERF.

PFIZER LIMITED
PFIZER LIMITED
INSTITUTO GRIFOLS S.A.

OCTAPHARMA (IP) LTD.

MAREA BRITANIE
GERMANIA
AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

GERMANIA
GERMANIA


AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML)
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF.


MAREA BRITANIE

MAREA BRITANIE
MAREA BRITANIE
P-RF/R
P-RF/R
P-RF/R
P-RF/R
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
KEDRION SPA
ITALIA
MAREA BRITANIE
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF
30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
60MU/ml SANDOZ GMBH
96MU/ml SANDOZ GMBH
120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF
300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R
300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R
480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
COMPR.
250mg
0,3%
0,3%
UNG. OFT. 3mg/g
IMPLANT
700 micrograme
PIC. OFT. SUSP. 1mg/ml
PIC. OFT. SUSP. 1mg/ml
PICATURI OFT.-SUSP. 0,1%
PICATURI OFT./AURIC.-SOL. 0,3%
PIC. OFT., SOL
PICATURI OFT.-SOL.
CN UNIFARM
S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA
ITALIA
ITALIA
ITALIA

P-RF
CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML
P-RF
CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR
P-RF
IRLANDA
CUTIE CU1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGIT CONINND DEXAMETAZON 700 MICR
P-RF
ROMANIA
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE
P-RF
ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF
CIPLA (UK) LIMITED
CUTIE X 1 FLACON PEJD X 5 ML
P-RF
CUTIE X 1 FLACON DIN PE X 20 COMPR.

P-6L
ROMANIA
ROMANIA
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
MAREA BRITANIE
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
60
60
30
60
60
60
60
60
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
5
1
5
1
5
100
1
15
1
1
1
1
1
1
677.93
1,026.84
1,328.77
1,675.67
6,090.78
3,480.67
3,352.86
3,352.86
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
3,499.13
2,119.02
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
140.58
10.49
21.41
24.05
4,694.69
4.11
7.49
6.33
3.52
11.298833
17.114000
44.292333
27.927833
101.513000
58.011166
55.881000
55.881000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
3,499.130000
2,119.020000
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
1.405800
10.490000
1.427333
24.050000
4,694.690000
4.110000
7.490000
6.330000
3.520000
11.298833
13.558600
44.292333
27.927833
101.513000
58.011166
55.881000
55.881000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
3,499.130000
2,119.020000
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
1.405800
10.490000
1.427333
12.588000
4,694.690000
4.110000
7.490000
4.932000
3.520000
777.10
1,157.41
1,486.51
1,864.63
6,677.11
3,832.08
3,692.77
3,692.77
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
3,852.21
2,347.88
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
171.62
14.18
28.94
32.50
5,155.37
5.55
10.12
8.55
4.76
12.951666
19.290166
49.550333
31.077166
111.285166
63.868000
61.546166
61.546166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
3,852.210000
2,347.880000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
1.716200
14.180000
1.929333
32.500000
5,155.370000
5.550000
10.120000
8.550000
4.760000
12.951666
15.541999
49.550333
31.077166
111.285166
63.868000
61.546166
61.546166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
3,852.210000
2,347.880000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
1.716200
14.180000
1.929333
17.016000
5,155.370000
5.550000
10.120000
6.660000
4.760000
20
20
20
5
5
5
5
6.74
6.74
6.74
7.65
7.65
5.16
5.16
0.337000
0.337000
0.337000
1.530000
1.530000
1.032000
1.032000
0.337000
0.337000
0.337000
1.530000
1.530000
1.032000
1.032000
9.11
9.11
9.11
10.34
10.34
6.98
6.98
0.455500
0.455500
0.455500
2.068000
2.068000
1.396000
1.396000
0.455500
0.455500
0.455500
2.068000
2.068000
1.396000
1.396000
cant/a
mbala
j
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj

B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA
1
2
3
4
5
6
7
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
A11HA02
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
VITAMINA B6 250 mg
SICOVIT B6 250 mg
COMPR.
COMPR.
VITAMINA B6 ZENTIVA 250 mg COMPR.
SICOVIT B6 250 mg/5 ml
SOL. INJ.
SOL. INJ.
SOL. INJ.
VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ.
VITAMINA B6 ZENTIVA 250 mg/5 ml
SICOVIT B6 50 mg/2ml
250 mg
250mg
250mg
250mg/5ml
250mg/5ml
50mg/2ml
50mg/2ml
ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ROMANIA
ROMANIA
Pagina 8 din 46
P-6L
P-6L
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GA01
J01GA01
J01GA01
J01GA01
J01GB04
J01GB06
J01GB06
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
Denumire generica
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
KANAMYCINUM
AMIKACINUM
AMIKACINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Denumire comerciala
N - PREDNISON
PREDNISON 5 mg
PREDNISON MCC 5 mg
CLAXIRIT 500 mg
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
FROMILID 250
LEKOKLAR (R) 500 mg
ROCLARIN 500 mg
KLERIMED (R) 500
KLABAX 500 mg
FROMILID 500
CLAR 500
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLACID (R)
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
STREVITAL 1 g
STREVITAL 1 g
STREPTOMICINA SULFAT BP
STREVITAL 1 g
PAN - KANAMYCINE
BIODACYNA
AMIKOZIT (R) 500 mg/2 ml
ZANOCIN
OFLOXIN 200
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.


PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.

CIFRAN
COMPR. FILM.
COMPR. FILM.
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CIPROCIN 250 mg
ALVEBAR 250 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CUMINOL 250 mg
COMPR. FILM.
CIFRAN
CIPRINOL 500 mg
COMPR. FILM.
COMPR. FILM.
CIPRO QUIN (R)

ALVEBAR 500 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
COMPR. FILM.
COMPR. FILM.
CIPRODAR
CUMINOL 500 mg
COMPR. FILM.
COMPR. FILM.
5mg
5mg
5mg
5mg
5mg
5mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
1g
1g
1g
1g
1g
1g/4ml
500mg/2ml
200mg
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
Firma
Tara
Ambalaj

MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
Prescriptie
Grupa
Nr.
terape
crt
utica
cant/a
mbala
j
20
1000
30
P-RF
30
P-RF
30
P-RF
20
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF
7
P-RF
14
P-RF
20
MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
14
TERAPIA SA
14
ABBOTT SPA
P-RF
14
14
P-RF
14
ANTIBIOTICE S.A.
20
MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF
14
TERAPIA SA
14
14
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF
20
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF
7
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF
5
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF
7
ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.
P-RF
5
KRKA D.D.
SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF
7
SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF
1
ABBOTT SPA
ITALIA
P-RF
1
ABBOTT SPA
ITALIA
P-RF
1
KRKA D.D.
SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. P-RF
1
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF
1
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF
1
SANDOZ SRL
ROMANIA
P-RF
1
SANDOZ SRL
ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF
1
TERAPIA SA
1
TERAPIA SA
1
ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.
S/P-RF
1
ANTIBIOTICE SA
ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S
100
ANTIBIOTICE SA
10
ANTIBIOTICE S.A.
ROMANIA CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G
PRF
50
ANTIBIOTICE SA
50
LAB. PANPHARMA FRANTA CUTIE X 50 FLAC. X 1 G
P-RF/S
50
CN UNIFARM S.A.
ROMANIA CUTIE CU 1 FL.X 1G SOL.INJ.
P-RF
1
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML
P-RF
1
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
ZENTIVA K.S.
CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
20
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
10
ALKALOID D.O.O.
10
10
AC HELCOR SRL
10
10
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF
10
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
10
20
20
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF
10
10
ALKALOID D.O.O.
10
ANTIBIOTICE SA
10
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF
10
20
P-RF
10
AC HELCOR SRL
10
10
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
P-RF
10
10
ROMANIA
P-RF
ARENA GROUP SA
ARENA GROUP SA
MEDUMAN SA
SINTOFARM SA
ROMANIA
P-RF/S
ROMANIA
P-RF
Pagina 9 din 46
Pret cu
ridicata
maximal /
ambalaj
1.90
44.43
1.94
1.83
2.74
1.96
23.71
23.85
17.01
12.35
10.85
21.14
12.35
29.01
33.14
24.13
23.73
24.13
33.91
19.04
13.60
26.92
27.85
20.78
19.39
29.92
18.11
17.24
23.38
14.01
47.03
34.29
39.06
23.44
41.12
277.91
29.14
139.72
139.72
81.11
9.47
5.15
8.40
14.81
28.52
51.89
5.13
5.82
5.05
5.05
5.05
5.05
3.52
4.85
9.10
9.10
6.50
9.78
11.19
9.78
4.80
12.16
9.78
9.78
6.83
9.78
9.78
Pret cu ridicata
maximal / U.T.
0.095000
0.044430
0.064666
0.061000
0.091333
0.098000
3.387142
1.703571
0.850500
0.882142
0.775000
1.510000
0.882142
2.072142
1.657000
1.723571
1.695000
1.723571
1.695500
2.720000
2.720000
3.845714
5.570000
2.968571
19.390000
29.920000
18.110000
17.240000
23.380000
14.010000
47.030000
34.290000
39.060000
23.440000
41.120000
2.779100
2.914000
2.794400
2.794400
1.622200
9.470000
5.150000
0.840000
1.481000
2.852000
2.594500
0.513000
0.582000
0.505000
0.505000
0.505000
0.505000
0.352000
0.485000
0.455000
0.455000
0.650000
0.978000
1.119000
0.978000
0.480000
0.608000
0.978000
0.978000
0.683000
0.978000
0.978000
Pret cu ridicata
maximal de
decontare / U.T.
0.053316
0.044430
0.053316
0.053316
0.053316
0.053316
1.988400
0.930000
0.850500
0.882142
0.775000
0.930000
0.882142
1.988400
1.657000
1.723571
1.695000
1.723571
1.695500
1.988400
1.988400
1.988400
1.988400
1.988400
16.812000
28.056000
16.812000
16.812000
23.380000
14.010000
46.872000
28.128000
39.060000
23.440000
41.120000
2.779100
2.914000
2.794400
2.794400
1.622200
9.470000
5.150000
0.840000
1.008000
2.852000
2.594500
0.422400
0.422400
0.422400
0.422400
0.422400
0.422400
0.352000
0.422400
0.422400
0.422400
0.576000
0.576000
0.576000
0.576000
0.480000
0.576000
0.576000
0.576000
0.576000
0.576000
0.576000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
2.57
58.12
2.62
2.47
3.71
2.65
32.05
32.23
22.99
16.69
14.67
28.57
16.69
37.95
43.35
32.62
32.08
32.62
44.36
25.73
18.38
35.21
36.43
28.09
26.21
39.14
24.48
23.30
31.60
18.94
61.52
44.85
51.09
31.68
53.78
339.27
38.11
170.57
170.57
102.56
12.80
6.96
11.36
20.02
37.31
65.61
6.93
7.87
6.83
6.83
6.83
6.83
4.76
6.56
12.30
12.30
8.78
13.22
15.12
13.22
6.49
16.43
13.22
13.22
9.23
13.22
13.22
0.128500
0.058120
0.087333
0.082333
0.123666
0.132500
4.578571
2.302142
1.149500
1.192142
1.047857
2.040714
1.192142
2.710714
2.167500
2.330000
2.291428
2.330000
2.218000
3.675714
3.676000
5.030000
7.286000
4.012857
26.210000
39.140000
24.480000
23.300000
31.600000
18.940000
61.520000
44.850000
51.090000
31.680000
53.780000
3.392700
3.811000
3.411400
3.411400
2.051200
12.800000
6.960000
1.136000
2.002000
3.731000
3.280500
0.693000
0.787000
0.683000
0.683000
0.683000
0.683000
0.476000
0.656000
0.615000
0.615000
0.878000
1.322000
1.512000
1.322000
0.649000
0.821500
1.322000
1.322000
0.923000
1.322000
1.322000
0.069744
0.058120
0.069744
0.069744
0.069744
0.069744
2.601000
1.257428
1.149500
1.192142
1.047857
1.257428
1.192142
2.601000
2.167500
2.330000
2.291428
2.330000
2.218000
2.601000
2.601000
2.601000
2.601000
2.601000
22.728000
37.920000
22.728000
22.728000
31.600000
18.940000
61.308000
38.016000
51.090000
31.680000
53.780000
3.392700
3.811000
3.411400
3.411400
2.051200
12.800000
6.960000
1.136000
1.363200
3.731000
3.280500
0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.571200
0.571200
0.571200
0.778800
0.778800
0.778800
0.778800
0.649000
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA14
J01MA14
J04AB01
J04AB01
J04AB01
J04AB02
J04AB02
J04AB02
J04AB02
J04AC01
J04AC01
J04AC01
J04AC01
J04AD01
J04AK01
J04AK01
J04AK02
J04AK02
J04AM02
Denumire generica
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
CICLOSERINUM
CICLOSERINUM
CICLOSERINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
RIFAMPICINUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
PROTIONAMIDUM
PYRAZINAMIDUM
PYRAZINAMIDUM
ETHAMBUTOLUM
ETHAMBUTOLUM
COMBINATII (RIFAMPICINUM+IZONIAZIDUM)
Denumire comerciala
CIPRINOL 750 mg
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR. FILM.
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPROFLOXACINA 100 mg/10 ml
CIPRINOL (R)
CIPRINOL (R)
CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml

750mg
750mg
1000 mg
500 mg
100mg/10ml
100mg/10ml
CONC. PT. SOL. PERF. 100mg/10ml
SOL. PERF. 100mg/50ml

SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPROFLOXACINA INFOMED 2 mg/ml SOL. PERF. 2mg/ml
CIPRINOL (R)
AVELOX (R) 400 mg
COMPR. FILM. 400mg
AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
250mg
HELPOCERIN
CAPS.
250mg
CICLOSERINA ANTIBIOTICE 250 mg CAPS.
250mg
SINERDOL 150 mg
CAPS.
150mg
SINERDOL 150 mg
CAPS.
150mg
SINERDOL 300 mg
CAPS.
300mg
SINERDOL 300 mg
CAPS.
300mg
ISONIAZIDA 100 mg
COMPR.
100mg
COMPR.
100mg
IZONIAZIDA ANTIBIOTICE 300 mg COMPR.
300mg
COMPR.
300mg
PETEHA
COMPR.
250 mg
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
500mg
PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR.
500mg
ETAMBUTOL 250 mg
COMPR. FILM. 250mg
ETAMBUTOL 400 mg
COMPR. FILM. 400mg
SINERDOL ISO
CAPS.
300mg+150mg
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
cant/a
mbala
j
ROMANIA
SLOVENIA
SLOVENIA

DEMO SA
GRECIA
INFOMED FLUIDS SRL ROMANIA

INFOMED FLUIDS SRL ROMANIA
KRKA D.D.
SLOVENIA

ANTIBIOTICE S.A.
ROMANIA
HELP PHARMACEUTICALS LTD.
GRECIA
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
S.C. PHARMA S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
29.43
28.52
66.99
20.44
12.42
111.86
12.42
3.54
7.09
133.17
69.19
128.87
14.29
65.97
619.74
425.06
190.37
219.50
163.52
4.16
436.71
4.80
108.12
108.12
270.36
270.36
98.56
434.58
6.75
252.90
395.15
438.43
2.943000
2.852000
9.570000
6.813333
2.484000
2.237200
2.484000
3.540000
7.090000
13.317000
6.919000
12.887000
14.290000
13.194000
123.948000
4.250600
3.807400
4.390000
0.163520
0.208000
0.436710
0.480000
0.072080
5.406000
0.180240
0.180240
0.985600
0.289720
0.337500
0.168600
0.263433
0.438430
2.943000
2.852000
9.570000
0.576000
2.484000
2.237200
2.484000
2.684640
7.090000
8.302800
6.919000
12.887000
14.290000
13.194000
123.948000
4.250600
3.807400
4.390000
0.163520
0.196224
0.436710
0.480000
0.072080
0.086496
0.180240
0.180240
0.985600
0.289720
0.337500
0.168600
0.263433
0.438430
38.50
37.31
84.70
27.63
16.79
136.56
16.79
4.79
9.58
162.58
87.49
157.33
19.31
83.41
713.67
501.47
232.40
267.96
199.62
5.62
514.17
6.49
131.99
131.99
330.05
330.05
124.62
511.84
9.12
308.74
468.86
516.04
3.850000
3.731000
12.100000
9.210000
3.358000
2.731200
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000
16.682000
142.734000
5.014700
4.648000
5.359200
0.199620
0.281000
0.514170
0.649000
0.087993
6.599500
0.220033
0.220033
1.246200
0.341226
0.456000
0.205826
0.312573
0.516040
3.850000
3.731000
12.100000
0.778800
3.277440
2.731200
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600
16.682000
142.734000
5.014700
4.648000
5.359200
0.199620
0.239544
0.514170
0.617004
0.087993
0.105592
0.220033
0.220033
1.246200
0.341226
0.409471
0.205826
0.312573
0.516040
5
10
10
10
1
59.59
37.94
67.34
60.15
60.15
11.918000
3.794000
6.734000
6.015000
60.150000
11.918000
3.794000
6.734000
6.015000
60.150000
75.34
49.62
85.15
76.06
76.06
15.068000
4.962000
8.515000
7.606000
76.060000
15.068000
4.962000
8.515000
7.606000
76.060000
50
50
1
25
25
1
25
20
5
5
5
5
5
5
5
5
5
5
5
5
132.97
19.33
11.76
5.25
6.90
92.66
11.61
397.53
1,053.87
1,053.87
981.14
1,053.87
1,605.17
1,544.59
1,014.50
1,439.82
2,519.53
1,648.19
1,898.52
3,211.93
2.659400
0.386600
11.760000
0.210000
0.276000
92.660000
0.464400
19.876500
210.774000
210.774000
196.228000
210.774000
321.034000
308.918000
202.900000
287.964000
503.906000
329.638000
379.704000
642.386000
2.659400
0.386600
11.760000
0.210000
0.276000
92.660000
0.464400
19.876500
210.774000
210.774000
196.228000
210.774000
235.473600
235.473600
202.900000
287.964000
345.556800
329.638000
379.704000
455.644800
162.33
26.13
15.89
7.09
9.32
117.16
15.69
471.46
1,186.87
1,186.87
1,107.59
1,186.87
1,787.79
1,721.76
1,143.96
1,607.56
2,784.44
1,834.68
2,107.54
3,539.16
3.246600
0.522600
15.890000
0.283600
0.372800
117.160000
0.627600
23.573000
237.374000
237.374000
221.518000
237.374000
357.558000
344.352000
228.792000
321.512000
556.888000
366.936000
421.508000
707.832000
3.246600
0.522600
15.890000
0.283600
0.372800
117.160000
0.627600
23.573000
237.374000
237.374000
221.518000
237.374000
265.821600
265.821600
228.792000
321.512000
385.814400
366.936000
421.508000
505.809600
ZENTIVA S.A.
KRKA D.D.
KRKA D.D.
Pret cu ridicata
maximal / U.T.
10
10
7
3
CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML S/P-RF
5
S
50
S/P-RF
5
1
1
CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S
10
CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML S
10
CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML S
10
CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF
1
CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF
5
CUTIE X 5 FLACOANE DIN STICLA X 250 ML S
5
CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 100
S/P-RF
50
CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF
50
S 1000
S/P-RF
20
CUTIE X 100 BLIST. AL/PVC X 10 COMPR. S 1000
S/P-RF
10
S 1500
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PR
20
CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500
CUTIE X 150 BLIST. PVC/AL X 10 COMPR. S/P-RF 1500
CUTIE X 100 COMPR.
S/P-RF
100
CUTIE X 150 BLIST. AL/PVC X 10 COMPR. S 1500
S/P-RF
20
1500
1500
S 1000
P-RF
BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF
Pret cu
ridicata
maximal /
ambalaj

C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI
1
2
3
4
5
J05AH01
J05AH02
J05AH02
J05AH02
J05AH02
ZANAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
OSELTAMIVIRUM
RELENZA 5 mg
TAMIFLU 30mg
TAMIFLU 45mg
TAMIFLU 75 mg
TAMIFLU 12 mg/ml
PULB. UNIDOZA DE INHALAT
CAPS.
CAPS.
CAPS.
5mg
30mg
45mg
75mg
12mg/ml
GLAXO GROUP LTD.
MAREA BRITANIE CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER
MAREA BRITANIE
CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE
P-RF
MAREA BRITANIE
CUTIE X 1 BLISTER PVC/PE/PVDC/ALX 10 CAPSULE
P-RF
MAREA BRITANIE
CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE
P-RF
MAREA BRITANIE CUTIE X 1 FLAC. A 100ML X 30 G PULB. PT. SUSP. ORALA + ADAPTOR, SERINGA SI CUPA PT. MASURARE
P-RF
GERMANIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.
P-RF
P-RF
P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
G03HA01
L01AA01
L01AA01
L01AA02
L01AA03
L01AA06
L01AB01
L01AD02
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
CYPROTERONUM
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
CHLORAMBUCILUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
LOMUSTINUM4
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
ANDROCUR
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
LEUKERAN
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN
CEENU
TEMOZOLOMIDE SANDOZ 100 mg
TEMOMEDAC 100 mg
TEMOZOLOMIDE HOSPIRA 100mg
TEMOZOLOMIDE TEVA 100 mg
TEMODAL 100 mg
TEMODAL 100 mg
TEMOZOLOMIDE SUN 100 mg
TEMODAL 140mg
TEMOZOLOMIDE SUN 140 mg
TEMODAL 180 mg
COMPR.
DRAJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS. MOI
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
50mg
50mg
200mg
2mg
2mg
1g
2mg
40mg
100 mg
100 mg
100mg
100mg
100mg
100mg
100mg
140mg
140mg
140mg
180mg
180mg
BAXTER ONCOLOGY GMBH GERMANIA
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ
P-RF
P-RF
CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.
CN UNIFARM
ROMANIA
CUTIE X 1 BLIST. 20 CAPS. MOI
SANDOZ PHARMACEUTICALS GMBH
GERMANIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
P-RF/R
GERMANIA
FLACON DIN STICL BRUN, CU CAPAC ALB CU FILET DIN POLIPROPILEN, SECURIZAT PENTRU COPII, CU SIGI
P-RF
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS.

TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
SP EUROPE
BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
SP EUROPE
BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI
SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.
OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE
SP EUROPE
OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE
SP EUROPE
Pagina 10 din 46
PR
P-RF/R
P-RF/R
P-RF/R
PRF
PR
P-RF/R
PRF
PR
P-RF/R
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
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76
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80
81
82
83
84
85
86
87
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX04
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA04
L01BB02
L01BB03
L01BB04
L01BB05
L01BB05
L01BB05
L01BC01
L01BC01
L01BC01
L01BC01
L01BC01
L01BC02
L01BC02
L01BC02
L01BC02
L01BC02
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
Denumire generica
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
DACARBAZINUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
PEMETREXEDUM****
MERCAPTOPURINUM
TIOGUANINUM
CLADRIBINUM
FLUDARABINUM****
FLUDARABINUM
FLUDARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
Firma
Tara
TEMOZOLOMIDE SANDOZ 20 mg CAPS.
GERMANIA
P-RF/R
TEMOMEDAC 20 mg
GERMANIA
P-RF
20 mg
20mg
20mg
TEMODAL 20 mg
CAPS.
20mg
TEMOZOLOMIDE TEVA 20 mg CAPS.
20mg
TEMODAL 20 mg
CAPS.
20mg
TEMOZOLOMIDE SUN 20 mg CAPS.
20mg
TEMOZOLOMIDE SANDOZ 250 mg CAPS.
250 mg
TEMOMEDAC 250 mg
CAPS.
250 mg
TEMOZOLOMIDE HOSPIRA 250mg CAPS.
250mg
TEMODAL 250 mg
CAPS.
250mg
TEMOZOLOMIDE TEVA 250 mg CAPS.
250mg
TEMOZOLOMIDE SUN 250 mg CAPS.
250mg
TEMOZOLOMIDE HOSPIRA 5mg CAPS.
5mg
TEMODAL 5 mg
CAPS.
5mg
TEMODAL 2,5mg/ml
PULB. PT. SOL. PERF. 2,5mg/ml
DACARBAZINE 500 mg
PULB. PT. SOL. INJ. 500mg
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METOJECT 50mg/ml
50mg/ml
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml
ALIMTA 500mg
500mg
PURI - NETHOL
COMPR.
50mg
LANVIS
COMPR.
40mg
LITAK 2 mg/ml
SOL. INJ.
2mg/ml
FLUDARA ORAL 10 mg
COMPR. FILM. 10mg
FLUDARA
LIOF. PT. SOL. INJ./PERF. 50mg
FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml
ALEXAN 20mg/ml
SOL. INJ.
20mg/ml
ALEXAN 20mg/ml
SOL. INJ.
20mg/ml
ALEXAN 50mg/ml
SOL. INJ.
50mg/ml
ALEXAN 50mg/ml
SOL. INJ.
50mg/ml
DEPOCYTE 50mg
SUSP. INJ. 50mg
5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml
EFUDIX
UNGUENT 50 mg/g
GEMCITABINA EBEWE PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
GEMCITABINA EBEWE PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml
GEMSOL 40 mg/ml
CONC. PT. SOL. PERF. 40 mg/ml
GEMSOL 40 mg/ml
GEMSOL 40 mg/ml
GITRABIN 40 mg/ml
CONC. PT. SOL. PERF. 40mg/ml
GITRABIN 40 mg/ml
GITRABIN 40 mg/ml
GEMZAR 1000 mg
PULB. PT. SOL. PERF. 1000 mg
NALLIAN1000 mg
DERCIN 1000 mg
GEMCITABINA ATB 1000 mg PULB. PT. SOL. PERF. 1000mg
GEMCITABINA TEVA 1000 mg PULB. PT. SOL. PERF. 1000mg
DAPLAX 1 g
PULB. PT. SOL. PERF. 1g
GEMCITIN 1 g
PULB. PT. SOL. PERF. 1g
GEMCITABINA TEVA 2000 mg PULB. PT. SOL. PERF. 2000mg
GEMCITABINA ATB 200 mg PULB. PT. SOL. PERF. 200mg
GEMZAR (R) 200 mg
PULB. PT. SOL. PERF. 200mg
NALLIAN 200 mg
DERCIN 200 mg
CAPS.
TEMOZOLOMIDE HOSPIRA 20 mg CAPS.
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FL DIN STICLA BRUNA X 5 CAPS. PR

SP EUROPE
BELGIA CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R
TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R
SP EUROPE
BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R
OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE PRF
GERMANIA
P-RF/R
GERMANIA
P-RF

SP EUROPE
TEVA PHARMA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. P-RF/R
OLANDA CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE PRF
SP EUROPE
SP EUROPE
BELGIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. P-RF/R
CN UNIFARM S.A.
ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ. P-RF
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML
S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML
S
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA
PR
PR
PR
PR
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.
LIPOMED GMBH
GERMANIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF

GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.
GENZYME EUROPE B.V. OLANDA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 2 ML SOL. INJ.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML. SOL. INJ.
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 10 ML. SOL. INJ.
PACIRA LIMITED
MAREA BRITANIE
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML)

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

ICN HUNGARY CO. LTD. UNGARIA CUTIE X 1 TUB X 20 G UNGUENT

AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML CONC. PT. SOL. PERF. X 1000 MG GEMCITABINA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 20 ML CONC. PT. SOL. PERF. X 200 MG GEMCITABINA
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLACON STICLA INCOLORA SIST. ,,ONCO-SAFE" A 50 ML CONC .SOL. PERF. X 2000 MG
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLACON STICLA INCOLORA FARA SIST. ,,ONCO-SAFE" A 5 ML CONC .SOL. PERF. X 200 MG
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLACOANE STICLA INCOLORA SIST. ,,ONCO-SAFE" A 25 ML CONC .SOL. PERF. X 1000 MG
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA
LILLY FRANCE SAS FRANTA
CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1000 MG GEMCITABINA
UNGARIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF.
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF.
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA
ICN POLFA RZESZOW S.A. POLONIA

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

ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT. SOL. PERF.
LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. PERF.
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA
UNGARIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF.
Pagina 11 din 46
P-RF
S
P-RF/S
S
S
S
S
S
S
S
S
S
S
S
S/P-RF
S
S
PR
PR
PR
PR
PR
PR
S
S
S
PR
S
S
S
S
PR
S
S
S
cant/a
mbala
j
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
1
1
1
1
5
10
1
1
1
1
1
1
1
1
1
1
25
25
1
20
5
1
10
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
229.67
229.67
168.04
338.84
229.67
351.21
200.35
2,539.46
2,539.46
2,539.46
3,890.71
2,539.46
2,539.46
43.56
91.66
1,219.56
68.24
70.91
332.72
197.47
17.62
45.60
62.22
87.07
100.34
101.74
86.63
59.16
62.22
9.86
5,045.07
35.56
76.25
1,435.80
1,494.08
1,252.62
340.13
97.56
4.62
76.34
45.22
6,970.59
14.14
90.11
7.09
3.50
92.03
185.77
41.54
367.76
41.54
185.77
518.45
41.54
185.77
285.80
185.77
185.76
185.77
185.77
185.76
276.61
367.77
41.54
62.79
41.54
41.54
45.934000
45.934000
33.608000
67.768000
45.934000
70.242000
40.070000
507.892000
507.892000
507.892000
778.142000
507.892000
507.892000
8.712000
18.332000
1,219.560000
68.240000
70.910000
332.720000
39.494000
1.762000
45.600000
62.220000
87.070000
100.340000
101.740000
86.630000
59.160000
62.220000
9.860000
5,045.070000
1.422400
3.050000
1,435.800000
74.704000
250.524000
340.130000
9.756000
4.620000
76.340000
45.220000
6,970.590000
14.140000
90.110000
7.090000
3.500000
92.030000
185.770000
41.540000
367.760000
41.540000
185.770000
518.450000
41.540000
185.770000
285.800000
185.770000
185.760000
185.770000
185.770000
185.760000
276.610000
367.770000
41.540000
62.790000
41.540000
41.540000
Pret cu ridicata
maximal de
decontare / U.T.
40.329600
40.329600
33.608000
40.329600
40.329600
40.329600
40.070000
507.892000
507.892000
507.892000
609.470400
507.892000
507.892000
8.712000
10.454400
1,219.560000
68.240000
70.910000
332.720000
39.494000
1.762000
45.600000
62.220000
87.070000
100.340000
101.740000
86.630000
54.720000
62.220000
9.860000
5,045.070000
1.422400
3.050000
1,435.800000
74.704000
250.524000
300.628800
9.756000
4.620000
76.340000
45.220000
6,970.590000
14.140000
90.110000
7.090000
3.500000
92.030000
185.770000
41.540000
367.760000
41.540000
185.770000
441.312000
41.540000
185.770000
217.632000
185.770000
185.760000
185.770000
185.770000
185.760000
217.632000
367.770000
41.540000
49.848000
41.540000
41.540000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
280.38
280.38
205.14
407.49
280.38
420.97
244.59
2,806.17
2,806.17
2,806.17
4,279.03
2,806.17
2,806.17
56.98
115.90
1,367.47
86.28
89.66
400.81
241.07
23.82
59.64
78.67
110.09
122.50
124.21
109.54
74.80
78.67
13.33
5,537.28
46.51
96.41
1,603.17
1,666.70
1,403.51
408.89
123.36
6.24
96.52
59.15
7,636.10
19.11
113.94
9.58
4.73
116.36
226.79
54.34
439.01
54.34
226.79
603.26
54.34
226.79
348.91
226.79
226.77
226.79
226.79
226.77
337.68
439.02
54.34
79.39
54.34
54.34
56.076000
56.076000
41.028000
81.498000
56.076000
84.194000
48.918000
561.234000
561.234000
561.234000
855.806000
561.234000
561.234000
11.396000
23.180000
1,367.470000
86.280000
89.660000
400.810000
48.214000
2.382000
59.640000
78.670000
110.090000
122.500000
124.210000
109.540000
74.800000
78.670000
13.330000
5,537.280000
1.860400
3.856400
1,603.170000
83.335000
280.702000
408.890000
12.336000
6.240000
96.520000
59.150000
7,636.100000
19.110000
113.940000
9.580000
4.730000
116.360000
226.790000
54.340000
439.010000
54.340000
226.790000
603.260000
54.340000
226.790000
348.910000
226.790000
226.770000
226.790000
226.790000
226.770000
337.680000
439.020000
54.340000
79.390000
54.340000
54.340000
49.233600
49.233600
41.028000
49.233600
49.233600
49.233600
48.918000
561.234000
561.234000
561.234000
673.480800
561.234000
561.234000
11.396000
13.675200
1,367.470000
86.280000
89.660000
400.810000
48.214000
2.382000
59.640000
78.670000
110.090000
122.500000
124.210000
109.540000
71.568000
78.670000
13.330000
5,537.280000
1.860400
3.856400
1,603.170000
83.335000
280.702000
336.842400
12.336000
6.240000
96.520000
59.150000
7,636.100000
19.110000
113.940000
9.580000
4.730000
116.360000
226.790000
54.340000
439.010000
54.340000
226.790000
526.812000
54.340000
226.790000
265.680000
226.790000
226.770000
226.790000
226.790000
226.770000
265.680000
439.020000
54.340000
65.208000
54.340000
54.340000
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC06
L01BC06
L01BC53
L01BC53
L01CA02
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CA04
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD02
Denumire generica
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
CAPECITABINUM
CAPECITABINUM
COMBINATII (TAGAFUR+URACIL)
COMBINATII (TAGAFUR+URACIL)
VINCRISTINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
DOCETAXELUM**
Denumire comerciala
GEMCITIN 200 mg
GEMCITABINA TEVA 200 mg
DAPLAX 200 mg
Forma
Concentr
farmaceutic
atie / U.T.
a
NAVELBINE (R)
VEPESID
VEPESID
200mg
200mg
200mg
PULB. PT. SOL. PERF. 38mg/ml
COMPR. FILM. 150mg
COMPR. FILM. 500mg
CAPS.
100mg+224mg
CAPS.
100mg+224mg
1mg
CAPS. MOI 20mg
CAPS. MOI 30mg
SOL. INJ.
10mg/ml
CAPS. MOI 100mg
CAPS. MOI 50mg
ETOPOSID "EBEWE" 100 mg/5 ml
GEMCITABINE MEDAC 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GEMCIRENA 38 mg/ml
GEMCITABINE MYLAN 38 mg/ml
GEMCITABINE MYLAN 38 mg/ml
XELODA 150 mg
XELODA 500 mg
UFT
UFT
SINDOVIN 1 mg
NAVELBINE 20 mg
NAVELBINE 30 mg
VINORELBIN EBEWE 10 mg/ ml
VINORELBIN EBEWE 10 mg/ ml
VINORELBINE POLPHARMA 10mg/ml
VINORELBINE POLPHARMA 10mg/ml
TELBINE 10 mg/ml
VINORELBIN ACTAVIS 10 mg/ml
VINORELBIN ACTAVIS 10 mg/ml
TELBINE 10 mg/ml
VINORELBINE POLPHARMA 50mg/5ml
VINORELBINE POLPHARMA 50mg/5ml
SINTOPOZID 100 mg/5 ml

ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
PACLITAXEL EBEWE 6mg/ml
PACLITAXEL ARCHIE SAMUEL 6 mg/ml
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
PACLITAXEL 6 mg/ml
SINDAXEL
PACLITAXEL KABI 6mg/ml
SINDAXEL
SINDAXEL
Ambalaj
ROMANIA
MYLAN S.A.S.
MYLAN S.A.S.
FRANTA
FRANTA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT SOL. PERF. CARE CONTINE 1000 MG GEMCITABINA
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
MAREA BRITANIE
CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.
P-RF/R
MAREA BRITANIE
CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.
P-RF/R
MERCK KGAA
MERCK KGAA
ACTAVIS S.R.L.
GERMANIA
P-RF
GERMANIA

ROMANIA
CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V.
FRANTA
FRANTA
CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF
ROMANIA
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA
LIOF. PT. SOL. INJ./PERF. I.V.

PACLITAXEL ACCORD 6 mg/ml

Tara

SINDAXEL
SINDAXEL
Firma

TAXOTERE 20 mg
CONC. + SOLV. PT. SOL. PERF.
GERMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200 MG GEMCITABINA
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1500MG GEMCITABINA
GERMANIA
GERMANIA
ROMANIA
ROMANIA
CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT SOL. PERF. CARE CONTINE 200 MG GEMCITABINA
S
S
S
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S
CUTIE X 10 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
S
PHARMACEUTICALS WORKS POLPHARMA SA
AUSTRIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF.

AUSTRIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF.
POLONIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
POLONIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.
ROMANIA
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA


ROMANIA
POLONIA
POLONIA
LAB. PIERRE FABRE FRANTA
P-RF
CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF
UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. P-RF
UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. P-RF
100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML

100mg/5ml ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
20mg/ml
20mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
20mg
Prescriptie
Grupa
Nr.
terape
crt
utica
S
S
S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. X 50 ML
S
CUTIE X 10 FLAC. X 5 ML
S
CUTIE X 4 FLAC. X 16,7 ML
S
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF.
S
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT. SOL. PERF.
S
S
S
CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S
S
S
S
S
S
CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL S
CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL
S
S
CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL S
CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV. S
ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
ROMANIA
AUSTRIA
AUSTRIA
AUSTRIA

ARCHIE SAMUEL S.R.O. REPUBLICA CEHA

PHARMEXPRESS S.R.L. ROMANIA
ACTAVIS S.R.L.
ROMANIA
ACTAVIS S.R.L.
ROMANIA
ACTAVIS S.R.L.
ROMANIA
ACTAVIS S.R.L.
ROMANIA
ACTAVIS S.R.L.
ROMANIA
MAREA BRITANIE
MAREA BRITANIE
ARCHIE SAMUEL S.R.O.
REPUBLICA CEHA
MAREA BRITANIE
AVENTIS PHARMA SA FRANTA
Pagina 12 din 46
cant/a
mbala
j
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
60
120
120
36
1
1
1
1
1
1
10
1
1
1
1
1
10
10
10
20
1
1
1
1
1
1
1
1
1
10
4
1
1
1
1
5
1
1
5
1
1
1
1
5
1
1
5
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
56.22
41.54
41.54
94.72
279.50
431.18
631.97
41.54
181.36
41.54
185.77
367.76
368.80
62.79
285.80
240.10
1,478.14
1,970.65
612.17
20.66
195.08
292.59
352.01
72.14
72.15
475.80
72.14
448.89
72.15
352.01
351.98
1,924.59
1,020.92
311.36
308.57
39.04
32.83
31.96
61.07
1,100.68
356.99
114.95
114.92
1,010.91
979.86
1,265.52
114.95
1,010.86
356.99
1,100.68
4,934.31
356.96
559.30
1,574.25
832.08
909.41
559.41
106.15
503.92
338.86
448.50
2,122.51
114.66
356.77
1,100.65
1,100.51
545.21
56.220000
41.540000
41.540000
94.720000
279.500000
431.180000
631.970000
41.540000
181.360000
41.540000
185.770000
367.760000
368.800000
62.790000
285.800000
4.001666
12.317833
16.422083
17.004722
20.660000
195.080000
292.590000
352.010000
72.140000
72.150000
47.580000
72.140000
448.890000
72.150000
352.010000
351.980000
192.459000
102.092000
31.136000
15.428500
39.040000
32.830000
31.960000
61.070000
1,100.680000
356.990000
114.950000
114.920000
1,010.910000
97.986000
316.380000
114.950000
1,010.860000
356.990000
1,100.680000
986.862000
356.960000
559.300000
314.850000
832.080000
909.410000
559.410000
106.150000
100.784000
338.860000
448.500000
424.502000
114.660000
356.770000
1,100.650000
1,100.510000
545.210000
Pret cu ridicata
maximal de
decontare / U.T.
49.848000
41.540000
41.540000
49.848000
279.500000
217.632000
335.400000
41.540000
181.360000
41.540000
185.770000
367.760000
368.800000
49.848000
217.632000
4.001666
12.317833
16.422083
17.004722
20.660000
195.080000
292.590000
230.950800
57.096000
57.096000
47.580000
57.096000
230.950800
57.096000
230.950800
230.950800
192.459000
57.096000
31.136000
15.428500
38.352000
32.830000
31.960000
61.070000
1,100.680000
356.990000
114.950000
114.920000
1,010.910000
97.986000
316.380000
114.950000
1,010.860000
356.990000
1,100.680000
986.862000
356.960000
509.402400
314.850000
509.402400
909.410000
509.402400
106.150000
100.784000
338.860000
448.500000
424.502000
114.660000
356.770000
1,100.650000
1,100.510000
309.876000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
71.09
54.34
54.34
119.76
341.21
508.14
727.00
54.34
221.40
54.34
226.79
439.01
440.14
79.39
348.91
293.12
1,649.33
2,186.16
705.42
27.92
238.15
357.19
421.84
91.21
91.23
556.77
91.21
527.44
91.23
421.84
421.81
2,135.96
1,150.95
377.53
374.49
51.07
42.94
41.81
77.22
1,237.89
427.27
140.33
140.30
1,140.04
1,106.20
1,417.57
140.33
1,139.99
427.27
1,237.89
5,416.56
427.24
647.79
1,754.09
945.12
1,029.41
647.91
129.59
587.42
407.51
527.02
2,351.69
139.98
427.03
1,237.86
1,237.71
632.43
71.090000
54.340000
54.340000
119.760000
341.210000
508.140000
727.000000
54.340000
221.400000
54.340000
226.790000
439.010000
440.140000
79.390000
348.910000
4.885333
13.744416
18.218000
19.595000
27.920000
238.150000
357.190000
421.840000
91.210000
91.230000
55.677000
91.210000
527.440000
91.230000
421.840000
421.810000
213.596000
115.095000
37.753000
18.724500
51.070000
42.940000
41.810000
77.220000
1,237.890000
427.270000
140.330000
140.300000
1,140.040000
110.620000
354.392500
140.330000
1,139.990000
427.270000
1,237.890000
1,083.312000
427.240000
647.790000
350.818000
945.120000
1,029.410000
647.910000
129.590000
117.484000
407.510000
527.020000
470.338000
139.980000
427.030000
1,237.860000
1,237.710000
632.430000
65.208000
54.340000
54.340000
65.208000
341.210000
265.680000
409.452000
54.340000
221.400000
54.340000
226.790000
439.010000
440.140000
65.208000
265.680000
4.885333
13.744416
18.218000
19.595000
27.920000
238.150000
357.190000
256.315200
66.812400
66.812400
55.677000
66.812400
256.315200
66.812400
256.315200
256.315200
213.596000
66.812400
37.753000
18.724500
50.172000
42.940000
41.810000
77.220000
1,237.890000
427.270000
132.744000
132.744000
1,140.040000
110.620000
354.392500
132.744000
1,139.990000
427.270000
1,237.890000
1,083.312000
427.240000
564.405600
350.818000
564.405600
1,029.410000
564.405600
129.590000
117.484000
407.510000
527.020000
470.338000
132.744000
427.030000
1,237.860000
1,237.710000
378.300000
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01DA01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
Denumire generica
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DACTINOMICINUM4
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
DOCETAXEL TEVA 20mg/0,5ml
DOCETAXEL ACTAVIS 20 mg/0,5 ml
TAXOTERE 80 mg
DOCETAXEL ACTAVIS 80 mg/2 ml
DOCETAXEL TEVA 80mg/2ml

DOCETAXEL EBEWE 10 mg/ml
DOCETAXEL HOSPIRA 10 mg/ml
TAXOTERE 160 mg/8ml

TAXOTERE 20 mg/1ml
DOCIRENA 20 mg/1 ml
DOCETAXEL ACTAVIS 20 mg/ml
P-RF/R
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.
P-RF/R
MAREA BRITANIE
S/P-RF
MAREA BRITANIE
S/P-RF
MAREA BRITANIE
S/P-RF
P-RF/R
160 mg/8 ml AVENTIS PHARMA SA FRANTA
CUTIE X 1 FLACON DIN STICLA CU 8 ML CONC. PT. SOL. PERF.X 160MG



DOXORUBICINA ACCORD 2 mg/ml

DOXORUBICINA ACTAVIS 2 mg/ml
AUSTRIA
AUSTRIA
CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL.
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO
CAELYX 2 mg/ml
DHARUXO 2 mg/ml
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV.
S
S
S
S
S
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV.
AUSTRIA
CONC. SI SOLV. PT. SOL. PERF.
DOXORUBICIN "EBEWE" 2mg/ml

DOXORUBICIN "EBEWE" 2mg/ml
20mg/0,5ml TEVA PHARMA B.V. OLANDA

20mg/0,5ml ACTAVIS GROUP PTC EHF. ISLANDA
Ambalaj
CONC. SI SOLV. PT. SOL. PERF.
CAELYX 2 mg/ml
DHARUXO 2 mg/ml
Tara
80mg
80mg/2ml
80mg/2ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
TAXOTERE 80 mg/4ml
DOCIRENA 80 mg/4 ml
TAXEGIS 20 mg
TAXEGIS 80 mg
COSMEGEN LYOVAC 0,5 mg SOL. INJ.
DHARUXO 2 mg/ml
DOXORUBICINA TEVA 2 mg/ml

DOXORUBICINA TEVA 2 mg/ml
Firma
Prescriptie
Grupa
Nr.
terape
crt
utica

MYOCET 50mg
SINDROXOCIN 2mg/ml
SINDROXOCIN 2mg/ml
DOXORUBICIN TEVA 2 mg/ml SOL. INJ.
DOXORUBICIN TEVA 2 mg/ml SOL. INJ.
EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ.
EPISINDAN 10 mg
LIOF. PT. SOL. INJ.
FARMORUBICIN RD 10 mg LIOF. PT. SOL. INJ.
FARMORUBICIN (R) RD 50 mg LIOF. PT. SOL. INJ.
EPISINDAN 50 mg
LIOF. PT. SOL. INJ.
EPIRUBICINA KABI 2 mg/ml SOL. INJ./PERF.
EPIRUBICINA KABI 2 mg/ml SOL. INJ./PERF.
EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF.
PULB. + AMESTC. PT. CONC. PT.DISP.LIPOZOM.PT.PERF
EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF.
EPIRUBICINA TEVA 2 mg/ml

EPIRUBICINA TEVA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
20mg/1ml
20mg/1ml
20mg/ml
20mg/ml
20mg/ml
80mg/4ml
80mg/4ml
20mg
80mg
0,5mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
50mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
10mg
50mg
50mg
2 mg/ml
2 mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
AVENTIS PHARMA SA FRANTA
CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV.
CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE

HOSPIRA UK LTD
HOSPIRA UK LTD
HOSPIRA UK LTD
AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF. S
PR
PR
PR
PR
AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF. S
PR
PR
PR
CN UNIFARM
ROMANIA CUTIE X 1 FLAC. X 3 ML SOL. INJ
X
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
PR
PR
PR
PR
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 20 MG CLORHIDRAT DE DOXORUBICINA
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 50 MG CLORHIDRAT DE DOXORUBICINA
S
JANSSEN CILAG INTERNATIONALL NV
BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML S
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF. PR
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA) S
EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA)
S
JANSSEN CILAG INTERNATIONALL NV
BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML S
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL. PERF. CARE CONTINE 10 MG DOXORUBICINA
PR
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOXORUBICINA PR
CEPHALON EUROPE FRANTA CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.) S
ACTAVIS S.R.L
ROMANIA
S
ACTAVIS S.R.L
ROMANIA
S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. S
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML SOL. INJ. S
S
S
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 10 MG LIOF. PT. SOL. INJ. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.
S
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML SOL. INJ./PERF. X 50 MG
PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ./PERF. X 200 MG
PR
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ. S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ.
S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML) S
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML) S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ.
S
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ. S
ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA S
ROMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP SI SIGILIU DETASABIL A 1 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP SI SIGILIU DETASABIL A 4 ML CONC. PT. SOL. PERF.
CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU 0,5 ML CONC. PT. S
CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU 2 ML CONC. PT. SO
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN
Pagina 13 din 46
cant/a
mbala
j
1
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1
1
1
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1
1
1
1
1
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1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
364.84
364.79
2,090.86
1,369.45
1,369.55
261.95
924.39
261.93
924.37
1,706.08
1,542.65
2,608.58
396.36
258.23
2,373.51
261.95
924.39
1,405.98
916.40
364.88
1,369.55
108.74
27.42
28.22
89.23
225.68
63.03
89.23
3,567.70
66.23
110.17
28.22
1,445.08
101.03
27.18
62.33
105.66
208.14
261.57
269.92
4,092.58
105.66
27.18
66.46
89.23
48.67
454.46
231.77
42.74
59.72
261.82
233.65
138.02
396.30
42.50
83.38
38.03
81.95
197.39
217.00
397.31
588.06
773.38
39.99
80.83
198.48
450.99
364.840000
364.790000
2,090.860000
1,369.450000
1,369.550000
261.950000
924.390000
261.930000
924.370000
1,706.080000
1,542.650000
2,608.580000
396.360000
258.230000
2,373.510000
261.950000
924.390000
1,405.980000
916.400000
364.880000
1,369.550000
108.740000
27.420000
28.220000
89.230000
225.680000
63.030000
89.230000
3,567.700000
66.230000
110.170000
28.220000
1,445.080000
101.030000
27.180000
62.330000
105.660000
208.140000
261.570000
269.920000
2,046.290000
105.660000
27.180000
66.460000
89.230000
48.670000
454.460000
231.770000
42.740000
59.720000
261.820000
233.650000
138.020000
396.300000
42.500000
83.380000
38.030000
81.950000
197.390000
217.000000
397.310000
588.060000
773.380000
39.990000
80.830000
198.480000
450.990000
Pret cu ridicata
maximal de
decontare / U.T.
309.876000
309.876000
1,099.680000
1,099.680000
1,099.680000
261.950000
924.390000
261.930000
924.370000
1,706.080000
1,542.650000
1,851.180000
309.876000
258.230000
2,373.510000
261.950000
924.390000
1,099.680000
916.400000
309.876000
1,099.680000
108.740000
27.420000
28.220000
89.230000
225.680000
63.030000
89.230000
2,455.548000
66.230000
107.076000
28.220000
1,445.080000
101.030000
27.180000
62.330000
105.660000
208.140000
261.570000
269.920000
2,046.290000
105.660000
27.180000
66.460000
89.230000
45.636000
260.400000
165.624000
42.740000
45.636000
165.624000
165.624000
138.020000
396.300000
42.500000
83.380000
38.030000
81.950000
165.624000
217.000000
397.310000
588.060000
475.560000
39.990000
80.830000
165.624000
260.400000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
435.83
435.77
2,317.19
1,530.85
1,530.96
319.79
1,045.74
319.77
1,045.72
1,897.78
1,719.64
2,881.51
470.18
315.25
2,625.28
319.79
1,045.74
1,570.67
1,037.03
435.87
1,530.96
132.75
35.86
36.91
112.82
275.51
79.70
112.82
3,926.95
83.74
134.49
36.91
1,613.29
123.34
35.55
78.81
128.99
254.10
319.32
329.52
4,499.07
128.99
35.55
84.03
112.82
63.66
533.51
282.94
55.90
75.51
319.63
285.24
168.49
470.12
55.59
105.42
49.74
103.62
240.97
264.91
471.22
679.14
881.13
52.31
102.20
242.30
529.73
435.830000
435.770000
2,317.190000
1,530.850000
1,530.960000
319.790000
1,045.740000
319.770000
1,045.720000
1,897.780000
1,719.640000
2,881.510000
470.180000
315.250000
2,625.280000
319.790000
1,045.740000
1,570.670000
1,037.030000
435.870000
1,530.960000
132.750000
35.860000
36.910000
112.820000
275.510000
79.700000
112.820000
3,926.950000
83.740000
134.490000
36.910000
1,613.290000
123.340000
35.550000
78.810000
128.990000
254.100000
319.320000
329.520000
2,249.535000
128.990000
35.550000
84.030000
112.820000
63.660000
533.510000
282.940000
55.900000
75.510000
319.630000
285.240000
168.490000
470.120000
55.590000
105.420000
49.740000
103.620000
240.970000
264.910000
471.220000
679.140000
881.130000
52.310000
102.200000
242.300000
529.730000
378.300000
378.300000
1,244.436000
1,244.436000
1,244.436000
319.790000
1,045.740000
319.770000
1,045.720000
1,897.780000
1,719.640000
2,063.568000
378.300000
315.250000
2,625.280000
319.790000
1,045.740000
1,244.436000
1,037.030000
378.300000
1,244.436000
132.750000
35.860000
36.910000
112.820000
275.510000
79.700000
112.820000
2,699.442000
83.740000
134.490000
36.910000
1,613.290000
123.340000
35.550000
78.810000
128.990000
254.100000
319.320000
329.520000
2,249.535000
128.990000
35.550000
84.030000
112.820000
59.688000
317.892000
202.188000
55.900000
59.688000
202.188000
202.188000
168.490000
470.120000
55.590000
105.420000
49.740000
103.620000
202.188000
264.910000
471.220000
679.140000
564.144000
52.310000
102.200000
202.188000
317.892000
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
L01DB03
L01DB03
L01DB06
L01DB06
L01DB07
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XC02
L01XC02
L01XC03
L01XC04
L01XC04
L01XC06
L01XC07
L01XC07
L01XE01
L01XE03
L01XE03
L01XE03
L01XE04
L01XE04
Denumire generica
EPIRUBICINUM
EPIRUBICINUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
RITUXIMABUM****
RITUXIMABUM****
TRASTUZUMABUM****
ALEMTUZUMABUM****
ALEMTUZUMABUM****
CETUXIMABUM****
BEVACIZUMABUM****
BEVACIZUMABUM****
IMATINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
SUNITINIBUM****
SUNITINIBUM****
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
ECCLEPIA 2 mg/ml
SOL. INJ./PERF.
ZAVEDOS
CAPS.
ZAVEDOS 5 mg
PULB. PT. SOL. INJ.
ONKOTRONE
CONC. PT. SOL. INJ.
2mg/ml
2mg/ml
10mg
5mg
2mg/ml
CISPLATIN "EBEWE" 10 mg/20 ml
10mg/20ml
AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.
MAREA BRITANIE
CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF.
MAREA BRITANIE
1mg/1ml
1mg/1ml
1mg/ml
1mg/ml
1mg/ml
MAREA BRITANIE
25mg/50ml
50mg/100ml

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

AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.
AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF.
ROMANIA
AUSTRIA
AUSTRIA
CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
ROMANIA
ACTAVIS S.R.L.
ROMANIA
SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
CISPLATINA ACCORD 1 mg/ml
CARBOPLATIN "EBEWE" 10 mg/ml

CARBOPLATIN TEVA 10mg/ml
CARBOPLATIN ACTAVIS 10mg/ml


OXALIPLATIN EBEWE 5mg/ml

OXALIPLATIN ACTAVIS 5 mg/ml
OXALIPLATIN ACCORD 5 mg/ml
ELOXATIN 5mg/ml
ELOXATIN 5mg/ml
OXALIPLATINA TEVA 5 mg/ml
OXALIPLATINA TEVA 5 mg/ml
ELOXATIN 5mg/ml
OXALIPLATIN KABI 5 mg/ml


PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
OXALIPLATIN MEDICO UNO 5 mg/ml
REZIDOL 5 mg/ml


OXALIPLATIN MEDICO UNO 5 mg/ml
OXALIPLATIN PHARMASWISS 5 mg/ml
OXALIPLATIN PHARMASWISS 5 mg/ml
REZIDOL 5 mg/ml
MABTHERA 100 mg
MABTHERA 500 mg
HERCEPTIN 150mg
MABCAMPATH 10 mg/ml
MABCAMPATH 30 mg/ml
ERBITUX 5mg/ml
AVASTIN 25mg/ml
AVASTIN 25mg/ml
GLIVEC 100 mg
TARCEVA 100 mg
TARCEVA 150 mg
TARCEVA 25 mg
SUTENT 12,5 mg
SUTENT 25mg


SOL. PERF.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
5 mg/ml
5 mg/ml
5 mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
10mg/ml
10mg/ml
150mg
10mg/ml
30mg/ml
5mg/ml
25mg/ml
25mg/ml
100mg
100mg
150mg
25mg
12,5mg
25mg
ROMANIA
CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ.
S
S
MAREA BRITANIE
P-RF
MAREA BRITANIE
S
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA
AUSTRIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.
CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 10 ML CONC. PT. SOL. PERF
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG OXALIPLATINA
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA
FRANTA
FRANTA
CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF.

ROMANIA
ROMANIA
FRANTA
FRESENIUS KABI ONCOLOGY PLC
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. C
MAREA BRITANIE
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF.
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 30 ML X 50 MG OXALIPLATINA
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCLORA CU CAPACITATEA DE 50 ML X 100 MG OXALIPLATINA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF.
ROMANIA CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF.
MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 50 MG OXALIPLATINA
UNGARIA
MAREA BRITANIE

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

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT
MEDICO UNO PHARMA LTD. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG OXALIPLATINA
UNGARIA
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML
CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML
MERCK KGAA
GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.
MAREA BRITANIE
CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
PFIZER LIMITED
PFIZER LIMITED
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 120 CAPS.

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
CUTIE X 1 FLACON DIN PEID X 30 CAPS.
Pagina 14 din 46
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
PR
PR
PR
PR
S
S
S
S
PR
PR
S
S
S
PR
PR
PR
PR
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
1
771.75
1
204.65
1
203.33
1
143.35
1
555.48
1
9.17
1
24.41
1
7.75
1
7.75
1
19.18
1
24.41
1
22.06
1
31.57
1
62.52
1
132.81
1
178.07
1
21.86
1
133.04
1
50.00
1
47.45
1
18.05
1
264.15
1
523.31
1 1,396.48
1 1,396.51
1
322.25
1
615.78
1
480.70
1
931.20
1
322.26
1
615.78
1
322.25
1
615.78
1 2,132.32
1
293.86
1
564.27
1 1,032.71
1 1,032.71
1
615.78
1
322.26
1
297.71
1
572.27
1
517.78
1
322.21
1
322.25
1
457.29
1 1,609.04
1
871.57
1 1,005.54
1
322.25
1
615.78
1
615.76
1
615.78
2 2,221.55
1 5,509.03
1 2,621.74
3 4,923.23
3 4,923.64
1
871.19
1 1,332.54
1 5,246.58
120 9,032.83
30 6,304.73
30 8,391.10
30 1,911.34
30 5,042.42
30 10,054.84
Pret cu ridicata
maximal / U.T.
771.750000
204.650000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
31.570000
62.520000
132.810000
178.070000
21.860000
133.040000
50.000000
47.450000
18.050000
264.150000
523.310000
1,396.480000
1,396.510000
322.250000
615.780000
480.700000
931.200000
322.260000
615.780000
322.250000
615.780000
2,132.320000
293.860000
564.270000
1,032.710000
1,032.710000
615.780000
322.260000
297.710000
572.270000
517.780000
322.210000
322.250000
457.290000
1,609.040000
871.570000
1,005.540000
322.250000
615.780000
615.760000
615.780000
1,110.775000
5,509.030000
2,621.740000
1,641.076666
1,641.213333
871.190000
1,332.540000
5,246.580000
75.273583
210.157666
279.703333
63.711333
168.080666
335.161333
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
475.560000
879.36
165.624000
249.84
203.330000
248.22
143.350000
175.00
555.480000
643.62
9.170000
12.39
24.410000
32.99
7.750000
10.48
7.750000
10.48
19.180000
25.92
24.410000
32.99
22.060000
29.81
29.292000
41.30
56.940000
79.05
132.810000
162.14
159.372000
217.39
21.660000
29.55
133.040000
162.41
50.000000
63.22
47.450000
62.06
18.050000
24.39
264.150000
322.48
523.310000
608.56
1,239.252000 1,560.32
1,239.252000 1,560.35
316.980000
389.40
615.780000
709.35
316.980000
562.11
627.972000 1,053.16
316.980000
389.41
615.780000
709.35
316.980000
389.40
615.780000
709.35
1,239.252000 2,362.38
293.860000
358.74
564.270000
653.20
1,032.710000 1,163.80
1,032.710000 1,163.80
615.780000
709.35
316.980000
389.41
297.710000
363.44
572.270000
661.92
316.980000
602.53
316.980000
389.36
316.980000
389.40
316.980000
536.60
1,609.040000 1,792.01
627.972000
988.16
627.972000 1,134.19
316.980000
389.40
615.780000
709.35
615.760000
709.33
615.780000
709.35
1,110.775000 2,459.64
5,509.030000 6,043.00
2,621.740000 2,895.85
1,641.076666 5,404.48
1,641.213333 5,404.92
871.190000
987.75
1,332.540000 1,490.62
5,246.580000 5,756.93
75.273583 9,883.95
210.157666 6,910.31
279.703333 9,184.46
63.711333 2,121.51
168.080666 5,534.39
335.161333 10,997.94
879.360000
249.840000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
41.300000
79.050000
162.140000
217.390000
29.550000
162.410000
63.220000
62.060000
24.390000
322.480000
608.560000
1,560.320000
1,560.350000
389.400000
709.350000
562.110000
1,053.160000
389.410000
709.350000
389.400000
709.350000
2,362.380000
358.740000
653.200000
1,163.800000
1,163.800000
709.350000
389.410000
363.440000
661.920000
602.530000
389.360000
389.400000
536.600000
1,792.010000
988.160000
1,134.190000
389.400000
709.350000
709.330000
709.350000
1,229.820000
6,043.000000
2,895.850000
1,801.493333
1,801.640000
987.750000
1,490.620000
5,756.930000
82.366250
230.343666
306.148666
70.717000
184.479666
366.598000
564.144000
202.188000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
39.588000
74.472000
162.140000
194.568000
29.268000
162.410000
63.220000
62.060000
24.390000
322.480000
608.560000
1,396.560000
1,396.560000
386.976000
709.350000
386.976000
730.272000
386.976000
709.350000
386.976000
709.350000
1,396.560000
358.740000
653.200000
1,163.800000
1,163.800000
709.350000
386.976000
363.440000
661.920000
386.976000
386.976000
386.976000
386.976000
1,792.010000
730.272000
730.272000
386.976000
709.350000
709.330000
709.350000
1,229.820000
6,043.000000
2,895.850000
1,801.493333
1,801.640000
987.750000
1,490.620000
5,756.930000
82.366250
230.343666
306.148666
70.717000
184.479666
366.598000
289
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353
354
355
L01XE04
L01XE05
L01XE06
L01XE06
L01XE06
L01XE06
L01XE09
L01XX02
L01XX02
L01XX02
L01XX02
L01XX02
L01XX05
L01XX11
L01XX14
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX23
L01XX32
L02AB01
L02AE02
L02AE02
L02AE02
L02AE02
L02AE02
L02AE03
L02AE03
L02AE04
L02AE04
L02AE04
Denumire generica
SUNITINIBUM****
SORAFENIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
TEMSIROLIMUSUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
ASPARAGINAZUM
HYDROXYCARBAMIDUM
ESTRAMUSTINUM
TRETINOINUM4
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
MITOTANUM
BORTEZOMIBUM****
MEGESTROLUM
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
GOSERELINUM**
GOSERELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
Denumire comerciala
SUTENT 50 mg
NEXAVAR 200 mg
SPRYCEL 100mg
SPRYCEL 20mg
SPRYCEL 50mg
SPRYCEL 70mg
TORISEL 25mg/ml
ASPARAGINASE 10000 MEDAC
ONCASPAR
HYDREA
ESTRACYT
VESANOID 10 mg
HYCAMTIN 1 mg
TOPOTECAN TEVA 1 mg/1ml
TOPOTECAN EBEWE 1 mg/ml
TOPOTECAN TEVA 4 mg/4ml
POTACTASOL 4mg
TOPOTECAN ATB 1 mg
TOPOTECAN KABI 4 mg
TOPOTECAN KABI 4 mg
TOPOTECAN ACCORD 4 mg
TOPOTECAN ATB 4 mg
HYCAMTIN 4 mg
IRINOTECAN KABI 20 mg/ml
IRINOTRCAN MEDAC 20 mg/ml
CAMPTO
CAMPTO
TEKAZOL 20 mg/ml
IRINOTECAN POLPHARMA 20 mg/ml
IRINOTESIN 20mg/ml
IRINOTESIN 20mg/ml
IRINOTECAN EBEWE 20 mg/ml
IRINOTECAN EBEWE 20 mg/ml
Forma
Concentr
farmaceutic
atie / U.T.
a
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

PULB. PT. SOL. INJ.
CAPS.
CAPS.
CAPS. MOI
CAPS.
PULB.CONC.SOL.PERF.

IRINOTECAN PHARMASWISS 20 mg/ml
IRINOTECAN PHARMASWISS 20 mg/ml
IRINOTECAN HOSPIRA 20mg/ml


CAMPTO
IRINOTECAN POLPHARMA 20 mg/ml
IRINOTECAN ALVOGEN 20 mg/ml
LUDIRADOL 20 mg/ml
IRINOTESIN 20mg/ml
TEKAZOL 20 mg/ml
IRINOTESIN 20mg/ml
IRINOTECAN ATB 20 mg/ml

LYSODREN 500mg
VELCADE 3,5 mg
MEGESIN 160 mg
ELIGARD 22,5 mg
ELIGARD 7,5 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ELIGARD 45 mg
ZOLADEX LA 10,8 mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg

COMPR.
PULB. PT. SOL. INJ.
COMPR.
LIOF. SI SOLV. PT. SOL. INJ.
LIOF. SI SOLV. PT. SOL. INJ.
IMPLANT
IMPLANT
50mg
200mg
100 mg
20 mg
50 mg
70 mg
25mg/ml
10000ui
10000ui
5000ui
5000ui
3750U.I.
500mg
140mg
10mg
1mg
1mg/1ml
1mg/ml
4mg/4ml
1 mg/ml
1mg
4 mg
4 mg
4mg
4mg
4mg
20 mg/ml
20 mg/ml
20 mg/ml
20 mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
20mg/ml
500mg
3,5mg
160mg
22,5mg
7,5mg
11,25mg
3,75mg
45mg
10,8 mg
3,6mg
0,1mg
11,25mg
3,75mg
Firma
PFIZER LIMITED
Tara
MAREA BRITANIE
Ambalaj

CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM.
GERMANIA
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

MAREA BRITANIE
CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1 FLAC. X 1,8 SOLVENT
GERMANIA CUTIE X 1 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.
GERMANIA CUTIE X 5 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.
GERMANIA CUTIE X 5 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.
GERMANIA CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.
CN UNIFARM S.A.
ROMANIA
CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.
Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
S
S
S
S
S
P-RF
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF

P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI
X
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.
P-RF
TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML P-RF/R
EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONC. PT. SOL. PERF.
PR
TEVA PHARMA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML P-RF/R
PR
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML X 1 MG TOPOTECAN PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE
PR
PR
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. CONC. PT. SOL. PERF. S
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML X 4 MG TOPOTECAN PR
SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF. PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF. PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF.
PR
FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF.
PR
GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF. S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 5 ML CONC. PT. SOL. PERF. S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF. S
ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. CONTANAD 100MG IRINOTECAN S
POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA A 2 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. S
ACTAVIS S.R.L.
S
S
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 40 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT
S
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 100 MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT
S
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. S
POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL. PERF. S
ALVOGEN ROMANIA S.R.L. ROMANIA
S
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 6 ML X 100 MG IRINOTECAN
PR
ACTAVIS S.R.L.
ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. CONTANAD 40MG IRINOTECAN S
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. S
ANTIBIOTICE S.A.
ROMANIA
PR
LABORATOIRE HRA PHARMA FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R
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
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF
S
S
S/P-RF
S/P-RF
S
ASTRAZENECA UK LTD. MAREA BRITANIE
S
MAREA BRITANIE
CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO
CUTIE CU 5 FLAC. DIN STICLA INCOLORA, CU FOLIE PROTECTOARE DIN PLASTIC X 4 MG PULB. PT. CONC. PT. SO
CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 5 ML CONC.
CUTIE CU 1 FLAC. DIN STICLA BRUNA + DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15 ML CONC
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML CARE CONTINE 100 MG IRINOTECAN
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML X 5 ML CONC. PT. SOL. PERF. INCHIS CU DOP D
CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE
CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE
CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA
CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB
O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B)
CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT
ASTRAZENECA UK LTD.
MAREA BRITANIE
CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG
S/P-RF
IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA
FRANTA
FRANTA
FRANTA
CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.
S/P-RF
S/P-RF
S/P-RF
Pagina 15 din 46
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1
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1
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100
1
30
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1
1
1
1
1
1
7
1
1
Pret cu
ridicata
maximal /
ambalaj
20,079.69
14,588.00
16,311.93
7,697.81
15,365.65
15,365.65
3,737.17
314.90
1,461.36
1,222.80
262.42
4,488.19
65.72
345.51
746.20
1,582.86
170.26
649.10
649.09
649.10
170.26
647.24
3,116.22
647.70
649.09
982.46
119.02
312.84
507.64
936.01
167.11
426.18
639.39
2,129.33
314.42
119.47
163.74
402.16
416.85
1,345.75
167.11
426.18
152.48
374.64
1,753.18
639.50
298.71
326.85
355.85
2,010.90
125.76
1,295.74
1,394.57
426.10
2,567.46
4,587.17
97.75
1,020.28
369.22
877.79
359.23
2,030.80
1,040.75
365.48
110.27
1,051.98
369.20
Pret cu ridicata
maximal / U.T.
669.323000
130.250000
543.731000
128.296833
256.094166
256.094166
3,737.170000
314.900000
292.272000
244.560000
262.420000
4,488.190000
0.657200
3.455100
7.462000
158.286000
170.260000
649.100000
649.090000
649.100000
170.260000
647.240000
623.244000
647.700000
649.090000
982.460000
119.020000
312.840000
507.640000
936.010000
167.110000
426.180000
639.390000
2,129.330000
314.420000
119.470000
163.740000
402.160000
416.850000
1,345.750000
167.110000
426.180000
152.480000
374.640000
1,753.180000
639.500000
298.710000
326.850000
355.850000
2,010.900000
125.760000
1,295.740000
1,394.570000
426.100000
25.674600
4,587.170000
3.258333
1,020.280000
369.220000
877.790000
359.230000
2,030.800000
1,040.750000
365.480000
15.752857
1,051.980000
369.200000
Pret cu ridicata
maximal de
decontare / U.T.
669.323000
130.250000
543.731000
128.296833
256.094166
256.094166
3,737.170000
314.900000
292.272000
244.560000
262.420000
4,488.190000
0.657200
3.455100
7.462000
158.286000
170.260000
649.100000
649.090000
649.100000
170.260000
647.240000
623.244000
647.700000
649.090000
747.892800
119.020000
312.840000
507.640000
936.010000
142.824000
358.452000
358.452000
609.168000
314.420000
119.470000
142.824000
358.452000
358.452000
609.168000
142.824000
358.452000
142.824000
358.452000
1,123.212000
358.452000
298.710000
326.850000
355.850000
1,123.212000
125.760000
609.168000
609.168000
358.452000
25.674600
4,587.170000
3.258333
1,020.280000
369.220000
877.790000
359.230000
2,030.800000
1,040.750000
365.480000
15.752857
1,051.980000
369.200000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
21,925.04
15,939.09
17,818.18
8,428.77
16,786.73
16,786.73
4,111.67
381.39
1,631.03
1,371.00
320.36
4,930.28
83.10
414.76
851.51
1,763.47
207.85
745.67
745.66
745.67
207.85
743.64
3,434.83
744.14
745.66
1,109.03
145.30
379.15
591.48
1,058.40
204.01
502.69
735.09
2,359.12
380.87
145.85
199.89
476.50
492.52
1,505.02
204.01
502.69
186.15
446.51
1,949.12
735.21
364.66
394.42
426.03
2,230.03
153.53
1,450.51
1,558.23
502.60
2,836.68
5,038.17
123.59
1,150.26
440.60
994.94
429.71
2,251.73
1,172.57
436.52
134.62
1,184.81
440.58
730.834666
142.313303
593.939333
140.479500
279.778833
279.778833
4,111.670000
381.390000
326.206000
274.200000
320.360000
4,930.280000
0.831000
4.147600
8.515100
176.347000
207.850000
745.670000
745.660000
745.670000
207.850000
743.640000
686.966000
744.140000
745.660000
1,109.030000
145.300000
379.150000
591.480000
1,058.400000
204.010000
502.690000
735.090000
2,359.120000
380.870000
145.850000
199.890000
476.500000
492.520000
1,505.020000
204.010000
502.690000
186.150000
446.510000
1,949.120000
735.210000
364.660000
394.420000
426.030000
2,230.030000
153.530000
1,450.510000
1,558.230000
502.600000
28.366800
5,038.170000
4.119666
1,150.260000
440.600000
994.940000
429.710000
2,251.730000
1,172.570000
436.520000
19.231428
1,184.810000
440.580000
730.834666
142.313303
593.939333
140.479500
279.778833
279.778833
4,111.670000
381.390000
326.206000
274.200000
320.360000
4,930.280000
0.831000
4.147600
8.515100
176.347000
207.850000
745.670000
745.660000
745.670000
207.850000
743.640000
686.966000
744.140000
745.660000
824.359200
145.300000
379.150000
591.480000
1,058.400000
174.360000
437.592000
437.592000
709.776000
380.870000
145.850000
174.360000
437.592000
437.592000
709.776000
174.360000
437.592000
174.360000
437.592000
1,270.080000
437.592000
364.660000
394.420000
426.030000
1,270.080000
153.530000
709.776000
709.776000
437.592000
28.366800
5,038.170000
4.119666
1,150.260000
440.600000
994.940000
429.710000
2,251.730000
1,172.570000
436.520000
19.231428
1,184.810000
440.580000
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
L02AE04
L02AE04
L02BA01
L02BA01
L02BA03
L02BB01
L02BB01
L02BB01
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BG01
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
Denumire generica
TRIPTORELINUM**
TRIPTORELINUM**
TAMOXIFENUM
TAMOXIFENUM
FULVESTRANTUM**
FLUTAMIDUM
FLUTAMIDUM
FLUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
AMINOGLUTETHIMIDUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.

GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ.
TAMOXIFEN 10 TEVA
TAMOXIFEN SANDOZ 10
FASLODEX 250mg/5ml
FLUTASIN 250 mg
FLUTAN
FLUTAMIDE CSC 250 mg
BICALUTAMIDA ALVOGEN 150 mg
BICALUTAMIDA SANDOZ 150 mg
BICALUTAMID TERAPIA 150 mg
CASODEX 150 mg
YONISTIB 150 mg
BICALUTAMIDA KABI 150 mg
BICALUTAMIDA ALVOGEN 50 mg
BICALUTAMIDA RANBAXY 50 mg
CASODEX 50 mg
BICALUTAMIDA RANBAXY 50 mg
BICALUTAMIDA ACCORD 50 mg
BICALUTAMIDA ATB 50 mg
BICATLON 50mg
BICALUTAMIDA SANDOZ 50 mg
YONISTIB 50 mg
CALUMID
ROGLUTEN (R) 250 mg
ENZAMIDEX 1mg
ANASTROZOL TERAPIA 1 mg
EGISTROZOL 1 mg
ANASTROZOL BLUEFISH 1 mg
ARIMIDEX 1 mg
ANASTROZOLE MEDICO UNO 1 mg
ARIMIDEX
AXASTROL 1 mg
ANASTRAZE 1 mg
KYARESTA 1 mg
ANASTROZOL ATB 1 mg
EGISTROZOL 1 mg
OZOLAN 1 mg
ANAROMAT 1 mg
OZOLAN 1 mg
ANASTROZOL KABI 1 mg
ANASTROZOL KABI 1 mg
ANASTROZOL TEVA 1 mg
ANASTROZOL TEVA 1 mg
LETROZOL TERAPIA 2,5 mg
LETROZOL SANOFI-AVENTIS 2,5 mg
LETROZOLE MEDICO UNO 2,5mg
LETROZOL TEVA 2,5 mg

LETROZOL POLPHARMA 2,5 mg
LEZRA 2,5 mg
ZOTROL 2,5 mg
LETROZOL ALVOGEN 2,5 mg
LETROZOL ATB 2,5 mg
FEMARA 2,5 mg
LETRALAN 2,5 mg
ZEQUIPRA 2,5 mg
ETRUZIL 2,5 mg
TROZEL 2,5 mg
Firma
Tara
0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA

0,1mg/ml FERRING ARZEIMITTEL GES.MBH AUSTRIA
10mg
PHARMACHEMIE BV OLANDA
COMPR. FILM. 10mg
HEXAL AG
GERMANIA
SOL. INJ.
250mg/5ml ASTRAZENECA UK LTD. MAREA BRITANIE
COMPR.
250mg
ACTAVIS S.R.L.
ROMANIA
COMPR.
250mg
COMPR. FILM. 250mg
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA
COMPR. FILM. 150mg
COMPR. FILM. 150mg
SANDOZ S.R.L.
ROMANIA
COMPR. FILM. 150mg
TERAPIA SA
ROMANIA
COMPR. FILM. 150mg
COMPR. FILM. 150mg
ROMASTRU TRADING S.R.L. ROMANIA
COMPR. FILM. 150mg
COMPR. FILM. 50 mg
COMPR. FILM. 50 mg
COMPR. FILM. 50mg
COMPR. FILM. 50mg
RANBAXY (UK) LIMITED MAREA BRITANIE
COMPR. FILM. 50mg
COMPR. FILM. 50mg
RANBAXY (UK) LIMITED MAREA BRITANIE
COMPR. FILM. 50mg
COMPR. FILM. 50mg
ANTIBIOTICE S.A.
ROMANIA
COMPR. FILM. 50mg
COMPR. FILM. 50mg
SANDOZ S.R.L.
ROMANIA
COMPR. FILM. 50mg
COMPR. FILM. 50mg
COMPR.
250mg
ACTAVIS S.R.L.
ROMANIA
COMPR. FILM. 1mg
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
COMPR. FILM. 1mg
TERAPIA SA
ROMANIA
COMPR. FILM. 1mg
COMPR. FILM. 1mg
COMPR. FILM. 1mg
TERAPIA SA
ROMANIA
COMPR. FILM. 1mg
COMPR. FILM. 1mg
COMPR. FILM. 1mg
TERAPIA SA
ROMANIA
COMPR. FILM. 1mg
TERAPIA SA
ROMANIA
COMPR. FILM. 1mg
ACTAVIS S.R.L.
ROMANIA
COMPR. FILM. 1mg
TERAPIA SA
ROMANIA
COMPR. FILM. 1mg
TERAPIA SA
ROMANIA
COMPR. FILM. 1mg
TERAPIA SA
ROMANIA
COMPR. FILM. 1mg
TERAPIA SA
ROMANIA
COMPR. FILM. 1mg
AS GRINDEKS
LETONIA
COMPR. FILM. 1mg
SANDOZ SRL
ROMANIA
COMPR. FILM. 1mg
COMPR. FILM. 1mg
ANTIBIOTICE S.A.
ROMANIA
COMPR. FILM. 1mg
COMPR. FILM. 1mg
S.C. CORIS PHARMA S.R.L. ROMANIA
COMPR. FILM. 1mg
COMPR. FILM. 1mg
COMPR. FILM. 1mg
COMPR. FILM. 1mg
COMPR. FILM. 1mg
COMPR. FILM. 1mg
COMPR. FILM. 2,5 mg
TERAPIA S.A.
ROMANIA
COMPR. FILM. 2,5mg
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
POLONIA
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
SANDOZ S.R.L.
ROMANIA
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
ANTIBIOTICE S.A.
ROMANIA
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
MEDICAMENTA A.S. CEHIA
COMPR.
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ
S/P-RF
CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ
S/P-RF
P-RF/S
P-RF/S
CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC P-RF
CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR.
P-RF
P-RF
CUTIE X 3 BLIST AL/PVC-PVDC X 10 COMPR. FILM. P-RF

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM
P6L
CUTIE CU BLISTERE PVC-ACLAR/AL X 30 COMPR. FILM. P-6L
P-6L

CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM. P6L
CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM P6L
CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.
P-6L
P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PR

CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM. P-6L
P-RF
CUTIE X BLIST. PVC/AL X 300 COMPR. FILM.
P-6L/S
CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM.
P-6L

CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P-6L
CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.
P-6L

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-6L

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P -6L
CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM.
P-6L
P-6L
P-6L

P6L
CUTIE CU BLIST. PVC/PE/PVDC - AL X 30 COMPR. FILM.
P-6L
CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L


P6L
CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM.

CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P-6L

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L
Pagina 16 din 46
cant/a
mbala
j
28
7
100
100
1
30
100
30
28
30
28
28
28
28
14
28
28
28
28
28
28
30
28
30
28
30
40
30
300
90
28
20
28
28
28
30
28
50
84
98
100
28
28
28
30
30
28
28
28
14
28
28
30
30
30
28
30
30
30
30
30
30
30
30
30
30
30
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
723.90
190.84
16.12
39.78
1,551.89
30.83
113.97
33.52
381.97
415.88
356.54
590.67
394.41
355.82
71.40
140.25
152.77
168.59
288.09
168.59
141.19
199.57
186.27
149.60
187.29
200.69
124.00
113.17
1,914.54
338.63
80.01
115.31
128.99
93.05
161.78
173.39
162.50
289.53
509.65
600.71
613.71
106.54
94.64
95.19
113.17
113.17
107.55
89.60
95.20
40.38
79.33
107.55
113.18
257.32
258.15
166.18
228.64
255.63
195.80
164.45
196.90
317.16
473.58
215.13
196.90
196.59
257.01
25.853571
27.262857
0.161200
0.397800
1,551.890000
1.027666
1.139700
1.117333
13.641785
13.862666
12.733571
21.095357
14.086071
12.707857
5.100000
5.008928
5.456071
6.021071
10.288928
6.021071
5.042500
6.652333
6.652500
4.986666
6.688928
6.689666
3.100000
3.772333
6.381800
3.762555
2.857500
5.765500
4.606785
3.323214
5.777857
5.779666
5.803571
5.790600
6.067261
6.129693
6.137100
3.805000
3.380000
3.399642
3.772333
3.772333
3.841071
3.200000
3.400000
2.884285
2.833214
3.841071
3.772666
8.577333
8.605000
5.935000
7.621333
8.521000
6.526666
5.481666
6.563333
10.572000
15.786000
7.171000
6.563333
6.553000
8.567000
Pret cu ridicata
maximal de
decontare / U.T.
18.903428
18.903428
0.161200
0.193440
1,551.890000
1.027666
1.139700
1.117333
13.641785
13.862666
12.733571
15.249428
14.086071
12.707857
5.100000
5.008928
5.456071
5.983999
5.983999
5.983999
5.042500
5.983999
5.983999
4.986666
5.983999
5.983999
3.100000
3.399857
3.399857
3.399857
2.857500
3.399857
3.399857
3.323214
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.399857
3.380000
3.399642
3.399857
3.399857
3.399857
3.200000
3.399857
2.884285
2.833214
3.399857
3.399857
6.577999
6.577999
5.935000
6.577999
6.577999
6.526666
5.481666
6.563333
6.577999
6.577999
6.577999
6.563333
6.553000
6.577999
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
827.20
232.98
21.79
52.03
1,729.71
40.32
139.14
43.84
454.50
491.46
426.78
681.98
468.06
425.99
90.28
171.22
186.50
205.82
351.70
205.82
172.37
243.63
227.40
182.63
228.65
245.00
151.38
138.16
2,125.00
407.26
101.17
140.77
157.47
117.65
197.50
211.68
198.38
353.46
593.67
692.92
707.09
130.06
119.66
120.36
138.16
138.16
131.30
113.29
120.37
52.82
100.30
131.30
138.17
314.14
315.15
202.87
279.12
312.07
239.03
200.76
240.38
383.85
554.35
262.63
240.38
240.00
313.76
29.542857
33.282857
0.217900
0.520300
1,729.710000
1.344000
1.391400
1.461333
16.232142
16.382000
15.242142
24.356428
16.716428
15.213928
6.448571
6.115000
6.660714
7.350714
12.560714
7.350714
6.156071
8.121000
8.121428
6.087666
8.166071
8.166666
3.784500
4.605333
7.083333
4.525111
3.613214
7.038500
5.623928
4.201785
7.053571
7.056000
7.085000
7.069200
7.067500
7.070612
7.070900
4.645000
4.273571
4.298571
4.605333
4.605333
4.689285
4.046071
4.298928
3.772857
3.582142
4.689285
4.605666
10.471333
10.505000
7.245357
9.304000
10.402333
7.967666
6.692000
8.012666
12.795000
18.478333
8.754333
8.012666
8.000000
10.458666
23.077714
23.077714
0.217900
0.261480
1,729.710000
1.344000
1.391400
1.461333
16.232142
16.382000
15.242142
18.256714
16.716428
15.213928
6.448571
6.115000
6.660714
7.305199
7.305199
7.305199
6.156071
7.305199
7.305199
6.087666
7.305199
7.305199
3.784500
4.298570
4.298570
4.298570
3.613214
4.298570
4.298570
4.201785
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.298570
4.273571
4.298570
4.298570
4.298570
4.298570
4.046071
4.298570
3.772857
3.582142
4.298570
4.298570
8.030400
8.030400
7.245357
8.030400
8.030400
7.967666
6.692000
8.012666
8.030400
8.030400
8.030400
8.012666
8.000000
8.030400
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
L02BG04
L02BG04
L02BG04
L02BG04
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L02BG06
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA13
L03AA13
L03AB04
L03AB04
L03AB05
L03AB05
M05BA02
M05BA02
M05BA02
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA08
M05BA08
V03AF01
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF03
V03AF05
Denumire generica
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
PEGFILGRASTIMUM***
PEGFILGRASTIMUM***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2A***
INTERFERONUM ALFA 2B***
INTERFERONUM ALFA 2B***
ACIDUM CLODRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM ZOLEDRONICUM**
MESNUM
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
AMIFOSTINUM**
Denumire comerciala
LETROZOL KABI 2,5 mg

LETROZOL BLUEFISH 2,5 mg
AROSTANIL 25 mg
EXESTRALAN 25 mg
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
EXEMESTAN GLENMARK 2 5mg COMPR. FILM.
EXEMESTAN ACTAVIS 25 mg
EXEMESTAN ACCORD 25 mg
EXEMESTAN TEVA 25 mg
INPLAVIA 25 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
EXEMESTAN MEDISON PHARMA 25 mg COMPR. FILM.
EXEMESTAN ALVOGEN 25 mg COMPR. FILM.
EXEMESTAN TERAPIA 25 mg
XANEPRA 25 mg
XANEPRA 25 mg
AROMASIN 25 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NEULASTA 6mg
NEULASTA 6mg
ROFERON A
ROFERON A
BONEFOS (R) 800 mg
SINDRONAT (R) 300 mg/5 ml
BONEFOS (R) 60 mg/ml
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DRAJ.
SOL. INJ.
SOL. INJ.
Ambalaj
FRESENIUS KABI ONCOLOGY PLC MACEDONIA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P6L
SUEDIA
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PRF
ICN POLFA RZESZOW S.A. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
REPUBLICA SLOVACA
MAREA BRITANIE
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM P-RF
ROMANIA
CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30 (30X1) COMPR. FILM.
PRF
MEDISON PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF
LUXEMBURG
TERAPIA S.A.
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM. PRF
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM
PRF
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM PRF
SOL. INJ./PERF.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
6 mg
6mg
3Mui/0,5ml
9Mui/0,5ml
AMGEN EUROPE B.V. OLANDA

AMGEN EUROPE B.V. OLANDA
18 milioane U.I.
30 milioane U.I.
SP EUROPE
SP EUROPE
BELGIA
BELGIA
COMPR. FILM.
800mg
FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.
300mg/5ml ACTAVIS S.R.L.
ROMANIA
60mg/ml
15mg/ml
15mg/ml
15mg/ml
15mg/ml
30mg
60mg
15mg
150 mg
150mg
150mg
150mg
50 mg
50mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg
3mg/3ml
1mg/1ml
4mg
FINLANDA
TORREX CHIESI PHARMA GMBH
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. DIN STICLA X 5 ML

CUTIE X 1 FIOLA PE X 2 ML
ROMANIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.
S/P-RF
ROMANIA
S/P-RF
CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.
S/P-RF
P-RF
5mg/100ml
400mg/4ml
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.

LIOF. PT. SOL. PERF. I.V.
LIOF.+ SOLV. PT. SOL. PERF.
OSSICA 150 mg
BONVIVA 150mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL INJ. IN SERINGA PREUMPLUTA
SOL. INJ.
PULB. + SOLV. SOL. PERF.
SOL. PERF.
SOL. INJ.
CALCIUM FOLINAT "EBEWE" 15 mg CAPS.
FOLCASIN (R) 100 mg/10 ml SOL. INJ.
FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ.
FOLCASIN (R) 30 mg/10 ml SOL. INJ.
CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.
CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF.
ETHYOL (R)
Tara
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ.

30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML
48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML
60MU/ml SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
96MU/ml SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.
300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
300g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.
480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.
ACID IBANDRONIC TEVA 150 mg COMPR. FILM.
BONDRONAT 50mg
IASIBON 50 mg
HOLMEVIS 50 mg
IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ZOMETA 4 mg
ACLASTA 5mg/100ml
UROMITEXAN (R) 400 mg
2,5mg
2,5mg
2,5mg
2,5mg
25 mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
Firma
Prescriptie
Grupa
Nr.
terape
crt
utica
15mg
10mg/ml
10mg/ml
3mg/ml
10mg/ml
10mg/ml
500mg
S/P-RF
P-RF/R
P-RF/R
P-RF
S/P-RF/R
P-RF
S/P-RF/R
P-RF
CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. IN BLISTER, CU PROTECTIE A ACULUI
PR
CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.
P-RF/R
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL
P-RF
S/P-RF
S/P-RF
S/P-RF
P-RF/R
P-RF/R
P-6L
S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L
CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)
MAREA BRITANIE
SANDOZ S.R.L.
ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

GERMANIA CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE
MAREA BRITANIE
PHARMATHEN S.A.
GRECIA
UNGARIA
PHARMATHEN S.A.
GRECIA
MAREA BRITANIE
ROMANIA
P6L
PR
CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S
CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR
CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. PR
CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR
CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. S
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE
PR
P-6L
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.
P6L
MAREA BRITANIE
P-6L
MAREA BRITANIE
CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.
MAREA BRITANIE
CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.
S
S
S
CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML
AUSTRIA CUTIE X1 FLAC. X 20 CAPS.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
ACTAVIS S.R.L.
P-6L
S/P-RF
CUTIE CU 1 FLAC. X 10 ML SOL. INJ.
P-RF/S
S/P-RF
P-RF
P-RF
BELGIA CUTIE X 3 FLAC. DIN STICLA INCOLORA CONTINAND 500 MG LIOF. PT. SOL. PERF. S
Pagina 17 din 46
cant/a
mbala
j
10
14
30
28
30
30
30
30
30
30
30
30
30
30
30
30
30
1
1
1
1
5
1
5
1
5
1
1
1
1
1
1
60
1
5
1
1
1
1
1
1
4
1
1
1
1
28
28
28
28
1
1
1
1
1
1
1
15
20
1
1
1
5
5
3
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
72.53
101.54
165.03
199.46
154.58
200.35
185.49
183.66
201.38
201.62
176.84
201.50
183.67
201.62
183.66
183.66
310.19
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
3,307.67
3,307.67
69.15
150.08
415.25
673.78
636.75
20.75
154.06
185.79
110.73
529.92
361.86
152.87
237.82
595.85
65.80
57.19
105.93
40.44
519.62
964.08
629.47
637.16
596.39
901.37
196.40
232.02
354.51
1,098.45
1,399.70
44.87
29.11
29.47
29.50
13.53
142.16
50.23
1,883.14
7.253000
7.252857
5.501000
7.123571
5.152666
6.678333
6.183000
6.122000
6.712666
6.720666
5.894666
6.716666
6.122333
6.720666
6.122000
6.122000
10.339666
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
3,307.670000
3,307.670000
69.150000
150.080000
415.250000
673.780000
10.612500
20.750000
30.812000
185.790000
110.730000
529.920000
361.860000
152.870000
237.820000
148.962500
65.800000
57.190000
105.930000
40.440000
18.557857
34.431428
22.481071
22.755714
596.390000
901.370000
196.400000
232.020000
354.510000
1,098.450000
1,399.700000
2.991333
1.455500
29.470000
29.500000
13.530000
28.432000
10.046000
627.713333
Pret cu ridicata
maximal de
decontare / U.T.
6.577999
6.577999
5.501000
6.577999
5.152666
6.183199
6.183000
6.122000
6.183199
6.183199
5.894666
6.183199
6.122333
6.183199
6.122000
6.122000
6.183199
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3,307.670000
3,307.670000
69.150000
150.080000
415.250000
673.780000
10.612500
20.750000
24.900000
183.444000
110.730000
529.920000
285.384000
152.870000
237.820000
132.876000
48.528000
48.528000
48.528000
40.440000
18.557857
22.269428
22.269428
22.269428
596.390000
715.668000
196.400000
232.020000
235.680000
1,098.450000
1,399.700000
2.991333
1.455500
29.470000
29.500000
12.055200
28.432000
10.046000
627.713333
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
91.71
123.96
201.47
243.50
188.71
244.59
226.45
224.21
245.85
246.14
215.89
245.99
224.23
246.14
224.21
224.21
376.26
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
3,643.51
3,643.51
87.43
183.22
490.77
772.57
732.21
28.04
188.08
226.81
135.18
615.76
432.58
186.63
290.33
687.63
83.20
72.31
129.32
52.90
604.54
1,089.00
724.27
732.65
688.22
1,020.64
239.77
283.25
424.57
1,235.46
1,563.83
58.69
38.08
38.55
38.59
18.29
173.55
63.51
2,090.77
9.171000
8.854285
6.715666
8.696428
6.290333
8.153000
7.548333
7.473666
8.195000
8.204666
7.196333
8.199666
7.474333
8.204666
7.473666
7.473666
12.542000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
3,643.510000
3,643.510000
87.430000
183.220000
490.770000
772.570000
12.203500
28.040000
37.616000
226.810000
135.180000
615.760000
432.580000
186.630000
290.330000
171.907500
83.200000
72.310000
129.320000
52.900000
21.590714
38.892857
25.866785
26.166071
688.220000
1,020.640000
239.770000
283.250000
424.570000
1,235.460000
1,563.830000
3.912666
1.904000
38.550000
38.590000
18.290000
34.710000
12.702000
696.923333
8.030400
8.030400
6.715666
8.030400
6.290333
7.548400
7.548333
7.473666
7.548400
7.548400
7.196333
7.548400
7.474333
7.548400
7.473666
7.473666
7.548400
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
3,643.510000
3,643.510000
87.430000
183.220000
490.770000
772.570000
12.203500
28.040000
33.648000
223.956000
135.180000
615.760000
348.396000
186.630000
290.330000
162.216000
63.480000
63.480000
63.480000
52.900000
21.590714
25.908857
25.866785
25.908857
688.220000
825.864000
239.770000
283.250000
287.724000
1,235.460000
1,563.830000
3.912666
1.904000
38.550000
38.590000
15.242400
34.710000
12.702000
696.923333
Denumire generica
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
4
12
15
15
28
1
100
50
100
100
3,085.23
4,183.50
3,506.14
3,301.14
3,083.08
6,951.95
83.19
42.34
63.98
62.39
771.307500
348.625000
233.742666
220.076000
110.110000
6,951.950000
0.831900
0.846800
0.639800
0.623900
771.307500
348.625000
233.742666
220.076000
110.110000
6,951.950000
0.831900
0.846800
0.639800
0.623900
3,401.05
4,598.17
3,859.85
3,636.40
3,398.71
7,615.78
105.18
55.38
80.90
78.89
850.262500
383.180833
257.323333
242.426666
121.382500
7,615.780000
1.051800
1.107600
0.809000
0.788900
850.262500
383.180833
257.323333
242.426666
121.382500
7,615.780000
1.051800
1.107600
0.809000
0.788900
5
1
5
5
5
5
5
5
5
5
5
1
5
1
5
5
5
5
5
5
1
5
5
5
5
5
5
5
5
5
5
5
5
5
5
1
5
5
5
200
50
60
15
30
30
30
60
60
90
90.98
43.32
95.98
99.04
137.54
95.98
113.08
156.50
128.96
130.56
130.56
79.27
130.56
43.32
90.98
99.01
137.54
134.25
113.08
156.50
43.32
90.98
99.01
99.01
105.07
137.54
95.98
134.25
113.08
156.50
156.50
136.03
134.73
140.58
224.93
153.99
224.93
224.93
245.54
25.16
6.30
3.58
1.69
11.34
11.34
6.75
13.50
13.42
20.25
18.196000
43.320000
19.196000
19.808000
27.508000
19.196000
22.616000
31.300000
25.792000
26.112000
26.112000
79.270000
26.112000
43.320000
18.196000
19.802000
27.508000
26.850000
22.616000
31.300000
43.320000
18.196000
19.802000
19.802000
21.014000
27.508000
19.196000
26.850000
22.616000
31.300000
31.300000
27.206000
26.946000
28.116000
44.986000
153.990000
44.986000
44.986000
49.108000
0.125800
0.126000
0.059666
0.112666
0.378000
0.378000
0.225000
0.225000
0.223666
0.225000
18.196000
43.320000
19.196000
19.808000
27.508000
19.196000
21.835200
30.950400
25.792000
26.112000
26.112000
79.270000
26.112000
43.320000
18.196000
19.802000
27.508000
21.835200
21.835200
31.300000
43.320000
18.196000
19.802000
19.802000
21.014000
27.508000
19.196000
21.835200
21.835200
31.300000
31.300000
27.206000
26.946000
28.116000
44.986000
153.990000
44.986000
44.986000
49.108000
0.125800
0.126000
0.059666
0.112666
0.071599
0.071599
0.150960
0.150960
0.150960
0.150960
115.03
56.66
121.36
125.23
167.91
121.36
138.05
191.06
157.44
159.39
159.39
100.23
159.39
56.66
115.03
125.19
167.91
163.89
138.05
191.06
56.66
115.03
125.19
125.19
128.27
167.91
121.36
163.89
138.05
191.06
191.06
166.07
164.48
171.62
274.59
187.99
274.59
274.59
299.76
32.91
8.52
4.84
2.28
15.33
15.33
9.12
18.24
18.14
27.37
23.006000
56.660000
24.272000
25.046000
33.582000
24.272000
27.610000
38.212000
31.488000
31.878000
31.878000
100.230000
31.878000
56.660000
23.006000
25.038000
33.582000
32.778000
27.610000
38.212000
56.660000
23.006000
25.038000
25.038000
25.654000
33.582000
24.272000
32.778000
27.610000
38.212000
38.212000
33.214000
32.896000
34.324000
54.918000
187.990000
54.918000
54.918000
59.952000
0.164550
0.170400
0.080666
0.152000
0.511000
0.511000
0.304000
0.304000
0.302333
0.304111
23.006000
56.660000
24.272000
25.046000
33.582000
24.272000
27.607200
37.785600
31.488000
31.878000
31.878000
100.230000
31.878000
56.660000
23.006000
25.038000
33.582000
27.607200
27.607200
38.212000
56.660000
23.006000
25.038000
25.038000
25.654000
33.582000
24.272000
27.607200
27.607200
38.212000
38.212000
33.214000
32.896000
34.324000
54.918000
187.990000
54.918000
54.918000
59.952000
0.164550
0.170400
0.080666
0.152000
0.096799
0.096799
0.197460
0.197460
0.197460
0.197460
cant/a
mbala
j
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Subprogramul de tratament al sclerozei multiple
1
2
3
4
5
6
7
8
9
10
L03AB07
L03AB07
L03AB08
L03AB08
L03AX13
L04AA23
L04AX01
L04AX01
L04AX01
L04AX01
INTERFERONUM BETA 1A****

INTERFERONUM BETA 1A****
INTERFERONUM BETA 1-B****
INTERFERONUM BETA 1-B****
GLATIRAMER ACETAT****
NATALIZUMABUM****
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AVONEX 30 mcg BIO-SET

REBIF 44 micrograme
EXTAVIA 250 mcg/ ml
BETAFERON 250mcg/ml
COPAXONE
TYSABRI 300mg
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
BIOGEN IDEC LIMITED
30mcg (6 mil. UI)
SOL. INJ.
44mcg
SERONO EUROPE LTD.
250mcg/ml NOVARTIS EUROPHARM LTD.
250mcg/ml BAYER SCHERING AG
20mg/ml TEVA PHARMACEUTICALS S.R.L.
20mg/ml ELAN PHARMA INTERNATIONAL LTD
100mg
100mg
50mg
75mg
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
MAREA BRITANIE CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT
MAREA BRITANIE
P-RF/R
P-RF/R
MAREA BRITANIE
CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT P-RF/R
GERMANIA
CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV.
P-RF/P
ROMANIA
CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX
S/P-RF
IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF S

MAREA BRITANIE
S/P-RF
P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Tratamentul medicamentos al bolnavilor cu diabet zaharat
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB04
A10AB04
A10AB05
A10AB06
A10AB06
A10AB06
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC01
A10AC04
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD04
A10AD04
A10AD04
A10AD04
A10AD05
A10AE04
A10AE04
A10AE04
A10AE04
A10AE05
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLULIZINA**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM ASPART**
INSULINUM GLARGINE**
INSULINUM DETEMIR**
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
HUMULIN R
SOL. INJ.
HUMULIN R
SOL. INJ.
INSUMAN RAPID 100UI/ml
SOL. INJ. IN CARTUS
ACTRAPID PENFILL 100 UI/ml SOL. INJ. IN CARTUS
INSUMAN RAPID 100UI/ml
SOL. INJ. IN FLACON
INSUMAN RAPID 100 UI/ml OPTISET
INSUMAN RAPID 100 UI/ml SoloStar
HUMALOG KWIKPEN100U/ml
HUMALOG 100 U/ml
NOVORAPID PENFILL 100 U/ml
APIDRA 100U/ml
APIDRA 100U/ml
APIDRA 100U/ml
HUMULIN N
HUMULIN N
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml
INSUMAN BASAL 100UI/ml OPTISET
INSUMAN BASAL 100UI/ml SoloStar

HUMALOG BASAL KWIKPEN 100U/ml
HUMULIN M3
HUMULIN M3
INSUMAN COMB 25 100UI/ml
SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS
SOL. INJ. IN CARTUS
SOL. INJ. IN FLACON

SUSP. INJ.
SUSP. INJ.
SUSP. INJ. IN CARTUS
SUSP. INJ. IN FLACON
SUSP. INJ. IN STILOU INJECTOR PREUMPLUT
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
MIXTARD 30 PENFILL 100 UI/ml
SUSP. INJ. IN FLACON
INSUMAN COMB 25 100UI/ml OPTISET
INSUMAN COMB 50 100UI/ml OPTISET
INSUMAN COMB 25 100UI/ml SoloStar
HUMALOG MIX25
HUMALOG MIX50
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
SUSP. INJ.
NOVOMIX 30 PENFILL 100 U/ml
HUMALOG MIX50 KWIKPEN 100U/ml

HUMALOG MIX25 KWIKPEN 100U/ml
LANTUS 100UI/ml
LANTUS 100UI/ml
LANTUS SoloStar
LANTUS OptiSet
LEVEMIR PENFILL 100 U/ml
METFORMIN ARENA 1000 MG
GLUCOPHAGE XR
GLUCOPHAGE XR
SERDENIS 1000 mg
SERDENIS 1000 mg
SIOFOR 1000
SERDENIS 1000 mg
SOL. INJ. IN CARTUS
SOL. INJ. IN FLACON

SOL. INJ. IN CARTUS
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100U/ml
100Uml
100U/ml
100U/ml
100U/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100ui/ml
100ui/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
100U/ml
100U/ml
100U/ml
100U/ml
100UI/ml
100UI/ml
100UI/ml
100UI/ml
100U/ml
1000mg
1000mg
500mg
850mg
500mg
500mg
1000mg
1000mg
1000mg
1000mg
LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ.
P-RF
P-RF
SANOFI - AVENTIS DEUTSCHLAND GMBH
GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF
NOVO NORDISK A/S
DANEMARCA
GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.
P-RF
GERMANIA
CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.
CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
P-RF
GERMANIA
CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.
P-RF
ELI LILLY NEDERLAND BV OLANDA
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ.
P-RF
P-RF
P-RF
NOVO NORDISK A/S
DANEMARCA
GERMANIA
GERMANIA
CUTIE X 5 CARTUSE X 3 ML SOL.INJ.

CUTIE X 1 FLACON X 10 ML SOL. INJ.
GERMANIA
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ.

P-RF
P-RF
P-RF
P-RF
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ. P-RF

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.
P-RF
GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.
P-RF
GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF
GERMANIA
CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.
P-RF
GERMANIA
P-RF
ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ.
P-RF
LILLY FRANCE S.A.S FRANTA

LILLY FRANCE S.A.S FRANTA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ.
P-RF
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.
P-RF
P-RF
P-RF
NOVO NORDISK A/S
DANEMARCA
GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ.
P-RF
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ.
P-RF
CUTIE X 5 CARTUSE X 3 ML SUSP.INJ.

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
P-RF

P-RF
P-RF
NOVO NORDISK A/S
DANEMARCA
GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ.
GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ. P-RF
GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML
P-RF
GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML
P-RF
NOVO NORDISK A/S

ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP SA
ARENA GROUP SA
DANEMARCA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MERCK SANTE S.A.S. FRANTA

MERCK SANTE S.A.S. FRANTA
CUTIE X 5 CARTUSE X 3 ML
FLACON DIN PE X 200 COMPR.
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL. P-RF

CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P-RF
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
P6L
P6L
P-RF
P6L
GERMANIA
Pagina 18 din 46
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A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA03
A10BA03
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB01
A10BB07
A10BB07
A10BB07
A10BB07
A10BB08
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB09
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
Denumire generica
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
BUFORMINUM
BUFORMINUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIPIZIDUM
GLIQUIDONUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
Denumire comerciala
GLUCOPHAGE 1000 mg
METFOGAMMA 1000mg
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR. FILM.
COMPR. FILM.
METFORMIN AUROBINDO 1000 mg COMPR. FILM.

METFORMIN BLUEFISH 1000 mg COMPR. FILM.

MEGUAN (R) 500 mg

DIPIMET 500 mg
METFORMIN LPH (R) 500 mg
METFORMIN-TEVA 500 mg
COMPR. FILM.
SILUBIN RETARD
SILUBIN RETARD
GLIBENCLAMID ATB 1,75 MG
MANINIL 1,75 mg
GLIBENCLAMID LPH 1,75 mg
DRAJ. RET.
DRAJ. RET.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SERDENIS 850 mg
COMPR. FILM.
SERDENIS 850 mg
COMPR. FILM.
GLUCOPHAGE 850 mg
COMPR. FILM.
MEGUAN (R) 850 mg
COMPR. FILM.
METFORMIN-TEVA 850 mg COMPR. FILM.
METFORMIN LPH (R) 850 mg COMPR. FILM.
METFOGAMMA 850
COMPR. FILM.
SERDENIS 850 mg
COMPR. FILM.
SIOFOR 850 mg
COMPR. FILM.
GLIBENCLAMID ARENA 1,75 mg

MANINIL 3,5 mg
GLIBENCLAMID ATB 3,5 MG
GLIBENCLAMID LPH 3,5 mg
GLIBENCLAMID ARENA 5 mg
GLIPIZID LPH 5 mg
GLIPIZIDA ATB 5mg
GLUCOTROL XL 10 mg
GLUCOTROL XL 5mg
GLURENORM
GLICLAZID LPH
DIABREZIDE
ESQUEL (R) 80 mg
ADOZID MR 30 mg
DIAPREL MR
DIAPREL MR 60 mg
GLICLAZIDA ATB 30 mg
GLICLAZID MR LPH 30 mg
GLYCLADA 30 mg
GLYCLADA 30 mg
TINERIL 4 mg
AMYX 1
TINERIL 1 mg
MEGLIMID 1 mg
GLIMEPIRIDA ACCORD 1 mg
AMARYL 1mg
GLIMERAN 1 mg
GLIMEPIRID LPH 1 mg
GLIMEPIRIDA ATB 1 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. MODIF.

COMPR. ELIB. MODIF.
COMPR. ELIB. PREL.

COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
1000mg
1000mg
1000mg
1000mg
1000mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
850mg
100mg
100mg
1,75 mg
1,75mg
1,75mg
1,75mg
1,75mg
1,75mg
3,5mg
3,5mg
3,5mg
3,5mg
3,5mg
3,5mg
5mg
5mg
5mg
10mg
5mg
30mg
80mg
80mg
80mg
30mg
30mg
60mg
30mg
30mg
30mg
30mg
4mg
1 mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
Firma
MERCK SANTE
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
cant/a
mbala
j
60
120
30
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
20
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
20
ANTIBIOTICE SA
30
30
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
60
30
60
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L
60
90
20
30
MERCK SANTE
FRANTA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-RF/S 100
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
20
TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
60
30
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM.
P-RF/S
120
30
BLUEFISH PHARMACEUTICALS AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM.
P-6L 100
60
30
BERLIN-CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE CU 4 BLIST. AL/PVC X 15 COMPR. FILM. P-6L
60
60
PHARMAFARM S.A. ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET.
P-RF
60
DITA IMPORT EXPORT SRL ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET.
P-RF
60
ANTIBIOTICE S.A.
P-RF
30
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
P-RF/S
120
P-RF
60
P-RF/S
100
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000
P-RF
30
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR.
P-RF/S
120
ANTIBIOTICE S.A.
P-RF
30
P-RF
60
P-RF/S
100
P-RF
30
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000
P-RF
30
P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L
30
P-RF
30
P-RF
30
P-RF
60
P-RF
60
L. MOLTENI
ITALIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR. P-RF
40
P-RF
30
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 20 COMPR. CU ELIB. PRELUNGITA P-6L
60
LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. P-RF
60
LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. P-RF
60
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF
60
KRKA
SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L
60
KRKA
SLOVENIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P-6L
60
P-RF
30
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
30
P-RF
30
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-RF
30
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
P-RF
30
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. P-RF
30
P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF
30
FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.
CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM
P-6L
GERMANIA
P-RF/S
MAREA BRITANIE
CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E
CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL
Pagina 19 din 46
Pret cu
ridicata
maximal /
ambalaj
20.74
15.93
6.64
13.28
12.24
1.38
2.07
3.24
2.85
2.95
4.08
2.55
5.10
7.27
10.90
2.19
3.28
18.70
5.65
5.82
3.65
13.54
3.60
10.96
6.59
3.64
13.45
7.18
14.14
14.14
1.41
8.75
3.11
8.60
55.56
1.52
6.34
1.01
2.26
10.64
4.15
76.44
4.24
11.49
11.49
35.35
17.67
20.38
13.12
9.71
9.71
12.13
18.67
34.89
6.02
12.16
12.10
12.10
10.64
3.10
3.10
6.73
3.06
3.64
2.36
3.10
3.08
Pret cu ridicata
maximal / U.T.
0.345666
0.132750
0.221333
0.221333
0.204000
0.069000
0.069000
0.162000
0.095000
0.098333
0.068000
0.085000
0.085000
0.121166
0.121111
0.109500
0.109333
0.187000
0.282500
0.097000
0.121666
0.112833
0.120000
0.109600
0.109833
0.121333
0.224166
0.119666
0.235666
0.235666
0.047000
0.072916
0.051833
0.086000
0.055560
0.050666
0.052833
0.033666
0.037666
0.106400
0.138333
0.076440
0.141333
0.383000
0.383000
1.178333
0.589000
0.339666
0.218666
0.242750
0.323666
0.202166
0.311166
0.581500
0.200666
0.202666
0.201666
0.201666
0.354666
0.103333
0.103333
0.224333
0.102000
0.121333
0.078666
0.103333
0.102666
Pret cu ridicata
maximal de
decontare / U.T.
0.150960
0.132750
0.150960
0.150960
0.150960
0.069000
0.069000
0.071599
0.071599
0.071599
0.068000
0.071599
0.071599
0.116400
0.116400
0.109500
0.109333
0.116400
0.116400
0.097000
0.116400
0.112833
0.116400
0.109600
0.109833
0.116400
0.116400
0.116400
0.235666
0.235666
0.047000
0.060799
0.051833
0.060799
0.055560
0.050666
0.040399
0.033666
0.037666
0.040399
0.040399
0.040399
0.141333
0.383000
0.383000
1.178333
0.459600
0.339666
0.218666
0.242750
0.262399
0.202166
0.240799
0.581500
0.200666
0.202666
0.201666
0.201666
0.311200
0.094399
0.094399
0.094399
0.094399
0.094399
0.078666
0.094399
0.094399
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
28.03
21.53
8.98
17.95
16.55
1.86
2.80
4.38
3.85
3.99
5.52
3.45
6.89
9.82
14.73
2.96
4.44
25.27
7.64
7.87
4.93
18.30
4.87
14.82
8.91
4.92
18.18
9.71
19.11
19.11
1.91
11.82
4.21
11.62
70.25
2.05
8.57
1.37
3.05
14.38
5.61
96.65
5.73
15.53
15.53
46.24
23.88
27.55
17.73
13.13
13.13
16.39
25.24
45.64
8.14
16.43
16.36
16.36
14.38
4.19
4.19
9.09
4.14
4.92
3.19
4.19
4.16
0.467166
0.179416
0.299333
0.299166
0.275833
0.093000
0.093333
0.219000
0.128333
0.133000
0.092000
0.115000
0.114833
0.163666
0.163666
0.148000
0.148000
0.252700
0.382000
0.131166
0.164333
0.152500
0.162333
0.148200
0.148500
0.164000
0.303000
0.161833
0.318500
0.318500
0.063666
0.098500
0.070166
0.116200
0.070250
0.068333
0.071416
0.045666
0.050833
0.143800
0.187000
0.096650
0.191000
0.517666
0.517666
1.541333
0.796000
0.459166
0.295500
0.328250
0.437666
0.273166
0.420666
0.760666
0.271333
0.273833
0.272666
0.272666
0.479333
0.139666
0.139666
0.303000
0.138000
0.164000
0.106333
0.139666
0.138666
0.197460
0.179416
0.197460
0.197460
0.197460
0.093000
0.093333
0.096799
0.096799
0.096799
0.092000
0.096799
0.096799
0.157399
0.157399
0.148000
0.148000
0.157399
0.157399
0.131166
0.157399
0.152500
0.157399
0.148200
0.148500
0.157399
0.157399
0.157399
0.318500
0.318500
0.063666
0.082000
0.070166
0.082000
0.070250
0.068333
0.054799
0.045666
0.050833
0.054799
0.054799
0.054799
0.191000
0.517666
0.517666
1.541333
0.621199
0.459166
0.295500
0.328250
0.354600
0.273166
0.325600
0.760666
0.271333
0.273833
0.272666
0.272666
0.420799
0.127600
0.127600
0.127600
0.127600
0.127600
0.106333
0.127600
0.127600
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
A10BB12
Denumire generica
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)

A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM)
Denumire comerciala
GLIMERAN 1 mg
GLIMEPIRIDE 2 mg
AMYX 2
TINERIL 2 mg
MEGLIMID 2 mg
GLIMERAN 2 mg
GLIMERAN 2 mg
AMARYL 2 mg
GLIMEPIRID LPH 2 mg
GLIMEPIRIDE 3 mg
MEGLIMID 3 mg
GLIMERAN 3 mg
TINERIL 3 mg
GLIMERAN 3 mg
AMYX 3
AMARYL 3 mg
GLIMEPIRID LPH 3 mg
GLIMERAN 4 mg
GLIMERAN 4 mg
GLIMEPIRIDA ACCORD 4mg
AMYX 4
AMARYL 4 mg
AMARYL 6 mg
BIDIAB 400 mg/2,5 mg
BIDIAB 400 mg/2,5 mg
GLIBOMET (R)
GLIFORMIN
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
1mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4mg
4mg
4mg
4mg
4mg
4mg
6mg
Firma
A10BD05
A10BF01
A10BF01
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BH01
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
A10BX02
Ambalaj
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
ZENTIVA A.S.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
P-RF

MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
ANTIBIOTICE S.A.
KRKA D.D.
RANBAXY UK LIMITED
RANBAXY UK LIMITED
P-RF
P-RF
ROMANIA
P-RF
SLOVENIA
P-RF
MAREA BRITANIE
P-RF
MAREA BRITANIE
ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
P-RF
P-RF
P-RF
P-RF
P-6L
P-RF
P-RF
P-RF
P-RF
P-RF
MAREA BRITANIE
P-6L
ZENTIVA A.S.
ANTIBIOTICE S.A.
SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
P-RF

RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR.
ANTIBIOTICE S.A.
RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST AL/PVC X 10 COMPR.
ZENTIVA A.S.
ROMANIA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF
MAREA BRITANIE
COMPR. FILM. 2,5mg/400mg
ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.
LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM.
COMPR. FILM.
400mg+2,5mg
400mg+2,5mg
400mg + 2,5mg

MERCK SANTE
COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE
COMBINATII ( PIOGLITAZONUM + METFORMINUM)*** COMPETACT
ACARBOSUM
GLUCOBAY (R) 100
COMPR.
100mg
BAYER HEALTHCARE AG
ACARBOSUM
GLUCOBAY (R) 50
COMPR.
50mg
BAYER HEALTHCARE AG
PIOGLITAZONUM***
ACTOS 15mg
COMPR.
15mg
PIOGLITAZONUM***
PIOGLITAZONA TORRENT 15 mg COMPR.
15mg
PIOGLITAZONUM***
GLIDIPION 15 mg
COMPR.
15mg
PIOGLITAZONUM***
LISPECIP 15 mg
COMPR.
15mg
PIOGLITAZONUM***
PIOGLITAZONE ACCORD 15 mg COMPR.
15mg
PIOGLITAZONUM***
15mg
PIOGLITAZONUM***
ACTOS 30mg
COMPR.
30mg
PIOGLITAZONUM***
30mg
PIOGLITAZONUM***
GLIDIPION 30 mg
COMPR.
30mg
PIOGLITAZONUM***
30mg
PIOGLITAZONUM***
30mg
PIOGLITAZONUM***
LISPECIP 30 mg
COMPR.
30mg
PIOGLITAZONUM***
ACTOS 45mg
COMPR.
45mg
PIOGLITAZONUM***
45mg
PIOGLITAZONUM***
GLIDIPION 45 mg
COMPR.
45mg
PIOGLITAZONUM***
45mg
PIOGLITAZONUM***
45mg
PIOGLITAZONUM***
LISPECIP 45 mg
COMPR.
45mg
SITAGLIPTINUM***
JANUVIA 100mg
COMPR. FILM. 100mg
MERCK SHARP & DOHME
REPAGLINIDUM
RENEOS 0,5 mg
COMPR.
0,5 mg
ZENTIVA K.S.
REPAGLINIDUM
REPAGLINIDA FARMAL 0,5 mg COMPR.
0,5mg
REPAGLINIDUM
0,5mg
REPAGLINIDUM
0,5mg
REPAGLINIDUM
0,5mg
REPAGLINIDUM
RENEOS 1 mg
COMPR.
1 mg
ZENTIVA K.S.
REPAGLINIDUM
REPAGLINIDA FARMAL 1 mg COMPR.
1mg
REPAGLINIDUM
1mg
REPAGLINIDUM
1mg
REPAGLINIDUM
1mg
REPAGLINIDUM
RENEOS 2 mg
COMPR.
2 mg
ZENTIVA K.S.
A10BD02 COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg

A10BD02
Tara
Prescriptie
Grupa
Nr.
terape
crt
utica
TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD
FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.

FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM.
MAREA BRITANIE CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )
GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR.
MAREA BRITANIE CUTIE X 28 COMPR. (BLIST. AL/AL)
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF
ISLANDA
CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR) PRF
LUXEMBURG
CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 28 COMPR.(BLIST. AL/AL)
PRF
PRF
P-RF
ISLANDA
MAREA BRITANIE

LUXEMBURG
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 28 COMPR.(BLIST. AL/AL)
PRF
PRF
P-RF
ISLANDA
MAREA BRITANIE
MAREA BRITANIE

PRF
PRF
LUXEMBURG
MAREA BRITANIE
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)
REPUBLICA SLOVACA
CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF
P-RF
P-RF

REPUBLICA SLOVACA
P-RF
CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

P-RF
P-RF

REPUBLICA SLOVACA
CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR. PRF
Pagina 20 din 46
cant/a
mbala
j
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
500
20
60
60
60
60
56
120
120
28
30
28
30
28
30
28
30
28
28
30
30
28
30
28
28
30
30
28
90
90
270
120
30
90
270
30
90
120
90
Pret cu
ridicata
maximal /
ambalaj
2.36
3.97
5.37
5.37
13.35
3.97
3.97
5.08
6.10
5.37
5.36
7.35
18.49
7.35
10.01
7.35
9.94
10.01
9.43
11.31
10.01
7.78
10.62
7.78
10.64
10.64
11.97
19.08
178.17
7.63
19.06
19.06
20.43
20.43
159.72
67.50
48.67
100.29
69.84
64.96
65.18
65.18
69.84
150.92
107.02
99.68
99.88
107.02
99.89
206.41
143.75
133.98
134.17
143.75
130.26
160.75
45.59
45.59
131.98
59.73
15.20
59.40
175.06
20.15
59.40
79.22
72.61
Pret cu ridicata
maximal / U.T.
0.078666
0.132333
0.179000
0.179000
0.445000
0.132333
0.132333
0.169333
0.203333
0.179000
0.178666
0.245000
0.616333
0.245000
0.333666
0.245000
0.331333
0.333666
0.314333
0.377000
0.333666
0.259333
0.354000
0.259333
0.354666
0.354666
0.399000
0.636000
0.356340
0.381500
0.317666
0.317666
0.340500
0.340500
2.852142
0.562500
0.405583
3.581785
2.328000
2.320000
2.172666
2.327857
2.328000
5.390000
3.567333
3.560000
3.567142
3.567333
3.329666
7.371785
4.791666
4.785000
4.791785
4.791666
4.342000
5.741071
0.506555
0.506555
0.488814
0.497750
0.506666
0.660000
0.648370
0.671666
0.660000
0.660166
0.806777
Pret cu ridicata
maximal de
decontare / U.T.
0.078666
0.132333
0.158800
0.158800
0.158800
0.132333
0.132333
0.158800
0.158800
0.158800
0.158800
0.245000
0.294000
0.245000
0.294000
0.245000
0.294000
0.294000
0.294000
0.294000
0.294000
0.259333
0.311200
0.259333
0.311200
0.311200
0.311200
0.636000
0.356340
0.381199
0.317666
0.317666
0.340500
0.340500
2.852142
0.562500
0.405583
2.607199
2.328000
2.320000
2.172666
2.327857
2.328000
3.995599
3.567333
3.560000
3.567142
3.567333
3.329666
5.210400
4.791666
4.785000
4.791785
4.791666
4.342000
5.741071
0.506555
0.506555
0.488814
0.497750
0.506666
0.660000
0.648370
0.671666
0.660000
0.660166
0.806777
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
3.19
5.36
7.26
7.26
18.04
5.36
5.36
6.87
8.24
7.26
7.24
9.94
24.99
9.94
13.53
9.94
13.44
13.53
12.74
15.28
13.53
10.52
14.36
10.52
14.38
14.38
16.18
25.79
217.51
10.31
25.76
25.76
27.61
27.61
194.99
85.35
63.66
122.43
88.30
82.14
82.42
82.42
88.30
184.24
130.65
126.04
126.29
130.65
126.30
251.99
175.49
163.56
163.79
175.49
159.02
196.24
59.63
59.63
161.12
75.52
20.54
75.11
213.71
27.24
75.11
100.16
91.81
0.106333
0.178666
0.242000
0.242000
0.601333
0.178666
0.178666
0.229000
0.274666
0.242000
0.241333
0.331333
0.833000
0.331333
0.451000
0.331333
0.448000
0.451000
0.424666
0.509333
0.451000
0.350666
0.478666
0.350666
0.479333
0.479333
0.539333
0.859666
0.435020
0.515500
0.429333
0.429333
0.460166
0.460166
3.481964
0.711250
0.530500
4.372500
2.943333
2.933571
2.747333
2.943571
2.943333
6.580000
4.355000
4.501428
4.510357
4.355000
4.210000
8.999642
5.849666
5.841428
5.849642
5.849666
5.300666
7.008571
0.662555
0.662555
0.596740
0.629333
0.684666
0.834555
0.791518
0.908000
0.834555
0.834666
1.020111
0.106333
0.178666
0.214399
0.214399
0.214399
0.178666
0.178666
0.214399
0.214399
0.214399
0.214399
0.331333
0.397600
0.331333
0.397600
0.331333
0.397600
0.397600
0.397600
0.397600
0.397600
0.350666
0.420799
0.350666
0.420799
0.420799
0.420799
0.859666
0.435020
0.515200
0.429333
0.429333
0.460166
0.460166
3.481964
0.711250
0.530500
3.296800
2.943333
2.933571
2.747333
2.943571
2.943333
5.052000
4.355000
4.501428
4.510357
4.355000
4.210000
6.360799
5.849666
5.841428
5.849642
5.849666
5.300666
7.008571
0.662555
0.662555
0.596740
0.629333
0.684666
0.834555
0.791518
0.908000
0.834555
0.834666
1.020111
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
A10BX02
A10BX02
A10BX02
A10BX02
A10BX04
A10BX04
A10BX04
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
B03BA51
B03BA51
B03BA51
FARA ATC
Denumire generica
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
BENFOTIAMINUM
BENFOTIAMINUM
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
FARA DCI
Denumire comerciala
REPAGLINIDA FARMAL 2 mg
BYDUREON 2 mg
BYETTA 10mcg/doza
BYETTA 5mcg/doza
BENFOGAMMA
BENFOGAMMA
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) NA
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR.
COMPR.
COMPR.
COMPR.
DRAJ.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
DRAJ.
DRAJ.
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
MILGAMMA (R) (vezi B03BA51) DRAJ.
Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat
FARA FORMA
2mg
2mg
2mg
2mg
2 mg
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF
P-RF
AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN
PRF
10mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF
5mcg/doza
50mg
50mg
GERMANIA
GERMANIA
FARA CONCENTRATIE
GERMANIA
FARA CONCENTRATIE
GERMANIA
FARA CONCENTRATIE
CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L
FARA CONCENTRATIE
GERMANIA
GERMANIA
FARA CONCENTRATIE
GERMANIA

P-6L
FARA CONCENTRATIE
FARA CONCENTRATIE
GERMANIA
P-RF
FARA CONCENTRATIE
GERMANIA
P-RF
FARA CONCENTRATIE
GERMANIA
P-RF
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF

CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI
P-6L
P-6L
P-6L
P-6L
P-6L
CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L

WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ.
P-6L
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.
P-6L
FARA PRODUCATOR ROMANIA FARA FORMA AMB
X
GERMANIA
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
270
30
90
120
4
1
1
50
100
20
100
50
30
100
60
25
5
5
100
20
50
1
213.89
24.64
72.61
96.81
468.95
393.64
336.72
21.25
39.86
15.00
66.70
35.84
38.12
113.93
71.14
66.08
13.70
13.70
66.70
15.00
35.84
1.20
0.792185
0.821333
0.806777
0.806750
117.237500
393.640000
336.720000
0.425000
0.398600
0.750000
0.667000
0.716800
1.270666
1.139300
1.185666
2.643200
2.740000
2.740000
0.667000
0.750000
0.716800
1.200000
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1,475.99
375.37
753.00
1,765.78
463.88
897.84
1,419.30
377.32
724.65
2,441.69
4,853.37
632.91
1,235.86
2,301.15
597.46
1,165.59
3,035.05
2,630.24
4,766.25
5,541.15
718.85
1,608.75
1,396.36
6,345.00
781.26
9,502.50
2,766.50
1,407.44
492.34
1,629.80
829.90
1,586.83
891.90
2,519.23
5,008.46
712.99
1,274.61
1,107.58
296.35
568.81
1,475.990000
375.370000
753.000000
1,765.780000
463.880000
897.840000
1,419.300000
377.320000
724.650000
2,441.690000
4,853.370000
632.910000
1,235.860000
2,301.150000
597.460000
1,165.590000
3,035.050000
2,630.240000
4,766.250000
5,541.150000
718.850000
1,608.750000
1,396.360000
6,345.000000
781.260000
9,502.500000
2,766.500000
1,407.440000
492.340000
1,629.800000
829.900000
1,586.830000
891.900000
2,519.230000
5,008.460000
712.990000
1,274.610000
1,107.580000
296.350000
568.810000
Pret cu ridicata
maximal de
decontare / U.T.
0.792185
0.821333
0.806777
0.806750
117.237500
393.640000
336.720000
0.425000
0.398600
0.750000
0.667000
0.716800
1.270666
1.139300
1.185666
2.643200
2.740000
2.740000
0.667000
0.750000
0.716800
1.200000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
261.12
33.30
91.81
122.41
549.31
467.22
405.17
28.72
52.14
20.28
84.34
46.88
49.86
139.08
89.95
83.55
18.52
18.52
84.34
20.28
46.88
1.20
0.967111
1.110000
1.020111
1.020083
137.327500
467.220000
405.170000
0.574400
0.521400
1.014000
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.843400
1.014000
0.937600
1.200000
0.967111
1.110000
1.020111
1.020083
137.327500
467.220000
405.170000
0.574400
0.521400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.843400
1.012080
0.937600
1.200000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD03
B02BD03
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD06
B02BD06
B02BD06
FACTOR VIII DE COAGULARE**

MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
HAEMOCTIN SDH 1000

HAEMOCTIN SDH 250
HAEMOCTIN SDH 500
FANHDI 100ui/ml
FANHDI 25 ui/ml
FANHDI 50 ui/ml
OCTANATE 100 UI/ml
OCTANATE 50 UI/ml
OCTANATE 50 UI/ml
REFACTO 1000UI
REFACTO 2000UI
REFACTO 250UI
REFACTO 500UI
RECOMBINATE 1000 UI
RECOMBINATE 250 UI
RECOMBINATE 500 UI
ADVATE 1000UI
KOGENATE BAYER 1000UI
ADVATE 1500UI
ADVATE 500UI
ADVATE 2000UI
ADVATE 250UI
ADVATE 3000UI
COMPLEX DE ANTIINHIBITORI AI COAGULARII** FEIBA NF 1000 U FEIBA
COMPLEX DE ANTIINHIBITORI AI COAGULARII** FEIBA NF 500 U FEIBA
FACTOR IX DE COAGULARE**
OCTANINE F 250
OCTANINE F 1000 UI
OCTANINE F 500 UI
IMMUNINE 1200 UI
IMMUNINE 600 UI
NONACOG ALPHA**
BENEFIX 1000UI
NONACOG ALPHA**
BENEFIX 2000UI
NONACOG ALPHA**
BENEFIX 250UI
NONACOG ALPHA**
BENEFIX 500UI
FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND** IMMUNATE 1000 UI

PULB. + SOL. PT. SOL. INJ.

PULB+SOLV.PT.SOL.INJ.
LIOF. + SOLV. PT. SOL. INJ./PERF.
LIOF. + SOLV. PT. SOL. PERF.

PULB. + SOLV. PT. SOL. PERF.

100UI/ml
50UI/ml
50UI/ml
1000ui
250ui
500ui
100 UI/ml
50 UI/ml
50 UI/ml
1000 UI
2000 UI
250 UI
500 UI
1000UI
250UI
500UI
1000UI
1000UI
1500UI
2000UI
250UI
500 UI
500UI
2000 UI
250 UI
3000 UI
BIOTEST PHARMA GMBH GERMANIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S
P-PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 5 ML SO
P-PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML S
P-PR
SPANIA
SPANIA
INSTITUTO GRIFOLS S.A. SPANIA
MAREA BRITANIE CUTIE X 1 FLAC. CU 500 U.I. PULB. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE SI ADM.
S
S
S
PR
PR
PR
MAREA BRITANIE
CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STER
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. CU AC STERIL DUBLU SI 1 AC FILTRU STERI
S/P-RF
S/P-RF
S/P-RF
CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II
P-RF/R
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTIN
P-RF/R
BAXTER AG
P-RF/R
P-RF/R
P-RF/R
BAXTER AG
P-RF/R
P-RF/R
CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II
P-RF/R
CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II
P-RF/R
CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II
P-RF/R
CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL
CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL

WYETH
WYETH
WYETH
WYETH
EUROPA LTD
EUROPA LTD
EUROPA LTD
EUROPA LTD
BAXTER AG
BAXTER AG
BAXTER AG
BAXTER AG
MAREA BRITANIE CUTIE X 1 FLAC. CU 250 U.I. PULB. + 1 FL.SOLVENT X 5ML+ CUTIE CU SET DE RECONSTITUIRE SI ADM.
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
BAXTER AG
BAXTER AG
BAXTER AG
1000 U/20 ml BAXTER AG
500 U/20ml BAXTER AG
250 UI
1000UI
500 UI
1200UI
BAXTER AG
600UI
BAXTER AG
1000UI
WYETH EUROPA LTD
2000UI
WYETH EUROPA LTD
250UI
WYETH EUROPA LTD
500UI
WYETH EUROPA LTD
1000UI
BAXTER AG
250UI
BAXTER AG
500UI
BAXTER AG
CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL
MAREA BRITANIE CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL. INJ. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA DE RECONSTITUIRE SI ADM.

CUTIE X 1 FLAC. LIOF. + 1 FLAC. SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADM.
MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA A 30 ML CU LIOF. + 1 FLAC. X 5 ML SOLV. + 1 SERIN
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PER
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF
AUSTRIA
AUSTRIA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMI
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 5 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMIN
MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF.
S
S
S
S
S
S
S
P-RF
P-RF
P-RF
AUSTRIA
AUSTRIA
AUSTRIA
S
S
S
CUTIE X 1 FLAC. LIOF. + 1 FLAC. X 10 ML SOLV. + 1 TRUSA MEDICALA PT. RECONSTITUIRE SI ADMINISTRARE
Pagina 21 din 46
1,475.990000 1,646.98 1,646.980000 1,646.980000

375.370000
447.30
447.300000
447.300000
753.000000
858.92
858.920000
858.920000
1,765.780000 1,962.85 1,962.850000 1,962.850000
463.880000
543.78
543.780000
543.780000
897.840000 1,016.80 1,016.800000 1,016.800000
1,419.300000 1,585.19 1,585.190000 1,585.190000
377.320000
449.43
449.430000
449.430000
724.650000
828.02
828.020000
828.020000
2,441.690000 2,699.59 2,699.590000 2,699.590000
4,853.370000 5,328.32 5,328.320000 5,328.320000
632.910000
728.02
728.020000
728.020000
1,235.860000 1,385.24 1,385.240000 1,385.240000
2,301.150000 2,546.40 2,546.400000 2,546.400000
597.460000
689.38
689.380000
689.380000
1,165.590000 1,308.64 1,308.640000 1,308.640000
3,035.050000 3,346.35 3,346.350000 3,346.350000
2,630.240000 2,905.11 2,905.110000 2,905.110000
4,766.250000 5,233.36 5,233.360000 5,233.360000
5,541.150000 6,078.00 6,078.000000 6,078.000000
718.850000
821.70
821.700000
821.700000
1,608.750000 1,791.69 1,791.690000 1,791.690000
1,396.360000 1,560.18 1,560.180000 1,560.180000
6,345.000000 6,954.20 6,954.200000 6,954.200000
781.260000
889.72
889.720000
889.720000
9,502.500000 10,395.88 10,395.880000 10,395.880000
2,766.500000 3,053.64 3,053.640000 3,053.640000
1,407.440000 1,572.26 1,572.260000 1,572.260000
492.340000
574.80
574.800000
574.800000
1,629.800000 1,814.63 1,814.630000 1,814.630000
829.900000
942.74
942.740000
942.740000
1,586.830000 1,767.79 1,767.790000 1,767.790000
891.900000 1,010.32 1,010.320000 1,010.320000
2,519.230000 2,784.11 2,784.110000 2,784.110000
5,008.460000 5,497.37 5,497.370000 5,497.370000
712.990000
815.31
815.310000
815.310000
1,274.610000 1,427.47 1,427.470000 1,427.470000
1,107.580000 1,245.41 1,245.410000 1,245.410000
296.350000
361.79
361.790000
361.790000
568.810000
658.15
658.150000
658.150000
41
42
43
44
45
46
47
48
49
50
Denumire generica
B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

B02BD08
B02BD08
B02BD08
V03AC01
V03AC03
V03AC03
V03AC03
EPTACOG ALFA ACTIVATUM**

DEFEROXAMINUM**3)
DEFERASIROXUM****
DEFERASIROXUM****
DEFERASIROXUM****
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
HAEMATE P 500 UI
500UI+1200UI
WILATE 450 U.I./400 U.I.
PULB+SOLV. PT. SOL. INJ. 450U.I./400U.I.
WILATE 900 U.I./800 U.I.
PULB+SOLV. PT. SOL. INJ. 900U.I./800U.I.
NOVOSEVEN 2mg (100 KUI) PULB. + SOLV. PT. SOL. INJ. 100 KIU
DESFERAL
LIOF. PT. SOL. INJ./PERF. 500mg
EXJADE 125mg
COMPR. DISP. 125mg
EXJADE 250mg
COMPR. DISP. 250mg
EXJADE 500mg
COMPR. DISP. 500mg
LIOF. SI SOLV. PT. SOL. INJ./PERF.
Firma
CSL BEHRING GMBH

NOVO NORDISK A/S

NOVO NORDISK A/S
NOVO NORDISK A/S
Tara
GERMANIA
Ambalaj
CUTIE X 1 FLAC. DIN STICLA INCOLORA A 30 ML CU LIOF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTIT.
Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S
S
S
DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
P-RF/R
P-RF/R
P-RF/R
MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + SOLV. + DISPOZITIV PT. RECONSTITUIRE S
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

S/P-RF
P-RF/R
P-RF/R
P-RF/R
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
1 1,337.63 1,337.630000 1,337.630000 1,496.17 1,496.170000 1,496.170000

1
996.20
996.200000
996.200000 1,124.01 1,124.010000 1,124.010000
1 1,962.39 1,962.390000 1,962.390000 2,177.16 2,177.160000 2,177.160000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
10
110.64
11.064000
11.064000
135.07
13.507000
13.507000
28
687.54
24.555000
24.555000
787.57
28.127500
28.127500
28 1,461.36
52.191428
52.191428 1,631.03
58.251071
58.251071
28 2,660.12
95.004285
95.004285 2,937.68
104.917142
104.917142
P6.2: EPIDERMOLIZA BULOASA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
D05BB02
D06AA04
D06AX01
D06AX01
D06BA01
ACITRETINUM
TETRACYCLINUM
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)
J01AA07
J01AA07
J01AA07
J01AA07
N03AB02
N03AB02
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
PHENYTOINUM
PHENYTOINUM
NEOTIGASON 10 mg
TETRACICLINA ATB 30 mg/g
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
FUCIDIN H
TRIDERM
DIPROGENTA (R)
DIPROGENTA 0,5 mg/1 mg pe gram
TRIDERM (R)
TRIDERM
DIPROGENTA (R)
DIPROGENTA 0,5 mg/1 mg pe gram
TRIDERM
FUCICORT 20 mg/1mg pe gram
TETRACICLINA ARENA 250 mg
TETRACICLINA ARENA 250 mg
TETRACICLINA 250 mg
TETRACICLINA ATB 250 mg
FENITOINA RICHTER 100 mg
PHENHYDAN 250 mg/5 ml
CAPS.
UNGUENT
CREMA
UNGUENT
CREMA
CREMA
CREMA
CREMA
CREMA
CREMA
UNGUENT
UNGUENT
UNGUENT
UNGUENT
CREMA
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
SOL. INJ.
10mg
30mg/g
20mg/g
20mg/g
1%
LEO PHARMACEUTICAL PRODUCTS DANEMARCA
FARA CONCENTRATIE
0,5mg+10mg+1mg/g
0,5mg/1mg pe gram
ANTIBIOTICE S.A.
ROMANIA
CN UNIFARM
ROMANIA
BELGIA
0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA
BELGIA
FARA CONCENTRATIE
0,5mg+10mg+1mg/g
0,5mg/1mg pe gram
BELGIA
0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA

FARA CONCENTRATIE
BELGIA
20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF

CUTIE CU 1 TUB AL X 12 G UNGUENT
P-RF
P-RF
CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF
BORCAN X 500 G CREMA
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
PRF
P-6L
250mg
250mg
250mg
250mg
100mg
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
250mg/5ml
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ.
ROMANIA
ROMANIA
ROMANIA
P-RF
30
1
1
1
1
1
1
1
1
1
1
1
1
1
1
500
20
20
20
20
5
59.11
4.85
11.24
11.24
83.51
16.08
11.28
9.26
9.26
11.28
11.28
9.26
9.26
11.28
17.62
52.21
2.21
2.35
4.79
2.05
53.57
1.970333
4.850000
11.240000
11.240000
83.510000
16.080000
11.280000
9.260000
9.260000
11.280000
11.280000
9.260000
9.260000
11.280000
17.620000
0.104420
0.110500
0.117500
0.239500
0.102500
10.714000
56
56
90
9,529.79
9,200.67
1,873.53
170.174821
164.297678
20.817000
20
20
20
50
50
7
14
20
14
14
14
14
14
20
14
14
14
42.40
21.60
33.00
111.16
111.16
23.71
23.85
17.01
12.35
10.85
21.14
12.35
29.01
33.14
24.13
23.73
24.13
2.120000
1.080000
1.650000
2.223200
2.223200
3.387142
1.703571
0.850500
0.882142
0.775000
1.510000
0.882142
2.072142
1.657000
1.723571
1.695000
1.723571
1.970333
4.850000
11.240000
11.240000
83.510000
16.080000
11.280000
9.260000
9.260000
11.280000
11.280000
9.260000
9.260000
11.280000
17.620000
0.104420
0.110500
0.117500
0.125304
0.102500
10.714000
74.74
6.56
15.19
15.19
105.59
21.74
15.24
12.51
12.51
15.24
15.24
12.51
12.51
15.24
23.82
66.02
2.99
3.17
6.47
2.77
67.73
2.491333
6.560000
15.190000
15.190000
105.590000
21.740000
15.240000
12.510000
12.510000
15.240000
15.240000
12.510000
12.510000
15.240000
23.820000
0.132040
0.149500
0.158500
0.323500
0.138500
13.546000
2.491333
6.560000
15.190000
15.190000
105.590000
21.740000
15.240000
12.510000
12.510000
15.240000
15.240000
12.510000
12.510000
15.240000
23.820000
0.132040
0.149500
0.158448
0.158448
0.138500
13.546000
170.174821 10,425.63
164.297678 10,066.89
20.817000 2,080.30
186.171964
179.765892
23.114444
186.171964
179.765892
23.114444
2.120000
1.080000
1.650000
2.714000
2.714000
4.578571
2.302142
1.149500
1.192142
1.047857
2.040714
1.192142
2.710714
2.167500
2.330000
2.291428
2.330000
2.120000
1.080000
1.650000
2.714000
2.714000
2.601000
1.257428
1.149500
1.192142
1.047857
1.257428
1.192142
2.601000
2.167500
2.330000
2.291428
2.330000
P6.3: HIPERTENSIUNE PULMONARA
1
2
3
C02KX01
C02KX01
G04BE03
BOSENTANUM**
BOSENTANUM**
SILDENAFILUM**
TRACLEER 125 mg
TRACLEER 62,5 mg
REVATIO 20 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
125mg
62,5mg
20mg
ACTELION REGISTRATION LTD.
MAREA BRITANIE
CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.
P-RF/R
ACTELION REGISTRATION LTD.
MAREA BRITANIE
CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.
P-RF/R
PFIZER LIMITED
MAREA BRITANIE
P-RF/R
P6.4: MUCOVISCIDOZA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
A09AA02
A09AA02
A09AA02
A09AA02
A09AA02
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
PANCREATINUM**
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
MEZYM FORTE 25000

KREON 10000
KREON 25000
KREON 40000
KREON 40000
CLAXIRIT 500 mg
LEKOKLAR (R) 250 mg
CLAR 250
KLERIMED (R) 250
KLABAX 250 mg
KLACID (R)
FROMILID 250
LEKOKLAR (R) 500 mg
ROCLARIN 500 mg
KLERIMED (R) 500
KLABAX 500 mg
FROMILID 500
CAPS. CU MINI-COMPR. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
356,100mg
150mg
300mg
400mg
400mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
BERLIN CHEMIE AG (MENARINI GROUP)
GERMANIA CUTIE X 1 FLACON DIN PP X 20 CAPS. CU MINI-COMPR. GASTROREZ. OTC
GERMANIA
GERMANIA
GERMANIA
FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC

FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC
FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L
ABBOTT PRODUCTS GMBH GERMANIA CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.


TERAPIA SA
ABBOTT SPA
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
ANTIBIOTICE S.A.
TERAPIA SA
P-RF
P-RF
P-RF
P-RF
Pagina 22 din 46
2.120000
1.080000
1.650000
2.223200
2.223200
1.988400
0.930000
0.850500
0.882142
0.775000
0.930000
0.882142
1.988400
1.657000
1.723571
1.695000
1.723571
42.40
21.60
33.00
135.70
135.70
32.05
32.23
22.99
16.69
14.67
28.57
16.69
37.95
43.35
32.62
32.08
32.62
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GB01
R05CB13
Denumire generica
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
TOBRAMYCINUM**
DORNAZA ALFA**
Denumire comerciala
CLAR 500
LEKOKLAR XL 500 mg
LEKOKLAR XL 500 mg
KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLACID (R)
KLABAX 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
TOBI (R)
PULMOZYME
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR. FILM.


500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF
P-RF
P-RF
TERAPIA SA
ROMANIA
P-RF
MAREA BRITANIE
P-RF
KRKA D.D.
SANDOZ SRL
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
TERAPIA SA
TERAPIA SA
SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.
P-RF
ROMANIA
P-RF
P-RF
ITALIA
ITALIA
P-RF
SLOVENIA
CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
ROMANIA
P-RF
500mg
ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.
SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA
SOL. INHAL. 1mg/ml
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL
CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N
S/P-RF
P-RF
S/P-RF
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
20
7
5
7
5
7
1
1
1
1
1
1
1
1
1
1
1
28
6
33.91
19.04
13.60
26.92
27.85
20.78
19.39
29.92
18.11
17.24
23.38
14.01
47.03
34.29
39.06
23.44
41.12
8,112.06
551.59
1.695500
2.720000
2.720000
3.845714
5.570000
2.968571
19.390000
29.920000
18.110000
17.240000
23.380000
14.010000
47.030000
34.290000
39.060000
23.440000
41.120000
289.716428
91.931666
1.695500
1.988400
1.988400
1.988400
1.988400
1.988400
16.812000
28.056000
16.812000
16.812000
23.380000
14.010000
46.872000
28.128000
39.060000
23.440000
41.120000
289.716428
91.931666
44.36
25.73
18.38
35.21
36.43
28.09
26.21
39.14
24.48
23.30
31.60
18.94
61.52
44.85
51.09
31.68
53.78
8,880.31
639.38
2.218000
3.675714
3.676000
5.030000
7.286000
4.012857
26.210000
39.140000
24.480000
23.300000
31.600000
18.940000
61.520000
44.850000
51.090000
31.680000
53.780000
317.153928
106.563333
2.218000
2.601000
2.601000
2.601000
2.601000
2.601000
22.728000
37.920000
22.728000
22.728000
31.600000
18.940000
61.308000
38.016000
51.090000
31.680000
53.780000
317.153928
106.563333
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
56
884.76
15.799285
15.799285
1,002.54
17.902500
17.902500
1
1
1
1
185.79
110.73
529.92
361.86
185.790000
110.730000
529.920000
361.860000
183.444000
110.730000
529.920000
285.384000
226.81
135.18
615.76
432.58
226.810000
135.180000
615.760000
432.580000
223.956000
135.180000
615.760000
348.396000
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE
P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
UNGARIA
UNGARIA
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CSL BEHRING GMBH

CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
GERMANIA



KEDRION SPA
GERMANIA

GERMANIA
GERMANIA


ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA


MAREA BRITANIE

ITALIA
MAREA BRITANIE
MAREA BRITANIE
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMIOTROFICA

1
N07XX02
RILUZOLUM**
RILUTEK 50 mg
COMPR. FILM.
50mg
AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR.
P-RF/R
P6.6: OSTEOGENEZA IMPERFECTA
1
2
3
4
M05BA03
M05BA03
M05BA03
M05BA03
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX
PAMIDRONAT TORREX

15mg/ml
15mg/ml
15mg/ml
15mg/ml

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
Pagina 23 din 46
S/P-RF
S/P-RF
S/P-RF
S/P-RF
5
6
7
M05BA03
M05BA03
M05BA03
Denumire generica
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
Denumire comerciala
PAMIRED 30
PAMIRED 60
AREDIA (R) 15 mg
Forma
Concentr
farmaceutic
atie / U.T.
a
LIOF.+ SOLV. PT. SOL. PERF.
30mg
60mg
15mg
Firma
Tara
ROMANIA
ROMANIA
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
S/P-RF
S/P-RF
CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.
S/P-RF
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
1
1
4
152.87
237.82
595.85
152.870000
237.820000
148.962500
152.870000
237.820000
132.876000
186.63
290.33
687.63
186.630000
290.330000
171.907500
186.630000
290.330000
162.216000
373.65
474.75
409.15
667.50
1,176.67
1,549.07
789.53
373.650000
474.750000
409.150000
667.500000
1,176.670000
1,549.070000
789.530000
373.650000
474.750000
409.150000
667.500000
801.000000
801.000000
490.980000
445.43
555.63
484.12
765.73
1,320.72
1,726.64
898.74
445.430000
555.630000
484.120000
765.730000
1,320.720000
1,726.640000
898.740000
445.430000
555.630000
484.120000
765.730000
918.876000
918.876000
580.944000
P6.7: SINDROM PRADER WILLI
1
2
3
4
5
6
7
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
H01AC01
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
ZOMACTON
4mg (12ui) FERING GMBH
GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF
GENOTROPIN (R) 16 ui (5,3 mg)
5,3mg/ml (16ui) PFIZER EUROPE MA EEIG
MAREA BRITANIE
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
SOL. INJ.
SOL. INJ.
P-RF
P-RF
1
1
1
1
1
1
1
NORDITROPIN SIMPLEXx 10 mg/1,5ml
SOL. INJ. IN CARTUS
1 13,797.28 13,797.280000 13,797.280000 15,077.20 15,077.200000 15,077.200000
CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.
3,3mg/ml SANDOZ GMBH

AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
6,7mg/ml SANDOZ GMBH
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
10mg/1,5 ml NOVO NORDISK A/S DANEMARCA
5mg/1,5 ml NOVO NORDISK A/S DANEMARCA
P-RF
P-RF/R
P-RF/R
P-RF
P6.8: BOALA FABRY
1
A16AB04
AGALSIDASUM BETA**
FABRAZYME 35 mg
35mg
GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.
P6.9: BOALA POMPE
1
A16AB07
ALGLUCOSIDASUM ALPHA**
MYOZYME 50mg
50mg
GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. S
2,264.71
2,264.710000
60 12,802.92
60 3,522.06
60 7,014.11
213.382000
58.701000
116.901833
2,264.710000
2,506.69
2,506.690000
2,506.690000
213.382000 13,993.35
58.701000 3,877.20
116.901833 7,683.54
233.222500
64.620000
128.059000
233.222500
64.620000
128.059000
P6.10: TIROZINEMIE
1
2
3
A16AX04
A16AX04
A16AX04
NITISINONUM
NITISINONUM
NITISINONUM
ORFADIN 10mg
ORFADIN 2mg
ORFADIN 5mg
CAPS.
CAPS.
CAPS.
10mg
2mg
5mg
SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R
P-RF/R
P-RF/R
P6.12: MUCOPOLIZAHARIDOZ TIP II (SINDROM HUNTER)
1
A16AB09
IDURSULFASUM**
ELAPRASE 2mg/ml
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
P6.13: MUCOPOLIZAHARIDOZ TIP I (SINDROM HURLER)
1
A16AB05
LARONIDAZUM**
ALDURAZYME 100UI/ml
100U/ml
GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML
2,802.88
2,802.880000
2,802.880000
3,093.29
3,093.290000
3,093.290000
S
S
S
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. S
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
S
OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.
S
CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF.
S
S
BAXTER AG
AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) S
BAXTER AG
BAXTER AG
S
S
1
1
1
1
1
1
1
1
1
1
1
1
1
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
P6.15: Sindrom de imunodeficien primar
1
2
3
4
5
6
7
8
9
10
11
12
13

HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
UNGARIA
UNGARIA
MAREA BRITANIE
Pagina 24 din 46
14
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Denumire generica

Denumire comerciala
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
Forma
Concentr
farmaceutic
atie / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
Firma
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica

AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S
ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA


S
S
S
S
S
S
S
S
S
S
S
MAREA BRITANIE

KEDRION SPA
ITALIA
ALPHA D3 0,25 mcg
SANDOZ S.R.L.

MAREA BRITANIE
MAREA BRITANIE
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3,469.04
459.88
7,459.41
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
3,819.40
539.42
8,168.91
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
50
30
30
30
10
10
100
1
1
4
28
28
2
50
20
30
1
1
1
100
100
100
100
100
100
50
100
50
50
100
100
100
100
100
1
5
5
5
1
1
28
4
4
2
4
2
4
4
25.70
28.49
23.23
42.10
203.78
108.79
60.88
21.75
12.29
25.48
57.59
98.84
3,064.97
24.13
21.94
4.83
6.52
22.95
15.15
8.65
9.23
17.86
7.04
6.12
6.21
10.92
12.48
15.54
18.88
22.83
9.12
9.12
14.23
14.23
1,473.60
51.05
23.94
26.35
36.97
56.38
36.90
36.90
36.90
18.44
18.28
28.39
36.44
36.44
0.514000
0.949666
0.774333
1.403333
20.378000
10.879000
0.608800
21.750000
12.290000
6.370000
2.056785
3.530000
1,532.485000
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.086500
0.092300
0.178600
0.070400
0.061200
0.062100
0.218400
0.124800
0.310800
0.377600
0.228300
0.091200
0.091200
0.142300
0.142300
1,473.600000
10.210000
4.788000
5.270000
36.970000
56.380000
1.317857
9.225000
9.225000
9.220000
4.570000
14.195000
9.110000
9.110000
0.514000
0.616800
0.774333
0.929200
20.378000
10.879000
0.608800
21.750000
12.290000
6.370000
2.056785
3.530000
1,532.485000
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.086500
0.092300
0.178600
0.070400
0.061200
0.062100
0.218400
0.124800
0.310800
0.377600
0.228300
0.091200
0.091200
0.142300
0.142300
1,473.600000
5.745600
4.788000
5.270000
36.970000
56.380000
1.317857
5.484000
5.484000
5.484000
4.570000
5.484000
5.484000
5.484000
33.62
37.26
31.40
55.07
248.78
132.81
76.98
29.40
16.61
33.33
72.82
124.97
3,378.97
32.62
29.65
6.53
8.81
31.02
20.48
11.69
12.48
24.14
9.51
8.27
8.40
14.76
16.87
21.00
25.52
30.86
12.33
12.33
19.23
19.23
1,644.38
64.55
32.36
34.46
48.36
71.29
48.27
48.27
48.27
24.93
24.71
37.13
47.66
47.66
0.672400
1.242000
1.046666
1.835666
24.878000
13.281000
0.769800
29.400000
16.610000
8.332500
2.600714
4.463214
1,689.485000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.116900
0.124800
0.241400
0.095100
0.082700
0.084000
0.295200
0.168700
0.420000
0.510400
0.308600
0.123300
0.123300
0.192300
0.192300
1,644.380000
12.910000
6.472000
6.892000
48.360000
71.290000
1.723928
12.067500
12.067500
12.465000
6.177500
18.565000
11.915000
11.915000
0.672400
0.806880
1.046666
1.255999
24.878000
13.281000
0.769800
29.400000
16.610000
8.332500
2.600714
4.463214
1,689.485000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.116900
0.124800
0.241400
0.095100
0.082700
0.084000
0.295200
0.168700
0.420000
0.510400
0.308600
0.123300
0.123300
0.192300
0.192300
1,644.380000
7.766400
6.472000
6.892000
48.360000
71.290000
1.723928
7.413000
7.413000
7.413000
6.177500
7.413000
7.413000
7.413000
cant/a
mbala
j
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
G03CA03
G03CA03
G03CA03
G03DC05
G03XC01
H01AB01
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03AAN1
H03BB01
H03BB02
H03BB02
H03BB02
H03CA01
H03CA01
H03CA01
H03CA01
H05AA02
H05BA01
H05BA01
H05BA01
H05BA01
H05BA01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM
ESTRADIOLUM
ESTRADIOLUM
ESTRADIOLUM
TIBOLONUM
RALOXIFENUM
TIREOTROPINUM ALFA
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTIROXINUM+KALII IODIDUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
TERIPARATIDUM**
ACIDUM ALENDRONICUM**
CAPS. MOI 0,25mcg

CAPS. MOI 0,25g
ALPHA D3 0,50 mcg
CAPS. MOI 0,50mcg
ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5g
ONE-ALPHA 2 micrograme/ml SOL. INJ.
2micrograme/ml
2micrograme/ml
ROCALTROL
CAPS. MOI 0,25mcg
ESTREVA (R)
GEL
0,1%
OESTROGEL 0,6 mg/g
GEL
0,6mg/g
CLIMARA
PLASTURE TRANSDERM. 50mcg/24ore
LIVIAL (R) 2,5 mg
COMPR.
2,5mg
EVISTA 60mg
COMPR. FILM. 60mg
THYROGEN 0,9 mg
PULB. PT. SOL. INJ. 0,9mg
MEDROL A 16
COMPR.
16mg
MEDROL 32
COMPR.
32mg
MEDROL 4 mg
COMPR.
4mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
EUTHYROX 100mcg
COMPR.
100mcg
L-THYROXIN 100 BERLIN - CHEMIE COMPR.
100mcg
EUTHYROX 200mcg
COMPR.
200mcg
EUTHYROX 25mcg
COMPR.
25mcg
EUTHYROX 50mcg
COMPR.
50mcg
L-THYROXIN 50
COMPR.
50mcg
JODTHYROX (R) 100/130,8 COMPR.
FARA CONCENTRATIE
CARBIMAZOLE 5
COMPR. FILM. 5mg
THYROZOL 10 mg
COMPR. FILM. 10mg
THYROZOL 20mg
COMPR. FILM. 20mg
THYROZOL 5 mg
COMPR. FILM. 5mg
JODID 100
COMPR.
100mcg
JODID 100
COMPR.
100mcg
JODID 200
COMPR.
200mcg
JODID 200
COMPR.
200mcg
FORSTEO 20g/80g
SOL. INJ.
20g/80l
TONOCALCIN 100 UI
SOL. INJ.
100UI
NYLEX (R)
SOL. INJ.
100UI/ml
MIACALCIC (R)
SOL. INJ.
50ui/ml
NYLEX 100 UI/doza
SPRAY NAZ.,SOL. 100UI/doza
NYLEX (R)
SPRAY NAZAL - SOL. 200UI/doza
ACID ALENDRONIC ACCORD 10 mg COMPR.
10mg
TEVANAT 70 mg
COMPR.
70 mg
ACID ALENDRONIC ACCORD 70 mg COMPR.
70mg
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
70mg
ACID ALENDRONIC BLUEFISH 70 mg COMPR.
70mg
FOSAMAX 70 mg
COMPR.
70mg
RANOS 70 mg
COMPR.
70mg
INSTREL 70 mg
COMPR.
70mg
CUTIE X 1 FLAC. X 30 CAPS. MOI
ROMANIA
SANDOZ S.R.L.
LEO PHARMA A/S
LEO PHARMA A/S
DANEMARCA
CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
DANEMARCA
CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.
P-RF
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI
LAB. THERAMEX
MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G
S
S
P-RF
P-6L
LABORATOIRES BESINS INTERNATIONAL
FRANTA
GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L
ORGANON NV
OLANDA CUTIE X 1 BLIST. X 28 COMPR.
DAIICHI SANKYO EUROPE GMBH GERMANIA
CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN
CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)
GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.
CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.
P-6L
P-RF
P-RF
S
P-RF
P-RF
P-RF
S/P-RF
S/P-RF
MAREA BRITANIE
CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO
P-RF
MERCK KGAA
GERMANIA
P-6L
GERMANIA
MERCK KGAA
MERCK KGAA
MERCK KGAA
GERMANIA
GERMANIA
CUTIE X 4 BLIST. AL/PP X 25 COMPR.

GERMANIA
P-6L/S
MERCK KGAA
REMEDICA LTD.
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
GERMANIA
P-6L
GERMANIA
P-6L
P-6L
P-6L
CIPRU

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-6L/S
GERMANIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.
P-RF
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 G/80L)
P-RF
ITALIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.

PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML
GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
PROEL E.P. CORONIS SA GRECIA CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR.
P-RF
P-6L
MAREA BRITANIE
GERMANIA
GERMANIA
GERMANIA
GERMANIA

ALFA WASSERMANN SPA
PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-6L
CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L
SUEDIA CUTIE CU BLIST. AL/AL X 2 COMPR.

P-6L
P-6L
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L
ROMANIA
Pagina 25 din 46
P-RF
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
M05BA04
M05BA04
M05BA04
M05BA04
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA08
M05BA08
Denumire generica
ACIDUM RISEDRONICUM**
M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

M05BX03
M05BX03
V09FX03
V10XA01
STRONTIUM RANELATUM
STRONTIUM RANELATUM
NATRII IODIDUM (131I)
NATRII IODIDUM (131I)
Denumire comerciala
ADRONIK 70 mg
ADRONIK 70 mg
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR. FILM.
COMPR. FILM.
70mg
70mg
ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg
ADRONIK 70 mg
COMPR. FILM.
70mg
ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg
OSSICA 150 mg
BONVIVA 150mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ACID IBANDRONIC SANDOZ 50 mg COMPR. FILM.
BONDRONAT 50mg
IASIBON 50 mg
HOLMEVIS 50 mg
IASIBON 6mg/6ml
BONDRONAT 6mg/6ml
OSSICA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL INJ. IN SERINGA PREUMPLUTA
SOL. INJ.
RISEDRONAT BLUEFISH 35 mg COMPR. FILM.
JUVERITAL 35 mg
LORINE 35mg
OSODENS 35 mg
RISEDRONAT TEVA 35 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ACTONEL SAPTAMANAL 35 mg COMPR. FILM.
PEXALIT 35 mg
JUVERITAL 35 mg
OSTEORON 35 mg
RISENDROS 35 mg
JUVERITAL 5 mg
ACTONEL 75 mg
ZOMETA 4 mg
ACLASTA 5mg/100ml
OSSEOR 2 g
OSSEOR 2 g
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
150mg
150mg
150mg
50 mg
50mg
50mg
50mg
6mg/6ml
6mg/6ml
3mg
3mg/3ml
1mg/1ml
35 mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
5mg
75mg
4mg
Firma
ARENA GROUP S.A.

ARENA GROUP S.A.
SANDOZ S.R.L.
ARENA GROUP S.A.
TEVA PHARMA B.V.
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica

ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L
OLANDA
P-RF
GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L
CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)
MAREA BRITANIE
SANDOZ S.R.L.
ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

GERMANIA CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE
MAREA BRITANIE
PHARMATHEN S.A.
GRECIA
UNGARIA
PHARMATHEN S.A.
GRECIA
MAREA BRITANIE
ROMANIA
P6L
PR
CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. S
CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR
CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. PR
CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE
PR
P-6L
ZENTIVA K.S.
REPUBLICA CEHA
CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.
P6L
MAREA BRITANIE
P-6L
SUEDIA
CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM.
P6L
OLANDA
CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE
P-6L
ANTIBIOTICE S.A.
TERAPIA SA
ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
MAREA BRITANIE
ROMANIA CUTIE CU BLIST. PVC/HT-AL X 4 COMPR. FILM.
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 4 COMPR. FILM. P-6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
ZENTIVA A.S.
CEHIA
P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
MAREA BRITANIE
SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE

COMPR.
70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE
COMPR.
COMPR.
COMPR.
2g
LES LAB. SERVIER FRANTA
2g
LES LAB. SERVIER FRANTA
CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.
S
S
CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L

P-RF
P-RF
cant/a
mbala
j
12
2
2
4
1
1
1
1
28
28
28
28
1
1
1
1
1
4
4
4
4
4
4
4
4
4
4
28
2
1
1
2
4
2
4
14
28
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
108.06
18.33
9.49
36.67
65.80
57.19
105.93
40.44
519.62
964.08
629.47
637.16
596.39
901.37
196.40
232.02
354.51
27.36
57.38
27.91
57.38
57.38
88.28
27.91
57.38
43.32
43.34
57.38
75.11
1,098.45
1,399.70
36.16
71.05
36.16
71.05
82.84
143.02
9.005000
9.165000
4.745000
9.167500
65.800000
57.190000
105.930000
40.440000
18.557857
34.431428
22.481071
22.755714
596.390000
901.370000
196.400000
232.020000
354.510000
6.840000
14.345000
6.977500
14.345000
14.345000
22.070000
6.977500
14.345000
10.830000
10.835000
2.049285
37.555000
1,098.450000
1,399.700000
18.080000
17.762500
18.080000
17.762500
5.917142
5.107857
Pret cu ridicata
maximal de
decontare / U.T.
5.484000
5.484000
4.745000
5.484000
48.528000
48.528000
48.528000
40.440000
18.557857
22.269428
22.269428
22.269428
596.390000
715.668000
196.400000
232.020000
235.680000
6.840000
8.208000
6.977500
8.208000
8.208000
8.208000
6.977500
8.208000
8.208000
8.208000
2.049285
37.555000
1,098.450000
1,399.700000
18.080000
17.762500
18.080000
17.762500
5.917142
5.107857
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
131.92
24.78
12.82
47.97
83.20
72.31
129.32
52.90
604.54
1,089.00
724.27
732.65
688.22
1,020.64
239.77
283.25
424.57
35.79
72.55
36.50
72.55
72.55
111.62
36.50
72.55
56.66
56.69
72.55
94.97
1,235.46
1,563.83
47.30
89.84
47.30
89.84
104.74
174.60
10.993333
12.390000
6.410000
11.992500
83.200000
72.310000
129.320000
52.900000
21.590714
38.892857
25.866785
26.166071
688.220000
1,020.640000
239.770000
283.250000
424.570000
8.947500
18.137500
9.125000
18.137500
18.137500
27.905000
9.125000
18.137500
14.165000
14.172500
2.591071
47.485000
1,235.460000
1,563.830000
23.650000
22.460000
23.650000
22.460000
7.481428
6.235714
7.413000
7.413000
6.410000
7.413000
63.480000
63.480000
63.480000
52.900000
21.590714
25.908857
25.866785
25.908857
688.220000
825.864000
239.770000
283.250000
287.724000
8.947500
10.737000
9.125000
10.737000
10.737000
10.737000
9.125000
10.737000
10.737000
10.737000
2.591071
47.485000
1,235.460000
1,563.830000
23.650000
22.460000
23.650000
22.460000
7.481428
6.235714
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.1: TRANSPLANT MEDULAR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B01AB08
B01AB08
B02AA02
B02BD08
B02BD08
B02BD08
J01CR03
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM4)
TICARCILLINUM + ACIDUM CLAVULANICUM
OSETRON 4 mg
OSETRON 8 mg
COMPR. FILM.
OSETRON 4 mg SOLUTIE INJECTABILA
SOL. INJ.
SOL. INJ.
OSETRON 8 mg SOLUTIE INJECTABILA
EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
EXACYL
NOVOSEVEN 2mg (100 KUI)
TIMENTIN 3,2 g
TAZOCIN 4,5
TAZOCIN 2,25
COMPR. FILM.
SOL. INJ./PERF.
SOL. INJ./PERF.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
4mg
8mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
250mg
250mg
250mg
150mg
300mg
ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF
ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF
ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.
S/P-RF
CIPLA (UK) LIMITED

CIPLA (UK) LIMITED
ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.
S/P-RF
MAREA BRITANIE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.
S/P-RF
MAREA BRITANIE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.
S/P-RF

ZAMBON S.P.A.
ZAMBON S.P.A.
CEHIA
ITALIA
ITALIA

S/P-RF
CUTIE X 5 FIOLE X 5ML SOL. INJ.
FARA CONCENTRATIE
MAREA BRITANIE
LIOF. PT. SOL. INJ.
FARA CONCENTRATIE
2g/0,25g
2g/0,25g
2g/0,25g
NOVO NORDISK A/S

NOVO NORDISK A/S
NOVO NORDISK A/S
ROMANIA
LIOF. PT. SOL. INJ.
P-6L
500mg/5ml CN UNIFARM
MAREA BRITANIE
P-6L
S/P-RF
BEECHAM GROUP PLC
P-6L
P-6L

1432ui/0,25ml
100 KIU
250 KIU
50 KIU
3,2g
P-6L/S
P-RF/R
P-RF/R
P-RF/R

Pagina 26 din 46
S/P-RF
S/P-RF
S/P-RF
S
S
S
10
14.09
1.409000
1.409000
19.04
1.904000
1.904000
10
24.64
2.464000
2.464000
33.31
3.331000
3.331000
5
17.60
3.520000
3.520000
23.79
4.758000
4.758000
5
33.45
6.690000
6.690000
43.75
8.750000
8.750000
5
33.43
6.686000
6.686000
43.73
8.746000
8.746000
5
17.60
3.520000
3.520000
23.79
4.758000
4.758000
100
98.29
0.982900
0.982900
124.28
1.242800
1.242800
50
56.54
1.130800
1.130800
71.49
1.429800
1.429800
50
54.39
1.087800
1.087800
68.77
1.375400
1.375400
60
41.43
0.690500
0.690500
54.19
0.903166
0.903166
20
27.43
1.371500
1.371500
35.88
1.794000
1.794000
10
66.80
6.680000
6.680000
84.46
8.446000
8.446000
5
80.20
16.040000
16.040000
101.41
20.282000
20.282000
5
9.47
1.894000
1.894000
12.80
2.560000
2.560000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
10
212.62
21.262000
21.262000
259.57
25.957000
25.957000
12
692.90
57.741666
46.081000
793.41
66.117500
54.043000
12
401.14
33.428333
23.533200
475.39
39.615833
28.729200
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
12
265.41
22.117500
22.117500
324.01
27.000833
27.000833
1
20.32
20.320000
20.320000
27.47
27.470000
27.470000
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA02
J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
Denumire generica
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
500mg
1000mg
1g
1g
1g
1g
500mg
500mg
500mg
500mg
500mg
PULB. PT. SOL. INJ.
500mg/500mg
PULB. PT. SOL. INJ.
500mg/500mg
PULB. PT. SOL. INJ.
500mg/500mg
PULB. PT. SOL. INJ.
500mg/500mg
500mg/500mg
MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF.
PR
S/P-RF
ROMANIA
S/P-RF
ROMANIA
PERASIN 2g/0,25 g
BACTACIN 2 g/0,25 g
BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
MERONEM IV 1 g
MERONEM IV 500 mg
LODITER 1000 mg
MEROPENEM KABI 1 g
MEROPENEM KABI 1 g
LODITER 500 mg

CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
TIENAM I.V.
TIENAM I.V.
VANCOMYCIN TEVA
VANCOMYCIN TEVA


1g
LIOF. PT. SOL. PERF. 500mg
VANCOMICINA ACTAVIS 1000mg
1000mg
1000mg
500mg
EDICIN
1g
TARGOCID (R) 400 mg
400mg
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
SOL. PERF. 2mg/ml
FUNGOLON 100 mg
CAPS.
100mg
100mg
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
150mg
150mg
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
FLUCONAZOL LPH 150 mg CAPS.
150mg
FLUCONAZOL ROMPHARM 150 mg CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA
ROMANIA
FRANTA
ROMANIA
MYLAN S.A.S.
FRANTA
TERAPIA SA
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.
MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.
TERAPIA S.A.
ROMANIA
HOSPIRA UK LIMITED MAREA BRITANIE

ROMANIA
ROMANIA
TERAPIA S.A.
ROMANIA
ROMANIA
ROMANIA
HOSPIRA UK LIMITED
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
HOSPIRA UK LIMITED
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
PR
PR
PR
S
S
PR
PR
S
S
PR
MAREA BRITANIE
ROMANIA
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF
ROMANIA
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.
S/P-RF
ROMANIA
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.
S/P-RF
ROMANIA
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF
S/P-RF
S/P-RF
S/P-RF
PR
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CONTINAND 1000 MG VANCOMICINA
P-PR
ROMANIA
ROMANIA
PR
PR
PULB.LIOF.PT.SOL.PERF./INJ
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.
S/P-RF
AVENTIS PHARMA LTD.
MAREA BRITANIE
MAREA BRITANIE

P-RF

P-RF
MAREA BRITANIE
ROMANIA
PRF

ROMANIA
ROMANIA
KRKA D.D.
SLOVENIA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ARENA GROUP SA
ROMANIA
ROMANIA
KRKA D.D.
SLOVENIA

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
PRF
PRF
P-RF
P-RF
MAREA BRITANIE
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF
Pagina 27 din 46
cant/a
mbala
j
5
10
1
5
1
1
1
10
12
10
1
1
5
1
1
1
12
12
10
10
1
1
10
1
10
1
10
1
10
1
5
10
5
10
5
10
25
10
1
1
10
10
1
1
1
1
1
10
1
10
10
16
2
7
28
4
7
1
1
1
1
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28
389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
1,030.68
539.60
72.84
57.22
540.86
72.84
680.43
37.77
303.59
37.77
361.25
31.46
146.26
292.52
146.26
292.52
146.26
296.98
1,068.64
445.46
48.56
24.28
456.00
234.30
48.45
48.39
24.17
56.90
118.16
1,603.26
879.36
1,603.26
1,052.62
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
Pret cu ridicata
maximal / U.T.
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
103.068000
53.960000
72.840000
57.220000
54.086000
72.840000
68.043000
37.770000
30.359000
37.770000
36.125000
31.460000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
42.745600
44.546000
48.560000
24.280000
45.600000
23.430000
48.450000
48.390000
24.170000
56.900000
118.160000
160.326000
879.360000
160.326000
105.262000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
Pret cu ridicata
maximal de
decontare / U.T.
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
23.533200
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
64.903200
36.430800
64.903200
57.220000
54.086000
64.903200
64.903200
36.430800
30.359000
36.430800
36.125000
31.460000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
35.102400
35.102400
48.560000
24.280000
45.600000
23.430000
48.450000
48.390000
24.170000
54.720000
118.160000
160.326000
879.360000
126.314400
105.262000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
126.23
239.41
53.17
239.41
30.99
30.99
30.99
459.51
323.86
462.17
53.55
53.53
241.05
53.53
53.53
53.53
540.43
540.43
1,161.59
626.31
92.10
72.35
627.69
92.10
779.82
49.40
369.06
49.40
431.91
41.15
178.55
357.11
178.55
357.11
178.55
362.55
1,202.97
523.70
63.52
32.82
535.19
286.03
63.37
63.30
32.67
71.94
144.25
1,785.71
996.65
1,785.71
1,185.51
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
116.159000
62.631000
92.100000
72.350000
62.769000
92.100000
77.982000
49.400000
36.906000
49.400000
43.191000
41.150000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
48.118800
52.370000
63.520000
32.820000
53.519000
28.603000
63.370000
63.300000
32.670000
71.940000
144.250000
178.571000
996.650000
178.571000
118.551000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
75.322800
44.287200
75.322800
72.350000
62.769000
75.322800
75.322800
44.287200
36.906000
44.287200
43.191000
41.150000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
63.520000
32.820000
53.519000
28.603000
63.370000
63.300000
32.670000
64.222800
144.250000
178.571000
996.650000
142.261200
118.551000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
J05AB14
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**

Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
FLUCONAZOL SANDOZ (R) 150 CAPS.
FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR 200 mg
CAPS.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
CLOVIRAL 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
VALTREX 500 mg
COMPR. FILM.
VALCYTE (R) 450 mg
COMPR. FILM.
HUMAGLOBIN
HUMAGLOBIN

150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
50mg
70mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%
5%
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
SANDOZ SRL
P-RF
P-RF
ZENTIVA K.S.
P-RF
P-RF
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS. PRF
P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
P-RF
P-RF
PRF
P-RF
TERAPIA SA
SANDOZ SRL
P-RF
P-RF
P-RF
P-RF
KRKA D.D.
P-RF
ANTIBIOTICE S.A.
P-RF
P-RF
ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
S
S
S
S
S
S
S
S
B. BRAUN MELSUNGEN AG GERMANIA

CUTIE X 20 FLAC. PEJD X 50 ML SOL. PERF.

S/PR-F
S
S
S
ROMANIA CUTIE CU 25 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S
S
GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
S
MAREA BRITANIE CUTIE X 1 FLACON X 200 ML
S/P-RF
S/P-RF
P-RF
P-RF

ZENTIVA K.S.
B. BRAUN MELSUNGEN AG
ZENTIVA K.S.
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA
SP EUROPE

BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE

P-RF
P-RF/R
P-RF/R
S
S
P-RF
ARENA GROUP SA
ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP S.A.
LAROPHARM S.R.L.
ROMANIA
UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
P-RF
P-RF
TERAPIA SA
ANTIBIOTICE SA
ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF/S
P-RF
P-RF
P-RF
S/P-RF

P-RF
UNGARIA
UNGARIA
Pagina 28 din 46
P-RF
S
S
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
28
28
1
1
1
1
1
1
20
20
1000
20
10
20
20
20
20
20
10
5
10
60
1
1
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
1,202.39
1,560.14
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23
231.79
43.54
4,863.09
451.00
872.00
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
Pret cu ridicata
maximal de
decontare / U.T.
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
1,202.390000
1,560.140000
0.577200
0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
1,348.76
1,738.70
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23
282.97
56.95
5,338.93
529.74
988.63
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1,348.760000
1,738.700000
0.780000
0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
Denumire generica

L01AA01
L01AA01
L01AA03
L01AA06
L01AB01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BB05
L01BB05
L01BB05
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01DB06
L01DB06
L01DB07
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
MELPHALANUM
IFOSFAMIDUM
BUSULFANUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
FLUDARABINUM
FLUDARABINUM
FLUDARABINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
IDARUBICINUM
IDARUBICINUM
MITOXANTRONUM**
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
Denumire comerciala
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
ALKERAN 2 mg
HOLOXAN 1 g
MYLERAN
Forma
Concentr
farmaceutic
atie / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
DRAJ.
COMPR. FILM.
COMPR. FILM.

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
200mg
2mg
1g
2mg
100mg/ml
100mg/ml
100mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
10mg/ml
10mg
50mg
25mg/ml
100mg
50mg
Firma
Tara
Ambalaj
MAREA BRITANIE

ITALIA
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
P-RF
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CSL BEHRING GMBH

CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
GERMANIA



KEDRION SPA
GERMANIA

GERMANIA
GERMANIA


ITALIA
ITALIA
ITALIA
SPANIA
SPANIA
SPANIA
SPANIA
MAREA BRITANIE
MAREA BRITANIE
ACTAVIS S.R.L.


ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ
FLUDARA ORAL 10 mg
FLUDARA
COMPR. FILM.
ZAVEDOS
ZAVEDOS 5 mg
ONKOTRONE
PULB. PT. SOL. INJ.
SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
CAPS.
CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
S
S
S
S
PR
PR
PR
PR
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA
P-RF
GERMANIA

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

GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.
GENZYME EUROPE B.V. OLANDA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.
FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF.
ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA
VEPESID
CAPS. MOI
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.
VEPESID
CAPS. MOI
BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.
ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML
SINTOPOZID 100 mg/5 ml
CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L.
ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.
ETOPOSIDE - TEVA
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
ETOPOSIDE - TEVA
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.
METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF.
Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF
S
P-RF/S
S
S
P-RF
P-RF
S
S
S
S
MAREA BRITANIE
P-RF
MAREA BRITANIE
CONC. PT. SOL. INJ.
10mg
5mg
2mg/ml
S
S
10mg/20ml
AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. S
ACTAVIS S.R.L.
ACTAVIS S.R.L.
MAREA BRITANIE
MAREA BRITANIE
1mg/1ml
1mg/1ml
1mg/ml
1mg/ml
1mg/ml
MAREA BRITANIE
25mg/50ml
50mg/100ml

AUSTRIA
AUSTRIA
AUSTRIA
ROMANIA
AUSTRIA
AUSTRIA

10mg/ml
10mg/ml
10mg/ml
10mg/ml
S
S
S
S
S
CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. S
CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. S
CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. S
Pagina 29 din 46
cant/a
mbala
j
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
25
1
25
1
1
5
10
1
1
1
1
1
1
1
1
1
20
5
1
10
20
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
3,072.10
6,114.44
663.61
1,550.55
3,473.78
460.47
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
19.33
11.76
6.90
92.66
11.61
70.91
332.72
197.47
17.62
45.60
62.22
87.07
100.34
101.74
86.63
59.16
62.22
9.86
1,494.08
1,252.62
340.13
311.36
308.57
39.04
32.83
31.96
61.07
203.33
143.35
555.48
9.17
24.41
7.75
7.75
19.18
24.41
22.06
31.57
62.52
132.81
178.07
21.86
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
0.276000
92.660000
0.464400
70.910000
332.720000
39.494000
1.762000
45.600000
62.220000
87.070000
100.340000
101.740000
86.630000
59.160000
62.220000
9.860000
74.704000
250.524000
340.130000
31.136000
15.428500
39.040000
32.830000
31.960000
61.070000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
31.570000
62.520000
132.810000
178.070000
21.860000
Pret cu ridicata
maximal de
decontare / U.T.
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
0.276000
92.660000
0.464400
70.910000
332.720000
39.494000
1.762000
45.600000
62.220000
87.070000
100.340000
101.740000
86.630000
54.720000
62.220000
9.860000
74.704000
250.524000
300.628800
31.136000
15.428500
38.352000
32.830000
31.960000
61.070000
203.330000
143.350000
555.480000
9.170000
24.410000
7.750000
7.750000
19.180000
24.410000
22.060000
29.292000
56.940000
132.810000
159.372000
21.660000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
3,386.74
6,702.89
761.48
1,728.25
3,824.57
540.07
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
26.13
15.89
9.32
117.16
15.69
89.66
400.81
241.07
23.82
59.64
78.67
110.09
122.50
124.21
109.54
74.80
78.67
13.33
1,666.70
1,403.51
408.89
377.53
374.49
51.07
42.94
41.81
77.22
248.22
175.00
643.62
12.39
32.99
10.48
10.48
25.92
32.99
29.81
41.30
79.05
162.14
217.39
29.55
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
0.372800
117.160000
0.627600
89.660000
400.810000
48.214000
2.382000
59.640000
78.670000
110.090000
122.500000
124.210000
109.540000
74.800000
78.670000
13.330000
83.335000
280.702000
408.890000
37.753000
18.724500
51.070000
42.940000
41.810000
77.220000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
41.300000
79.050000
162.140000
217.390000
29.550000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
0.372800
117.160000
0.627600
89.660000
400.810000
48.214000
2.382000
59.640000
78.670000
110.090000
122.500000
124.210000
109.540000
71.568000
78.670000
13.330000
83.335000
280.702000
336.842400
37.753000
18.724500
50.172000
42.940000
41.810000
77.220000
248.220000
175.000000
643.620000
12.390000
32.990000
10.480000
10.480000
25.920000
32.990000
29.810000
39.588000
74.472000
162.140000
194.568000
29.268000
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
L01XA02
L01XA02
L01XA02
L01XA02
L01XC02
L01XC02
L01XC04
L01XC04
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AB01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
Denumire generica
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
RITUXIMABUM**
RITUXIMABUM**
ALEMTUZUMABUM**
ALEMTUZUMABUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM MOFETILUM**
SIROLIMUS**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire comerciala

Forma
Concentr
farmaceutic
atie / U.T.
a
MABTHERA 100 mg
MABTHERA 500 mg
MABCAMPATH 10 mg/ml
MABCAMPATH 30 mg/ml
NEUPOGEN (R)
SOL. INJ.
NEUPOGEN (R)
SOL. INJ.
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
SOL. INJ./PERF.
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF.
SOL. INJ./PERF.
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF.
SOL. INJ./PERF.
CELLCEPT 250mg
CAPS.
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG
COMPR. FILM.
CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
COMPR. FILM.
MICOFENOLAT MOFETIL SANDOZ 500 mg
CAPS.
CAPS.
CAPS.
COMPR.
SUPREPHEN 250 mg
COMPR. FILM.
MICOFENOLAT MOFETIL TERAPIA 500 mg
COMPR. FILM.
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

MYCOPHENOLATE MOFETIL ACCORD 250 mg
MYFENAX 250mg
MYFENAX 500mg
COMPR. FILM.
MYCOFENOLAT MOFETIL ACTAVIS 500 mg
COMPR. FILM.
COMPR. FILM.
SUPREPHEN 500 mg
RAPAMUNE 1mg
ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
CICLORAL 50 mg
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg
COMPR. FILM.
TACROLIMUSUM ACCORD 0,5 mg
PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 mg
TACNI 1 mg
TACROLIMUSUM ACCORD 1 mg
PROGRAF (R) 1 mg
TACROLIMUS SANDOZ 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
TRALGIT 50
TRAMADOL LPH 50 mg
K-ALMA (R)
TRAMADOL ARENA
TRAMADOL AL 50
TRAMADOL AL 50
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
30mg/ml
Firma
Tara
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ROMANIA
ROMANIA
ROMANIA

ACTAVIS S.R.L.
ROMANIA
MAREA BRITANIE
MAREA BRITANIE

30MU/0,5ml AMGEN EUROPE B.V. OLANDA
48MU/0,5ml AMGEN EUROPE B.V. OLANDA
60MU/ml SANDOZ GMBH
AUSTRIA
96MU/ml SANDOZ GMBH
AUSTRIA
120g/0,2ml HOSPIRA UK LIMITED MAREA BRITANIE
300mcg/0,5ml TEVA GENERICS GMBH GERMANIA
480mcg/0,8ml TEVA GENERICS GMBH GERMANIA
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
500 mg
500mg
500mg
500mg
500mg
1mg
50mg
25mg
25mg
25mg
50mg
50mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
50mg
50mg
50mg
50mg
50mg
50mg
Ambalaj
MAREA BRITANIE
CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML

CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

Prescriptie
Grupa
Nr.
terape
crt
utica
S
S
S
S
S
S
S
S
S/P-RF
S/P-RF
P-RF/R
P-RF/R
P-RF
S/P-RF/R
P-RF
S/P-RF/R
P-RF
P-RF/R
MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.
P-RF/R
P-RF/R
CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.
S/P-RF
S/P-RF
MAREA BRITANIE
MAREA BRITANIE
TEVA PHARMA BV
SANDOZ S.R.L.
CUTIE CU BLIST. PVC-PVDC/AL CU 100 CAPS.

OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.
PR
P-RF/R
P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM. PRF
TERAPIA S.A.
TEVA PHARMA BV
ROMANIA CUTIE CU 1 BLIST. DIN AL-PA-PVC/AL X 50 COMPR. FILM.
PR
OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
P-RF/R
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.
P-RF/R
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-RF
ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.
PRF
CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)
P-RF/R
WYETH EUROPA LTD.
MAREA BRITANIE
MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA
MAREA BRITANIE
MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
P-RF/R
MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL
P-RF/R
CEHIA
S/P-RF
HEXAL AG
GERMANIA

CEHIA
HEXAL AG
GERMANIA

CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI
P-RF/R
P-RF/R
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
CEHIA
CEHIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET
S/P-RF
ROMANIA
CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE
PRF
MAREA BRITANIE
CUTIE CU BLIST. AL/AL X 50 CAPS.
PR
OLANDA
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF
SANDOZ S.R.L.
S/P-RF
ROMANIA
CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.
S/P-RF
ROMANIA
CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE
PRF
MAREA BRITANIE
PR
OLANDA
SANDOZ S.R.L.
ROMANIA
S/P-RF
ROMANIA
CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPS.
PRF
OLANDA
ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
P-RF/R
OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
P-RF/R
OLANDA CUTIE X 10 FIOLE X 1 ML
ZENTIVA A.S.
SLOVACIA

ANTIBIOTICE SA
Pagina 30 din 46
P-RF/R
S
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
cant/a
mbala
j
1
1
1
1
2
1
3
3
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
30
4
4
4
4
4
4
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
20
20
20
20
30
10
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
133.04
50.00
47.45
18.05
2,221.55
5,509.03
4,923.23
4,923.64
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
452.86
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
489.29
4,153.67
2,052.34
2,047.58
2,047.58
4,065.15
4,065.15
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
4.31
5.67
5.67
6.66
8.53
2.85
133.040000
50.000000
47.450000
18.050000
1,110.775000
5,509.030000
1,641.076666
1,641.213333
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
4.528600
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
16.309666
1,038.417500
513.085000
511.895000
511.895000
1,016.287500
1,016.287500
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.215500
0.283500
0.283500
0.333000
0.284333
0.285000
Pret cu ridicata
maximal de
decontare / U.T.
133.040000
50.000000
47.450000
18.050000
1,110.775000
5,509.030000
1,641.076666
1,641.213333
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
16.309666
1,038.417500
513.085000
511.895000
511.895000
1,016.287500
1,016.287500
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.215500
0.258600
0.258600
0.258600
0.258600
0.258600
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
162.41
63.22
62.06
24.39
2,459.64
6,043.00
5,404.48
5,404.92
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
531.77
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
571.48
4,565.66
2,275.20
2,270.01
2,270.01
4,469.17
4,469.17
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
5.82
7.67
7.67
9.00
11.53
3.85
162.410000
63.220000
62.060000
24.390000
1,229.820000
6,043.000000
1,801.493333
1,801.640000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
5.317700
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
19.049333
1,141.415000
568.800000
567.502500
567.502500
1,117.292500
1,117.292500
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
0.291000
0.383500
0.383500
0.450000
0.384333
0.385000
162.410000
63.220000
62.060000
24.390000
1,229.820000
6,043.000000
1,801.493333
1,801.640000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
19.049333
1,141.415000
568.800000
567.502500
567.502500
1,117.292500
1,117.292500
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
R05CB13
V03AC03
V03AC03
V03AC03
V03AF01
Denumire generica
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
DORNAZA ALFA**
DEFERASIROXUM**
DEFERASIROXUM**
DEFERASIROXUM**
MESNUM
Denumire comerciala
MABRON 50 mg
TRAMACALM
URGENDOL
TRAMADOL
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAG 50
TRAMADOL 50 mg
TRAMADOL EEL
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
URGENDOL
TRAMADOL
TRAMADOL
PULMOZYME
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg
UROMITEXAN (R) 400 mg
Forma
Concentr
farmaceutic
atie / U.T.
a
CAPS.
CAPS.
CAPS.
CAPS.
Firma
Tara
Ambalaj
50mg
50mg
50mg
50mg
COMPR.
50mg
COMPR.
50mg
COMPR.
50mg
COMPR. FILM. 50mg
MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

AC HELCOR SRL
KRKA D.D.
GRUNENTHAL GMBH GERMANIA CUTIE X BLIST. PVC-PVDC/AL X 20 CAPS. CU ELIB. PREL.
MAGISTRA C & C
BIO EEL SRL
HEXAL AG
GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
PIC. ORALE, SOL.
FARA CONCENTRATIE
ALIUD PHARMA GMBH
100mg
100mg

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
SOL. INHAL.
GRUNENTHAL GMBH
GRUNENTHAL GMBH
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF

GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
P-RF
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
P-RF
GRUNENTHAL GMBH
P-RF
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.
100mg/2ml ZENTIVA A.S.
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
1mg/ml
COMPR. DISP. 125mg
COMPR. DISP. 250mg
COMPR. DISP. 500mg
SOL. INJ.
400mg/4ml
Prescriptie
Grupa
Nr.
terape
crt
utica
KRKA D.D.
MEDICAROM GROUP SRL
MEDICAROM GROUP SRL
KRKA D.D.
KRKA D.D.
GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF
S/P-RF
S/P-RF

SLOVACIA
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
P-RF
ROCHE ROMANIA S.R.L. ROMANIA
CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL
S/P-RF
MAREA BRITANIE
P-RF/R
MAREA BRITANIE
MAREA BRITANIE

P-RF/R
P-RF/R
CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML
S/P-RF
S/P-RF
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
10
10
10
20
20
30
50
10
10
20
30
50
10
20
30
50
20
20
20
10
30
50
10
30
30
10
10
30
10
10
30
10
30
1
5
100
5
5
5
5
5
5
6
28
28
28
15
2.85
2.85
2.83
4.31
24.79
36.23
56.65
12.86
19.30
37.14
54.34
84.99
24.09
44.68
61.79
96.03
5.67
5.67
5.67
4.66
13.99
24.09
4.66
13.98
24.84
15.57
20.35
7.88
7.17
16.30
31.78
20.85
40.67
3.73
7.27
110.22
9.09
3.65
3.63
5.67
9.69
4.13
551.59
687.54
1,461.36
2,660.12
44.87
0.285000
0.285000
0.283000
0.215500
1.239500
1.207666
1.133000
1.286000
1.930000
1.857000
1.811333
1.699800
2.409000
2.234000
2.059666
1.920600
0.283500
0.283500
0.283500
0.466000
0.466333
0.481800
0.466000
0.466000
0.828000
1.557000
2.035000
0.262666
0.717000
1.630000
1.059333
2.085000
1.355666
3.730000
1.454000
1.102200
1.818000
0.730000
0.726000
1.134000
1.938000
0.826000
91.931666
24.555000
52.191428
95.004285
2.991333
0.258600
0.258600
0.258600
0.215500
0.559200
0.559200
0.559200
0.559200
0.993600
0.993600
0.993600
0.993600
1.626799
1.626799
1.626799
1.626799
0.258600
0.258600
0.258600
0.466000
0.466333
0.481800
0.466000
0.466000
0.828000
0.993600
1.626799
0.258600
0.559200
0.993600
0.993600
1.626799
1.355666
3.730000
1.322640
1.102200
1.322640
0.730000
0.726000
1.134000
1.322640
0.826000
91.931666
24.555000
52.191428
95.004285
2.991333
3.85
3.85
3.82
5.82
33.50
47.39
71.63
17.38
26.09
48.58
68.71
107.46
32.56
58.44
78.13
121.42
7.67
7.67
7.67
6.30
18.91
32.56
6.30
18.89
33.57
21.05
27.50
10.65
9.69
22.03
41.57
28.18
53.20
5.04
9.83
134.56
12.28
4.93
4.90
7.67
13.10
5.58
639.38
787.57
1,631.03
2,937.68
58.69
0.385000
0.385000
0.382000
0.291000
1.675000
1.579666
1.432600
1.738000
2.609000
2.429000
2.290333
2.149200
3.256000
2.922000
2.604333
2.428400
0.383500
0.383500
0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
2.105000
2.750000
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
0.986000
0.980000
1.534000
2.620000
1.116000
106.563333
28.127500
58.251071
104.917142
3.912666
0.349200
0.349200
0.349200
0.291000
0.755599
0.755599
0.755599
0.755599
1.342800
1.342800
1.342800
1.342800
2.128000
2.128000
2.128000
2.128000
0.349200
0.349200
0.349200
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
1.342800
2.128000
0.349200
0.755599
1.342800
1.342800
2.128000
1.773333
5.040000
1.614720
1.345600
1.614720
0.986000
0.980000
1.534000
1.614720
1.116000
106.563333
28.127500
58.251071
104.917142
3.912666
10
5
100
12
12
1
12
1
5
10
1
5
1
1
1
66.80
80.20
113.56
692.90
401.14
22.93
265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
6.680000
16.040000
1.135600
57.741666
33.428333
22.930000
22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
6.680000
16.040000
1.135600
46.081000
23.533200
22.930000
22.117500
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
84.46
101.41
138.64
793.41
475.39
30.99
324.01
27.47
126.23
239.41
53.17
239.41
30.99
30.99
30.99
8.446000
20.282000
1.386400
66.117500
39.615833
30.990000
27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
8.446000
20.282000
1.386400
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200

P9.2: TRANSPLANT DE CORD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
B01AB08
B01AB08
C01CA24
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
REVIPARINUM
REVIPARINUM
EPINEPHRINUM
CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.

CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
ADRENALINA 1 mg
SOL. INJ.
TAZOCIN 4,5
LIOF. PT. SOL. INJ.
TAZOCIN 2,25
LIOF. PT. SOL. INJ.
PERASIN 2g/0,25 g
BACTACIN 2 g/0,25 g
1432ui/0,25ml
1mg/ml
FARA CONCENTRATIE
FARA CONCENTRATIE
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
TERAPIA SA

S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S
S
S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 10 ML) CONTINAND PULB. PT. SOL. INJ/PERF S
S
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S
MYLAN S.A.S.
FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF. S
TERAPIA SA
ROMANIA
Pagina 31 din 46
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
Denumire generica
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
1g
2g
2g
500mg
2g
1g
PULB. PT. SOL. INJ.
500mg/500mg
PULB. PT. SOL. INJ.
500mg/500mg
PULB. PT. SOL. INJ.
500mg/500mg
BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
MEDOCEF 1 g
MEDOCEF 2 g
LYZONE 2 g
CEFOZON 500 mg
CEFOZON 2 g
CEFOZON 1 g
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg

PULB. PT. SOL. INJ.

PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ.
Firma
Tara
Ambalaj
MYLAN S.A.S.
FRANTA
TERAPIA SA
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
Prescriptie
Grupa
Nr.
terape
crt
utica
S
S
S
S
S
S
S
S
S
S
S


S/P-RF
S/P-RF
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ.
S/P-RF
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF
S/P-RF
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. PERF. PR
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.
PULB. PT. SOL. INJ.
500mg/500mg
500mg/500mg
ROMANIA
S/P-RF
ROMANIA
S/P-RF
COMPR. FILM.
600mg
MAREA BRITANIE
P-RF
100mg/5ml PFIZER EUROPE MA EEIG
TIENAM I.V.
TIENAM I.V.
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg

FLUCONAZOL 150 mg
DIFLAZON 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
S/P-RF
P-RF
MAREA BRITANIE
ROMANIA
PRF

ROMANIA
ROMANIA
KRKA D.D.
SLOVENIA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ARENA GROUP SA
ROMANIA
ROMANIA
KRKA D.D.
SLOVENIA


MAREA BRITANIE

P-RF
P-RF
P-RF
P-RF
P-RF
PRF
PRF
P-RF
P-RF
TERAPIA SA
SANDOZ SRL
P-RF
P-RF
ZENTIVA K.S.
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
P-RF
TERAPIA SA
SANDOZ SRL
P-RF
P-RF
P-RF
P-RF
KRKA D.D.
P-RF
ANTIBIOTICE S.A.
P-RF
Pagina 32 din 46
P-RF
cant/a
mbala
j
10
12
10
1
1
5
1
1
1
12
12
10
10
1
1
1
1
5
10
5
10
5
10
25
10
10
1
10
10
16
2
7
28
4
7
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
Pret cu
ridicata
maximal /
ambalaj
386.57
265.28
389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
154.50
257.49
20.07
3.88
11.61
7.04
146.26
292.52
146.26
292.52
146.26
296.98
1,068.64
445.46
1,603.26
879.36
1,603.26
1,052.62
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
Pret cu ridicata
maximal / U.T.
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
15.450000
25.749000
20.070000
3.880000
11.610000
7.040000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
42.745600
44.546000
160.326000
879.360000
160.326000
105.262000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
Pret cu ridicata
maximal de
decontare / U.T.
23.533200
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
8.448000
13.932000
13.932000
3.880000
11.610000
7.040000
29.252000
29.252000
29.252000
29.252000
29.252000
29.698000
35.102400
35.102400
160.326000
879.360000
126.314400
105.262000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
459.51
323.86
462.17
53.55
53.53
241.05
53.53
53.53
53.53
540.43
540.43
188.61
314.35
27.12
5.24
15.69
9.51
178.55
357.11
178.55
357.11
178.55
362.55
1,202.97
523.70
1,785.71
996.65
1,785.71
1,185.51
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
18.861000
31.435000
27.120000
5.240000
15.690000
9.510000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
48.118800
52.370000
178.571000
996.650000
178.571000
118.551000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
11.412000
18.828000
18.828000
5.240000
15.690000
9.510000
35.710000
35.711000
35.710000
35.711000
35.710000
36.255000
42.852000
42.852000
178.571000
996.650000
142.261200
118.551000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
DIFLAZON 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg
COMPR. FILM.
CELLCEPT 250mg
CAPS.
FLUCONAZOL B. BRAUN 2mg/ml
COMPR. FILM.
CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR.

MYFENAX 250mg
SUPREPHEN 250 mg
COMPR. FILM.
COMPR. FILM.
MYFENAX 500mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SUPREPHEN 500 mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
CICLORAL 50 mg
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg
COMPR. FILM.
PROGRAF (R) 0,5 mg

TACNI 1 mg
PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
500 mg
500mg
500mg
500mg
500mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
Firma
Tara
Ambalaj


Prescriptie
Grupa
Nr.
terape
crt
utica
S
S
S
S
S
S
S
S
S/PR-F
S
S
S
S
S
ZENTIVA K.S.
S
ZENTIVA K.S.
S
S/P-RF
S/P-RF
PFIZER LIMITED
P-RF
PFIZER LIMITED
PFIZER LIMITED
P-RF
PFIZER LIMITED
MAREA BRITANIE
P-RF
P-RF
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.
P-RF/R
P-RF/R
P-RF/R
S/P-RF
S/P-RF
MAREA BRITANIE
MAREA BRITANIE
TEVA PHARMA BV
SANDOZ S.R.L.
PR
P-RF/R
P-RF/R
TERAPIA S.A.
TEVA PHARMA BV

CEHIA
HEXAL AG
GERMANIA

CEHIA
HEXAL AG
GERMANIA

PR
P-RF/R
P-RF/R
PRF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
CEHIA
CEHIA
S/P-RF
ROMANIA
PRF
MAREA BRITANIE
OLANDA
SANDOZ S.R.L.
ROMANIA
S/P-RF
PRF
S/P-RF
PR
ROMANIA
MAREA BRITANIE
OLANDA
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
PR
S/P-RF
PRF
P-RF/R
P-RF/R

P9.3: TRANSPLANT HEPATIC
Pagina 33 din 46
P-RF/R
cant/a
mbala
j
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
28
28
1
1
60
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
3,559.23
912.09
458.07
2,203.52
4,863.09
452.86
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
127.115357
32.574642
458.070000
2,203.520000
81.051500
4.528600
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
Pret cu ridicata
maximal de
decontare / U.T.
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
127.115357
32.574642
458.070000
2,203.520000
81.051500
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
3,917.72
1,032.33
537.45
2,439.99
5,338.93
531.77
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
139.918571
36.868928
537.450000
2,439.990000
88.982166
5.317700
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
139.918571
36.868928
537.450000
2,439.990000
88.982166
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B01AC11
B01AC11
B01AD02
B02AA02
B02BD08
B02BD08
B02BD08
C03EB01
H01BA02
H01BA02
H01BA02
H01BA02
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03
J02AX04
J02AX04
J05AB14
J06BB04
J06BB04
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
Denumire generica
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ILOPROSTUM**
ILOPROSTUM**
ALTEPLASUM**
ACIDUM TRANEXAMICUM4
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
URSOFALK (R)
CAPS.
250mg
URSOFALK (R)
CAPS.
250mg
URSOSAN
CAPS.
250mg
URSOCHOL 150 mg
COMPR.
150mg
URSOCHOL 300 mg
COMPR.
300mg
CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ.
CLIVARIN (R) 1432UI/0,25 ml SOL. INJ.
1432ui/0,25ml
CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ.
3436ui/0,6ml
ILOMEDIN 20
CONC. PT. SOL. PERF. 20mcg/ml
VENTAVIS 10mcg/ml
10mcg/ml
ACTILYSE
PULB+SOLV. PT. SOL. INJ 50mg
EXACYL
SOL. INJ.
500mg/5ml
COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50
CAPS.
50mg/20mg
DESMOPRESSINUM
MINIRIN 0,2 mg
COMPR.
0,2mg
DESMOPRESSINUM
DESMOPRESINA TEVA 0,2mg COMPR.
0,2mg
DESMOPRESSINUM
MINIRIN MELT 120 mcg
LIOF. ORAL 120mcg
DESMOPRESSINUM
MINIRIN MELT 60 mcg
LIOF. ORAL 60mcg
TAZOCIN 4,5
LIOF. PT. SOL. INJ. FARA CONCENTRATIE
TAZOCIN 2,25
LIOF. PT. SOL. INJ. FARA CONCENTRATIE
PULB. PT. SOL. INJ./PERF. 2g/0,25g
PIPERACILLINUM/TAZOBACTAMUM KABI 2g/0,25g PULB. PT. SOL. INJ./PERF. 2g/0,25g
PERASIN 2g/0,25 g
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 2 g/0,25 g
PIPERACILINA/TAZOBACTAN ACTAVIS 2 g/0,25 g PULB. PT. SOL. INJ./PERF. 2g/0,25g
BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
LINEZOLIDUM
ZYVOXID (R)
COMPR. FILM. 600mg
LINEZOLIDUM
ZYVOXID (R)
100mg/5ml
LINEZOLIDUM
ZYVOXID (R)
SOL. PERF. 2mg/ml
LINEZOLIDUM
SOL. PERF. 2mg/ml
VORICONAZOLUM**
VFEND 200mg
COMPR. FILM. 200mg
VORICONAZOLUM**
VFEND 50mg
COMPR. FILM. 50mg
VORICONAZOLUM**
VFEND 200mg
VORICONAZOLUM**
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA 40mg/ml
CASPOFUNGINUM**
CANCIDAS 50 mg
50mg
CASPOFUNGINUM**
CANCIDAS 70 mg
70mg
VALGANCICLOVIRUM**
VALCYTE (R) 450 mg
COMPR. FILM. 450mg
IMUNOGLOBULINA ANTI-HEPATITICA B**
ZUTECTRA
500 UI
IMUNOGLOBULINA ANTI-HEPATITICA B**
HEPATECT CP 50 UI/ml
SOL. PERF. 50 UI/ ml
FILGRASTIMUM (G-CSF)
NEUPOGEN (R)
SOL. INJ.
30MU/0,5ml
NEUPOGEN (R)
SOL. INJ.
48MU/0,5ml
ZARZIO 30MU/0,5ml
60MU/ml
ZARZIO 48MU/0,5ml
96MU/ml
SOL. DE INHALAT PRIN NEBULIZ.
Firma
Tara

ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
CEHIA
ITALIA
ITALIA
FRANTA
FRANTA
FRANTA
FRANTA

Ambalaj

P-6L
P-6L
P-6L
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERFZ.
S/P-RF
GERMANIA CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.
GERMANIA
S
S
X
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER
CN UNIFARM
ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ.
NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE
TERAPIA SA
FERRING GMBH
GERMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR.
FERRING GMBH
FERRING GMBH
P-RF/R
P-RF/R
P-RF/R
P-6L
P-RF
ROMANIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF

GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF
GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF
MAREA BRITANIE
S/P-RF
S/P-RF
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
MAREA BRITANIE
P-RF
MAREA BRITANIE
ROMANIA
ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA
ROMANIA
FRANTA
ROMANIA
MYLAN S.A.S.
FRANTA
TERAPIA SA
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
MAREA BRITANIE
MERCK SHARP & DOHME
MAREA BRITANIE
P-6L
S/P-RF
MERCK SHARP & DOHME
P-6L/S
SOL INJ. IN SERINGA PRE-UMPLUTA
Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF
S
PRF
P-RF
P-RF
P-RF
P-RF
S
S
P-RF
CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 500 UI AMBALATE N BLISTERE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI)
AMGEN EUROPE B.V.

AMGEN EUROPE B.V.
SANDOZ GMBH
SANDOZ GMBH
HOSPIRA UK LIMITED
OLANDA
OLANDA
AUSTRIA
AUSTRIA

MAREA BRITANIE
P-RF
S/P-RF/R
HOSPIRA UK LIMITED
P-RF
MAREA BRITANIE

Pagina 34 din 46
PRF
PR
S/P-RF
S/P-RF
P-RF/R
P-RF/R
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
100
98.29
0.982900
0.982900
124.28
1.242800
1.242800
50
56.54
1.130800
1.130800
71.49
1.429800
1.429800
50
54.39
1.087800
1.087800
68.77
1.375400
1.375400
60
41.43
0.690500
0.690500
54.19
0.903166
0.903166
20
27.43
1.371500
1.371500
35.88
1.794000
1.794000
10
57.68
5.768000
5.768000
72.93
7.293000
7.293000
10
118.41
11.841000
11.841000
144.56
14.456000
14.456000
10
153.90
15.390000
15.390000
187.88
18.788000
18.788000
2
39.90
19.950000
19.950000
52.19
26.095000
26.095000
10
66.80
6.680000
6.680000
84.46
8.446000
8.446000
5
80.20
16.040000
16.040000
101.41
20.282000
20.282000
5
764.66
152.932000
152.932000
871.63
174.326000
174.326000
30 1,947.00
64.900000
64.900000 2,160.38
72.012666
72.012666
1 1,490.89 1,490.890000 1,490.890000 1,663.22 1,663.220000 1,663.220000
5
9.47
1.894000
1.894000
12.80
2.560000
2.560000
1 5,431.43 5,431.430000 5,431.430000 5,958.41 5,958.410000 5,958.410000
1 13,793.54 13,793.540000 13,793.540000 15,073.11 15,073.110000 15,073.110000
1 2,730.72 2,730.720000 2,730.720000 3,014.63 3,014.630000 3,014.630000
20
17.25
0.862500
0.862500
23.31
1.165500
1.165500
30
95.42
3.180666
3.180666
120.65
4.021666
4.021666
30
105.26
3.508666
3.508666
128.50
4.283333
4.283333
30
151.92
5.064000
5.064000
185.47
6.182333
6.182333
30
77.57
2.585666
2.585666
98.08
3.269333
3.269333
12
692.90
57.741666
46.081000
793.41
66.117500
54.043000
12
401.14
33.428333
23.533200
475.39
39.615833
28.729200
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
12
265.41
22.117500
22.117500
324.01
27.000833
27.000833
1
20.32
20.320000
20.320000
27.47
27.470000
27.470000
5
99.83
19.966000
19.966000
126.23
25.246000
25.246000
10
196.11
19.611000
19.611000
239.41
23.941000
23.941000
1
40.65
40.650000
23.533200
53.17
53.170000
28.729200
5
196.11
39.222000
23.533200
239.41
47.882000
28.729200
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
1
22.93
22.930000
22.930000
30.99
30.990000
28.729200
10
386.57
38.657000
23.533200
459.51
45.951000
28.729200
12
265.28
22.106666
22.106666
323.86
26.988333
26.988333
10
389.01
38.901000
38.901000
462.17
46.217000
46.217000
1
40.94
40.940000
40.940000
53.55
53.550000
53.550000
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
5
197.45
39.490000
39.490000
241.05
48.210000
48.210000
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
1
40.93
40.930000
40.930000
53.53
53.530000
53.530000
12
460.81
38.400833
38.400833
540.43
45.035833
45.035833
12
460.81
38.400833
38.400833
540.43
45.035833
45.035833
10 1,603.26
160.326000
160.326000 1,785.71
178.571000
178.571000
1
879.36
879.360000
879.360000
996.65
996.650000
996.650000
10 1,603.26
160.326000
126.314400 1,785.71
178.571000
142.261200
10 1,052.62
105.262000
105.262000 1,185.51
118.551000
118.551000
28 3,559.23
127.115357
127.115357 3,917.72
139.918571
139.918571
28
912.09
32.574642
32.574642 1,032.33
36.868928
36.868928
1
458.07
458.070000
458.070000
537.45
537.450000
537.450000
1 2,203.52 2,203.520000 2,203.520000 2,439.99 2,439.990000 2,439.990000
1 1,202.39 1,202.390000 1,202.390000 1,348.76 1,348.760000 1,348.760000
1 1,560.14 1,560.140000 1,560.140000 1,738.70 1,738.700000 1,738.700000
60 4,863.09
81.051500
81.051500 5,338.93
88.982166
88.982166
5 9,205.00 1,841.000000 1,841.000000 10,071.60 2,014.320000 2,014.320000
1 4,477.57 4,477.570000 4,477.570000 4,918.70 4,918.700000 4,918.700000
1
267.05
267.050000
194.520000
326.02
326.020000
237.468000
1
436.57
436.570000
313.092000
514.01
514.010000
382.224000
1
162.10
162.100000
162.100000
197.89
197.890000
197.890000
1
260.91
260.910000
260.910000
318.52
318.520000
318.520000
5
418.45
83.690000
83.690000
494.26
98.852000
98.852000
1
214.16
214.160000
194.520000
261.45
261.450000
237.468000
5 1,001.12
200.224000
194.520000 1,129.37
225.874000
225.874000
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
Denumire generica
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
SIROLIMUS**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a

CELLCEPT 250mg
CAPS.
250mg
MYCOPHENOLATE MOFETIL MEDICO UNO 500 MG COMPR. FILM. 500mg
CELLCEPT 500mg
COMPR. FILM. 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.
250 mg
MYCOPHENOLATE MOFETIL ACCORD 250 mg CAPS.
250mg
MYFENAX 250mg
CAPS.
250mg
MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR.
500mg
SUPREPHEN 250 mg
COMPR. FILM. 250mg
MICOFENOLAT MOFETIL TERAPIA 500 mg COMPR. FILM. 500 mg
MYFENAX 500mg
COMPR. FILM. 500mg
MYCOFENOLAT MOFETIL ACTAVIS 500 mg COMPR. FILM. 500mg
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg COMPR. FILM. 500mg
SUPREPHEN 500 mg
COMPR. FILM. 500mg
RAPAMUNE 1mg
DRAJ.
1mg
EQUORAL (R) 100 mg
CAPS. MOI 100mg
CICLORAL 25 mg
CAPS. MOI 25mg
CAPS. MOI 25mg
EQUORAL (R) 25 mg
CAPS. MOI 25mg
CICLORAL 50 mg
CAPS. MOI 50mg
CAPS. MOI 50mg
EQUORAL (R) 50 mg
CAPS. MOI 50mg
EQUORAL (R)
SOL. ORALA 100mg/ml
TACNI 0,5 mg
CAPS.
0,5 mg
TACROLIMUSUM ACCORD 0,5 mg CAPS.
0,5mg
PROGRAF (R) 0,5 mg
CAPS.
0,5mg
TACROLIMUS SANDOZ 0,5 mg CAPS.
0,5mg
TACNI 1 mg
CAPS.
1 mg
TACROLIMUSUM ACCORD 1 mg CAPS.
1mg
PROGRAF (R) 1 mg
CAPS.
1mg
TACROLIMUS SANDOZ 1 mg CAPS.
1mg
TACNI 5 mg
CAPS.
5 mg
PROGRAF (R) 5 mg
CAPS.
5mg
ADVAGRAF 0,5mg
CAPS. ELIB. PREL. 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
HOSPIRA UK LIMITED
MAREA BRITANIE
P-RF
MAREA BRITANIE
P-RF/R
S/P-RF/R
P-RF/R
P-RF/R
S/P-RF
S/P-RF
MAREA BRITANIE
MAREA BRITANIE
TEVA PHARMA BV
SANDOZ S.R.L.

PR
P-RF/R
P-RF/R
TERAPIA S.A.
TEVA PHARMA BV
PR
P-RF/R
P-RF/R
WYETH EUROPA LTD.
MAREA BRITANIE
CEHIA
HEXAL AG
GERMANIA

CEHIA
HEXAL AG
GERMANIA

PRF
P-RF/R
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
CEHIA
CEHIA
S/P-RF
ROMANIA
PRF
MAREA BRITANIE
OLANDA
SANDOZ S.R.L.
ROMANIA
S/P-RF
PRF
S/P-RF
PR
ROMANIA
MAREA BRITANIE
OLANDA
SANDOZ S.R.L.
ROMANIA
ROMANIA
OLANDA
PR
S/P-RF
PRF
P-RF/R
P-RF/R
P-RF/R
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
1
5
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
355.90
1,656.30
452.86
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
489.29
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
355.900000
331.260000
4.528600
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
16.309666
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
313.092000
313.092000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
16.309666
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
426.08
1,843.52
531.77
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
571.48
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
426.080000
368.704000
5.317700
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
19.049333
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
19.049333
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
100
50
50
60
20
50
30
30
30
10
10
5
10
5
5
5
10
10
10
10
10
10
98.29
56.54
54.39
41.43
27.43
25.70
28.49
23.23
42.10
203.78
108.79
103.19
218.57
139.97
169.45
192.72
61.36
116.45
166.28
57.68
118.41
153.90
0.982900
1.130800
1.087800
0.690500
1.371500
0.514000
0.949666
0.774333
1.403333
20.378000
10.879000
20.638000
21.857000
27.994000
33.890000
38.544000
6.136000
11.645000
16.628000
5.768000
11.841000
15.390000
0.982900
1.130800
1.087800
0.690500
1.371500
0.514000
0.616800
0.774333
0.929200
20.378000
10.879000
20.638000
21.857000
27.994000
33.890000
38.544000
6.136000
11.645000
16.628000
5.768000
11.841000
15.390000
124.28
71.49
68.77
54.19
35.88
33.62
37.26
31.40
55.07
248.78
132.81
125.97
266.83
170.87
206.87
235.27
77.59
142.16
202.99
72.93
144.56
187.88
1.242800
1.429800
1.375400
0.903166
1.794000
0.672400
1.242000
1.046666
1.835666
24.878000
13.281000
25.194000
26.683000
34.174000
41.374000
47.054000
7.759000
14.216000
20.299000
7.293000
14.456000
18.788000
1.242800
1.429800
1.375400
0.903166
1.794000
0.672400
0.806880
1.046666
1.255999
24.878000
13.281000
25.194000
26.683000
34.174000
41.374000
47.054000
7.759000
14.216000
20.299000
7.293000
14.456000
18.788000

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
ALPHA D3 0,25 mcg
ALPHA D3 0,50 mcg

ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
FRAGMIN 10000 UI/ml
FRAGMIN15000 UI/0,6 ml
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
250mg
250mg
250mg
150mg
300mg
0,25mcg
0,25g
0,50mcg
0,5g
2micrograme/ml
2micrograme/ml

PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
ZAMBON S.P.A.
ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
ZAMBON S.P.A.
ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI
LEO PHARMA A/S
DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
LEO PHARMA A/S
DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.
P-6L/S
P-6L
P-6L
P-6L
P-6L
P-RF
PRF
P-RF
PRF
S
S
MAREA BRITANIE
S/P-RF
10000ui/ml PFIZER EUROPE MA EEIG
MAREA BRITANIE
CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML
S/P-RF
MAREA BRITANIE
S/P-RF
MAREA BRITANIE CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.
10000UI/0,4ml PFIZER EUROPE MA EEIG
18000 UI/0,72ml
MAREA BRITANIE
S/P-RF
S/P-RF
MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML
S/P-RF
S/P-RF
S/P-RF
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
FRANTA
FRANTA
FRANTA
S/P-RF
S/P-RF
S/P-RF
Pagina 35 din 46
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
B01AB05
B01AB08
B01AB08
H01CB02
H01CB02
H01CB02
H01CB02
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01XA02
J01XX08
J01XX08
J01XX08
J01XX08
J02AB02
J02AB02
J02AB02
J02AB02
J02AB02
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
Denumire generica
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
TEICOPLANINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala

SANDOSTATIN (R)
TAZOCIN 4,5
TAZOCIN 2,25
Forma
Concentr
farmaceutic
atie / U.T.
a
SOL. INJ.
SOL. INJ.
SOL. INJ.
LAB. AVENTIS
S/P-RF
S/P-RF
S/P-RF
S/P-RF
CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE
S/P-RF
LIOF. PT. SOL. INJ.
FARA CONCENTRATIE
LIOF. PT. SOL. INJ.
FARA CONCENTRATIE
2g/0,25g
PERASIN 2g/0,25 g
BACTACIN 2 g/0,25 g
BACTACIN 4 g/0,5 g
PERASIN 4g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
TARGOCID (R) 400 mg
400mg
ZYVOXID (R)
COMPR. FILM. 600mg
ZYVOXID (R)
100mg/5ml
ZYVOXID (R)
SOL. PERF. 2mg/ml
SOL. PERF. 2mg/ml
KETOSTIN 200 mg
COMPR.
200mg
200mg
NIZORAL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
FUNGOLON 100 mg
CAPS.
100mg
100mg
100mg
DIFLAZON 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FLUCORIC 100 mg
CAPS.
100mg
150mg
150mg
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
DIFLAZON 150 mg
CAPS.
150mg
150mg
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 150 CAPS.
150mg
FLUCONAZOL 150 mg
CAPS.
150mg
MYCOMAX 150
CAPS.
150mg
MYCOSYST 150 mg
CAPS.
150mg
FLUCONAZOL ACTAVIS 150 mg CAPS.
150mg
FLUCONAZOL MEDOCHEMIE 150 mg CAPS.
150mg
200mg
50mg
50mg
FLUCONAZOL OZONE 50 mg CAPS.
50mg
50mg
Ambalaj
1432ui/0,25ml
SOL. INJ.
Tara
20mg
10mg
30mg
0,1mg/ml
PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU
Firma
Prescriptie
Grupa
Nr.
terape
crt
utica
FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ.
ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA
ROMANIA
FRANTA
ROMANIA
MYLAN S.A.S.
FRANTA
TERAPIA SA
ANTIBIOTICE S.A.
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
ROMANIA
ROMANIA
AVENTIS PHARMA LTD.
MAREA BRITANIE
MAREA BRITANIE

P-RF

P-RF
MAREA BRITANIE
ROMANIA
PRF
AC HELCOR SRL
ARENA GROUP SA
TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ROMANIA
ROMANIA
KRKA D.D.
SLOVENIA
TERAPIA SA
ROMANIA
ROMANIA
ROMANIA
ARENA GROUP SA
ROMANIA
ROMANIA
KRKA D.D.
SLOVENIA


MAREA BRITANIE
P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
PRF
P-RF
P-RF
TERAPIA SA
SANDOZ SRL
P-RF
P-RF
ZENTIVA K.S.
P-RF
P-RF
P-RF
P-RF
Pagina 36 din 46
cant/a
mbala
j
2
10
5
1
1
1
5
12
12
1
12
1
5
10
1
5
1
1
1
10
12
10
1
1
5
1
1
1
12
12
1
10
1
10
10
10
10
10
10
10
16
2
7
28
4
7
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
39.90
66.80
80.20
3,478.41
2,167.33
4,817.21
125.02
692.90
401.14
22.93
265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28
389.01
40.94
40.93
197.45
40.93
40.93
40.93
460.81
460.81
118.16
1,603.26
879.36
1,603.26
1,052.62
9.34
6.78
15.15
5.94
5.08
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
19.950000
6.680000
16.040000
3,478.410000
2,167.330000
4,817.210000
25.004000
57.741666
33.428333
22.930000
22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
118.160000
160.326000
879.360000
160.326000
105.262000
0.934000
0.678000
1.515000
0.594000
0.508000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
Pret cu ridicata
maximal de
decontare / U.T.
19.950000
6.680000
16.040000
3,478.410000
2,167.330000
4,817.210000
25.004000
46.081000
23.533200
22.930000
22.117500
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
23.533200
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
40.930000
40.930000
38.400833
38.400833
118.160000
160.326000
879.360000
126.314400
105.262000
0.609600
0.609600
0.609600
0.594000
0.508000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
52.19
84.46
101.41
3,829.62
2,400.54
5,288.92
152.62
793.41
475.39
30.99
324.01
27.47
126.23
239.41
53.17
239.41
30.99
30.99
30.99
459.51
323.86
462.17
53.55
53.53
241.05
53.53
53.53
53.53
540.43
540.43
144.25
1,785.71
996.65
1,785.71
1,185.51
12.62
9.17
20.48
8.03
6.87
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
26.095000
8.446000
20.282000
3,829.620000
2,400.540000
5,288.920000
30.524000
66.117500
39.615833
30.990000
27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
144.250000
178.571000
996.650000
178.571000
118.551000
1.262000
0.917000
2.048000
0.803000
0.687000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
26.095000
8.446000
20.282000
3,829.620000
2,400.540000
5,288.920000
30.524000
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
53.530000
53.530000
45.035833
45.035833
144.250000
178.571000
996.650000
142.261200
118.551000
0.824400
0.824400
0.824400
0.803000
0.687000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
J05AB14
Denumire generica
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALACYCLOVIRUM
VALGANCICLOVIRUM**

Denumire comerciala
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
FLUCONAZOL KABI 2 mg/ml

DIFLAZON 2mg/ml
FLUCONAZOL BIOGALENICA 2mg/ml

MYCOMAX INF 2mg/ml
MYCOMAX INF 2mg/ml

DIFLUCAN (R)
DIFLUCAN (R)
ITRACONAZOL 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
ORUNGAL
ITRACONAZOL 100 mg
SPORILIN 100 mg
OMICRAL 100 mg
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
CANCIDAS 50 mg
CANCIDAS 70 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALTREX 500 mg
VALCYTE (R) 450 mg
HUMAGLOBIN
HUMAGLOBIN
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
Forma
Concentr
farmaceutic
atie / U.T.
a
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
50mg
70mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
500mg
450mg
5%
5%
100 mg/ml
100 mg/ml
100 mg/ml
100 mg/ml
100mg/ml
100mg/ml
Firma
Tara
MEDOCHEMIE ROMANIA SRL ROMANIA

MAREA BRITANIE
Ambalaj

Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF
PRF
P-RF
TERAPIA SA
SANDOZ SRL
KRKA D.D.
ANTIBIOTICE S.A.
P-RF
P-RF
S
S
S
S
S
S
S
S


P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
S/PR-F
S
S
S
S
S
ZENTIVA K.S.
S
ZENTIVA K.S.
S
S/P-RF
S/P-RF
P-RF
P-RF
P-RF
JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
P-RF
P-RF
P-RF
PFIZER LIMITED
P-RF
PFIZER LIMITED
PFIZER LIMITED
P-RF
PFIZER LIMITED
MAREA BRITANIE
P-RF
FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
P-RF
P-RF
ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S
P-RF
P-RF
P-RF
TERAPIA SA
ANTIBIOTICE SA
ROMANIA
P-RF
ROMANIA
P-RF

P-RF
S/P-RF

P-RF
UNGARIA
UNGARIA
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CSL BEHRING GMBH

CSL BEHRING GMBH
GERMANIA

GERMANIA
Pagina 37 din 46
P-RF
S
S
S
S
S
S
S
S
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
15
15
15
15
15
15
15
28
28
1
1
1
1
20
20
1000
20
10
20
20
20
20
20
10
5
10
60
1
1
1
1
1
1
1
1
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
40.18
40.18
40.18
60.84
40.18
40.18
40.18
3,559.23
912.09
458.07
2,203.52
1,202.39
1,560.14
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23
231.79
43.54
4,863.09
451.00
872.00
3,072.10
6,114.44
663.61
1,550.55
3,473.78
460.47
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
2.678666
2.678666
2.678666
4.056000
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
1,202.390000
1,560.140000
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
Pret cu ridicata
maximal de
decontare / U.T.
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
2.678666
2.678666
2.678666
3.214399
2.678666
2.678666
2.678666
127.115357
32.574642
458.070000
2,203.520000
1,202.390000
1,560.140000
0.577200
0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
4.354000
81.051500
451.000000
872.000000
3,072.100000
6,114.440000
663.610000
1,550.550000
3,473.780000
460.470000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
52.56
52.56
52.55
76.92
52.56
52.56
52.56
3,917.72
1,032.33
537.45
2,439.99
1,348.76
1,738.70
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23
282.97
56.95
5,338.93
529.74
988.63
3,386.74
6,702.89
761.48
1,728.25
3,824.57
540.07
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
3.504000
3.504000
3.503333
5.128000
3.504000
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
3.504000
3.504000
3.503333
4.204000
3.504000
3.504000
3.504000
139.918571
36.868928
537.450000
2,439.990000
1,348.760000
1,738.700000
0.780000
0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
5.695000
88.982166
529.740000
988.630000
3,386.740000
6,702.890000
761.480000
1,728.250000
3,824.570000
540.070000
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
Denumire generica

L01AA01
L01AA01
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
SIROLIMUS**
BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
Denumire comerciala
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
PRIVIGEN 100mg/ml
PRIVIGEN 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
IG VENA 10g/200ml
IG VENA 1g/20ml
IG VENA 2,5g/50ml
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
FLEBOGAMMA 5%
OCTAGAM
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
CELLCEPT 250mg
Forma
Concentr
farmaceutic
atie / U.T.
a
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

MAREA BRITANIE

HOSPIRA UK LIMITED
MAREA BRITANIE
S/P-RF
S/P-RF
P-RF/R
P-RF/R
P-RF
S/P-RF/R
P-RF
S/P-RF/R
P-RF
MAREA BRITANIE
P-RF/R
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
MYFENAX 500mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SUPREPHEN 500 mg
RAPAMUNE 1mg
SIMULECT 20 mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
CICLORAL 50 mg
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg
COMPR. FILM.
PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
OLANDA
OLANDA
AUSTRIA
AUSTRIA
CAPS.
SUPREPHEN 250 mg
TACNI 1 mg
KEDRION SPA
BAXTER ONCOLOGY GMBH

MAREA BRITANIE
HOSPIRA UK LIMITED
CAPS.
CAPS.
CAPS.
COMPR.
PROGRAF (R) 0,5 mg
S
S
S
GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF.
S
GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF.
S
AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) S
ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE S
SPANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL.PERF. S
S
S
S
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF
COMPR. FILM.
Ambalaj
SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
MYFENAX 250mg
ACTAVIS S.R.L.
30MU/0,5ml AMGEN EUROPE B.V.
48MU/0,5ml AMGEN EUROPE B.V.
60MU/ml SANDOZ GMBH
96MU/ml SANDOZ GMBH
120g/0,2ml HOSPIRA UK LIMITED
CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
BAXTER AG
BAXTER AG
BAXTER AG
CSL BEHRING GMBH
CSL BEHRING GMBH
BAXTER AG
BAXTER AG
BAXTER AG
KEDRION SPA
KEDRION SPA
KEDRION SPA
Tara
SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
10g/200ml
1g/20ml
2,5g/50ml
5%
5%
5%
5%
50mg/ml
50mg/ml
50mg/ml
5g/100ml
50mg
200mg
Firma
Prescriptie
Grupa
Nr.
terape
crt
utica
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
500 mg
500mg
500mg
500mg
500mg
1mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
P-RF/R
P-RF/R
S/P-RF
S/P-RF
MAREA BRITANIE
MAREA BRITANIE
TEVA PHARMA BV
SANDOZ S.R.L.
PR
P-RF/R
P-RF/R
TERAPIA S.A.
TEVA PHARMA BV

PR
P-RF/R
P-RF/R
PRF
P-RF/R
WYETH EUROPA LTD.
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.
CEHIA
HEXAL AG
GERMANIA


CEHIA
HEXAL AG
GERMANIA
S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
CEHIA
CEHIA
S/P-RF
ROMANIA
PRF
MAREA BRITANIE
PR
OLANDA
SANDOZ S.R.L.
S/P-RF
ROMANIA
S/P-RF
ROMANIA
PRF
MAREA BRITANIE
PR
OLANDA
SANDOZ S.R.L.
ROMANIA
S/P-RF
ROMANIA
PRF
OLANDA
P-RF/R
P-RF/R
Pagina 38 din 46
cant/a
mbala
j
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
50
1
1
1
1
1
5
1
5
1
5
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
30
1
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
188.56
889.76
1,749.51
890.95
1,751.89
3,469.04
459.88
7,459.41
2,050.80
222.29
535.20
914.10
1,798.20
472.05
99.02
1,166.70
640.45
2,261.30
1,040.40
19.33
11.76
267.05
436.57
162.10
260.91
418.45
214.16
1,001.12
355.90
1,656.30
452.86
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
489.29
4,267.46
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
267.050000
436.570000
162.100000
260.910000
83.690000
214.160000
200.224000
355.900000
331.260000
4.528600
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
16.309666
4,267.460000
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
Pret cu ridicata
maximal de
decontare / U.T.
188.560000
889.760000
1,749.510000
890.950000
1,751.890000
3,469.040000
459.880000
7,459.410000
2,050.800000
222.290000
535.200000
914.100000
1,798.200000
472.050000
99.020000
1,166.700000
640.450000
2,261.300000
1,040.400000
0.386600
11.760000
194.520000
313.092000
162.100000
260.910000
83.690000
194.520000
194.520000
313.092000
313.092000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
16.309666
4,267.460000
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
230.20
1,007.99
1,945.12
1,009.28
1,947.71
3,819.40
539.42
8,168.91
2,273.52
271.37
621.52
1,034.52
1,998.19
552.68
125.20
1,309.85
736.24
2,502.97
1,172.19
26.13
15.89
326.02
514.01
197.89
318.52
494.26
261.45
1,129.37
426.08
1,843.52
531.77
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
571.48
4,689.69
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
5.317700
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
19.049333
4,689.690000
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
230.200000
1,007.990000
1,945.120000
1,009.280000
1,947.710000
3,819.400000
539.420000
8,168.910000
2,273.520000
271.370000
621.520000
1,034.520000
1,998.190000
552.680000
125.200000
1,309.850000
736.240000
2,502.970000
1,172.190000
0.522600
15.890000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
19.049333
4,689.690000
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
L04AD02
L04AD02
L04AX01
L04AX01
L04AX01
L04AX01
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
N02AB02
Denumire generica
TACROLIMUSUM**
TACROLIMUSUM**
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
PETHIDINUM
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
CAPS. ELIB. PREL.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
TEVANAT 70 mg
FOSAMAX 70 mg
RANOS 70 mg
INSTREL 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ALENDRONAT SANDOZ 70 mg COMPR. FILM.
ADRONIK 70 mg
MIALGIN (R) 100 mg/2 ml
COMPR. FILM.
SOL. INJ.
5mg
5mg/ml
100mg
100mg
50mg
75mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
50mg/ml
Firma
Tara
Ambalaj

AUSTRIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 28 COMPR.
MAREA BRITANIE
Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF/R
S
PR
PR
S/P-RF
PR
P-6L
P-6L
CUTIE CU BLIST. OPA -AL-PVC/AL X 4 COMPR. P-6L

P-6L
P-6L
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L
ROMANIA
ARENA GROUP S.A.

ARENA GROUP S.A.
SANDOZ S.R.L.
ARENA GROUP S.A.
ZENTIVA SA
P-RF

ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L
ROMANIA
CUTIE X 5 FIOLE DIN STICLA X 2 ML
P-TS
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
50
10
100
50
100
100
28
4
4
2
4
2
4
4
12
2
2
4
5
1,865.58
1,545.19
83.19
42.34
63.98
62.39
36.90
36.90
36.90
18.44
18.28
28.39
36.44
36.44
108.06
18.33
9.49
36.67
5.77
37.311600
154.519000
0.831900
0.846800
0.639800
0.623900
1.317857
9.225000
9.225000
9.220000
4.570000
14.195000
9.110000
9.110000
9.005000
9.165000
4.745000
9.167500
1.154000
26.751600
154.519000
0.831900
0.846800
0.639800
0.623900
1.317857
5.484000
5.484000
5.484000
4.570000
5.484000
5.484000
5.484000
5.484000
5.484000
4.745000
5.484000
1.154000
2,071.63
1,722.41
105.18
55.38
80.90
78.89
48.27
48.27
48.27
24.93
24.71
37.13
47.66
47.66
131.92
24.78
12.82
47.97
7.80
41.432600
172.241000
1.051800
1.107600
0.809000
0.788900
1.723928
12.067500
12.067500
12.465000
6.177500
18.565000
11.915000
11.915000
10.993333
12.390000
6.410000
11.992500
1.560000
30.074880
172.241000
1.051800
1.107600
0.809000
0.788900
1.723928
7.413000
7.413000
7.413000
6.177500
7.413000
7.413000
7.413000
7.413000
7.413000
6.410000
7.413000
1.560000
10
5
10
1
10
10
28
28
1
1
60
66.80
80.20
1,603.26
879.36
1,603.26
1,052.62
3,559.23
912.09
458.07
2,203.52
4,863.09
6.680000
16.040000
160.326000
879.360000
160.326000
105.262000
127.115357
32.574642
458.070000
2,203.520000
81.051500
6.680000
16.040000
160.326000
879.360000
126.314400
105.262000
127.115357
32.574642
458.070000
2,203.520000
81.051500
84.46
101.41
1,785.71
996.65
1,785.71
1,185.51
3,917.72
1,032.33
537.45
2,439.99
5,338.93
8.446000
20.282000
178.571000
996.650000
178.571000
118.551000
139.918571
36.868928
537.450000
2,439.990000
88.982166
8.446000
20.282000
178.571000
996.650000
142.261200
118.551000
139.918571
36.868928
537.450000
2,439.990000
88.982166
10
10
10
2
10
5
5
100
12
12
1
12
1
5
10
1
5
1
1
1
10
12
10
1
1
5
1
57.68
118.41
153.90
39.90
66.80
80.20
9.47
113.56
692.90
401.14
22.93
265.41
20.32
99.83
196.11
40.65
196.11
22.93
22.93
22.93
386.57
265.28
389.01
40.94
40.93
197.45
40.93
5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
1.894000
1.135600
57.741666
33.428333
22.930000
22.117500
20.320000
19.966000
19.611000
40.650000
39.222000
22.930000
22.930000
22.930000
38.657000
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
5.768000
11.841000
15.390000
19.950000
6.680000
16.040000
1.894000
1.135600
46.081000
23.533200
22.930000
22.117500
20.320000
19.966000
19.611000
23.533200
23.533200
22.930000
22.930000
22.930000
23.533200
22.106666
38.901000
40.940000
40.930000
39.490000
40.930000
72.93
144.56
187.88
52.19
84.46
101.41
12.80
138.64
793.41
475.39
30.99
324.01
27.47
126.23
239.41
53.17
239.41
30.99
30.99
30.99
459.51
323.86
462.17
53.55
53.53
241.05
53.53
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
2.560000
1.386400
66.117500
39.615833
30.990000
27.000833
27.470000
25.246000
23.941000
53.170000
47.882000
30.990000
30.990000
30.990000
45.951000
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000
7.293000
14.456000
18.788000
26.095000
8.446000
20.282000
2.560000
1.386400
54.043000
28.729200
28.729200
27.000833
27.470000
25.246000
23.941000
28.729200
28.729200
28.729200
28.729200
28.729200
28.729200
26.988333
46.217000
53.550000
53.530000
48.210000
53.530000

P9.5: TRANSPLANT CELULE PANCREATICE
1
2
3
4
5
6
7
8
9
10
11
B01AB08
B01AB08
J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
REVIPARINUM
REVIPARINUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VALGANCICLOVIRUM**

ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
VALCYTE (R) 450 mg
SOL. INJ.
SOL. INJ.
1432ui/0,25ml
S/P-RF
S/P-RF
COMPR. FILM.
600mg
P-RF
SOL. PERF. 2mg/ml

SOL. PERF. 2mg/ml
COMPR. FILM. 200mg
COMPR. FILM. 50mg
PULB. PT. SUSP. ORALA 40mg/ml
COMPR. FILM. 450mg

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
MAREA BRITANIE
MAREA BRITANIE
ROMANIA
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

P-RF
S
PRF
P-RF
P-RF
P-RF
P-RF
P-RF

P9.6: TRANSPLANT PULMONAR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
B01AB05
B01AB05
B01AB05
B01AB05
B01AB08
B01AB08
B02AA02
C01CA24
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
REVIPARINUM
REVIPARINUM
ACIDUM TRANEXAMICUM4
EPINEPHRINUM

EXACYL
ADRENALINA 1 mg
TAZOCIN 4,5
TAZOCIN 2,25
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

500mg/5ml CN UNIFARM
1mg/ml
FARA CONCENTRATIE
LIOF. PT. SOL. INJ.
FARA CONCENTRATIE
PERASIN 2g/0,25 g
BACTACIN 2 g/0,25 g
BACTACIN 4 g/0,5 g

FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
1432ui/0,25ml
LIOF. PT. SOL. INJ.
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
CUTIE X 5 FIOLE X 5ML SOL. INJ.

X
TERAPIA SA
S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. S/P-RF
ROMASTRU TRADING SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF. S
S
S
ANTIBIOTICE S.A.
MYLAN S.A.S.
TERAPIA SA
S
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
S
MYLAN S.A.S.
S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE X 1 FLAC DIN STICLA INCOLORA (CAPACITATE 50 ML) CONTINAND PULB. PT. SOL. INJ/PERF S
TERAPIA SA
ROMANIA
Pagina 39 din 46
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
J01CR05
J01CR05
J01CR05
J01CR05
J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
Denumire generica
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire comerciala
PERASIN 4g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
ZYVOXID (R)
ZYVOXID (R)
ZYVOXID (R)
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg

FLUCONAZOL 150 mg
DIFLAZON 150 mg
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

Forma
Concentr
farmaceutic
atie / U.T.
a
4g/0,5g
4g/0,5g
4g/0,5g
COMPR. FILM. 600mg
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
ANTIBIOTICE S.A.
ROMANIA
S
S
S
S
P-RF
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
2mg/ml
2mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
MAREA BRITANIE
P-RF
MAREA BRITANIE
ROMANIA
PRF
P-RF

KRKA D.D.
TERAPIA SA
KRKA D.D.
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
TERAPIA SA
SANDOZ SRL
ZENTIVA K.S.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.
TERAPIA SA
SANDOZ SRL
KRKA D.D.
ANTIBIOTICE S.A.
P-RF
P-RF
S
S
S
S
S
S
S
S


P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
S/PR-F
S
S
S
S
S
ZENTIVA K.S.
S
ZENTIVA K.S.
S
S/P-RF
S/P-RF
Pagina 40 din 46
cant/a
mbala
j
1
1
12
12
10
1
10
10
16
2
7
28
4
7
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
Pret cu
ridicata
maximal /
ambalaj
40.93
40.93
460.81
460.81
1,603.26
879.36
1,603.26
1,052.62
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
Pret cu ridicata
maximal / U.T.
40.930000
40.930000
38.400833
38.400833
160.326000
879.360000
160.326000
105.262000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
Pret cu ridicata
maximal de
decontare / U.T.
40.930000
40.930000
38.400833
38.400833
160.326000
879.360000
126.314400
105.262000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
53.53
53.53
540.43
540.43
1,785.71
996.65
1,785.71
1,185.51
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
53.530000
53.530000
45.035833
45.035833
178.571000
996.650000
178.571000
118.551000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
53.530000
53.530000
45.035833
45.035833
178.571000
996.650000
142.261200
118.551000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
J02AC03
J02AC03
J02AC03
J02AC03
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB14
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
L04AX01
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
Denumire generica
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VALGANCICLOVIRUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
BASILIXIMABUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire comerciala
VFEND 200mg
VFEND 50mg
VFEND 200mg
VFEND 40 mg/ml
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
CLOVIRAL 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX
VALCYTE (R) 450 mg
CELLCEPT 250mg
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
CAPS.
COMPR. FILM.
CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
COMPR. FILM.
CAPS.
CAPS.
CAPS.
COMPR.
SUPREPHEN 250 mg
COMPR. FILM.
COMPR. FILM.
MYFENAX 500mg
COMPR. FILM.
COMPR. FILM.

MYFENAX 250mg
SUPREPHEN 500 mg
SIMULECT 20 mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
CICLORAL 50 mg
EQUORAL (R) 50 mg
EQUORAL (R)
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
TRALGIT 50
TRAMADOL LPH 50 mg
K-ALMA (R)
TRAMADOL ARENA
TRAMADOL AL 50
TRAMADOL AL 50
MABRON 50 mg
TRAMACALM
URGENDOL
TRAMADOL
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 100 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 150 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
TRAMAL UNO 200 mg
COMPR. FILM.
COMPR. FILM.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
200mg
50mg
200mg
40mg/ml
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
450mg
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
500 mg
500mg
500mg
500mg
500mg
20mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
100mg
100mg
50mg
75mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
200mg
200mg
200mg
200mg
Firma
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
Tara
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
Ambalaj


Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF
P-RF
P-RF
P-RF
P-RF
ARENA GROUP SA
ARENA GROUP SA
SLAVIA PHARM SRL
ARENA GROUP S.A.
LAROPHARM S.R.L.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
P-RF
P-RF
P-RF
TERAPIA SA
ANTIBIOTICE SA
ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF/S

MAREA BRITANIE
P-RF
P-RF
P-RF
S/P-RF
P-RF
P-RF/R
P-RF/R
P-RF/R
S/P-RF
S/P-RF
MAREA BRITANIE
MAREA BRITANIE
TEVA PHARMA BV
SANDOZ S.R.L.

PR
P-RF/R
P-RF/R
TERAPIA S.A.
TEVA PHARMA BV
PR
P-RF/R

MAREA BRITANIE
CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.
CEHIA
HEXAL AG
GERMANIA


CEHIA
HEXAL AG
GERMANIA

CEHIA
CEHIA
PRF
S
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF


P-RF/R
S/P-RF
ZENTIVA A.S.
P-RF
SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

ANTIBIOTICE SA
MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
AC HELCOR SRL
MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
KRKA D.D.
P-RF
Pagina 41 din 46
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
P-RF/S
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
28
28
1
1
20
20
1000
20
10
20
20
20
20
20
10
5
60
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
1
50
50
50
50
50
50
50
1
100
50
100
100
20
20
20
20
30
10
10
10
10
20
20
30
50
10
10
20
30
50
10
20
30
50
3,559.23
912.09
458.07
2,203.52
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23
231.79
4,863.09
452.86
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
4,267.46
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
83.19
42.34
63.98
62.39
4.31
5.67
5.67
6.66
8.53
2.85
2.85
2.85
2.83
4.31
24.79
36.23
56.65
12.86
19.30
37.14
54.34
84.99
24.09
44.68
61.79
96.03
127.115357
32.574642
458.070000
2,203.520000
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
81.051500
4.528600
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
4,267.460000
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
0.831900
0.846800
0.639800
0.623900
0.215500
0.283500
0.283500
0.333000
0.284333
0.285000
0.285000
0.285000
0.283000
0.215500
1.239500
1.207666
1.133000
1.286000
1.930000
1.857000
1.811333
1.699800
2.409000
2.234000
2.059666
1.920600
Pret cu ridicata
maximal de
decontare / U.T.
127.115357
32.574642
458.070000
2,203.520000
0.577200
0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
81.051500
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
4,267.460000
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
0.831900
0.846800
0.639800
0.623900
0.215500
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.258600
0.215500
0.559200
0.559200
0.559200
0.559200
0.993600
0.993600
0.993600
0.993600
1.626799
1.626799
1.626799
1.626799
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
3,917.72
1,032.33
537.45
2,439.99
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23
282.97
5,338.93
531.77
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
4,689.69
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
105.18
55.38
80.90
78.89
5.82
7.67
7.67
9.00
11.53
3.85
3.85
3.85
3.82
5.82
33.50
47.39
71.63
17.38
26.09
48.58
68.71
107.46
32.56
58.44
78.13
121.42
139.918571
36.868928
537.450000
2,439.990000
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
88.982166
5.317700
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
4,689.690000
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
1.051800
1.107600
0.809000
0.788900
0.291000
0.383500
0.383500
0.450000
0.384333
0.385000
0.385000
0.385000
0.382000
0.291000
1.675000
1.579666
1.432600
1.738000
2.609000
2.429000
2.290333
2.149200
3.256000
2.922000
2.604333
2.428400
139.918571
36.868928
537.450000
2,439.990000
0.780000
0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
88.982166
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
4,689.690000
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
1.051800
1.107600
0.809000
0.788900
0.291000
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.349200
0.291000
0.755599
0.755599
0.755599
0.755599
1.342800
1.342800
1.342800
1.342800
2.128000
2.128000
2.128000
2.128000
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
Denumire generica
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire comerciala
TRAMAG 50
TRAMADOL 50 mg
TRAMADOL EEL
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 100
TRALGIT SR 150
TRALGIT SR 150
TRALGIT SR 200
TRADOLAN 50 mg
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
URGENDOL
TRAMADOL
TRAMADOL
Forma
Concentr
farmaceutic
atie / U.T.
a
COMPR.
COMPR.
COMPR.
50mg
50mg
50mg
COMPR. FILM. 50mg
PIC. ORALE, SOL.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
Firma
Tara
MAGISTRA C & C
ROMANIA
ROMANIA
BIO EEL SRL

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ROMANIA
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GERMANIA
SLOVENIA

P-RF
CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.

CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL.
P-RF
0.383500
0.383500
0.383500
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
2.105000
2.750000
0.355000
0.969000
2.203000
1.385666
2.818000
1.773333
5.040000
1.966000
1.345600
2.456000
0.986000
0.980000
1.534000
2.620000
1.116000
0.349200
0.349200
0.349200
0.630000
0.630333
0.651200
0.630000
0.629666
1.119000
1.342800
2.128000
0.349200
0.755599
1.342800
1.342800
2.128000
1.773333
5.040000
1.614720
1.345600
1.614720
0.986000
0.980000
1.534000
1.614720
1.116000
100
50
50
P-6L
60
P-6L
20
P-RF
50
P-RF
20
P-RF
30
S/P-RF
1
S/P-RF
1
P-RF
1
P-RF
20
P-RF/S 1000
P-RF
30
P-RF
30
P-RF
30
P-RF
20
P-RF
20
P-RF
20
P-RF
20
P-RF
20
P-RF
1
P-RF
1
P-RF
16
P-RF
2
P-RF
7
P-RF
28
P-RF
4
P-RF
7
P-RF
1
P-RF
1
P-RF
1
P-RF
1
P-RF
1
PRF
1
PRF
1
98.29
56.54
54.39
41.43
27.43
24.13
21.94
4.83
6.52
22.95
15.15
1.90
44.43
1.94
1.83
2.74
1.96
5.71
5.71
3.06
5.21
6.07
3.52
65.37
6.98
23.31
193.65
18.95
33.15
4.88
4.88
6.68
7.35
16.65
7.35
9.57
0.982900
1.130800
1.087800
0.690500
1.371500
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.095000
0.044430
0.064666
0.061000
0.091333
0.098000
0.285500
0.285500
0.153000
0.260500
6.070000
3.520000
4.085625
3.490000
3.330000
6.916071
4.737500
4.735714
4.880000
4.880000
6.680000
7.350000
16.650000
7.350000
9.570000
0.982900
1.130800
1.087800
0.690500
1.371500
0.482600
1.097000
0.161000
6.520000
22.950000
15.150000
0.053316
0.044430
0.053316
0.053316
0.053316
0.053316
0.183600
0.183600
0.153000
0.183600
6.070000
3.520000
3.996000
3.490000
3.330000
3.996000
3.996000
3.996000
4.880000
4.880000
5.856000
5.856000
5.856000
5.856000
5.856000
124.28
71.49
68.77
54.19
35.88
32.62
29.65
6.53
8.81
31.02
20.48
2.57
58.12
2.62
2.47
3.71
2.65
7.72
7.72
4.13
7.04
8.20
4.76
82.66
9.43
31.51
236.41
25.61
43.36
6.59
6.59
9.03
9.94
22.51
9.94
12.94
1.242800
1.429800
1.375400
0.903166
1.794000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.128500
0.058120
0.087333
0.082333
0.123666
0.132500
0.386000
0.386000
0.206500
0.352000
8.200000
4.760000
5.166250
4.715000
4.501428
8.443214
6.402500
6.194285
6.590000
6.590000
9.030000
9.940000
22.510000
9.940000
12.940000
1.242800
1.429800
1.375400
0.903166
1.794000
0.652400
1.482500
0.217666
8.810000
31.020000
20.480000
0.069744
0.058120
0.069744
0.069744
0.069744
0.069744
0.247800
0.247800
0.206500
0.247800
8.200000
4.760000
5.166250
4.715000
4.501428
5.401714
5.401714
5.401714
6.590000
6.590000
7.908000
7.908000
7.908000
7.908000
7.908000
P-RF
SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

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

P-RF
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.
P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
P-RF
GRUNENTHAL GMBH
P-RF

KRKA D.D.
MEDICAROM GROUP SRL
MEDICAROM GROUP SRL
KRKA D.D.
KRKA D.D.
GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF
S/P-RF
S/P-RF

SLOVACIA
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
7.67
7.67
7.67
6.30
18.91
32.56
6.30
18.89
33.57
21.05
27.50
10.65
9.69
22.03
41.57
28.18
53.20
5.04
9.83
134.56
12.28
4.93
4.90
7.67
13.10
5.58
100mg
100mg
Pret cu ridicata
maximal de
decontare / U.T.
0.258600
0.258600
0.258600
0.466000
0.466333
0.481800
0.466000
0.466000
0.828000
0.993600
1.626799
0.258600
0.559200
0.993600
0.993600
1.626799
1.355666
3.730000
1.322640
1.102200
1.322640
0.730000
0.726000
1.134000
1.322640
0.826000
GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.
100mg/2ml ZENTIVA A.S.
Pret cu ridicata
maximal / U.T.
0.283500
0.283500
0.283500
0.466000
0.466333
0.481800
0.466000
0.466000
0.828000
1.557000
2.035000
0.262666
0.717000
1.630000
1.059333
2.085000
1.355666
3.730000
1.454000
1.102200
1.818000
0.730000
0.726000
1.134000
1.938000
0.826000
ALIUD PHARMA GMBH
Pret cu
ridicata
maximal /
ambalaj
5.67
5.67
5.67
4.66
13.99
24.09
4.66
13.98
24.84
15.57
20.35
7.88
7.17
16.30
31.78
20.85
40.67
3.73
7.27
110.22
9.09
3.65
3.63
5.67
9.69
4.13
P-RF
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.
cant/a
mbala
j
20
20
20
10
30
50
10
30
30
10
10
30
10
10
30
10
30
1
5
100
5
5
5
5
5
5
P-RF
FARA CONCENTRATIE
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
P-RF

P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM

J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
MEDROL A 16
MEDROL 32
MEDROL 4 mg
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL
N - PREDNISON
PREDNISON 5 mg
PREDNISON MCC 5 mg
BITRIM 400mg/80mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
SUMETROLIM
EPITRIM
FUNGOLON 100 mg
DIFLAZON 100 mg
FLUCOVIM 100
FLUCORIC 100 mg
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
LIOF. PT. SOL. INJ.
250mg
250mg
250mg
150mg
300mg
16mg
32mg
4mg
125mg
500mg
LIOF. SI SOLV.PT.SOL.INJ
LIOF. PT. SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
SUSP. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
FLUCONAZOL 150 mg
CAPS.
DIFLAZON 150 mg
CAPS.

ZAMBON S.P.A.
ZAMBON S.P.A.
CEHIA
ITALIA
ITALIA
MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.

CUTIE X 1 FLAC. DIN STICLA X 30 COMPR.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO
5mg
5mg
5mg
5mg
5mg
5mg
ROMANIA
ARENA GROUP SA
ARENA GROUP SA
MEDUMAN SA
SINTOFARM SA
ROMANIA
400mg/80mg

ZENTIVA S.A.
ROMANIA

400mg/80mg
ROMANIA
ROMANIA
ROMANIA
400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA

400mg/80mg
BIO EEL SRL
ROMANIA
25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA
200mg/40mg /5ml
CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg

KRKA D.D.
TERAPIA SA
KRKA D.D.
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
Pagina 42 din 46
P-6L/S
P-6L
P-6L
Denumire generica
37 J02AC01 FLUCONAZOLUM
83 J02AC03 VORICONAZOLUM
87 J02AC04 POSACONAZOLUM**
88 J02AC04 POSACONAZOLUM**
89 J05AB01 ACICLOVIRUM
101 J05AB14 VALGANCICLOVIRUM
102 J05AF05 LAMIVUDINUM
103 J05AF05 LAMIVUDINUM
Denumire comerciala
FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL 150 mg
MYCOMAX 150
MYCOSYST 150 mg

Forma
Concentr
farmaceutic
atie / U.T.
a
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCOVIM 50
FUNGOLON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 50 mg
FLUCONAZOL 50 mg
DIFLAZON 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
MYCOMAX INF 2mg/ml
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
DIFLUCAN (R)
SOL. PERF.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
VFEND 40 mg/ml
NOXAFIL SP 40mg/ml
SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
ACICLOVIR 200 mg
CAPS.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
CLOVIRAL 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
VALCYTE (R) 450 mg
COMPR. FILM.
LAMIVUDINE TEVA 100 mg COMPR. FILM.
ZEFFIX 100 mg
COMPR. FILM.
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
200mg
40mg/ml
40mg/ml
40mg/ml
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
450mg
100 mg
100mg
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica

P-RF
MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
P-RF
TERAPIA SA
SANDOZ SRL
P-RF
P-RF
ZENTIVA K.S.
P-RF
P-RF
P-RF
P-RF
P-RF
PRF
P-RF
TERAPIA SA
SANDOZ SRL
P-RF
P-RF
P-RF
P-RF
KRKA D.D.
P-RF
ANTIBIOTICE S.A.
P-RF
P-RF
S
S
S
S
S
S
S
S


S/PR-F
S
S
S
S
GERMANIA CUTIE X 10 FLAC. PEJD X 50 ML SOL. PERF. S
S
S/P-RF
S/P-RF
P-RF
P-RF

ZENTIVA K.S.
B. BRAUN MELSUNGEN AG
ZENTIVA K.S.
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA
FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
MERCK SHARP & DOHME
MAREA BRITANIE
SP EUROPE
P-RF
P-RF/R
P-RF/R
P-RF
P-RF
P-RF/S
P-RF
P-RF
P-RF
TERAPIA SA
ANTIBIOTICE SA
ROMANIA

P-RF
P-RF
P-RF
S/P-RF

P-RF/R
GLAXO GROUP LTD.
P-RF/R
MAREA BRITANIE
CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
Pagina 43 din 46
P-RF
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
1
1
1
1
1
1
4
1
1
7
7
7
7
7
7
7
7
7
7
7
8
7
7
10
1
20
20
10
20
10
1
10
20
1
25
1
1
25
1
10
10
1
10
1
1
1
28
28
1
1
1
1
20
20
1000
20
10
20
20
20
20
20
10
5
60
30
28
7.35
18.56
13.95
10.79
7.16
9.27
48.24
7.44
6.07
30.10
11.66
12.35
16.69
14.15
11.95
16.69
43.23
21.91
32.06
16.69
14.09
14.49
47.19
18.88
43.23
631.41
362.55
454.59
796.39
770.66
18.84
181.93
360.77
35.03
781.76
81.95
40.63
443.47
34.28
330.71
761.71
42.66
182.90
137.44
133.17
30.99
3,559.23
912.09
458.07
2,203.52
2,488.19
2,488.19
15.85
15.85
704.14
14.97
14.41
9.62
10.22
12.69
12.16
12.75
14.23
231.79
4,863.09
159.00
228.32
7.350000
18.560000
13.950000
10.790000
7.160000
9.270000
12.060000
7.440000
6.070000
4.300000
1.665714
1.764285
2.384285
2.021428
1.707142
2.384285
6.175714
3.130000
4.580000
2.384285
1.761250
2.070000
6.741428
1.888000
43.230000
31.570500
18.127500
45.459000
39.819500
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
40.630000
17.738800
34.280000
33.071000
76.171000
42.660000
18.290000
137.440000
133.170000
30.990000
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
0.792500
0.792500
0.704140
0.748500
1.441000
0.481000
0.511000
0.634500
0.608000
0.637500
1.423000
46.358000
81.051500
5.300000
8.154285
Pret cu ridicata
maximal de
decontare / U.T.
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
5.856000
4.300000
1.665714
1.764285
1.998857
1.998857
1.707142
1.998857
1.998857
1.998857
1.998857
1.998857
1.761250
1.998857
1.998857
1.888000
43.230000
31.570500
18.127500
37.524480
37.524480
77.066000
18.840000
18.193000
18.038500
35.030000
31.270400
81.950000
37.524480
17.738800
34.280000
33.071000
76.171000
37.524480
18.290000
91.405200
91.405200
21.286560
127.115357
32.574642
458.070000
2,203.520000
2,488.190000
2,488.190000
0.577200
0.577200
0.577200
0.577200
1.441000
0.481000
0.511000
0.577200
0.577200
0.577200
1.423000
46.358000
81.051500
5.300000
6.360000
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
9.94
25.08
18.86
14.58
9.68
12.53
63.10
10.06
8.20
39.37
15.76
16.69
22.56
19.12
16.15
22.56
56.54
29.61
41.93
22.56
19.04
19.58
61.72
25.52
56.54
726.39
433.33
533.65
906.22
878.17
25.47
222.10
431.39
45.82
890.27
103.62
53.14
521.53
44.84
398.62
868.42
55.80
223.28
167.79
162.58
40.53
3,917.72
1,032.33
537.45
2,439.99
2,750.28
2,750.28
21.42
21.42
805.66
20.23
19.48
13.00
13.81
17.15
16.44
17.23
19.23
282.97
5,338.93
194.11
278.73
9.940000
25.080000
18.860000
14.580000
9.680000
12.530000
15.775000
10.060000
8.200000
5.624285
2.251428
2.384285
3.222857
2.731428
2.307142
3.222857
8.077142
4.230000
5.990000
3.222857
2.380000
2.797142
8.817142
2.552000
56.540000
36.319500
21.666500
53.365000
45.311000
87.817000
25.470000
22.210000
21.569500
45.820000
35.610800
103.620000
53.140000
20.861200
44.840000
39.862000
86.842000
55.800000
22.328000
167.790000
162.580000
40.530000
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
1.071000
1.071000
0.805660
1.011500
1.948000
0.650000
0.690500
0.857500
0.822000
0.861500
1.923000
56.594000
88.982166
6.470333
9.954642
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
7.908000
5.624285
2.251428
2.384285
2.701714
2.701714
2.307142
2.701714
2.701714
2.701714
2.701714
2.701714
2.380000
2.701714
2.701714
2.552000
56.540000
36.319500
21.666500
42.732960
42.732960
87.817000
25.033440
22.210000
21.569500
42.732960
35.610800
103.620000
42.732960
20.861200
42.732960
39.862000
86.842000
42.732960
22.328000
104.210400
104.210400
25.033440
139.918571
36.868928
537.450000
2,439.990000
2,750.280000
2,750.280000
0.780000
0.780000
0.780000
0.780000
1.948000
0.650000
0.690500
0.780000
0.780000
0.780000
1.923000
56.594000
88.982166
6.470333
7.764400
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
Denumire generica
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
J05AF05 LAMIVUDINUM
L04AA06 MYCOPHENOLATUM**
L04AA06 MYCOPHENOLATUM MOFETILUM**
L04AA10 SIROLIMUS**
L04AD01 CICLOSPORINUM
L04AD02 TACROLIMUSUM**
L04AX01 AZATHIOPRINUM*
J05AF05
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
LAMIVUDINE TEVA PHARMA B.V. 150 mg COMPR. FILM.
J05AF05
EPIVIR 150mg
J05AF05
LAMIVUDINE TEVA PHARMA B.V. 300 mg COMPR. FILM.
COMPR. FILM.
EPIVIR 10mg/ml
CELLCEPT 250mg
SOL. ORALA
COMPR. FILM.
CELLCEPT 500mg
MYFORTIC 180 mg
MYFORTIC 360 mg
COMPR. FILM.
CAPS.

CAPS.
CAPS.
CAPS.
COMPR.
SUPREPHEN 250 mg
COMPR. FILM.
COMPR. FILM.
MYFENAX 500mg
COMPR. FILM.

MYFENAX 250mg
COMPR. FILM.
COMPR. FILM.
SUPREPHEN 500 mg
RAPAMUNE 1mg
EQUORAL (R) 100 mg
CICLORAL 25 mg
EQUORAL (R) 25 mg
CICLORAL 50 mg
EQUORAL (R) 50 mg
EQUORAL (R)
TACNI 0,5 mg
COMPR. FILM.
PROGRAF (R) 0,5 mg

TACNI 1 mg
PROGRAF (R) 1 mg
TACNI 5 mg
PROGRAF (R) 5 mg
ADVAGRAF 0,5mg
ADVAGRAF 1mg
ADVAGRAF 5mg
PROGRAF (R) 5 mg/ml
IMMUNOPRIN 100 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
SOL. ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
CAPS. ELIB. PREL.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
150 mg
150mg
300 mg
10mg/ml
250mg
500mg
500mg
180mg
360mg
250 mg
250mg
250mg
500mg
250mg
500 mg
500mg
500mg
500mg
500mg
1mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg/ml
0,5 mg
0,5mg
0,5mg
0,5mg
1 mg
1mg
1mg
1mg
5 mg
5mg
0,5mg
1mg
5mg
5mg/ml
100mg
100mg
50mg
75mg
Firma
Tara
Ambalaj

GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.
Prescriptie
Grupa
Nr.
terape
crt
utica
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
S/P-RF
S/P-RF
MAREA BRITANIE
MAREA BRITANIE
TEVA PHARMA BV
SANDOZ S.R.L.
PR
P-RF/R
P-RF/R
TERAPIA S.A.
TEVA PHARMA BV

WYETH EUROPA LTD.
MAREA BRITANIE
CEHIA
HEXAL AG
GERMANIA

CEHIA
HEXAL AG
GERMANIA

PR
P-RF/R
P-RF/R
PRF
P-RF/R
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
S/P-RF
CEHIA
CEHIA
S/P-RF
ROMANIA
PRF
MAREA BRITANIE
PR
OLANDA
SANDOZ S.R.L.
S/P-RF
ROMANIA
S/P-RF
ROMANIA
PRF
MAREA BRITANIE
PR
OLANDA
SANDOZ S.R.L.
ROMANIA
S/P-RF
ROMANIA
PRF
OLANDA
P-RF/R
P-RF/R


MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
P-RF/R
S
PR
PR
S/P-RF
PR
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
60
60
30
1
100
50
50
120
120
100
100
100
50
100
50
50
50
50
50
30
50
50
50
50
50
50
50
1
50
50
50
50
50
50
50
50
50
50
50
50
50
10
100
50
100
100
319.27
476.54
319.27
131.82
452.86
292.89
452.86
557.65
1,041.93
291.62
292.89
302.31
227.17
291.62
302.36
302.31
272.59
272.59
227.17
489.29
397.39
112.61
112.48
74.45
250.01
239.32
155.55
358.02
133.49
133.49
205.39
133.49
238.62
238.62
363.74
238.62
1,114.65
1,715.18
204.92
402.53
1,865.58
1,545.19
83.19
42.34
63.98
62.39
5.321166
7.942333
10.642333
131.820000
4.528600
5.857800
9.057200
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
6.047200
6.046200
5.451800
5.451800
4.543400
16.309666
7.947800
2.252200
2.249600
1.489000
5.000200
4.786400
3.111000
358.020000
2.669800
2.669800
4.107800
2.669800
4.772400
4.772400
7.274800
4.772400
22.293000
34.303600
4.098400
8.050600
37.311600
154.519000
0.831900
0.846800
0.639800
0.623900
5.321166
6.385399
10.642333
131.820000
3.499440
5.452080
5.452080
4.647083
8.682750
2.916200
2.928900
3.023100
4.543400
2.916200
5.452080
5.452080
5.451800
5.451800
4.543400
16.309666
7.947800
1.786800
1.786800
1.489000
3.733200
3.733200
3.111000
358.020000
2.669800
2.669800
3.203760
2.669800
4.772400
4.772400
5.726880
4.772400
22.293000
26.751600
3.203760
5.726880
26.751600
154.519000
0.831900
0.846800
0.639800
0.623900
386.16
557.58
386.16
160.92
531.77
357.56
531.77
645.99
1,173.85
356.01
357.56
367.67
277.33
356.01
367.72
367.67
332.78
332.78
277.33
571.48
471.31
137.48
137.32
94.13
305.21
292.16
189.90
428.39
162.97
162.97
250.74
162.97
291.31
291.31
434.63
291.31
1,253.12
1,907.70
250.17
476.91
2,071.63
1,722.41
105.18
55.38
80.90
78.89
6.436000
9.293000
12.872000
160.920000
5.317700
7.151200
10.635400
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
7.354400
7.353400
6.655600
6.655600
5.546600
19.049333
9.426200
2.749600
2.746400
1.882600
6.104200
5.843200
3.798000
428.390000
3.259400
3.259400
5.014800
3.259400
5.826200
5.826200
8.692600
5.826200
25.062400
38.154000
5.003400
9.538200
41.432600
172.241000
1.051800
1.107600
0.809000
0.788900
6.436000
7.723200
12.872000
160.920000
4.272120
6.655920
6.655920
5.383250
9.782083
3.560100
3.575600
3.676700
5.546600
3.560100
6.655920
6.655920
6.655600
6.655600
5.546600
19.049333
9.426200
2.259120
2.259120
1.882600
4.557600
4.557600
3.798000
428.390000
3.259400
3.259400
3.911280
3.259400
5.826200
5.826200
6.991440
5.826200
25.062400
30.074880
3.911280
6.991440
30.074880
172.241000
1.051800
1.107600
0.809000
0.788900
50
30
30
30
10
10
100
28
28
28
5
5
5
25.70
28.49
23.23
42.10
203.78
108.79
60.88
394.36
819.29
1,562.06
400.62
792.54
61.74
0.514000
0.949666
0.774333
1.403333
20.378000
10.879000
0.608800
14.084285
29.260357
55.787857
80.124000
158.508000
12.348000
0.514000
0.616800
0.774333
0.929200
20.378000
10.879000
0.608800
14.084285
29.260357
55.787857
80.124000
158.508000
12.348000
33.62
37.26
31.40
55.07
248.78
132.81
76.98
468.00
931.18
1,740.80
474.83
902.02
78.07
0.672400
1.242000
1.046666
1.835666
24.878000
13.281000
0.769800
16.714285
33.256428
62.171428
94.966000
180.404000
15.614000
0.672400
0.806880
1.046666
1.255999
24.878000
13.281000
0.769800
16.714285
33.256428
62.171428
94.966000
180.404000
15.614000
Pentru urmtoarele DCI-uri: VORICONAZOLUM si VALGANCICLOVIRUM prescrierea i eliberarea medicamentelor se fac numai cu aprobarea Ageniei Naionale de Transplant
P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA
1
2
3
4
5
6
7
8
9
10
11
12
13
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
A11CC07
A11CC07
A11CC07
A11CC07
A11CC07
B01AB01
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
CALCITRIOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
HEPARINUM**
ALPHA D3 0,25 mcg
CAPS. MOI
CAPS. MOI
ALPHA D3 0,50 mcg
CAPS. MOI
ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI
ROCALTROL
CAPS. MOI
ZEMPLAR 1mcg
CAPS. MOI
ZEMPLAR 2mcg
CAPS. MOI
ZEMPLAR 4mcg
CAPS. MOI
ZEMPLAR
SOL. INJ.
ZEMPLAR
SOL. INJ.
HEPARIBENE Na 25000
SOL. INJ.
0,25mcg
0,25g
0,50mcg
0,5g
2micrograme/ml
2micrograme/ml
SANDOZ S.R.L.
CUTIE X 1 FLAC. X 30 CAPS. MOI
ROMANIA
SANDOZ S.R.L.
LEO PHARMA A/S
LEO PHARMA A/S
DANEMARCA
CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
DANEMARCA
CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.
0,25mcg ROCHE ROMANIA S.R.L.

1mcg
2mcg
4mcg
5 mcg/ml ABBOTT LABORATORIES LTD.
5 mcg/ml ABBOTT LABORATORIES LTD.
5000 UI/ml HK&ZY BEST PHARMA DISTRIBUTION
P-RF
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI
S
S
P-RF

SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF
SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.
S
SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
S
ROMANIA CUTIE CU 5 FLACOANE X 25000 UI
P-RF
Pagina 44 din 46
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B01AB01
B01AB01
B01AB01
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB08
B01AB08
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B03AC02
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
H05BX01
H05BX01
H05BX01
V03AE02
Denumire generica
HEPARINUM**
HEPARINUM**
HEPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
REVIPARINUM**
REVIPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
Denumire comerciala
HEPARIN NATRIUM 25000 RATIOPHARM
HEPARIN
HEPARINE SODIQUE PANPHARMA

FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza

INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R)
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPREX 40000 UI/ml
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
ARANESP 10mcg/0,4ml
ARANESP 20mcg/0,5ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
CINACALCETUM****
MIMPARA 30 mg
CINACALCETUM****
MIMPARA 60 mg
CINACALCETUM****
MIMPARA 90 mg
SEVELAMER**
RENAGEL 800mg
Forma
Concentr
farmaceutic
atie / U.T.
a
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
Firma
Tara
Ambalaj
Prescriptie
Grupa
Nr.
terape
crt
utica
CUTIE CU 5 FLACOANE X 25000 UI

P-RF
CUTIE X 10 FIOLE X 5ML
S
FRANTA CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. S
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF
5000 UI/ml HK&ZY BEST PHARMA DISTRIBUTION

5000ui/ml POLIPHARMA INDUSTRIES S.R.L.
5000ui/ml LAB. PANPHARMA
2000ui anti-Xa/0,2ml LAB. AVENTIS
ROMANIA
2850 ui AFXa/0,3ml
MAREA BRITANIE
S/P-RF
3800 ui AFXa/0,4ml
MAREA BRITANIE
S/P-RF
5700 ui AFXa/0,6ml
MAREA BRITANIE
S/P-RF
7600 ui AFXa/0,8ml
MAREA BRITANIE
S/P-RF
ROMANIA
GLAXO GROUP LIMITED MAREA BRITANIE

9500 UI AFXa/1 ml
CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.
S/P-RF
S/P-RF
10000u ANTIF. Xa/ml
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) S/P-RF
10000u ANTIF. Xa/ml
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF
10000u ANTIF. Xa/ml
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA)
S/P-RF
20000u ANTIF. Xa/ml
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)
S/P-RF
20000u ANTIF. Xa/ml
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA) S/P-RF
20000u ANTIF. Xa/ml
20000u ANTIF. Xa/ml
SOL. INJ./PERF.
20mg/ml
10000UI/1,0ml
1000UI/0,5ml
2000UI/1,0ml
30000UI/0,75ml
3000UI/0,3ml
VIFOR FRANCE S.A.

SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
40 000UI/ml
JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.
40000 UI/1 ml
4000UI/0,4ml
5000UI/0,5ml
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
10000UI/0,6ml ROCHE REGISTRATION LTD.
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
MAREA BRITANIE
S/P-RF/R
100mcg/0,5ml
P-RF/R
10mcg/0,4ml
P-RF/R
150mcg/0,3ml
15mcg/0,375ml
20mcg/0,5ml
300mcg/0,6ml
30mcg/0,3ml
40mcg/0,4ml
500mcg/ml
50mcg/0,5ml
60mcg/0,3ml
80mcg/0,4ml
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
30mg
COMPR. FILM. 60mg
COMPR. FILM. 90mg
COMPR. FILM. 800mg
COMPR. FILM.

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
S/P-RF/R
S/P-RF/R
S/P-RF/R
CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
P-RF/R
S/P-RF/R
AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE BV
AMGEN EUROPE B.V.
AMGEN EUROPE B.V.
AMGEN EUROPE B.V.
S/P-RF
S/P-RF
P-RF/R
S/P-RF/R
S/P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R
P-RF/R

P-RF/R
P-RF/R
P-RF/R
P-RF/R
CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.
P-RF
P-RF
P-RF
CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.
P-RF
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
5
10
10
10
10
10
2
10
10
10
10
10
10
5
2
2
10
10
2
2
2
5
6
6
6
1
6
1
1
6
6
6
6
1
6
6
6
4
4
4
4
4
1
4
4
1
4
4
4
28
28
28
180
72.53
124.44
104.96
57.68
118.41
153.90
39.90
59.65
81.83
108.50
155.43
759.56
66.80
80.20
26.85
19.33
456.77
986.30
104.10
58.25
81.60
122.68
1,550.81
178.92
355.67
688.15
518.88
1,206.71
877.32
682.04
845.15
2,117.84
447.82
1,042.55
865.04
1,073.53
117.90
2,876.01
324.23
4,284.58
467.24
609.62
1,991.25
891.12
1,175.04
3,298.77
1,457.44
1,742.22
2,309.91
754.12
1,383.17
1,967.81
698.95
14.506000
12.444000
10.496000
5.768000
11.841000
15.390000
19.950000
5.965000
8.183000
10.850000
15.543000
75.956000
6.680000
16.040000
13.425000
9.665000
45.677000
98.630000
52.050000
29.125000
40.800000
24.536000
258.468333
29.820000
59.278333
688.150000
86.480000
1,206.710000
877.320000
113.673333
140.858333
352.973333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000
116.810000
152.405000
1,991.250000
222.780000
293.760000
3,298.770000
364.360000
435.555000
577.477500
26.932857
49.398928
70.278928
3.883055
14.506000
12.444000
10.496000
5.768000
11.841000
15.390000
19.950000
5.965000
8.183000
10.850000
15.543000
75.956000
6.680000
16.040000
13.425000
9.665000
45.677000
98.630000
52.050000
29.125000
40.800000
24.536000
258.468333
29.820000
59.278333
688.150000
86.480000
1,052.784000
877.320000
113.673333
140.858333
352.973333
74.636666
1,042.550000
144.173333
178.921666
19.650000
719.002500
81.057500
1,071.145000
116.810000
152.405000
1,991.250000
222.780000
293.760000
3,298.770000
364.360000
435.555000
577.477500
26.932857
49.398928
70.278928
3.883055
91.71
151.92
128.14
72.93
144.56
187.88
52.19
75.42
103.46
132.46
189.75
866.07
84.46
101.41
35.12
26.13
536.03
1,113.22
127.08
73.65
103.18
149.77
1,728.54
218.42
425.83
788.23
603.73
1,353.47
994.43
781.57
959.37
2,346.60
526.27
1,174.53
981.05
1,208.30
143.93
3,173.01
391.56
4,708.35
547.44
702.64
2,208.61
1,009.47
1,318.95
3,633.81
1,626.76
1,937.17
2,555.95
860.14
1,545.81
2,183.07
800.01
18.342000
15.192000
12.814000
7.293000
14.456000
18.788000
26.095000
7.542000
10.346000
13.246000
18.975000
86.607000
8.446000
20.282000
17.560000
13.065000
53.603000
111.322000
63.540000
36.825000
51.590000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666
1,353.470000
994.430000
130.261666
159.895000
391.100000
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500
136.860000
175.660000
2,208.610000
252.367500
329.737500
3,633.810000
406.690000
484.292500
638.987500
30.719285
55.207500
77.966785
4.444500
18.342000
15.192000
12.814000
7.293000
14.456000
18.788000
26.095000
7.542000
10.346000
13.246000
18.975000
86.607000
8.446000
20.282000
17.560000
13.065000
53.603000
111.322000
63.540000
36.825000
51.590000
29.954000
288.090000
36.403333
70.971666
788.230000
100.621666
1,193.316000
994.430000
130.261666
159.895000
391.100000
87.711666
1,174.530000
163.508333
201.383333
23.988333
793.252500
97.890000
1,177.087500
136.860000
175.660000
2,208.610000
252.367500
329.737500
3,633.810000
406.690000
484.292500
638.987500
30.719285
55.207500
77.966785
4.444500
28
14
50
20
50
50
20
7
7
249.53
167.39
18.06
18.61
46.54
11.63
4.65
22.06
85.12
8.911785
11.956428
0.361200
0.930500
0.930800
0.232600
0.232500
3.151428
12.160000
8.911785
10.694142
0.361200
0.930500
0.930800
0.232600
0.232500
3.151428
12.160000
304.63
204.35
24.41
25.16
60.88
15.72
6.29
29.81
107.63
10.879642
14.596428
0.488200
1.258000
1.217600
0.314400
0.314500
4.258571
15.375714
10.879642
13.055570
0.488200
1.258000
1.217600
0.314400
0.314500
4.258571
15.375714
cant/a
mbala
j
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
P11: PROGRAM NATIONAL DE SANATATE MINTALA

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR
1
2
3
4
5
6
7
8
9
N07BB04
N07BB04
N07BC02
N07BC02
N07BC02
N07BC02
N07BC02
N07BC51
N07BC51
NALTREXONUM
NALTREXONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
REVIA
REVIA
SINTALGON 2,5 mg
METADON BIOEEL 20 mg
METADON BIOEEL 20 mg
METADON BIOEEL 5 mg
METADON BIOEEL 5 mg
COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg
COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. SUBLING.
COMPR. SUBLING.
50mg
50mg
2,5mg
20mg
20mg
5mg
5mg

ZENTIVA S.A.
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
BIO EEL SRL
2mg/0,5mg SP EUROPE
8mg/2mg SP EUROPE
AUSTRIA CUTIE X 4 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM. P-RF

AUSTRIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM. P-RF
ROMANIA
P-TS
ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS

BELGIA
BELGIA
CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)
P-TS; S
CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)
P-TS; S
Pagina 45 din 46
Denumire generica
Denumire comerciala
Forma
Concentr
farmaceutic
atie / U.T.
a
Firma
Tara
Ambalaj
NOTA:
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- 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;
Medicamentele din aceast sublist se elibereaz att prin farmacii cu circuit nchis ct i prin farmacii cu circuit deschis pe baz de prescripie medical cu reinere n farmacie (P-RF).
Pagina 46 din 46
Prescriptie
Grupa
Nr.
terape
crt
utica
cant/a
mbala
j
Pret cu
ridicata
maximal /
ambalaj
Pret cu ridicata
maximal / U.T.
Pret cu ridicata
maximal de
decontare / U.T.
Pret cu
maximal /
maximal / U.T.
/ U.T.
ambalaj
ANEXA 5
SECIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% - CONFORM DCI-URILOR DIN CANAMED, ALTELE DECT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII
PN LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENI SAU UCENICI DAC NU REALIZEAZ VENITURI, PRECUM I GRAVIDE I LUZE
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
Nr. crt
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
cod
ATC
A03AD02
A03BA01
A03BB01
A03DA02
A03DA02
A03DA02
A05BAN3
A06AD65
A06AD65
A07AX03
A11CA01
A11CA01
A11CA01
A11CC04
A11CC05
A11CC05
A11CC05
A11CC05
A11CC20
A11CC20
A11DA01
A11DA01
A11DA03
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN2
A11DBN2
A11GA01
A11GA01
A11HA02
A11HA02
A11HA02
DCI
DROTAVERINUM
ATROPINUM
Denumire Comerciala
NO - SPA 40 mg/2 ml
forma farm.
SOL. INJ.
SOL. INJ.
BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml
SOL. INJ.
COMBINATII
PIAFEN
COMPR.
COMBINATII
ALGIFEN COMPRIMATE
COMPR.
COMBINATII
ALGIFEN SOLUTIE INJECTABILA SOL. INJ.
COMBINATII
ASPATOFORT (R)
SOL. INJ.
COMBINATII
ENDOFALK
COMBINATII
FORTRANS
NIFUROXAZIDUM
ERCEFURYL (R) 200 mg
CAPS.
RETINOLUM
VITAMINA A FORTE
CAPS. MOI
RETINOLUM
VITAMIN A 50000 ui
CAPS. MOI
RETINOLUM
VITAMINA A BIOFARM 20mg/ml PIC. ORALE, SOL.
CALCITRIOLUM
ROCALTROL
CAPS. MOI
COLECALCIFEROLUM
VIGANTOLETTEN 1000
COMPR.
COLECALCIFEROLUM
VIGANTOLETTEN 500
COMPR.
COLECALCIFEROLUM
VITAMINA D3 BIOFARM 18000UI/ml PIC. ORALE, SOL.
COLECALCIFEROLUM
VIGANTOL OIL
PIC. ORALE, SOL.
COMBINATII
FLUOR VIGANTOLETTEN 1000 COMPR.
COMBINATII
FLUOR VIGANTOLETTEN 500 COMPR.
THIAMINUM
SICOVIT (R) B1 100 mg/2 ml SOL. INJ.
THIAMINUM
VITAMINA B1 ZENTIVA 100 mg/2 ml SOL. INJ.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
BENFOTIAMINUM
BENFOGAMMA
DRAJ.
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) N
CAPS. MOI
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) 100
DRAJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) N
SOL. INJ.
COMBINATII
MILGAMMA (R) NA
SOL. INJ.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
COMBINATII
NEUROMULTIVIT
COMPR. FILM.
ACIDUM ASCORBICUM
ACID ASCORBIC ARENA 750 mg SOL INJ.
ACIDUM ASCORBICUM
VITAMINA C ARENA 750 mg SOL. INJ.
PYRIDOXINUM
VITAMINA B6 250 mg
COMPR.
PYRIDOXINUM
SICOVIT B6 250 mg
COMPR.
PYRIDOXINUM
VITAMINA B6 ZENTIVA 250 mg COMPR.
SULFAT DE ATROPINA NYCOMED 1 mg/ml
concentratie
40mg/2ml
1mg/ml
10mg/ml
Detinator APP
CHINOIN PRIVATE CO. LTD.
FARA CONCENTRATIE
NYCOMED GMBH
NYCOMED GMBH
ANTIBIOTICE SA
ZENTIVA SA
ZENTIVA SA
TERAPIA SA
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
FARA CONCENTRATIE
200mg
50000ui
50000ui
20mg/ml
0,25mcg
1000UI
500UI
0,45mg/ml
0,5mg/ml
FARA CONCENTRATIE
FARA CONCENTRATIE
100mg/2ml
100mg/2ml
50mg
50mg
IPSEN PHARMA
SANOFI-SYNTHELABO OTC
BIOFARM SA
PHARCO IMPEX 93 S.R.L.
BIOFARM SA
ROCHE ROMANIA S.R.L.
MERCK KGAA
MERCK KGAA
BIOFARM S.A.
MERCK KGAA
MERCK KGAA
MERCK KGAA
ZENTIVA SA
ZENTIVA SA
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG

FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.
FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H.
750mg
750mg
250 mg
250mg
250mg
ARENA GROUP S.A.

ARENA GROUP S.A.
ARENA GROUP SA
ZENTIVA SA
ZENTIVA SA
Pagina 1 din 6
tara det.
APP
Ambalaj
Prescriptie
UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ.
P-RF
GERMANIA
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI
25 24.50
5
2.99
GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF
5
3.36
P-RF
20
5.29
20
6.02
5 10.20
P-RF
10 23.36
GERMANIA CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA P-RF
6 45.93
FRANTA CUTIE CU 4 PLICURI DIN HARTIE-AL-PE X 73,69 G PULB. PT. SOL. ORALA P-RF
4 38.77
P-RF
28 11.40
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI P-6L
30
5.52
ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L
24
1.68
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-6L
1
2.96
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 76.98
30
8.27
30
6.70
ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-6L
1
5.05
GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR P-6L
1
6.36
30
8.01
30
6.44
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF
5
6.98
5
6.98
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L
50 28.72
GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 52.14
20 20.28
GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 100 84.34
50 46.88
30 49.86
GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ. P-6L 100 139.08
60 89.95
GERMANIA CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF
25 83.55
5 18.52
5 18.52
AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-6L
20 11.17
AUSTRIA CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 100 44.47
ROMANIA CUTIE CU 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ. PRF
5 10.12
5 25.30
ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L
20
9.11
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.
P-6L
20
9.11
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.
P-6L
20
9.11
0.980000
0.598000
0.672000
0.264500
0.301000
2.040000
2.336000
7.655000
9.692500
0.407142
0.184000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
1.396000
0.574400
0.521400
1.014000
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.558500
0.444700
2.024000
5.060000
0.455500
0.455500
0.455500
0.980000
0.598000
0.672000
0.264500
0.301000
2.040000
2.336000
7.655000
9.186000
0.407142
0.084000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
1.396000
0.574400
0.521400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.533640
0.444700
2.024000
2.428800
0.455500
0.455500
0.455500
0.980000
0.598000
0.672000
0.264500
0.301000
2.040000
2.336000
7.655000
9.186000
0.407142
0.084000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
1.396000
0.574400
0.521400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.533640
0.444700
2.024000
2.428800
0.455500
0.455500
0.455500
Nr. crt
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
cod
ATC
A11HA02
A11HA02
A11HA02
A11HA02
A11HA03
A12AA03
A12AA03
A12AA03
A14AA03
A16AA01
A16AA01
A16AXN1
A16AXN1
B02BX01
B02BX02
B03AA03
B03AA03
B03AA03
B03ABN1
B03AD02
B03AD02
B03AD03
B03AD04
B03AE01
B03AE01
B03AE10
B03BA01
B03BA01
B03BA01
B03BA51
B03BA51
B03BA51
B03BA51
B03BA51
B03BA51
C01EA01
C04AE01
C04AE01
C05AA01
C05AA08
C05AA08
C05AD01
C05BX01
C05CA54
C07NAN1
C08CA06
C08CA06
D01AC05
D01AC08
DCI
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
TOCOFEROLUM
CALCII GLUCONAS
CALCII GLUCONAS
CALCII GLUCONAS
METANDIENONUM
LEVOCARNITINUM
LEVOCARNITINUM
DIVERSE
DIVERSE
ETAMSYLATUM
CARBAZOCHROMI SALICYLAS
FERROSI GLUCONAS
FERROSI GLUCONAS
FERROSI GLUCONAS
FERROCHOLINATUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CYANOCOBALAMINUM
CYANOCOBALAMINUM
CYANOCOBALAMINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
ALPROSTADILUM**
CODERGOCRINUM
CODERGOCRINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CALCII DOBESILAS
TROXERUTINUM (COMBINATII)
COMBINATII
NIMODIPINUM
NIMODIPINUM
ISOCONAZOLUM
KETOCONAZOLUM
Denumire Comerciala
SICOVIT B6 250 mg/5 ml
VITAMINA B6 ZENTIVA 250 mg/5 ml
SICOVIT B6 50 mg/2ml
VITAMINA B6 ZENTIVA 50 mg/2ml
VITAMINA E 400 mg
GLUCONAT DE CALCIU 10%
GLUCONAT DE CALCIU 94mg/ml
GLUCONAT DE CALCIU
NAPOSIM 5 mg
MIOCOR
CARNIL (R)
ACTOVEGIN (R)
ACTOVEGIN (R)
ETAMSILAT 250mg/2ml
ADRENOSTAZIN
ASCOFER
ALOFER 80,5 mg
ALOFER 80,5 mg
FER-SOL
FERRETAB (R)
FERRETAB (R)
TARDYFERON FOL (R)
MALTOFER FOL
FERRO - FOLGAMMA (R)
FERRO - FOLGAMMA (R)
TOT'HEMA
VITAMIN B12
SICOVIT B12 50mcg/ml
forma farm.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS. MOI
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
SOL. ORALA
SOL. ORALA
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
concentratie
250mg/5ml
250mg/5ml
50mg/2ml
50mg/2ml
400mg
10%
94mg/ml
FARA CONCENTRATIE
5mg
10%
100mg/ml
200mg
200mg/5ml
250mg/2ml
0,3mg/ml
FARA CONCENTRATIE
COMPR. EFF. 80,5mg

COMPR. EFF. 80,5mg
tara det.
APP
Ambalaj
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
ZENTIVA SA
PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF
B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF
ZENTIVA SA
ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ.
P-RF
TERAPIA SA
Detinator APP
Prescriptie
ITALIA
CUTIE X 10 FLACOANE X 10ML
GRECIA CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML
NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ.
NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML
ZENTIVA S.A
ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
TERAPIA SA
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR.
ART MED INTERNATIONAL SRL ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF.
RECORDATI ROMANIA S.R.L. ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF.
ECOBI PHARMACEUTICI
P-6L
P-6L
P-6L
P-RF
P-RF
P-RF
P-6L
P-6L
P-6L
24mg Fe/ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 15 ML + DISPOZITIV PT. PICURARE P-6L
CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL. P-6L
CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L
DRAJ. ELIB. PREL. FARA CONCENTRATIE LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L
COMPR. MAST. FARA CONCENTRATIE VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MAST. P-6L
CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. MOI
P-RF
CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. MOI
P-RF
SOL. ORALA FARA CONCENTRATIE LAB. INNOTHERA
P-6L
SOL. INJ.
1000mcg/ml FARMEXIM SA
ROMANIA CUTIE X 10 FIOLE X 1ML
P-RF
SOL. INJ.
50mcg/ml
ZENTIVA SA
VITAMINA B12 ZENTIVA 50g/ml SOL. INJ.
50g/ml
ZENTIVA SA
FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L
ALPROSTADIL "PINT" 500 mcg CONC. PT. SOL. PERF. 500mcg
TARUS MEDIA S.R.L. ROMANIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF. S
REDERGIN 1 mg/ml
PICATURI ORALE-SOL. 0,1%
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON X 50 ML
P-6L
SECATOXIN
SOL. ORALA IN PICATURI 1mg/ml
CUTIE X 1 FLACON X 10 ML + PICATOR P-6L
HEMORZON
UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB X 18 G
P-6L
ULTRAPROCT (R)
SUPOZ.
FARA CONCENTRATIE INTENDIS GMBH
GERMANIA CUTIE X 2 FOLII X 5 SUPOZ.
P-RF
ULTRAPROCT (R)
UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH
GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF
DOXIPROCT
UNGUENT RECTAL FARA CONCENTRATIE OM PHARMA S.A.
PORTUGALIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE P-6L
DOXILEK
CAPS.
500mg
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS.
P-6L
GINKOR FORT
CAPS.
FARA CONCENTRATIE BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
DISTONOCALM (R)
COMPR. FILM. FARA CONCENTRATIE ZENTIVA S.A.
NIMOTOP (R)
COMPR. FILM. 30mg
BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
P-6L/S
NIMOTOP (R)
SOL. PERF. 10mg/50ml BAYER HEALTHCARE AG GERMANIA
S
TRAVOGEN
CREMA
10mg/1g
INTENDIS GMBH
GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA
P-RF
NIZORAL
CREMA
2%
JANSSEN PHARMACEUTICA N.V. BELGIA
P-RF
SOL. ORALA IN PICATURI
CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA
Pagina 2 din 6
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
amba
L
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI
5
5
5
5
24
20
20
5
20
10
10
50
5
5
5
20
1
20
1
100
30
30
30
100
50
20
10
5
5
100
20
50
100
20
50
5
1
1
1
10
1
1
30
30
30
100
5
1
1
10.34
10.34
6.98
6.98
9.35
16.87
16.87
15.92
5.10
18.32
29.89
145.08
108.72
6.73
8.37
7.72
21.00
21.00
3.34
27.57
10.69
15.02
17.87
43.20
24.30
17.73
37.86
6.98
6.98
84.34
20.28
46.88
84.34
20.28
46.88
1,603.19
11.82
2.20
8.20
12.93
14.58
22.31
21.46
25.73
5.92
112.60
303.73
11.62
9.12
2.068000
2.068000
2.068000
2.068000
2.068000
2.068000
1.396000
1.396000
1.396000
1.396000
1.396000
1.396000
0.389583
0.389583
0.389583
0.843500
0.843500
0.843500
0.843500
0.843500
0.843500
3.184000
1.012200
1.012200
0.255000
0.255000
0.255000
1.832000
1.832000
1.832000
2.989000
2.198400
2.198400
2.901600
2.901600
2.901600
21.744000 21.744000 21.744000
1.346000
1.346000
1.346000
1.674000
1.674000
1.674000
0.386000
0.386000
0.386000
21.000000
1.260000
1.260000
1.050000
1.050000
1.050000
3.340000
3.340000
3.340000
0.275700
0.275700
0.275700
0.356333
0.330840
0.330840
0.500666
0.500666
0.500666
0.595666
0.595666
0.595666
0.432000
0.432000
0.432000
0.486000
0.486000
0.486000
0.886500
0.886500
0.886500
3.786000
3.786000
3.786000
1.396000
1.396000
1.396000
1.396000
1.396000
1.396000
0.843400
0.843400
0.843400
1.014000
1.012080
1.012080
0.937600
0.937600
0.937600
0.843400
0.843400
0.843400
1.014000
1.012080
1.012080
0.937600
0.937600
0.937600
320.638000 320.638000 320.638000
11.820000 11.820000 11.820000
2.200000
2.200000
2.200000
8.200000
8.200000
8.200000
1.293000
1.293000
1.293000
14.580000 14.580000 14.580000
22.310000 22.310000 22.310000
0.715333
0.715333
0.715333
0.857666
0.857666
0.857666
0.197333
0.197333
0.197333
1.126000
1.126000
1.126000
60.746000 60.746000 60.746000
11.620000 11.620000 11.620000
9.120000
6.456000
6.456000
Nr. crt
90
91
92
93
94
95
96
97
98
99
cod
ATC
DCI
KETOCONAZOLUM
KETOCONAZOLUM
COMBINATII
COMBINATII
FLUOCINOLONI ACETONIDUM
FLUOCORTOLONUM
FLUOCORTOLONUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
Denumire Comerciala
KETOCONAZOL
KETOCONAZOL CREMA
MYCOHEAL (R) HC
ASORIAN
forma farm.
CREMA
D01AC08
CREMA
D01AC52
CREMA
D05AXN1
SOL. CUT.
D07AC04
FLUOCINOLON ACETONID 0,025% UNGUENT
D07AC05
ULTRALAN CREMA
CREMA
D07AC05
ULTRALAN UNGUENT
UNGUENT
D07CB01
NIDOFLOR
CREMA
D07CB01
PANDERM
UNGUENT
D07CC02
FLUOCINOLON N
UNGUENT
100 D07XB02
TRIAMCINOLON S
CREMA
101 D07XC01
DIPROSALIC
SOL. CUT.
102 D07XC01
DIPROSALIC
UNGUENT
103 D07XC01 COMBINATII (BETAMETHASONUM+ACIDUM SALICYLICUM) SAL-EKARZIN 0,50 mg/30 mg pe gram UNGUENT
104 D10AD01 TRETINOINUM
RETIN - A (R)
CREMA
105 D10AF02 ERYTHROMYCINUM
ERYFLUID
SOL. CUT.
106 D10AF02 ERYTHROMYCINUM
ERYFLUID
SOL. CUT.
107 D10AF52 COMBINATII
ZINERYT
PULB. + SOLV. SOL. CUT.
108 D11AX15 PIMECROLIMUS
ELIDEL 1%
CREMA
109 G01AF01 METRONIDAZOLUM
FLAGYL
OVULE
110 G01AX12 CICLOPIROXUM
DAFNEGIN
OVULE
111 G01AXN1 COMBINATII
COLPOSEPTINE (R)
COMPR. VAG.
112 G01BDN1 COMBINATII
TERGYNAN
COMPR. VAG.
113 G03AC06 MEDROXYPROGESTERONUM
DEPO-PROVERA
SUSP. INJ.
114 G03DB04 NOMEGESTROLUM
LUTENYL (R)
COMPR.
115 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 5000
116 G03GA01 GONADOTROPHINUM CHORIONICUM PREGNYL 5000
117 G03GA02 MENOTROPINUM
MENOPUR
118 G04BCN1 COMBINATII
URALYT-U
GRANULE
119 H03AA03 COMBINATII
NOVOTHYRAL (R) 100
COMPR.
120 J01DB04 CEFAZOLINUM
LYZOLIN
PULB. PT. SOL. INJ.
121 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg
124 J01DE02 CEFPIROMUM
CEFROM (R) 1 g
125 J01DE02 CEFPIROMUM
CEFROM (R) 2 g
126 J01EB05 SULFAFURAZOLUM
SULFAFURAZOL
COMPR.
127 J01FA06 ROXITHROMYCINUM
ROXAMED (R) 150
COMPR. FILM.
128 J01GB03 GENTAMICINUM
GENTAMICIN KRKA
SOL. INJ.
GENTAMICIN KRKA
SOL. INJ.
GENTAMICIN KRKA
SOL. INJ.
PAN - GENTAMICINE
SOL.INJ.
132 J01XB01 COLISTINUM
COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF.
135 J02AC03 VORICONAZOLUM**
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 40 mg/ml
138 M01AA01 PHENYLBUTAZONUM
FENILBUTAZONA 250 mg
SUPOZ.
D01AC08
concentratie
2%
20mg/g
FARA CONCENTRATIE
FARA CONCENTRATIE
0,025%
0,25%
0,25%
FARA CONCENTRATIE
tara det.
APP
Detinator APP
TIS FARMACEUTIC SA ROMANIA
SC HYPERION SA
ROMANIA
BIOFARM SA
ROMANIA
LAROPHARM SRL ROMANIA
INTENDIS GMBH
GERMANIA
SCHERING AG INTENDIS GmbH
GERMANIA
ANTIBIOTICE SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FARA CONCENTRATIE GULF PHARMACEUTICAL IND. (JUPHAR)
FARA CONCENTRATIE
ANTIBIOTICE SA
ANTIBIOTICE SA
FARA CONCENTRATIE
SCHERING-PLOUGH EUROPE
FARA CONCENTRATIE
SCHERING-PLOUGH EUROPE
FARA CONCENTRATIE
BELGIA
BELGIA
ANTIBIOTICE S.A.
ROMANIA
0,05%
4g/30ml
4g/30ml
SLOVENIA
PIERRE FABRE DERMATOLOGIE
40mg/12mg/ml
FRANTA
FRANTA
OLANDA
10mg
500mg
100mg
0,50mg/30mg pe gram
PIERRE FABRE DERMATOLOGIE
FARA CONCENTRATIE
LAB. AVENTIS
POLICHEM SA
LAB. THERAMEX
FARA CONCENTRATIE
LAB. BOUCHARA-RECORDATI
Ambalaj
CUTIE X 1 TUB PEJD X 15 G
CUTIE X 1 TUB DIN AL X 20 MG CREMA
CUTIE X 1 TUB X 15 G UNGUENT
Prescriptie
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR
P-RF

CUTIE CU 1 TUB AL X 15 G UNGUENT
CUTIE X 1 FLACON X 100 ML SOL. CUT.
CUTIE X 1 FLACON X 30 ML SOL. CUT.
P-RF
CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA
P-RF
P-RF
P-RF
P-RF
P-RF
CUTIE X 1 TUB AL X 15 G CREMA

FRANTA CUTIE X 2 BLIST. X 5 OVULE
P-RF
LUXEMBURG
P-6L
CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PE
P-RF
MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG.

P-RF
FRANTA CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF
150mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 1 ML SUSP. INJ.
S/P-RF
5mg
LAB. THERAMEX
MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
5000ui/ml
NV ORGANON
OLANDA
S/P-RF
5000ui/ml
NV ORGANON
OLANDA
S/P-RF
FARA CONCENTRATIE FERRING GMBH
GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF
FARA CONCENTRATIE MADAUS GMBH
GERMANIA
P-6L
100mcg+20mcg MERCK KGAA
P-6L
1g
MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB.
S/P-RF
1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S
1g
LAB. AVENTIS
2g
LAB. AVENTIS
500mg
150mg
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
P-RF
40mg/ml
80mg/2ml
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF/S
80mg/2ml
80mg/2ml
LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
1000000ui
ANTIBIOTICE SA
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S
1000000ui
ANTIBIOTICE SA
1000000ui
ANTIBIOTICE SA
200mg
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF
50mg
PFIZER LIMITED
40mg/ml
PFIZER LIMITED
MAREA BRITANIE
P-RF
250mg
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
CUTIE X 3 FIOLE CU LIOF. PREVAZUTE CU INEL DE RUPERE + 3 FIOLE X 1 ML SOLV. PREVAZUTE CU INEL DE RUP
CUTIE X 1 FIOLA CU LIOF. PREVAZUTA CU INEL DE RUPERE + 1 FIOLA X 1 ML SOLV. PREVAZUTE CU INEL DE RUPERE
CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO
Pagina 3 din 6
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
amba
L
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
10
6
18
10
1
10
3
1
10
1
100
1
1
10
100
1
1
20
10
10
50
10
10
100
50
10
28
28
1
10
5.38
7.94
6.41
10.17
7.40
12.30
12.79
7.40
7.66
7.40
7.40
16.15
10.75
7.00
14.01
21.02
8.09
32.50
82.96
8.57
38.11
17.64
21.91
13.10
31.51
42.77
15.04
825.12
56.93
28.94
3.45
25.24
219.94
1,856.12
75.78
127.27
9.72
15.24
7.13
41.48
9.58
6.76
1,789.09
929.98
211.79
5.380000
5.380000
5.380000
7.940000
7.940000
7.940000
6.410000
6.410000
6.410000
10.170000 10.170000 10.170000
7.400000
7.400000
7.400000
12.300000 12.300000 12.300000
12.790000 12.790000 12.790000
7.400000
7.400000
7.400000
7.660000
7.660000
7.660000
7.400000
7.400000
7.400000
7.400000
7.400000
7.400000
16.150000 16.150000 16.150000
10.750000 10.750000 10.750000
7.000000
7.000000
7.000000
14.010000 14.010000 14.010000
21.020000 21.020000 21.020000
8.090000
8.090000
8.090000
32.500000 32.500000 32.500000
82.960000 82.960000 82.960000
0.857000
0.857000
0.857000
6.351666
6.351666
6.351666
0.980000
0.980000
0.980000
2.191000
2.191000
2.191000
13.100000 13.100000 13.100000
3.151000
3.151000
3.151000
14.256666 14.256666 14.256666
15.040000 15.040000 15.040000
82.512000 82.512000 82.512000
56.930000 56.930000 56.930000
0.289400
0.289400
0.289400
3.450000
3.450000
3.450000
25.240000 22.273440 22.273440
21.994000 21.994000 21.994000
18.561200 18.561200 18.561200
75.780000 75.780000 75.780000
127.270000 127.270000 127.270000
0.486000
0.486000
0.486000
1.524000
1.524000
1.524000
0.713000
0.713000
0.713000
0.829600
0.811200
0.811200
0.958000
0.811200
0.811200
0.676000
0.676000
0.676000
17.890900 17.890900 17.890900
18.599600 18.599600 18.599600
21.179000 21.179000 21.179000
139.918571 139.918571 139.918571
36.868928 36.868928 36.868928
3,917.72
1,032.33
2,439.99 2,439.990000 2,439.990000 2,439.990000
9.57
0.957000
0.957000
0.957000
Nr. crt
cod
ATC
139 M01AB55
140 M01AB55
141 M01AB55
142 M01AE01
143 M01AE01
144 M01AE01
145 M01AE01
146 M01AE01
147 M01AE01
148 M01AE01
149 M01AE01
150 M01AE01
151 M01AE01
152 M01AE01
153 M01AE01
154 M01AE01
155 M01AE01
156 M01AE02
157 M01AE02
158 M01AG01
159 M01AH04
160 M01AH04
161 M03BB03
162 M03BB03
163 M03BX04
164 M03BX04
165 M03BX04
166 M09AX01
167 N02AA59
168 N02AA59
169 N02AA59
170 N02BB02
171 N02BB02
172 N02BB02
173 N02BB02
174 N02BB02
175 N02BB02
176 N02BB02
177 N02BB02
178 N02BB02
179 N02BB02
180 N02BB02
181 N02BB02
182 N02BB02
183 N02BB02
184 N02BB02
185 N05BA05
186 N05BA05
187 N05BA23
DCI
Denumire Comerciala
COMBINATII
NEODOLPASSE
COMBINATII
ACECLOFEN
DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75
IBUPROFENUM
PADUDEN (R) SR 300 mg
IBUPROFENUM
BRUFEN RETARD 800 mg
IBUPROFENUM
IBUPROFEN 400
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
BRUFEN 400 mg
IBUPROFENUM
PROFINAL
IBUPROFENUM
IBUPROFEN 600
IBUPROFENUM
FASPIC 600
IBUPROFENUM
IBALGIN BABY
IBUPROFENUM
BRUFEN 20 mg/ml
NAPROXENUM
REUXEN 250 mg
NAPROXENUM
REUXEN 500 mg
ACIDUM MEFENAMICUM
VIDAN
PARECOXIBUM
DYNASTAT 40mg
PARECOXIBUM
DYNASTAT 40mg
CHLORZOXAZONUM
CLORZOXAZON 250 mg
CHLORZOXAZONUM
CLORZOXAZONA 250 mg
TOLPERISONUM
MYDOCALM
TOLPERISONUM
MYDOCALM
TOLPERISONUM
MYDOCALM
ACIDUM HIALURONICUM
HYALGAN (R)
COMBINATII ( PARACETAMOLUM+CODEINUM) PARADOREN 500mg/30mg
COMBINATII ( PARACETAMOLUM+CODEINUM) ULTRACOD
COMBINATII ( PARACETAMOLUM+CODEINUM) PARADOREN 500mg/60mg
METAMIZOLUM NATRIUM
ALGOZONE
METAMIZOLUM NATRIUM
ALGOCALMIN (R) 500 mg
METAMIZOLUM NATRIUM
ALINDOR
METAMIZOLUM NATRIUM
SINTOCALMIN
METAMIZOLUM NATRIUM
ALGOREMIN
METAMIZOLUM NATRIUM
NOVOCALMIN
METAMIZOLUM NATRIUM
METAMIZOL FARMACOM 500 mg
METAMIZOLUM NATRIUM
FABOCALM
METAMIZOLUM NATRIUM
ALGIOTOP
METAMIZOLUM NATRIUM
CENTRALGIN 500 mg
METAMIZOLUM NATRIUM
ALGOBLOCK
METAMIZOLUM NATRIUM
ALGOZONE 500mg
METAMIZOLUM NATRIUM
ALGOCALMIN (R) 1 g/2 ml
METAMIZOLUM NATRIUM
SINTOCALMIN 300 mg
METAMIZOLUM NATRIUM
NOVOCALMIN 300 mg
CLORAZEPAT DIKALII
TRANXENE 10 mg
CLORAZEPAT DIKALII
TRANXENE 5 mg
TOFISOPAMUM
GRANDAXIN
forma farm.
SOL. PERF.
SUPOZ.
concentratie
FARA CONCENTRATIE
75mg+0,200mg
CAPS. ELIB. PREL.
300mg
800mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
600mg
100mg/5ml
20mg/ml
250mg
500mg
500mg
40mg
40mg
250mg
250mg
150mg
50mg
100mg/ml
20mg/2ml
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SOL. ORALA
SUSP. ORALA
SUSP. ORALA
COMPR.
COMPR.
COMPR. FILM.
PULB. PT. SOL. INJ.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SUPOZ.
SUPOZ.
CAPS.
CAPS.
COMPR.
30mg+500mg
500mg+30mg
60mg+500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
1g/2ml
300mg
300mg
10mg
5mg
50mg
tara det.
APP
Ambalaj
AUSTRIA CUTIE X 10 FLACOANE X 250 ML
Prescriptie
10
6
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L
20
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-6L
10
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. CU ELIB. PREL. P6L
30
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 20 COMPR. FILM. P-6L
20
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM. P-6L
30
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM.
P-6L
20
P-6L
30
P-6L
60
ABBOTT SCANDINAVIA AB SUEDIA CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. P-6L/S 100
GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L
20
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
ZAMBON S.P.A.
ITALIA
CUTIE X 30 PLICURI UNIDOZA X 3 G GRAN. PT. SOL. ORALA P-6L
30
ZENTIVA K.S.
CEHIA
CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA P-RF
1
ABBOTT SCANDINAVIA AB SUEDIA
P6L
1
P-6L
20
P-6L
20
VIANEX SA
GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L
24
PFIZER LIMITED
MAREA BRITANIE CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV.
S/P-RF
5
PFIZER LIMITED
MAREA BRITANIE CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ. S/P-RF
10
P-6L
20
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
30
P-6L
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF
5
CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML P-RF
1
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
ZENTIVA K.S.
CEHIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-RF
30
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
ZENTIVA S.A.
20
LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF
20
SINTOFARM SA
20
REMEDIA SRL
20
ANTIBIOTICE SA
P-RF
20
FARMACOM SA
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF
20
FABIOL S.A.
20
SANTA SA
20
SC CENTROFARM S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
BIOFARM S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-RF
20
LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST.PVC-PVDC/AL A CATE 10 COMPR. P-RF
20
ZENTIVA S.A.
5
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. PVC/PE X 3 SUPOZ.
P-RF
6
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 FOLII TERMOSUDATE, OPACE DIN PVC X 6 SUPOZ. PRF
12
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF
30
SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-RF
20
FARA CONCENTRATIE FRESENIUS KABI AUSTRIA GMBH
COMPR. GASTROREZ.
Detinator APP
ANTIBIOTICE SA
ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L
CUTIE CU 1 FLAC. DE 100 ML SUSP. ORALA, DIN PET DE CULOARE BRUNA CU CAPAC DIN PP SI SIGILIU DIN PEJD
Pagina 4 din 6
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
amba
L
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI
219.12 21.912000 21.912000 21.912000

4.61
0.768333
0.768333
0.768333
28.57
1.428500
1.428500
1.428500
14.01
1.401000
1.401000
1.401000
18.17
0.605666
0.605666
0.605666
2.85
0.142500
0.142500
0.142500
10.25
0.512500
0.171000
0.171000
9.18
0.306000
0.171000
0.171000
10.25
0.512500
0.171000
0.171000
9.18
0.306000
0.171000
0.171000
18.38
0.306333
0.171000
0.171000
30.62
0.306200
0.171000
0.171000
13.33
0.666500
0.295200
0.295200
4.92
0.246000
0.246000
0.246000
25.61
0.853666
0.295200
0.295200
9.89
9.890000
9.890000
9.890000
14.61 14.610000 11.868000 11.868000
9.28
0.464000
0.464000
0.464000
16.78
0.839000
0.839000
0.839000
10.00
0.416666
0.416666
0.416666
147.23 29.446000 29.446000 29.446000
290.33 29.033000 29.033000 29.033000
4.42
0.221000
0.221000
0.221000
6.18
0.206000
0.206000
0.206000
14.58
0.486000
0.486000
0.486000
7.30
0.243333
0.243333
0.243333
6.89
1.378000
1.378000
1.378000
143.42 143.420000 143.420000 143.420000
12.74
0.637000
0.637000
0.637000
33.79
1.126333
0.764400
0.764400
19.83
0.991500
0.991500
0.991500
6.80
0.340000
0.328200
0.328200
6.89
0.344500
0.328200
0.328200
6.89
0.344500
0.328200
0.328200
6.84
0.342000
0.328200
0.328200
6.02
0.301000
0.301000
0.301000
5.47
0.273500
0.273500
0.273500
6.52
0.326000
0.326000
0.326000
6.27
0.313500
0.313500
0.313500
6.89
0.344500
0.328200
0.328200
6.87
0.343500
0.328200
0.328200
6.18
0.309000
0.309000
0.309000
6.80
0.340000
0.328200
0.328200
5.92
1.184000
1.184000
1.184000
7.57
1.261666
1.261666
1.261666
12.97
1.080833
1.080833
1.080833
6.32
0.210666
0.210666
0.210666
5.76
0.192000
0.192000
0.192000
5.36
0.268000
0.268000
0.268000
Nr. crt
cod
ATC
188 N05CD08
189 N05CD08
190 N05CD08
191 N05CD08
192 N05CD08
193 N05CD08
194 N05CD13
195 N06BA04
196 N06BA04
197 N06BA04
198 N06BA04
199 N06BA04
200 N06BA09
201 N06BA09
202 N06BA09
203 N06BA09
204 N06BA09
205 N06BA09
206 N06BX02
207 N06BX02
208 N06BX02
209 N06BX03
210 N06BX03
211 N06BX03
212 N06BX03
213 N06BX03
214 N06BX03
215 N06BX03
216 N06BX03
217 N06BX03
218 N06BX03
219 N06BX03
220 N06BX03
221 N06BX03
222 N06BX03
223 N06BX03
224 N06BX03
225 N06BX03
226 N06BX03
227 N06BX03
228 N06BX03
229 N06BX03
230 N06BX03
231 N06BX03
232 N06BX03
233 N07CA02
234 N07CA02
235 N07CA02
236 P01AX08
DCI
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
CINOLAZEPAMUM
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
CINNARIZINUM
CINNARIZINUM
CINNARIZINUM
TENONITROZOLUM
Denumire Comerciala
DORMICUM (R)
DORMICUM (R) 7,5 mg
DORMICUM (R)
tara det.
APP
Detinator APP
Ambalaj
COMPR. FILM. 7,5mg
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. FILM.
COMPR. FILM. 7,5mg
TERAPIA SA
SOL. INJ.
1mg/ml
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 10 FIOLE X 5 ML
MIDAZOLAM TORREX 1 mg/ml SOL. INJ.

GERODORM (R)
MEDIKINET EM 10 mg
MEDIKINET EM 20 mg
CONCERTA 18 mg
CONCERTA 36 mg
CONCERTA 54 mg
STRATTERA 10 mg
STRATTERA 18 mg
STRATTERA 25 mg
STRATTERA 40 mg
STRATTERA 60 mg
STRATTERA 80 mg
PIRITINOL ARENA 100 mg
ENCEPHABOL 100 mg
COMPR.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
DRAJ.
DRAJ.
ENCEPHABOL (R) SUSPENSIE SUSP. ORALA
PIRACETAM ARENA 400 mg

PIRACETAM 400 mg
PIRACETAM 400 mg
N - PIRACETAM
MEMOTAL 400mg
PIRACETAM SLAVIA 400 mg
PIRACETAM LAROPHARM 400 mg
PIRACETAM
PIRACETAM FARMEX 400 mg
PIRACETAM MCC 400mg

PIRACETAM SINTOFARM 400 mg
PIRACETAM SINTOFARM 400 mg
LUCETAM (R) 1200 mg

NOOTROPIL 1200 mg
PIRACETAM 400 mg
PIRACETAM LPH (R) 400 mg
LUCETAM
NEUROSTIM 400 mg
PIRACETAM 800 mg
PIRACETAM LPH 800 mg
LUCETAM
NEUROSTIM 800 mg
NOOTROPIL 800 mg
MEMOTAL1 g/5 ml
CINARIZINA ARENA 25 mg
STUGERON 25 mg
CINARIZIN 25 mg
ATRICAN 250 mg
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
SOL. INJ.
CAPS.
COMPR.
COMPR.
1mg/ml
1mg/ml
5mg/ml
40mg
10mg
20mg
18mg
36mg
54mg
10mg
18mg
25mg
40mg
60mg
80mg
100mg
100mg
80,5mg/5ml
400mg
400 mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
400mg
1200mg
1200mg
400mg
400mg
400mg
400mg
800mg
800mg
800mg
800mg
800mg
1g/5ml
25mg
25mg
25mg
250mg
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG
GERMANIA
MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG
GERMANIA

BELGIA
BELGIA
BELGIA
ELI LILLY AND COMPANY LTD.
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

ARENA GROUP S.A.

MERCK KGAA
MERCK KGAA
ARENA GROUP SA
ANTIBIOTICE SA
ROMANIA
GERMANIA
GERMANIA
ROMANIA
ROMANIA
MAREA BRITANIE
MEDUMAN SA
ZENTIVA S.A
SLAVIA PHARM SRL
LAROPHARM SRL
FABIOL SA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
MAGISTRA C & C
ROMANIA
SINTOFARM SA
ROMANIA
SINTOFARM SA
ROMANIA
U.C.B. PHARMA S.A. BELGIA

ROMANIA
UNGARIA
ROMANIA
U.C.B. PHARMA S.A. BELGIA
ZENTIVA SA
ROMANIA
TERAPIA SA
ROMANIA
LAROPHARM SRL ROMANIA
LAB. INNOTECH INT. FRANTA
Pagina 5 din 6
Prescriptie
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
amba
L
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI
10
10
S/P-RF
10
S/P-RF
10
S/P-RF
10
S/P-RF
10
30
CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF. PR
30
CUTIE CU BLIST. PVC/PVDC/AL X 30 CAPS. ELIB. MODIF. PR
30
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R
30
30
30
CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF
7
7
28
28
28
CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7 CAPS. P-RF/R
28
CUTIE X 3 BLIST. X 10 DRAJ.
P-6L
30
CUTIE CU 5 BLIST. PVC/AL X 10 DRAJ.
P6L
50
P-6L
1
P-6L
30
20
P-6L
20
CUTIE X 1 FLAC. PE X 40 COMPR.
P-6L
40
P-6L
20
CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR. P-6L
40
20
30
40
20
20
40
P-6L
20
CUTIE CU 10 BLIST. PVC/AL X 10 COMPR. FILM. P6L 100
P-6L
20
60
CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM. P-6L
60
20
P-6L
20
30
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
20
90
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF
5
P-6L
40
P-6L
40
P-6L
60
CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF
8
P-RF
P-RF
5.58
10.57
29.14
33.06
23.88
64.04
23.05
47.84
95.80
192.42
229.23
296.84
103.33
103.33
388.16
388.16
388.16
555.80
18.01
33.34
40.59
10.57
2.36
2.36
4.04
8.34
4.64
1.94
2.93
4.44
3.10
3.45
6.46
6.72
50.00
3.50
6.33
7.04
2.36
6.76
5.96
6.63
4.41
33.27
8.97
3.30
7.04
4.51
11.56
0.558000
1.057000
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
40.590000
0.352333
0.118000
0.118000
0.101000
0.417000
0.116000
0.097000
0.097666
0.111000
0.155000
0.172500
0.161500
0.336000
0.500000
0.175000
0.105500
0.117333
0.118000
0.338000
0.198666
0.221000
0.220500
0.369666
1.794000
0.082500
0.176000
0.075166
1.445000
0.558000
0.669600
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
40.590000
0.116400
0.116400
0.116400
0.101000
0.116400
0.116000
0.097000
0.097666
0.111000
0.116400
0.116400
0.116400
0.336000
0.403200
0.116400
0.105500
0.116400
0.116400
0.238399
0.198666
0.221000
0.220500
0.238399
1.794000
0.082500
0.090199
0.075166
1.445000
0.558000
0.669600
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
40.590000
0.116400
0.116400
0.116400
0.101000
0.116400
0.116000
0.097000
0.097666
0.111000
0.116400
0.116400
0.116400
0.336000
0.403200
0.116400
0.105500
0.116400
0.116400
0.238399
0.198666
0.221000
0.220500
0.238399
1.794000
0.082500
0.090199
0.075166
1.445000
cod
ATC
264 R06AX13
Denumire Comerciala
PYRANTELUM
HELMINTOX (R) 125 mg
PYRANTELUM
HELMINTOX (R) 250 mg
PYRANTELUM
HELMINTOX (R)
TIXOCORTOLUM
PIVALONE 1%
COMBINATII
BIORINIL
FUSAFUNGINUM
BIOPAROX
EPHEDRINI HYDROCHLORIDUM EFEDRINA ARENA
EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml
OMALIZUMABUM**
XOLAIR 150 mg
OMALIZUMABUM**
XOLAIR 75 mg
ACETYLCYSTEINUM
ACC INJECT 300mg/3ml
ACETYLCYSTEINUM
FLUIMUCIL 2% PEDIATRIC
ACETYLCYSTEINUM
FLUIMUCIL
CARBOCISTEINUM
HUMEX EXPECTORANT PENTRU COPII SI SUGARI
CARBOCISTEINUM
RHINATHIOL 2% pentru copii si sugari
CARBOCISTEINUM
MUCOTREIS
CARBOCISTEINUM
FLUIDOL 100mg/5ml
PROMETHAZINUM
ROMERGAN
MECLOZINUM
EMETOSTOP
CYPROHEPTADINUM
PERITOL
CYPROHEPTADINUM
CIPROHEPTADINA 4 mg
CYPROHEPTADINUM
PERITOL
CYPROHEPTADINUM
BIOHEPT
LORATADINUM
CLARITINE
LORATADINUM
CLARITINE
LORATADINUM
CLARITINE
LORATADINUM
LORATADINA BIOFARM 5mg/5ml
LORATADINUM
FLONIDAN
265 R06AX27
COMBINATII (DESLORATADINUM+ PSEUDOEPHEDRINE)
AERINAZE (vezi R06AX27) 2,5mg/120mg
266 S01AA13
ACIDUM FUSIDICUM
KANAMYCINUM
COMBINATII
FLUOROMETHOLONUM
FLUOROMETHOLONUM
INDOMETACINUM
COMBINATII
FUCITHALMIC 10mg/g
KANAMICINA SULFAT 1%
ANTIBIOPTAL
FLUMETOL S
Nr. crt
237 P02CC01
238 P02CC01
239 P02CC01
240 R01AD07
241 R01ADN1
242 R02AB03
243 R03CA02
244 R03CA02
245 R03DX05
246 R03DX05
247 R05CB01
248 R05CB01
249 R05CB01
250 R05CB03
251 R05CB03
252 R05CB03
253 R05CB03
254 R06AD02
255 R06AE05
256 R06AX02
257 R06AX02
258 R06AX02
259 R06AX02
260 R06AX13
261 R06AX13
262 R06AX13
263 R06AX13
267 S01AA24
268 S01AA30
269 S01BA07
270 S01BA07
271 S01BC01
272 S02CA05
DCI
FLUMETOL S UNGUENT OFTALMIC
INDOCOLLYRE (R) 0,1%

SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON
tara det.
APP
Ambalaj
125mg
LAB. INNOTECH INT. FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF
250mg
LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM.
P-RF
125mg/2,5ml LAB. INNOTECH INT. FRANTA CUTIE X 1 FLACON X 15 ML + LINGURITA DOZATOARE X 2,5 ML P-RF
SUSP. NAZALA 1%
PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL P-RF
SPRAY NAZ.,SUSP. FARA CONCENTRATIE FARMILA FARMACEUTICI MILANO SPA ITALIA
CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR P-RF
50mg/10ml LES LABORATOIRES SERVIER FRANTA
P-RF
COMPR.
50mg
SOL. INJ.
50mg/ml
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S
SOL INJ.
150mg
NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA PR
SOL INJ.
75mg
NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 0.5ML SOLUTIE INJECTABILA PR
SOL. INJ.
300mg/3ml HEXAL AG
GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. S/P-RF
SOL. ORALA 2%
ZAMBON S.P.A.
ITALIA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SOL. ORALA + MASURA DOZATOARE (5 SI 10 ML)
P-RF
300mg/3ml ZAMBON S.P.A.
ITALIA
S/P-RF
SIROP
100mg/5ml LAB. URGO
FRANTA CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML P-RF
SIROP
2%
SANOFI-AVENTIS OTC FRANTA CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE P-RF
SIROP
20mg/ml
ECOBI PHARMACEUTICI ITALIA
CUTIE X 1 FLACON DIN STICLA BRUNA X 150 ML SIROP + MASURA DOZATOARE A 10 ML
P-RF
SOL. ORALA 100mg/5ml TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML P-RF
SIROP
5mg/5ml
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 ML SIROP + MASURA DOZATOARE P-RF
COMPR.
30mg
SPECIFAR SA
GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
COMPR.
4mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6L
COMPR.
4mg
SIROP
2mg/5ml
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE PP P-6L
SIROP
2mg/5ml
BIOFARM S.A.
ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE P-6L
SIROP
1mg/ml
SCHERING-PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L
SIROP
1mg/ml
SCHERING-PLOUGH EUROPE BELGIA
CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L
SIROP
1mg/ml
MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L
SIROP
5mg/5ml
BIOFARM S.A.
ROMANIA
P-RF
SUSP. ORALA 5mg/5ml
LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE P-6L
2,5mg/120mg SP EUROPE
BELGIA CUTIE X 10 COMPR.FILM.ELIB.MODIF. ( BLIST.PCTFE/PVC/AL) P-RF
GEL OFT.
10mg/g
LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC P-6L
UNG. OFT. 1%
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB AL X 6 G
P-RF
PICATURI OFT.-SOL. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA
CUTIE X 1 FLACON PICURATOR X 10 ML P-RF
PICATURI OFT.SUSP. 2mg/ml
FARMILA - THEA FARMACEUTICI SPA ITALIA
CUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP. P-RF
UNG. OFT. 1mg/g
FARMILA - THEA FARMACEUTICI SPA ITALIA
CUTIE X 1 TUB X 5G
P-RF
LAB. CHAUVIN
FRANTA CUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML P-6L
SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA
ROMANIA CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA P-RF
forma farm.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA
concentratie
Detinator APP
Prescriptie
SPRAY BUCOFARINGIAN SI NAZAL-SOL.
CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC.
SOL.INJ./INHAL.NEBULIZ./INSTILATIE ENDOTRAHEOBRON.
CUTIE X 5 FIOLE DIN STICLA X 3 ML SOL.INJ/SOL.PT.INHALAT PRIN NEBULIZATOR/SOL.PT.INSTILATIE ENDOTRAH
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2
Nota:
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se face pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Caselor
Judetene de Asigurari de Sanatate;
Medicamentele din aceast sublist corespund DCI-urilor din CANAMED altele dect cele din sublistele A, B si C1. Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele
corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru care
sunt prevazute in aceste subliste .
Pagina 6 din 6
VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
amba
L
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI
6
3.47
0.578333
0.578333
0.578333
3
3.47
1.156666
1.156666
1.156666
1
6.56
6.560000
6.560000
6.560000
1 10.48 10.480000 10.480000 10.480000
1 25.87 25.870000 25.870000 25.870000
1 20.02 20.020000 20.020000 20.020000
30
9.38
0.312666
0.312666
0.312666
5
6.18
1.236000
1.236000
1.236000
1 1,576.28 1,576.280000 1,576.280000 1,576.280000
1 915.38 915.380000 915.380000 915.380000
5
7.55
1.510000
1.510000
1.510000
1 13.13 13.130000 13.130000 13.130000
5
8.24
1.648000
1.648000
1.648000
1
8.01
8.010000
8.010000
8.010000
1
9.18
9.180000
9.180000
9.180000
1
8.81
8.810000
8.810000
8.810000
1
3.53
3.530000
3.530000
3.530000
1
2.80
2.800000
2.800000
2.800000
10
3.59
0.359000
0.359000
0.359000
20
3.25
0.162500
0.162500
0.162500
30
4.90
0.163333
0.163333
0.163333
1
5.58
5.580000
5.580000
5.580000
1
5.79
5.790000
5.790000
5.790000
1
9.03
9.030000
9.030000
9.030000
1 17.98 17.980000 14.400000 14.400000
1 17.98 17.980000 14.400000 14.400000
1
7.09
7.090000
7.090000
7.090000
1 12.00 12.000000 12.000000 12.000000
10 21.00
2.100000
2.100000
2.100000
1 14.96 14.960000 14.960000 14.960000
1
6.39
6.390000
6.390000
6.390000
1 13.13 13.130000 13.130000 13.130000
1 32.02 32.020000 32.020000 32.020000
1 10.12 10.120000 10.120000 10.120000
1 14.50 14.500000 14.500000 14.500000
1
3.39
3.390000
3.390000
3.390000

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ANEXA 1

RANITIDIN ARENA 150mg

NIZATIDIN VIM SPECTRUM 150 mg

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

CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L

CUTIE X 1 FLAC. PE X 20 COMPR. FILM.

CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

CUTIE X 2 BLIST. X 10 COMPR. FILM.

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

MEDOCHEMIE LTD. CIPRU

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

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

AC HELCOR PHARMA SRL

SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L

GEDEON RICHTER ROMANIA SA

CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ.

CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L

CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ.

CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ.

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ.

CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ.

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L

CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ.

CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ.

DR. REDDY'S LABORATORIES

CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L

CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ. P-6L

CUTIE X 1 FLAC. X 7 COMPR. FILM. GASTROREZ. P-6L

LIOF. PT. SOL. PERF.

OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA PULB. PT. SOL. PERF.

PULB. PT. SOL. PERF. FARA CONCENTRATIE

CAPS. ELIB. PREL.

GRAN. PT. SUSP. ORALA

PAPAVERINA ARENA 100 mg COMPR.

MESALAZINA DUO 400 mg

ASTRAZENECA AB SUEDIA CUTIE X 5 FLAC. X 45 MG LIOF. PT. SOL. PERF.

E.I.P.I.CO. MED SRL

PFIZER EUROPE MA EEIG

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

MIP PHARMA GMBH

107 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

MESALAZINA DUO 800 mg

108 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

FERGLUROM FORTE 50 mg/ml

109 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

FERRUM HAUSMANN (R)

110 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)

PROPAFENON SANDOZ 150 mg

CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI

LIOF. PT. SOL. PERF.

TRIMETAZIDIN VIM SPECTRUM 20 mg

TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL.

COMPR. FILM. ELIB. MODIF.

TRIMETAZIDINA LPH (R) 35 mg

COMPR. FILM. ELIB. MODIF.