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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 2014

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

cod ATC
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
A02BA02
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
A02BC01
A02BC01
A02BC01

DCI

RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
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
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.

ARNETIN
FAMODIN 20
FAMOTIDINA ZENTIVA 20mg
QUAMATEL 20 mg
FAMOTIDINA ZENTIVA 40 mg
FAMODIN 40
QUAMATEL 20 mg

SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PULB+SOLV. PT. SOL. INJ./PERF.

NIZATIDIN VIM SPECTRUM 150 mg

CAPS.

OMEPRAZOL AUROBINDO 10 mg

CAPS. GASTROREZ.

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
OMEPRAZOL FARMEX 20 mg
NOVOGAST 20 mg
OMEPRAZOL LPH 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ROMPHARM 20 mg

CAPS. GASTROREZ.

ORTANOL 20 mg
HELICID 20
HELICID 20
OMEZ 20mg

CAPS. GASTROREZ.

OMEPRAZOL AUROBINDO 20 mg

CAPS. GASTROREZ.

OMZATOL 20 mg
OMZATOL 20 mg
OMZATOL 20 mg
OMZATOL 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ZENTIVA 20 mg

CAPS. GASTROREZ.

ORTANOL 40 mg

CAPS. GASTROREZ.

OMEPRAZOL AUROBINDO 40 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.
CAPS. GASTROREZ.

concentratie

150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300mg
300mg
25mg/ml
20mg
20mg
20mg
40mg
40mg
20mg
150mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg

Detinator APP

tara det.
APP

Ambalaj

ARENA GROUP SA

Prescriptie

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 CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM.
MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. FILM.
LAROPHARM SRL
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL 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
GEDEON RICHTER ROMANIA SA ROMANIA
VIM SPECTRUM SRL ROMANIA

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
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
P-6L
P-6L
P-6L
P-6L

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

MACEDONIA

CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ.

KRKA D.D.

P6L
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

AUROBINDO PHARMA (MALTA) LIMITED

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
LABORMED PHARMA SA 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

CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ.

P-6L

CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ.

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 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

AUROBINDO PHARMA (MALTA) LIMITED

MACEDONIA

CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 28 CAPS. GASTROREZ.

P6L

ROMANIA
ROMASTRU TRADING S.R.L. ROMANIA
NEOLA PHARMA S.R.L. ROMANIA
NEOLA PHARMA S.R.L. ROMANIA

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L

ZENTIVA K.S.

CEHIA

CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ.

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L


MACEDONIA CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ. P6L

ROMASTRU TRADING S.R.L.

AUROBINDO PHARMA (MALTA) LIMITED

Pagina 1 din 193

CUTIE X 4 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 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L

P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
20
20
20
20
20
20
20
30
20
5
30
30
28
30
30
5
20
14
14
14
20
28
30
30
30
30
20
10
30
14
14
28
30
28
14
28
28
14
28
7
14

4.55
4.56
4.55
7.01
3.99
4.55
4.56
4.55
13.00
8.66
12.67
8.89
5.86
9.45
7.72
12.31
24.64
18.23
4.61
14.45
14.45
12.80
21.42
22.68
22.53
22.02
20.85
16.95
6.49
22.16
8.07
10.06
18.38
21.42
8.94
10.71
21.42
21.42
10.71
18.38
8.03
12.76

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
2.534000
0.296333
0.195333
0.337500
0.257333
0.410333
4.928000
0.911500
0.329285
1.032142
1.032142
0.640000
0.765000
0.756000
0.751000
0.734000
0.695000
0.847500
0.649000
0.738666
0.576428
0.718571
0.656428
0.714000
0.319285
0.765000
0.765000
0.765000
0.765000
0.656428
1.147142
0.911428

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

0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.384599
0.384599
1.678945
0.192299
0.192299
0.192299
0.257333
0.384599
4.928000
0.192299
0.329285
0.670349
0.670349
0.640000
0.670349
0.670349
0.670349
0.670349
0.670349
0.670349
0.649000
0.670349
0.576428
0.670349
0.656428
0.670349
0.319285
0.670349
0.670349
0.667574
0.667574
0.656428
1.147142
0.911428

0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.346139
0.346139
1.511050
0.173069
0.173069
0.173069
0.231599
0.346139
4.435200
0.173069
0.296356
0.603314
0.603314
0.576000
0.603314
0.603314
0.603314
0.603314
0.603314
0.603314
0.584100
0.603314
0.518785
0.603314
0.590785
0.603314
0.287356
0.603314
0.603314
0.600816
0.600816
0.590785
1.032427
0.820285

Nr crt.

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

cod ATC
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03
A03AA04
A03AA04
A03AA04
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AA05
A03AD01
A03AD01

A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A03FA03
A03FA03
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A06AD11
A07AA02
A07EC01
A07EC01
A07EC02
A07EC02

DCI

OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM

Denumire Comerciala

OMEDAR (R)
LOSEC MUPS 10 mg
OMEDAR 20 mg
LOSEC MUPS 20 mg
OMEZ 40 mg
OMEPRAZOL ZENTIVA 40 mg

HELICID 40 INF
LEVANT 15 mg
LANZUL
LEVANT 30 mg
LANZAP 30mg
DUSPATALIN 200 mg
DUSPATALIN 200 mg
COLOSPASMIN
TRIMEBUTIN 100
COLPERIN 100 mg
DEBRIDAT 100 mg
DEBRIDAT 200 mg
IBUTIN (R) 300 mg
DEBRIDAT

forma farm.
COMPR. FILM. GASTROREZ.

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
PULB. PT. SOL. PERF.
PULB. PT. SOL. PERF.

PULB. PT. SOL. PERF. FARA CONCENTRATIE

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

DRAJ.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA

PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg COMPR.


PAPAVERINI HYDROCHLORIDUM PAPAVERINA FARMACOM 200 mg COMPR.

METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
DOMPERIDONUM
DOMPERIDONUM
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*
ACIDUM URSODEOXYCHOLICUM*

LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
NYSTATINUM
SULFASALAZINUM
SULFASALAZINUM
MESALAZINUM**
MESALAZINUM**

METOCLOPRAMID
N - METOCLOPRAMID
METOCLOPRAMID 10 mg

concentratie

20mg
10mg
20mg
20mg
40mg
40mg

COMPR.
COMPR.
COMPR.
METOCLOPRAMID ARENA 10 mg COMPR.
METOCLOPRAMID BIOFARM 1mg/5ml SIROP
METOCLOPRAMID 10 mg
SOL. INJ.
MOTILIUM 10 mg
COMPR. FILM.
OROPERIDYS 10 mg
COMPR. ORODISPERSABILE
URSOFALK (R)
CAPS.
URSOFALK (R)
CAPS.
URSOSAN
CAPS.
URSOROM 250 mg
CAPS.
URSOCHOL 150 mg
COMPR.
URSOCHOL 300 mg
COMPR.
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 500 mg
COMPR. FILM.
URSOFALK 250 mg/5 ml
SUSP. ORALA
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
COMPR. FILM. GASTROREZ.
SALAZIDIN GR 500 mg
COMPR. GASTROREZ.
PENTASA 1 g
COMPR. CU ELIB. PREL.
PENTASA 500mg
COMPR. ELIB. PREL.

15mg
30mg
30mg
30mg
200mg
200mg
100mg
100mg
100mg
100mg
200mg
300mg
24mg/5ml
100mg
200 mg
10mg
10mg
10mg
10mg
1mg/5ml
5mg/ml
10mg
10mg
250mg
250mg
250mg
250mg
150mg
300mg
500mg
500mg
250mg/5ml
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
500.000ui
500mg
500mg
1g
500mg

DAR AL DAWA PHARMA S.R.L.

tara det.
APP
ROMANIA

CUTIE X 1 FLAC. DE STICLA BRUNA X 14 COMPR. FILM. GASTROREZ.

ASTRAZENECA AB

SUEDIA

CUTIE CU 1 FLAC. PEID X 14 COMPR. GASTROREZ. P6L

DAR AL DAWA PHARMA S.R.L.

ROMANIA

CUTIE X 1 FLAC. DE STICLA BRUNA X 28 COMPR. FILM. GASTROREZ.

ASTRAZENECA AB

SUEDIA

CUTIE CU 1 FLAC. PEID X 7 COMPR. GASTROREZ. P6L

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATE DE 15 ML CU PULB.PT. SOL. PERF.

S/P-RF

ZENTIVA K.S.
ZENTIVA K.S.
RANBAXY UK LTD.

CEHIA
CEHIA

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

S/P-RF

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

S/P-RF

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L

Detinator APP

Ambalaj

Prescriptie

P-6L
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L

DR. REDDY'S LABORATORIES

ROMANIA

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

P-6L

OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL.


ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL.
E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
MAGISTRA C & C
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-6L

ABBOTT HEALTHCARE PRODUCTS B.V.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

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


CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L

ZENTIVA SA

ROMANIA

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA BRUNA X 152,5 G GRANULE PT. 250ML SUSP. + MASURA DOZATOARE

ARENA GROUP SA
FARMACOM S.A.
SLAVIA PHARM SRL
MEDUMAN SA
TERAPIA SA
ARENA GROUP SA
BIOFARM S.A.
TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 1 FLAC. PE X 40 COMPR.
P-6L
CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 1 FLAC. X 40 COMPR.
P-6L

PIERRE FABRE MEDICAMENT PRODUCTION

FRANTA

P-6L

CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-6L

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

P6L

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.


P6L
GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
P-6L
CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
P-6L
ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH
PRO. MED. CS PRAHA AS
ROMPHARM COMPANY S.R.L.

ZAMBON S.P.A.
ZAMBON S.P.A.

DR. FALK PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L
DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L
DR. FALK PHARMA GMBH GERMANIA
ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP

P6L

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML

P-6L

MIP PHARMA GMBH GERMANIA


MIP PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

P-6L

ROMPHARM COMPANY SRL

ROMANIA

CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE

P-6L

FRESENIUS KABI AUSTRIA GMBH

AUSTRIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D

P-RF

ANTIBIOTICE SA

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

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L
AC HELCOR PHARMA S.R.L.

ROMANIA

FERRING GMBH
FERRING GMBH

GERMANIA CUTIE CU 6 BLIST. AL/AL X 10 COMPR. CU ELIB. PREL. P6L


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

Pagina 2 din 193

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

P6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

14
14
28
7
1
1
1
14
14
14
20
30
30
20
30
30
30
30
20
1
20
20
40
40
40
40
1
5
10
30
100
50
50
60
60
20
50
100
1
1
1
1
1
1
1
1
20
50
50
60
100

14.45
33.19
14.45
24.96
16.22
16.22
16.22
6.56
13.13
11.36
16.66
25.07
25.07
9.03
11.12
11.12
17.13
33.61
36.01
12.05
4.42
8.54
4.01
1.36
5.39
1.39
8.69
12.02
12.31
25.07
124.28
71.49
68.77
55.47
54.19
35.88
136.52
268.17
97.49
10.37
10.42
3.47
17.23
33.34
6.73
3.57
9.24
28.24
28.20
197.11
143.02

Pret
amanuntul
maximal/UT
(RON)

1.032142
2.370714
0.516071
3.565714
16.220000
16.220000
16.220000
0.468571
0.937857
0.811428
0.833000
0.835666
0.835666
0.451500
0.370666
0.370666
0.571000
1.120333
1.800500
12.050000
0.221000
0.427000
0.100250
0.034000
0.134750
0.034750
8.690000
2.404000
1.231000
0.835666
1.242800
1.429800
1.375400
0.924500
0.903166
1.794000
2.730400
2.681700
97.490000
10.370000
10.420000
3.470000
17.230000
33.340000
6.730000
3.570000
0.462000
0.564800
0.564000
3.285166
1.430200

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

0.670349
0.335174
0.516071
0.670349
14.597999
14.597999
14.597999
0.335174
0.670349
0.670349
0.670349
0.835666
0.835666
0.417833
0.370665
0.370665
0.370665
0.741334
1.112002
12.050000
0.193837
0.387675
0.046012
0.034000
0.046012
0.034750
8.690000
2.404000
0.046012
0.046012
1.242800
1.340850
1.340850
0.924500
0.804510
1.609021
2.681700
2.681700
67.042564
6.957322
10.169999
3.389999
16.949999
33.340000
6.730000
3.494307
0.461999
0.564800
0.564000
1.611998
0.805999

0.603314
0.301656
0.464463
0.603314
13.138199
13.138199
13.138199
0.301656
0.603314
0.603314
0.603314
0.752099
0.752099
0.376049
0.333598
0.333598
0.333598
0.667200
1.000801
10.845000
0.174453
0.348907
0.041410
0.030600
0.041410
0.031275
7.821000
2.163600
0.041410
0.041410
1.118520
1.206765
1.206765
0.832050
0.724059
1.448118
2.413530
2.413530
60.338307
6.261589
9.152999
3.050999
15.254999
30.006000
6.057000
3.144876
0.415799
0.508320
0.507600
1.450798
0.725399

Nr crt.

94
95
96
97
98
99

cod ATC

DCI

114 B03AA07

MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
ACENOCUMAROLUM
ACENOCUMAROLUM
TICLOPIDINUM1)
TICLOPIDINUM1)
PHYTOMENADIONUM
FERROSI SULFAS
FERROSI SULFAS

115 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

116 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

117 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

118 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

119 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

120 B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

121 B03AEN1

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)

122 B03BB01

ACIDUM FOLICUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
CHINIDINI SULFAS
CHINIDINI SULFAS
CHINIDINI SULFAS
CHINIDINI SULFAS
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
PROPAFENONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
AMIODARONUM
NITROGLYCERINUM

A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02

100 A07EC02
101 A07EC02
102 A07EC02
103 A07EC02
104 A07EC02
105 A07EC02
106 A07EC02
107 A07EC02
108 B01AA07
109 B01AA07
110 B01AC05
111 B01AC05
112 B02BA01
113 B03AA07

123 C01AA05
124 C01AA05
125 C01AA05
126 C01AA05
127 C01BA01
128 C01BA01
129 C01BA01
130 C01BA01
131 C01BC03
132 C01BC03
133 C01BC03
134 C01BC03
135 C01BC03
136 C01BC03
137 C01BC03
138 C01BC03
139 C01BC03
140 C01BD01
141 C01BD01
142 C01BD01
143 C01BD01
144 C01DA02

Denumire Comerciala

forma farm.

concentratie

250mg
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg
MESALAZINA DUO 400 mg
400mg
MESALAZINA SOFARFARM 400 mg
400mg
MESALAZINA DUO 800 mg
800mg
MESALAZINA DUO 800 mg
800mg
MESALAZINA SOFARFARM 800 mg
800mg
MESALAZINA SOFARFARM 800 mg
800mg
PENTASA 1000mg
SUPOZ.
1000mg
SALOFALK 1 g
SUPOZ.
1g
SALOFALK (R) 250 mg
SUPOZ.
250mg
SALOFALK (R) 500 mg
SUPOZ.
500mg
SALOFALK 4 g/ 60 ml
SUSP. RECTALA 4g/60ml
TROMBOSTOP 2 mg
COMPR.
2mg
SINTROM 4 mg
COMPR.
4mg
TICLODIN
COMPR. FILM. 250mg
IPATON
COMPR. FILM. 250mg
FITOMENADION 10 mg/ml
SOL. INJ.
10mg/ml
FERROGRADUMET (R)
COMPR. ELIB. PREL. 105mg
TARDYFERON 80 mg
DRAJ. ELIB. PREL. 80mg
MALTOFER
COMPR. MAST. 100mg
FER ROMPHARM 50 mg/ml PIC. ORALE, SOL. 50mg/ml
FERGLUROM FORTE 50 mg/ml PICATURI ORALE, SOL. 50mg/ml
FERRUM HAUSMANN (R)
PICATURI ORALE-SOL. 50mg/ml
FERRUM HAUSMANN (R)
SIROP
10mg/ml
FERGLUROM 50mg/5ml
SIROP
50mg/5ml
SORBIFER DURULES
COMPR. FILM. FARA CONCENTRATIE
ACIFOL 5 mg
COMPR. FILM. 5mg
DIGOXIN 0,25 mg
COMPR.
0,25mg
DIGOXIN ZENTIVA 0,25 mg COMPR.
0,25mg
DIGOXIN 0,5 mg/2 ml
SOL. INJ.
0,5mg/2ml
DIGOXIN ZENTIVA 0,5 mg/2ml SOL. INJ.
0,5mg/2ml
CHINIDINA ARENA 200 mg COMPR.
200mg
CHINIDINA ARENA 200 mg COMPR.
200mg
CHINIDINA ARENA 200 mg COMPR.
200mg
CHINIDINA ARENA 200 mg COMPR.
200mg
PROPAFENONA ARENA 150 mg COMPR.
150mg
PROPAFENONA ARENA 150 mg COMPR.
150mg
RYTMONORM (R)
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON AL 150
COMPR. FILM. 150mg
PROPAFENON SANDOZ 150 mg COMPR. FILM. 150mg
PROPANORM 300 mg
COMPR. FILM. 300mg
RYTMONORM
SOL. INJ.
70mg/20ml
AMIODARONA LPH 200 mg COMPR.
200mg
AMIODARONA ARENA 200 MG COMPR.
200mg
CORDARONE 200 mg
COMPR. DIVIZ. 200mg
AMIOKORDIN
SOL INJ.
150mg/3ml
NITROMINT 2,6 mg
COMPR. ELIB. PREL. 2,6mg
SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ.

Detinator APP

tara det.
APP

Ambalaj

DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L
DR. FALK PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L

COMPR. GASTROREZISTENTE

DUO FARMACEUTICI S.R.L.

ROMANIA

CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

COMPR. GASTROREZISTENTE

SOFARFARM S.R.L. ROMANIA

CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

COMPR. GASTROREZISTENTE

DUO FARMACEUTICI S.R.L.

ROMANIA
ROMANIA
SOFARFARM S.R.L. ROMANIA
SOFARFARM S.R.L. ROMANIA

CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

COMPR. GASTROREZISTENTE

DUO FARMACEUTICI S.R.L.

CUTIE CU 6 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

Prescriptie

DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L

CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE


CUTIE CU 6 BLIST. PVC/AL X 15 COMPR. GASTROREZISTENTE

P6L
P6L
P6L
P6L
P6L
P6L

FERRING GMBH

GERMANIA CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI P-6L
DR. FALK PHARMA GMBH GERMANIA CUTIE CU FOLII TERMOSUDATE PVC/PE X 30 SUPOZ. P6L
DR. FALK PHARMA GMBH GERMANIA

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.


CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 7 BLIST. AL/PE CONTINAND FIECARE CATE 1 FLACON UNIDOZA X 60 ML SUSPENSIE RECTALA + APLICA

DR. FALK PHARMA GMBH GERMANIA

TERAPIA SA
NOVARTIS PHARMA GMBH

AC HELCOR SRL
EGIS PHARMACEUTICALS P.L.C.

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


GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM.
ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML

TERAPIA SA
TEOFARMA SRL
ITALIA
LAB. PIERRE FABRE FRANTA
VIFOR FRANCE S.A. FRANTA
ROMPHARM COMPANY SRL

ROMANIA
ROMANIA

P-6L
P-6L
P-6L
P-RF
P-RF
P-RF
P-RF
S/P-RF

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

P-6L

CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC.

P-6L

CUTIE CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 30 ML PIC. ORALE, SOL.

BIOFARM S.A.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE
BIOFARM S.A.
ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM.
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ZENTIVA S.A.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.
ZENTIVA S.A.
ROMANIA
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE S

P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-RF
P-RF
S/P-RF
S/P-RF

P-RF

PRF
PRF
PRF
P-RF
P-RF

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

P-RF

CUTIE X 2 BLIST. X 25 COMPR. FILM.


CUTIE X 1 BLIST. X 20 COMPR. FILM.
CUTIE X 4 BLIST. X 25 COMPR. FILM.

P-RF

P-RF

PRO. MED. CS PRAHA CEHIA

CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM.


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

ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF

LABORMED PHARMA SA ROMANIA

ABBOTT GMBH&CO.KG GERMANIA


ALIUD PHARMA GMBH & CO.KG GERMANIA
ALIUD PHARMA GMBH & CO.KG GERMANIA
ALIUD PHARMA GMBH & CO.KG GERMANIA
HEXAL AG
GERMANIA

P-RF
P-RF

P-RF

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

P-RF

ARENA GROUP SA

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

P-RF

SANOFI-AVENTIS FRANCE

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

P-RF

CN UNIFARM S.A.

ROMANIA CUTIE X 5 FIOLE X 3ML SOLUTIE INJECTABILA PRF


UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L

EGIS PHARMACEUTICALS P.L.C.

Pagina 3 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

100
100
50
60
60
60
90
60
90
28
30
10
10
7
30
20
20
20
5
30
30
30
1
1
1
1
1
50
30
25
25
5
5
20
20
30
50
20
100
50
50
20
100
50
50
5
30
30
30
5
60

67.24
120.94
73.85
46.88
46.88
89.05
128.96
89.05
128.96
173.80
223.62
21.74
36.00
169.61
6.53
6.76
35.53
33.37
14.64
8.58
12.08
21.49
8.78
8.81
13.53
15.39
10.06
14.85
7.40
3.34
3.34
7.97
7.97
12.37
13.25
19.26
30.82
8.03
36.25
32.02
18.71
7.49
34.95
18.09
40.30
36.79
9.01
7.33
13.87
18.49
9.88

Pret
amanuntul
maximal/UT
(RON)

0.672400
1.209400
1.477000
0.781333
0.781333
1.484166
1.432888
1.484166
1.432888
6.207142
7.454000
2.174000
3.600000
24.230000
0.217666
0.338000
1.776500
1.668500
2.928000
0.286000
0.402666
0.716333
8.780000
8.810000
13.530000
15.390000
10.060000
0.297000
0.246666
0.133600
0.133600
1.594000
1.594000
0.618500
0.662500
0.642000
0.616400
0.401500
0.362500
0.640400
0.374200
0.374500
0.349500
0.361800
0.806000
7.358000
0.300333
0.244333
0.462333
3.698000
0.164666

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

0.402998
0.805999
0.805999
0.644798
0.644798
1.289599
1.289599
1.289599
1.289599
6.207142
6.207142
1.551780
3.103571
24.230000
0.181166
0.338000
0.603000
0.603000
2.928000
0.286000
0.232091
0.644699
8.780000
8.809999
8.809999
8.809999
5.873333
0.297000
0.246666
0.133600
0.133600
1.594000
1.594000
0.617975
0.617975
0.617975
0.616400
0.362325
0.362325
0.362325
0.362325
0.362325
0.349500
0.361800
0.724650
7.358000
0.272333
0.244333
0.272333
3.697999
0.137972

0.362698
0.725399
0.725399
0.580318
0.580318
1.160639
1.160639
1.160639
1.160639
5.586427
5.586427
1.396602
2.793213
21.807000
0.163049
0.304200
0.542700
0.542700
2.635200
0.257400
0.208881
0.580229
7.902000
7.928999
7.928999
7.928999
5.285999
0.267300
0.221999
0.120240
0.120240
1.434600
1.434600
0.556177
0.556177
0.556177
0.554760
0.326092
0.326092
0.326092
0.326092
0.326092
0.314550
0.325620
0.652185
6.622200
0.245099
0.219899
0.245099
3.328199
0.124174

Nr crt.

cod ATC

145 C01DA02
146 C01DA02
147 C01DA02
148 C01DA08
149 C01DA08
150 C01DA14
151 C01DA14
152 C01DA14
153 C01DA14
154 C01EA01
155 C01EA01
156 C01EB15
157 C01EB15
158 C01EB15
159 C01EB15
160 C01EB15
161 C01EB15
162 C01EB15
163 C01EB15
164 C01EB15
165 C01EB15
166 C01EB15
167 C01EB15
168 C01EB15
169 C02AB01
170 C02AC01
171 C02AC01
172 C02AC01
173 C03AA03
174 C03BA11
175 C03BA11
176 C03BA11
177 C03BA11
178 C03BA11
179 C03BA11
180 C03BA11
181 C03BA11
182 C03BA11
183 C03BA11
184 C03BA11
185 C03BA11
186 C03BA11
187 C03BA11
188 C03BA11
189 C03BA11
190 C03BA11
191 C03BA11
192 C03BA11
193 C03BA11
194 C03CA01
195 C03CA01

DCI

NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ALPROSTADILUM***
ALPROSTADILUM***
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
METHYLDOPUM
CLONIDINUM
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

Denumire Comerciala

NITROGLICERINA 0,5 mg
NITRODERM (R) TTS 5
NITROMINT

forma farm.
COMPR. SUBLING.
SIST. TERAP. TRANSDERM.

SPRAY SUBLINGUAL

ISOSORBIDE DINITRATE 10 mg COMPR.

ISODINIT(R) RETARD
OLICARD 40 mg RETARD
MONO ROM SR 40 mg
MONO ROM SR 60 mg
MONONITRON (R) EP 60 mg
PRIDAX 20mcg
VASAPROSTAN 20

COMPR. ELIB. PREL.

CAPS. ELIB. PREL.


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

CONC. PT. SOL. PERF.

LIOF. PT. SOL. PERF.

CAPS.
TRIMETAZIDINA ATB 35 mg COMPR. CU ELIB. PREL.
APSTAR 35 mg
COMPR. ELIB. PREL.
TRIMELUZINE 35 mg
COMPR. ELIB. PREL.
MODUXIN MR 35 mg
COMPR. ELIB. PREL.
TRIMETAZIDINA TEVA 35 mg COMPR. ELIB. PREL.
MODUXIN (R) 20 mg
COMPR. FILM.
DILATAN 20 mg
COMPR. FILM.

TRIMETAZIDIN VIM SPECTRUM 20 mg

TRIMETAZIDINA LPH (R) 20 mg

COMPR. FILM.
COMPR. FILM.

PREDUCTAL 20 mg
PREDUCTAL MR 35 mg

COMPR. FILM. ELIB. MODIF.

TRIMETAZIDINA LPH (R) 35 mg

COMPR. FILM. ELIB. MODIF.

PREDUTRIM 20 mg/ml
DOPEGYT

PIC. ORALE, SOL.

COMPR.
CLONIDINA SINTOFARM 0,15 mg COMPR.
CLONIDINA ARENA 0,15 mg COMPR.
CLONIDINA ARENA 0,15 mg COMPR.
NEFRIX 25 mg
COMPR.
SERDIMID 1,5 mg
COMPR. CU ELIB. PREL.
SERDIMID 2,5 mg
COMPR. CU ELIB. PREL.
INDAPAMIDA TERAPIA 1,5 mg
INDAPAMIDA TERAPIA 2,5mg

COMPR. CU ELIB. PRELUNGITA


COMPR. CU ELIB. PRELUNGITA

INDAPAMIDA MYLAN 1,5 mg


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.

INDAPAGAMMA 1,5 mg
INDAPAMID LPH (R) 2,5 mg

COMPR. ELIB. PREL.

INDAPAMID SR 1,5 mg LAROPHARM

INDAPAMID LPH (R) 1,5 mg


RAWEL SR 1,5 mg
IMPAMID SR 1,5 mg
INDAPAMIDA ACTAVIS 1,5 mg

REDITENS SR 1.5 mg
INDAPEN SR 1,5 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA

COMPR. ELIB. PREL.


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

COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR.
COMPR.

concentratie

0,5mg
25mg
0,4mg/doza
10mg
20mg
40mg
40mg
60mg
60mg
20mcg
20g
20mg
35mg
35mg
35mg
35mg
35mg
20mg
20mg
20mg
20mg
35mg
35mg
20mg/ml
250mg
0,15mg
0,15mg
0,15mg
25mg
1,5mg
2,5mg
1,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
40mg
40mg

Detinator APP

ZENTIVA SA

tara det.
APP
ROMANIA

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

Prescriptie

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L

UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR.
PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL.

EGIS PHARMACEUTICALS P.L.C.

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

ABBOTT PRODUCTS GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L
ROMPHARM COMPANY S.R.L.
ROMPHARM COMPANY S.R.L.

ZENTIVA S.A

ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L


ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L
ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L

GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF
UCB PHARMA GMBH GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. PRF
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. P6L
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL.
P6L
SANDOZ S.R.L.
ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL. P6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. CU ELIB. PRELUNG. P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. ELIB. PREL. P6L
GEDEON RICHTER ROMANIA SA 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.

LES LAB. SERVIER IND. FRANTA

P-6L

CUTIE X 2 BLIST. AL/PVC X 30 COMPR. FILM. ELIB. MODIF. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. MODIF. P-6L

ROMANIA
UNGARIA
SINTOFARM SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP S.A. ROMANIA
ZENTIVA SA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

ROMPHARM COMPANY S.R.L.


EGIS PHARMACEUTICALS P.L.C.

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. PEID + APLICATOR PT. PICURARE DIN PEJD X 50 ML PIC. ORALE

P6L

CUTIE X 1 FLAC. X 50 COMPR.


P-6L
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 1 FLAC. X 50 COMPR.
P-6L
CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L
CUTIE CU 2 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL.

P6L
P6L

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. CU ELIB. PREL.

P-6L

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

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


CUTIE CU BLIST DIN PVC/AL X 30 COMPR. 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


VIM SPECTRUM SRL ROMANIA

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

GLENMARK PHARMACEUTICALS SRL

ROMANIA
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

P-6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL.

P-6L

WORWAG PHARMA GMBH & CO. KG

P-6L

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

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L

GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL.

P6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L

LAROPHARM SRL

ROMANIA

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

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
KRKA D.D. NOVO MESTO SLOVENIA

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

GEDEON RICHTER ROMANIA SA

ROMANIA

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

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA

DR. REDDY'S LABORATORIES

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.

P-6L
P-6L

MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L


SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

Pagina 4 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
3.87
10 18.47
1 15.30
60
2.14
60
3.94
20 12.02
20 11.86
20 18.49
40 36.41
5 328.95
10 521.11
30
7.61
30 16.72
60 33.41
60 26.64
30 16.56
60 23.56
30
7.61
30 14.61
60 15.24
60 23.44
60 49.74
60 33.39
1 12.33
50 26.73
50 12.00
50 12.34
50 12.33
25
4.18
30 13.68
30 15.07
30 13.30
30 14.90
30 12.60
30 21.05
30 13.68
30 10.66
30 13.68
30 13.31
30 13.68
30 12.62
30 15.07
20
9.11
30 13.68
30 11.71
30 13.16
30 13.68
30 13.68
30
9.88
20
3.02
20
3.02

Pret
amanuntul
maximal/UT
(RON)

0.193500
1.847000
15.300000
0.035666
0.065666
0.601000
0.593000
0.924500
0.910250
65.790000
52.111000
0.253666
0.557333
0.556833
0.444000
0.552000
0.392666
0.253666
0.487000
0.254000
0.390666
0.829000
0.556500
12.330000
0.534600
0.240000
0.246800
0.246600
0.167200
0.456000
0.502333
0.443333
0.496666
0.420000
0.701666
0.456000
0.355333
0.456000
0.443666
0.456000
0.420666
0.502333
0.455500
0.456000
0.390333
0.438666
0.456000
0.456000
0.329333
0.151000
0.151000

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

0.115256
1.847000
15.300000
0.035666
0.065666
0.265331
0.265331
0.397996
0.397996
55.530750
52.111000
0.253666
0.443915
0.443915
0.443915
0.443915
0.392666
0.253666
0.253666
0.253666
0.253666
0.443915
0.443915
12.330000
0.534600
0.216642
0.216642
0.216642
0.167200
0.343424
0.502333
0.343424
0.496666
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.502333
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.329333
0.151000
0.151000

0.103730
1.662300
13.770000
0.032099
0.059099
0.238797
0.238797
0.358196
0.358196
49.977675
46.899900
0.228299
0.399523
0.399523
0.399523
0.399523
0.353399
0.228299
0.228299
0.228299
0.228299
0.399523
0.399523
11.097000
0.481140
0.194977
0.194977
0.194977
0.150480
0.309081
0.452099
0.309081
0.446999
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.452099
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.296399
0.135900
0.135900

Nr crt.

cod ATC

DCI

211 C03DA01

FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM

212 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

213 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

214 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

215 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

216 C04AD03

PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
PROPRANOLOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
SOTALOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM

196 C03CA01
197 C03CA01
198 C03CA01
199 C03CA01
200 C03CA01
201 C03CA01
202 C03DA01
203 C03DA01
204 C03DA01
205 C03DA01
206 C03DA01
207 C03DA01
208 C03DA01
209 C03DA01
210 C03DA01

217 C04AD03
218 C04AD03
219 C04AD03
220 C04AD03
221 C04AD03
222 C04AD03
223 C04AD03
224 C04AD03
225 C04AD03
226 C07AA05
227 C07AA05
228 C07AA05
229 C07AA05
230 C07AA05
231 C07AA05
232 C07AA07
233 C07AA07
234 C07AA07
235 C07AA07
236 C07AA07
237 C07AA07
238 C07AA07
239 C07AA07
240 C07AB02
241 C07AB02
242 C07AB02
243 C07AB02
244 C07AB02
245 C07AB02
246 C07AB02

Denumire Comerciala

FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.

concentratie

40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
SPIRONOLACTONA ARENA 25 mg
25mg
SPIRONOLACTONA LPH 25 mg
25mg
VEROSPIRON
50mg
SPIRONOLACTONA ARENA 50 mg
50mg
SPIRONOLACTONA EEL 25 mg
25mg
SPIRONOLACTONA BIOEEL 25 mg
25mg
SPIRONOLACTONA 25 mg COMPR. FILM. 25mg
ALSPIRON 25 mg
COMPR. FILM. 25mg
ALSPIRON 50 mg
COMPR. FILM. 50mg
DIUROCARD 50 mg/20 mg
CAPS.
50mg/20 mg
DIUREX 50
CAPS.
50mg/20mg
DIOCOR 50 mg/20 mg
CAPS.
50mg/20mg
DIOCOR 50 mg/20 mg
CAPS.
50mg/20mg
PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg
PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg
PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg
PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg
VASONIT RETARD 600 mg COMPR. ELIB. PREL. 600mg
ANGIOPENT 400 mg
COMPR. FILM. ELIB. PREL. 400mg
PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg
PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg
OXIFLUX 400 mg
COMPR. FILM. ELIB. PREL. 400mg
ANGIOPENT 600 mg
COMPR. FILM. ELIB. PREL. 600mg
PROPRANOLOL EEL 10 mg COMPR.
10 mg
N - PROPRANOLOL 10 mg COMPR.
10mg
PROPRANOLOL 10 mg
COMPR.
10mg
PROPRANOLOL EEL 40 mg COMPR.
40mg
PROPRANOLOL 40 mg
COMPR.
40mg
PROPRANOLOL ARENA 40 mg COMPR.
40mg
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
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 LAROPHARM 100 mg COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg

Detinator APP

BIO EEL SRL


ZENTIVA SA
LABORMED PHARMA SA

ARENA GROUP S.A.


BIO EEL SRL
ZENTIVA SA
GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


LABORMED PHARMA S.A.
GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


BIO EEL SRL
BIO EEL SRL
TERAPIA SA
AC HELCOR PHARMA SRL
AC HELCOR PHARMA SRL

LABORMED PHARMA S.A.

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Ambalaj

Prescriptie

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 1 FLAC. DIN PEID X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

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 X 3 BLIST. AL/PVC X 10 CAPS.


P-6L
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L

TERAPIA SA
SANIENCE S.R.L.
SANIENCE S.R.L.
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVACIA
SLOVACIA
SLOVACIA
SLOVACIA

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

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

P-6L

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

P-6L

ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
LABORMED PHARMA S.A. ROMANIA
AC HELCOR PHARMA SRL ROMANIA
BIO EEL S.R.L.
ROMANIA
SC MEDUMAN SA
ROMANIA
SINTOFARM SA
ROMANIA
BIO EEL SRL
ROMANIA
SINTOFARM SA
ROMANIA
ARENA GROUP SA ROMANIA
AC HELCOR PHARMA SRL

WORWAG PHARMA GMBH & CO. KG

ALIUD PHARMA GMBH


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

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


P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L
CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P6L
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L

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

CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L


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

CUTIE CU 2 BLIST. PVC/AL X 25 COMPR. P6L


CUTIE X 1 FLAC. X 50 COMPR.
P-6L
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

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


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

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


GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR.
GERMANIA CUTIE X 2 BLIST. PP/AL X 10 COMPR.
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR.
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR.
ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L
AC HELCOR PHARMA SRL

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

P-6L

EGIS PHARMACEUTICALS P.L.C.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR.

P-6L

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


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

P-6L

ROMANIA
UNGARIA
LABORMED PHARMA SA ROMANIA
LAROPHARM SRL
ROMANIA

ALIUD PHARMA GMBH & CO.KG


ALIUD PHARMA GMBH & CO.KG

P-6L

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


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

Pagina 5 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
20
20
20
20
5
30
50
60
30
30
20
20
50
20
20
30
20
30
20
20
50
50
100
50
20
40
20
60
20
50
50
50
50
50
50
100
20
50
100
20
100
100
50
30
30
20
30
20
30
100

5.42
6.02
3.04
6.02
5.42
6.07
28.51
16.07
19.46
16.72
16.24
4.30
4.30
16.21
4.30
13.74
31.48
23.31
31.48
23.31
10.25
20.54
33.83
65.38
33.65
6.13
22.42
17.21
18.40
16.46
3.25
3.22
4.10
4.98
4.98
4.98
58.44
11.17
26.93
54.63
10.06
39.32
36.53
17.52
14.05
10.94
6.56
7.12
5.86
9.12
19.75

Pret
amanuntul
maximal/UT
(RON)

0.271000
0.301000
0.152000
0.301000
0.271000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215000
0.324200
0.215000
0.687000
1.049333
1.165500
1.049333
1.165500
0.512500
0.410800
0.676600
0.653800
0.673000
0.306500
0.560500
0.860500
0.306666
0.823000
0.065000
0.064400
0.082000
0.099600
0.099600
0.099600
0.584400
0.558500
0.538600
0.546300
0.503000
0.393200
0.365300
0.350400
0.468333
0.364666
0.328000
0.237333
0.293000
0.304000
0.197500

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

0.151500
0.151500
0.151500
0.151500
0.151500
1.214000
0.882583
0.220645
0.220645
0.441291
0.441291
0.215000
0.215000
0.220645
0.215000
0.441291
1.049333
1.049333
1.049333
1.049333
0.417066
0.410800
0.625599
0.625599
0.625599
0.306500
0.417066
0.417066
0.306666
0.625599
0.030404
0.030404
0.030404
0.099600
0.099600
0.099600
0.486472
0.486472
0.486472
0.486472
0.243236
0.243236
0.243236
0.243236
0.273499
0.273499
0.273499
0.237333
0.273499
0.273499
0.197500

0.136350
0.136350
0.136350
0.136350
0.136350
1.092600
0.794324
0.198580
0.198580
0.397161
0.397161
0.193500
0.193500
0.198580
0.193500
0.397161
0.944399
0.944399
0.944399
0.944399
0.375359
0.369720
0.563039
0.563039
0.563039
0.275850
0.375359
0.375359
0.275999
0.563039
0.027363
0.027363
0.027363
0.089640
0.089640
0.089640
0.437824
0.437824
0.437824
0.437824
0.218912
0.218912
0.218912
0.218912
0.246149
0.246149
0.246149
0.213599
0.246149
0.246149
0.177750

cod ATC

DCI

247 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
METOPROLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM

Nr crt.

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 C07AB02
272 C07AB02
273 C07AB02
274 C07AB02
275 C07AB02
276 C07AB02
277 C07AB03
278 C07AB03
279 C07AB03
280 C07AB03
281 C07AB03
282 C07AB03
283 C07AB03
284 C07AB03
285 C07AB05
286 C07AB05
287 C07AB05
288 C07AB05
289 C07AB05
290 C07AB07
291 C07AB07
292 C07AB07
293 C07AB07
294 C07AB07
295 C07AB07
296 C07AB07
297 C07AB07

Denumire Comerciala

METOPROLOL AL 100
METOPROLOL 100 mg

forma farm.

METOPROLOL 50 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

METOPROLOL RETARD 100 mg

COMPR. ELIB. PREL.

METOPROLOL TARTRAT AUROBINDO 100 mg

COMPR. FILM.
COMPR. FILM.

METOPROLOL TERAPIA 100 mg


METOPROLOL VIM SPECTRUM 100 mg

METOPROLOL ARENA 100 MG

METOPROLOL 100 mg
EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg
METOPROLOL ARENA 25 MG
METOPROLOL LAROPHARM 50 mg

BETAPROL 50 mg
EGILOK 50 mg
METOPROLOL LPH 50 mg
METOPROLOL AL 50
METOPROLOL AL 50
METOPROLOL AL 50
METOPROLOL 50 mg
METOPROLOL TERAPIA 50 mg
METOPROLOL VIM SPECTRUM 50 mg

METOPROLOL ARENA 50 MG

METOPROLOL TARTRAT AUROBINDO 50 mg

BETALOC (R) ZOK 100 mg


BETALOC (R) ZOK 50 mg

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

METOSUCCINAT SANDOZ 190 mg


METOSUCCINAT SANDOZ 47,5 mg
METOSUCCINAT SANDOZ 95 mg

COMPR.FILM.ELIB.MOD.

ATENOCOR 100 mg
ATENOLOL LPH 100 mg
ATENOLOL ARENA 100 MG
ATENOLOL LPH 50 mg
ATENOLOL MEDUMAN 50mg
ATENOCOR 50 mg
ATENOLOL ARENA 50 MG
ATENOLOL 100 mg MEDO
LOKREN 20 mg
BETAC
BETAC
BETAC
BETAC
BISOPROLOL LPH 10mg
BISOBLOCK 10 mg
BISOPROLOL LPH 5mg
BISOBLOCK 5 mg
BOREZ 10 mg
CONCOR 10 mg
BISOGAMMA (R) 10
BISOGAMMA (R) 10

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR.FILM.ELIB.MOD.
COMPR.FILM.ELIB.MOD.

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

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

concentratie

100mg
100mg
100mg
100mg
100mg
100mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
50mg
100mg
50mg
190mg
47,5mg
95mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
100mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
5mg
5mg
10 mg
10mg
10mg
10mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

50
30
P-6L
30
P-6L
20
P-6L
30
P-6L
20
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100
CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L
20
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
30
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
30
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
HEXAL AG
GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L
30
AC HELCOR SRL
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L
20
AC HELCOR SRL
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
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
MEDOCHEMIE LTD. CIPRU
CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L
28
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
30
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L
14
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
30
ACTAVIS GROUP PTC EHF. ISLANDA 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 GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L
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
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-6L
30
ALIUD PHARMA GMBH & CO.KG

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

MAGISTRA C & C SRL ROMANIA


TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LABORMED PHARMA SA ROMANIA
MAGISTRA C & C SRL ROMANIA
ARENA GROUP S.A. ROMANIA
LAROPHARM SRL
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
LABORMED PHARMA SA ROMANIA
ALIUD PHARMA GMBH GERMANIA
ALIUD PHARMA GMBH GERMANIA
ALIUD PHARMA GMBH GERMANIA
MAGISTRA C & C SRL ROMANIA
TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP S.A. ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA

Pagina 6 din 193

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

13.00
9.49
15.12
7.38
7.01
8.09
1.90
1.90
2.85
2.85
3.51
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
11.12
9.09
5.24
25.70
15.69
22.71
8.14
13.59
10.83
7.04
6.26
3.93
3.70
5.35
3.56
4.61
9.61
14.84
15.89
10.60
7.41
18.12
16.18
8.55
7.32
10.51
31.83
49.43
18.12

Pret
amanuntul
maximal/UT
(RON)

0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.095000
0.095000
0.095000
0.095000
0.175500
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.556000
0.303000
0.174666
0.856666
0.523000
0.757000
0.271333
0.453000
0.361000
0.352000
0.313000
0.196500
0.185000
0.178333
0.178000
0.230500
0.343214
0.530000
0.529666
0.530000
0.529285
0.604000
0.539333
0.285000
0.244000
0.350333
1.061000
0.494300
0.604000

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

0.260000
0.273499
0.273499
0.273499
0.233666
0.273499
0.068374
0.068374
0.068374
0.068374
0.136749
0.136749
0.136749
0.136749
0.136749
0.084000
0.136749
0.136749
0.136749
0.136749
0.136749
0.136749
0.273499
0.273499
0.136749
0.273499
0.136749
0.519649
0.129912
0.259824
0.361000
0.352000
0.313000
0.196500
0.185000
0.178333
0.178000
0.230500
0.343214
0.410249
0.410249
0.410249
0.410249
0.410249
0.410249
0.205124
0.205124
0.350333
0.410249
0.410249
0.410249

0.234000
0.246149
0.246149
0.246149
0.210299
0.246149
0.061536
0.061536
0.061536
0.061536
0.123074
0.123074
0.123074
0.123074
0.123074
0.075600
0.123074
0.123074
0.123074
0.123074
0.123074
0.123074
0.246149
0.246149
0.123074
0.246149
0.123074
0.467684
0.116920
0.233841
0.324900
0.316800
0.281700
0.176850
0.166500
0.160499
0.160200
0.207450
0.308892
0.369224
0.369224
0.369224
0.369224
0.369224
0.369224
0.184611
0.184611
0.315299
0.369224
0.369224
0.369224

Nr crt.

cod ATC

298 C07AB07
299 C07AB07
300 C07AB07
301 C07AB07
302 C07AB07
303 C07AB07
304 C07AB07
305 C07AB07
306 C07AB07
307 C07AB07
308 C07AB07
309 C07AB07
310 C07AB07
311 C07AB07
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 C07AG02
333 C07AG02
334 C07AG02
335 C07AG02
336 C07AG02
337 C07AG02
338 C07AG02
339 C07AG02
340 C07AG02
341 C07AG02
342 C07AG02
343 C08CA01
344 C08CA01
345 C08CA01
346 C08CA01
347 C08CA01
348 C08CA01

DCI

BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
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

Denumire Comerciala

BISOTENS 10 mg
BISOPROLOL FUMARAT AUROBINDO 10 mg

CONCOR COR 10 mg
SOBYC 10 mg
BOREZ 2,5 mg
CONCOR COR 2,5 mg
SOBYC 2,5 mg
CONCOR 5 mg
BISOGAMMA (R) 5
BISOGAMMA (R) 5
BISOTENS 5 mg
BISOPROLOL FUMARAT AUROBINDO 5 mg

CONCOR COR 5 mg
SOBYC 5 mg
CARVEDILOL SANDOZ

tara det.
forma farm. concentratie
APP
Detinator APP
Ambalaj
COMPR. FILM. 10mg
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 10mg
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM. P6L
COMPR. FILM. 10mg
MERCK KGAA
GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
COMPR. FILM. 10mg
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 2,5 mg
ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L
COMPR. FILM. 2,5mg
MERCK KGAA
GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
COMPR. FILM. 2,5mg
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 5mg
MERCK KGAA
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
COMPR. FILM. 5mg
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-6L
COMPR. FILM. 5mg
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM.
P-6L
COMPR. FILM. 5mg
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
COMPR. FILM. 5mg
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM. P6L
COMPR. FILM. 5mg
MERCK KGAA
GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
COMPR. FILM. 5mg
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

Prescriptie

COMPR.

12,5 mg
12,5 mg
DILATREND (R) 12,5 mg
COMPR.
12,5mg
CORYOL 12,5 mg
COMPR.
12,5mg
TALLITON (R) 12,5 mg
COMPR.
12,5mg
CARVEDILOL LPH 12,5 mg 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
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
CARVEDILOL HELCOR 25 mg COMPR.
25mg
CARVEDILOL SANDOZ 25 mg COMPR.
25mg
DILATREND (R) 6,25 mg
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
CARVEDILOL SANDOZ 6,25 mg COMPR.
6,25mg
CARVEDILOL AUROBINDO 12,5mg COMPR. FILM. 12,5mg
CARVEDILOL AUROBINDO 25mg COMPR. FILM. 25mg
CARVEDILOL AUROBINDO 6,25mg COMPR. FILM. 6,25mg
AMLODIPINA TEVA 10 mg
COMPR.
10 mg
NORVASC 10 mg
COMPR.
10mg
AMLOHEXAL 10 mg
COMPR.
10mg
TENOX (R) 10
COMPR.
10mg
AMLODIPINE MEDOCHEMIE 10 mg COMPR.
10mg
CARDILOPIN 10 mg
COMPR.
10mg
CARVEDILOL SANDOZ 12,5 mg COMPR.

HEXAL AG
HEXAL AG

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

P-6L

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L


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
LABORMED PHARMA SA ROMANIA

VIM SPECTRUM SRL ROMANIA


ANTIBIOTICE S.A.
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA
AC HELCOR PHARMA SRL ROMANIA
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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

HEXAL AG

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

P-6L

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

P-6L

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


SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA

ANTIBIOTICE S.A.

P-6L
P-6L

HEXAL AG

GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L


ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

HEXAL AG

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

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


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.
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR.
HEXAL AG
GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.
LABORMED PHARMA SA ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P6L
P6L
P6L
P6L
P6L

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

HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

P-6L

UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR.

P-6L

EGIS PHARMACEUTICALS P.L.C.

Pagina 7 din 193

P-6L
P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
30
30
30
30
30
30
30
30
100
30
30
30
30
30
30
28
28
30
30
20
30
30
20
28
28
30
30
30
30
30
20
30
28
28
30
30
30
20
30
30
30
28
28
28
30
30
30
30
30
30

18.12
13.67
32.72
10.05
8.07
14.76
6.04
16.33
8.55
25.01
8.55
7.87
22.31
6.04
8.20
8.20
29.94
12.48
13.30
13.36
6.72
13.10
13.36
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
15.72
9.18
16.46
6.44
6.89
5.33
6.89
4.56
6.70
6.89
5.33
14.81
21.99
7.32
11.53
29.68
19.28
19.26
13.13
19.28

Pret
amanuntul
maximal/UT
(RON)

0.604000
0.455666
1.090666
0.335000
0.269000
0.492000
0.201333
0.544333
0.285000
0.250100
0.285000
0.262333
0.743666
0.201333
0.273333
0.273333
1.069285
0.445714
0.443333
0.445333
0.336000
0.436666
0.445333
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.786000
0.306000
0.587857
0.230000
0.229666
0.177666
0.229666
0.228000
0.223333
0.229666
0.177666
0.528928
0.785357
0.261428
0.384333
0.989333
0.642666
0.642000
0.437666
0.642666

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

0.410249
0.410249
0.410249
0.335000
0.102562
0.102562
0.102562
0.205124
0.205124
0.205124
0.205124
0.205124
0.205124
0.201333
0.273333
0.273333
0.349205
0.349205
0.349205
0.349205
0.336000
0.349205
0.349205
0.349205
0.698410
0.698410
0.698410
0.306000
0.698410
0.698410
0.698410
0.698410
0.306000
0.174602
0.174602
0.174602
0.174602
0.174602
0.174602
0.174602
0.174602
0.174602
0.349205
0.698410
0.174602
0.384333
0.578249
0.578249
0.578249
0.437666
0.578249

0.369224
0.369224
0.369224
0.301500
0.092305
0.092305
0.092305
0.184611
0.184611
0.184611
0.184611
0.184611
0.184611
0.181199
0.245999
0.245999
0.314284
0.314284
0.314284
0.314284
0.302400
0.314284
0.314284
0.314284
0.628569
0.628569
0.628569
0.275400
0.628569
0.628569
0.628569
0.628569
0.275400
0.157141
0.157141
0.157141
0.157141
0.157141
0.157141
0.157141
0.157141
0.157141
0.314284
0.628569
0.157141
0.345899
0.520424
0.520424
0.520424
0.393899
0.520424

Nr crt.

cod ATC

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 C08CA01
379 C08CA01
380 C08CA01
381 C08CA01
382 C08CA01
383 C08CA01
384 C08CA01
385 C08CA02
386 C08CA02
387 C08CA02
388 C08CA02
389 C08CA02
390 C08CA02
391 C08CA02
392 C08CA02
393 C08CA02
394 C08CA02
395 C08CA02
396 C08CA02
397 C08CA02
398 C08CA02
399 C08CA05

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
NIFEDIPINUM

Denumire Comerciala

ALMACOR 10 mg
EPLODIN 10 mg
AMLODIPIN VIM SPECTRUM 10 mg

AMLODIPINA LPH 10 mg
STAMLO M 10 mg
AMLODIPINA BIOGALENICA 10 mg

AMLODIPINA TERAPIA 10 mg
AMLODIPINA TERAPIA 10 mg
AMLODIPINA AUROBINDO 10 mg

RECOTENS 10 mg
AGEN 10
AMLODIPINA ACTAVIS 10 mg
AMLODIPINA ZENTIVA 10 mg
AMLODIPINA HELCOR 10 mg
AMLODIPINA ARENA 10 mg
AMLODIPINA TEVA 5 mg
NORVASC 5 mg
AMLOHEXAL 5 mg
TENOX (R) 5
AMLODIPINE MEDOCHEMIE 5 mg

CARDILOPIN 5 mg
ALMACOR 5 mg
EPLODIN 5 mg
AMLODIPIN VIM SPECTRUM 5 mg

AMLODIPINA LPH 5 mg
STAMLO M 5 mg
AMLODIPINA BIOGALENICA 5 mg

AMLODIPINA TERAPIA 5 mg
AMLODIPINA TERAPIA 5 mg
AMLODIPINA AUROBINDO 5 mg

RECOTENS 5 mg
AGEN 5
AMLODIPINA ACTAVIS 5 mg
AMLODIPINA ZENTIVA 5 mg
AMLODIPINA HELCOR 5 mg
AMLODIPINA ARENA 5 mg
PLENDIL
FELODIPIN AL 10 mg
PLENDIL
FELODIPIN AL 2,5 mg
PLENDIL
FELODIPIN AL 5 mg
SISTAR 10 mg
SISTAR 2,5 mg
SISTAR 5 mg
AURONAL 10 mg
FELODIPIN SANDOZ 10 mg
AURONAL 2,5 mg
AURONAL 5 mg
FELODIPIN SANDOZ 5 mg
ADALAT CR 30

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. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. ELIB. MODIF.

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5 mg
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
5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
2,5mg
5mg
5mg
30mg

Detinator APP

ANTIBIOTICE S.A.
EXTRACTUMPHARMA

VIM SPECTRUM SRL


LABORMED PHARMA S.A.
DR. REDDY'S LABORATORIES

ARENA GROUP S.A.


TERAPIA SA
TERAPIA SA

tara det.
APP
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Ambalaj

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

Prescriptie

P-6L

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


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

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

P-6L

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


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

ICN POLFA RZESZOW S.A.

MALTA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L


POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L

AUROBINDO PHARMA (MALTA) LIMITED

ZENTIVA K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L


ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
A.C. HELCOR PHARMA S.R.L.

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


HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR.
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

PFIZER EUROPE MA EEIG

EGIS PHARMACEUTICALS P.L.C.

ANTIBIOTICE S.A.
EXTRACTUMPHARMA

VIM SPECTRUM SRL


LABORMED PHARMA S.A.
DR. REDDY'S LABORATORIES

ARENA GROUP S.A.


TERAPIA SA
TERAPIA SA

UNGARIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

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

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

P-6L

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


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

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

P-6L

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


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
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
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

ICN POLFA RZESZOW S.A.

MALTA
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L

AUROBINDO PHARMA (MALTA) LIMITED

ZENTIVA K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L


CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L


ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

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

ASTRAZENECA AB

SUEDIA

CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.

ASTRAZENECA AB

SUEDIA

CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.

P-6L

ASTRAZENECA AB

SUEDIA

CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL.

P-6L

ALIUD PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. ELIB. PREL.

P-6L

GEDEON RICHTER ROMANIA SA

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

EGIS PHARMACEUTICALS P.L.C.

ROMANIA
ROMANIA
ROMANIA
UNGARIA

HEXAL AG

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA
UNGARIA

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

HEXAL AG
GERMANIA
BAYER PHARMA AG GERMANIA

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

GEDEON RICHTER ROMANIA SA


GEDEON RICHTER ROMANIA SA

EGIS PHARMACEUTICALS P.L.C.

Pagina 8 din 193

P-6L

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

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

CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF.

P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
30
20
30
28
30
30
30
30
30
30
20
30
20
30
30
30
30
30
30
30
30
30
20
30
28
30
30
30
30
30
30
20
30
20
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28

19.28
19.26
12.85
19.28
14.67
19.28
19.31
19.31
7.38
14.05
8.49
12.85
8.49
12.87
19.28
5.76
19.94
11.37
11.40
7.81
11.37
11.36
11.37
7.44
11.37
8.75
7.89
10.82
10.82
5.25
7.63
4.10
7.58
4.10
8.63
7.89
50.21
33.73
22.26
14.47
28.37
18.44
30.42
14.47
18.43
42.57
30.52
16.47
26.66
15.69
29.88

Pret
amanuntul
maximal/UT
(RON)

0.642666
0.642000
0.642500
0.642666
0.523928
0.642666
0.643666
0.643666
0.246000
0.468333
0.283000
0.642500
0.283000
0.643500
0.642666
0.192000
0.664666
0.379000
0.380000
0.260333
0.379000
0.378666
0.379000
0.372000
0.379000
0.312500
0.263000
0.360666
0.360666
0.175000
0.254333
0.136666
0.379000
0.136666
0.431500
0.263000
1.673666
1.124333
0.742000
0.482333
0.945666
0.614666
1.014000
0.482333
0.614333
1.419000
1.017333
0.549000
0.888666
0.523000
1.067142

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

0.578249
0.578249
0.578249
0.578249
0.523928
0.578249
0.578249
0.578249
0.246000
0.468333
0.283000
0.578249
0.283000
0.578249
0.578249
0.192000
0.289124
0.289124
0.289124
0.260333
0.289124
0.289124
0.289124
0.289124
0.289124
0.289124
0.263000
0.289124
0.289124
0.175000
0.254333
0.136666
0.289124
0.136666
0.289124
0.263000
0.578249
0.578249
0.144562
0.144562
0.289124
0.289124
0.578249
0.144562
0.289124
0.578249
0.578249
0.144562
0.289124
0.289124
0.289124

0.520424
0.520424
0.520424
0.520424
0.471535
0.520424
0.520424
0.520424
0.221400
0.421499
0.254700
0.520424
0.254700
0.520424
0.520424
0.172800
0.260211
0.260211
0.260211
0.234299
0.260211
0.260211
0.260211
0.260211
0.260211
0.260211
0.236700
0.260211
0.260211
0.157500
0.228899
0.122999
0.260211
0.122999
0.260211
0.236700
0.520424
0.520424
0.130105
0.130105
0.260211
0.260211
0.520424
0.130105
0.260211
0.520424
0.520424
0.130105
0.260211
0.260211
0.260211

Nr crt.

cod ATC

400 C08CA05
401 C08DA01
402 C08DA01
403 C08DA01
404 C08DA01
405 C08DA01
406 C08DA01
407 C08DA01
408 C08DA01
409 C08DA01
410 C08DA01
411 C08DA01
412 C08DB01
413 C08DB01
414 C08DB01
415 C08DB01
416 C08DB01
417 C08DB01
418 C08DB01
419 C08DB01
420 C09AA01
421 C09AA01
422 C09AA01
423 C09AA01
424 C09AA01
425 C09AA01
426 C09AA01
427 C09AA01
428 C09AA01
429 C09AA01
430 C09AA01
431 C09AA01
432 C09AA01
433 C09AA01
434 C09AA02
435 C09AA02
436 C09AA02
437 C09AA02
438 C09AA02
439 C09AA02
440 C09AA02
441 C09AA02
442 C09AA02
443 C09AA02
444 C09AA02
445 C09AA02
446 C09AA02
447 C09AA02
448 C09AA02
449 C09AA02
450 C09AA02

DCI

NIFEDIPINUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
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
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

tara det.
forma farm. concentratie
APP
Denumire Comerciala
Detinator APP
Ambalaj
NIFEDIPIN RETARD TERAPIA 20 mg COMPR. FILM. ELIB. PREL. 20mg
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
VERAPAMIL ARENA 40 mg CAPS.
40mg
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.
VERAPAMIL ARENA 80 mg CAPS.
80mg
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.
CORDAMIL 40
COMPR. FILM. 40mg
AC HELCOR SRL
ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.
VERAPAMIL AL 80
COMPR. FILM. 80mg
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM.
VERAPAMIL AL 80
COMPR. FILM. 80mg
ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM.
CORDAMIL 80
COMPR. FILM. 80mg
AC HELCOR SRL
ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.
ISOPTIN (R) 80 mg
COMPR. FILM. 80mg
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.

ISOPTIN RR
VERAPAMIL 40 mg
VERAPAMIL 80 mg
DILACORAN

COMPR. FILM. ELIB. PREL.

DRAJ.
DRAJ.
SOL INJ.

DILTIAZEM SR ROMPHARM 180 mg CAPS. ELIB. PREL.

DILTIAZEM SR ROMPHARM 90 mg CAPS. ELIB. PREL.

DILTIAZEM EIPICO 60 mg
DILTIAZEM LPH 60 mg
DILTIAZEM ARENA 60 mg
DILTIAZEM BIOEEL 60 mg
DILTIAZEM BIOEEL 60 mg
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
CAPTOPRIL SINTOFARM 25 mg

CAPTOPRIL ARENA 25 mg
CAPTOPRIL ARENA 50 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL - AC 50 mg
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL SLAVIA 10 mg
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

ENALAPRIL LAROPHARM 10 mg

ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM. ELIB. PREL.

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.

240mg
40mg
80mg
5mg/2ml
180mg
90mg
60mg
60mg
60mg
60mg
60mg
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
20mg
20mg
20mg
20mg

ABBOTT GMBH&CO.KG GERMANIA

ROMANIA
ROMANIA
ABBOTT PRODUCTS ROMANIA SRL ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP SA ROMANIA
BIO EEL SRL
ROMANIA
BIO EEL SRL
ROMANIA
SANOFI-AVENTIS ROMANIA S.R.L.
SANOFI-AVENTIS ROMANIA S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AC HELCOR PHARMA SRL

MAGISTRA C & C
LABORMED PHARMA SA

SINTOFARM SA
ARENA GROUP SA
ARENA GROUP SA
TERAPIA SA
BIO EEL SRL
AC HELCOR PHARMA SRL

MAGISTRA C & C
LABORMED PHARMA SA

MAGISTRA C & C
SANDOZ SRL
LABORMED PHARMA SA

KRKA D.D. NOVO MESTO SLOVENIA

SLAVIA PHARM SRL ROMANIA


ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
MERCK SHARP & DOHME

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
VIM SPECTRUM SRL
LAROPHARM SRL
MAGISTRA C & C
SANDOZ SRL

KRKA D.D. NOVO MESTO SLOVENIA

Pagina 9 din 193

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

50
30
30
P-6L
30
P-6L 100
P-6L
50
P-6L
30
P-6L
50
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.
P-6L
50
CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.
P-6L
50
CUTIE CU 5 FIOLE X 5MG/2ML
PR/PRF
5
CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L
30
CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 7 CAPS. ELIB. PREL. P6L
21
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR. P-6L
50
CUTIE X 2 BLIST. DIN AL/ PVC X 10 COMPR. P-6L
20
CUTIE X 5 BLIST. DIN AL/ PVC X 10 COMPR. P-6L
50
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. AL/AL X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/AL X 14 COMPR.
P-6L
28
CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
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
CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
20
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. AL/AL X 10 COMPR.
P-6L
20
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
20
P-6L

P6L
P6L

10.80
3.33
5.96
3.33
21.02
10.51
5.96
15.30
19.91
11.82
17.32
12.73
35.79
7.00
5.39
5.39
13.37
5.39
13.37
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
3.96
4.39
4.39
4.39
10.52
7.30
6.87
11.25
22.02
11.28
4.10
4.39
7.94
10.18
8.75
7.94

Pret
amanuntul
maximal/UT
(RON)

0.216000
0.111000
0.198666
0.111000
0.210200
0.210200
0.198666
0.306000
0.995500
0.236400
0.346400
2.546000
1.193000
0.333333
0.269500
0.269500
0.267400
0.269500
0.267400
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
0.198000
0.219500
0.219500
0.219500
0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.219500
0.397000
0.509000
0.437500
0.397000

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

0.192749
0.094589
0.189180
0.094589
0.189180
0.189180
0.189180
0.189180
0.567540
0.094589
0.189180
2.546000
0.802200
0.333333
0.267400
0.267400
0.267400
0.267400
0.267400
0.401100
0.044578
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.133500
0.178312
0.178312
0.133500
0.150000
0.131000
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.356625
0.356625
0.356625
0.356625

0.173474
0.085130
0.170262
0.085130
0.170262
0.170262
0.170262
0.170262
0.510786
0.085130
0.170262
2.291400
0.721980
0.299999
0.240660
0.240660
0.240660
0.240660
0.240660
0.360990
0.040120
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.120150
0.160480
0.160480
0.120150
0.135000
0.117900
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.320962
0.320962
0.320962
0.320962

Nr crt.

cod ATC

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 C09AA05
492 C09AA05
493 C09AA05
494 C09AA05
495 C09AA05
496 C09AA05
497 C09AA05
498 C09AA05
499 C09AA05
500 C09AA05
501 C09AA05

DCI

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
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
ENALAPRIL LAROPHARM 20 mg COMPR.
ENALAPRIL 5 mg
COMPR.
ENALAPRIL SANDOZ 5 mg COMPR.
ENAP 5 mg
COMPR.
RENITEC 5 mg
COMPR.
ENALAPRIL LPH (R) 5 mg
COMPR.
ENALAPRIL TERAPIA 5 mg COMPR.
ENALAPRIL ARENA 5 mg
COMPR.
ENALAPRIL VIM SPECTRUM 5 mg COMPR.
ENALAPRIL SLAVIA 5 mg
COMPR.
ENALAPRIL LAROPHARM 5 mg COMPR.
ENAP 1,25 mg/ml
SOL. INJ./PERF.
RANOLIP
COMPR.
LISIREN 10 mg
COMPR.
LISINOPRIL SANDOZ 10 mg COMPR.
LISIGAMMA 10 mg
COMPR.
LISINOPRIL 10 MEDO
COMPR.
LISINOPRIL ACTAVIS 10 mg COMPR.
LISINOPRIL ATB 10 MG
COMPR.
TONOLYSIN 10 mg
COMPR.
TONOLYSIN 2,5 mg
COMPR.
RANOLIP
COMPR.
LISIREN 20 mg
COMPR.
LISINOPRIL SANDOZ 20 mg COMPR.
LISIGAMMA 20 mg
COMPR.
LISINOPRIL ACTAVIS 20 mg COMPR.
LISINOPRIL ATB 20 MG
COMPR.
TONOLYSIN 20 mg
COMPR.
LISINOPRIL 20 MEDO
COMPR.
LISINOPRIL ATB 40 MG
COMPR.
RANOLIP
COMPR.
LISIGAMMA 5 mg
COMPR.
LISINOPRIL 5 MEDO
COMPR.
LISINOPRIL ACTAVIS 5 mg COMPR.
TONOLYSIN 5 mg
COMPR.
VIVACE 10 mg
COMPR.
PIRAMIL 10 mg
COMPR.
RAMIPRIL-AC 10 mg
COMPR.
AMPRIL 10 mg
COMPR.
HARTIL 10 mg
COMPR.
ZENRA 10
COMPR.
TRITACE 10
COMPR.
RAMIPRIL AUROBINDO 10 mg COMPR.
AMPRIGEN 10 mg
COMPR.
RAMIPRIL TEVA 10 mg
COMPR.
RAMIRAN 10 mg
COMPR.

tara det.
concentratie
APP
Detinator APP
20mg
MERCK SHARP & DOHME ROMANIA
20mg
TERAPIA SA
ROMANIA
20mg
ARENA GROUP SA ROMANIA
20mg
ARENA GROUP SA ROMANIA
20mg
SLAVIA PHARM S.R.L. ROMANIA
20mg
LAROPHARM SRL
ROMANIA
5mg
MAGISTRA C & C
ROMANIA
5mg
SANDOZ SRL
ROMANIA

5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

Ambalaj

CUTIE X 2 BLIST. AL/AL X 14 COMPR.

Prescriptie

P-6L

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

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


CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
CUTIE X 2 BLIST. X 10 COMPR.
P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
MERCK SHARP & DOHME

ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR.

P-6L

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

P-6L

LABORMED PHARMA SA ROMANIA

TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
LAROPHARM SRL
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

PR/PRF

AC HELCOR SRL
HEXAL AG

CUTIE X 3 BLIST. X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

WORWAG PHARMA GMBH & CO. KG

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

MEDOCHEMIE ROMANIA SRL

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

P-6L

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.


ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

RANBAXY U.K. LIMITED

MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

WORWAG PHARMA GMBH & CO. KG

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

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

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

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.


ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. PVDC/AL X 10 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR.
ACTAVIS GROUP PTC EHF.

P-6L

ANTIBIOTICE SA

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

WORWAG PHARMA GMBH & CO. KG

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

MEDOCHEMIE ROMANIA SRL

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

P-6L

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.


GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
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.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

ACTAVIS GROUP PTC EHF.

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

TERAPIA SA

Pagina 10 din 193

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

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

P6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28
20
30
50
20
20
20
20
20
28
20
20
30
20
20
20
5
30
20
30
30
30
30
30
28
28
30
20
30
30
30
30
28
20
30
30
30
30
30
28
28
28
30
30
28
28
28
28
30
30
30

17.12
11.11
11.12
16.43
7.92
7.94
3.67
3.67
3.67
7.87
3.84
3.93
5.58
3.65
3.67
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
11.96
15.47
8.75
23.11
15.65
15.05
12.93
23.37
23.48
22.90
14.44
39.31
7.64
6.50
8.67
7.37
9.28
9.23
23.28
9.74
24.93
9.21
9.23
14.19
9.49
24.04
9.88
9.88

Pret
amanuntul
maximal/UT
(RON)

0.611428
0.555500
0.370666
0.328600
0.396000
0.397000
0.183500
0.183500
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.398666
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.779000
0.782666
0.817857
0.722000
1.310333
0.254666
0.216666
0.289000
0.245666
0.331428
0.329642
0.831428
0.324666
0.831000
0.328928
0.329642
0.506785
0.338928
0.801333
0.329333
0.329333

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

0.356625
0.356625
0.356625
0.328600
0.356625
0.356625
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
0.089156
3.090000
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.044578
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.713250
0.089156
0.089156
0.089156
0.089156
0.089156
0.329642
0.713250
0.324666
0.713250
0.328928
0.329642
0.506785
0.338928
0.713250
0.329333
0.329333

0.320962
0.320962
0.320962
0.295740
0.320962
0.320962
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
0.080240
2.781000
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.160480
0.040120
0.320962
0.320962
0.320962
0.320962
0.320962
0.320962
0.320962
0.320962
0.641925
0.080240
0.080240
0.080240
0.080240
0.080240
0.296677
0.641925
0.292199
0.641925
0.296035
0.296677
0.456106
0.305035
0.641925
0.296399
0.296399

Nr crt.

cod ATC

DCI

531 C09AA09

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
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM

532 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

533 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

534 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

535 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

536 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

537 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

538 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

539 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

540 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

541 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

542 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

543 C09CA01

LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM

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 C09AA05
524 C09AA05
525 C09AA06
526 C09AA06
527 C09AA06
528 C09AA09
529 C09AA09
530 C09AA09

544 C09CA01
545 C09CA01
546 C09CA01
547 C09CA01
548 C09CA01
549 C09CA01
550 C09CA01
551 C09CA01
552 C09CA01

Denumire Comerciala

RAMIRAN 10 mg
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
AMPRIGEN 2,5 mg
RAMIRAN 2,5 mg
RAMIRAN 2,5 mg
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
RAMIPRIL AUROBINDO 5 mg
AMPRIGEN 5 mg
RAMIPRIL TEVA 5 mg
RAMIRAN 5 mg
RAMIRAN 5 mg
ACCUPRO 10 mg
ACCUPRO (R) 20
ACCUPRO (R) 5
MONOPRIL 10 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.

concentratie

10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
COMPR. FILM. 10mg
COMPR. FILM. 20mg
COMPR. FILM. 5mg
COMPR.
10mg
FOSINOPRIL AUROBINDO 10 mg COMPR.
10mg
MONOPRIL 20 mg
COMPR.
20mg
FOSINOPRIL AUROBINDO 20 mg COMPR.
20mg
ENAP HL
COMPR.
10mg+12,5mg
ENAP H
COMPR.
10mg+25mg
ENAP (R) HL 20 mg/12,5 mg COMPR.
20 mg/12,5mg
VIMAPRIL HL
COMPR.
FARA CONCENTRATIE
VIMAPRIL H
COMPR.
FARA CONCENTRATIE
HARTIL HCT 2,5 mg/12,5mg COMPR.
2,5mg/12,5mg
RAMIPRIL HCT-MEDOCHEMIE COMPR.
2,5mg/12,5mg
TRITACE 2,5 PLUS
COMPR.
2,5mg/12,5mg
HARTIL HCT 5 mg/25mg
COMPR.
5mg/25mg
RAMIPRIL HCT-MEDOCHEMIE COMPR.
5mg/25mg
TRITACE 5 PLUS
COMPR.
5mg/25mg
LODIAL 100mg
COMPR. FILM. 100 mg
TALOSAN 100 mg
COMPR. FILM. 100mg
TALOSAN 100 mg
COMPR. FILM. 100mg
LOZAP 100
COMPR. FILM. 100mg
LORISTA 100 mg
COMPR. FILM. 100mg
LOSARTAN ZENTIVA 100 mg COMPR. FILM. 100mg
LODIAL 50mg
COMPR. FILM. 50 mg
TALOSAN 50 mg
COMPR. FILM. 50mg
TALOSAN 50 mg
COMPR. FILM. 50mg
LOSARTAN FARMAL 50 mg COMPR. FILM. 50mg

Detinator APP

tara det.
APP
ROMANIA

Ambalaj

Prescriptie

TERAPIA SA
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR.
P6L
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.
P-6L
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

P6L

TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF
SANDOZ SRL

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.

ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.


AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

TEVA PHARMACEUTICALS S.R.L.

TERAPIA SA
TERAPIA SA

ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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


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

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

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

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

BRISTOL MYERS SQUIBB KFT

UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

P6L

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L

BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L


AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA


VIM SPECTRUM SRL ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
MEDOCHEMIE LTD. CIPRU
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
MEDOCHEMIE LTD. CIPRU
SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA
ALKALOID-INT D.O.O. SLOVENIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
ZENTIVA A.S.
SLOVACIA

CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS.

P-6L

CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS.

P-6L

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


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

CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

P-6L

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


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

CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

P-6L

CUTIE CU 2 BLIST. DIN PVC/AL X 15 COMPR. FILM. P6L


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

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

P6L
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPR. FILM. P6L

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

ZENTIVA A.S.
TERAPIA SA
TERAPIA SA

FARMAL INTERNATIONAL S.R.L.

ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM.


ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC-PE- PVDC/AL X 14 COMPR. FILM.

Pagina 11 din 193

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
28
28
30
30
28
28
28
30
30
30
28
28
30
30
28
28
28
28
30
30
30
30
30
30
30
28
30
28
30
20
20
20
30
30
28
30
28
28
30
28
30
30
30
30
28
30
30
30
30
28

9.88
4.65
9.37
4.87
10.02
4.62
4.65
7.15
9.92
4.98
4.98
6.70
10.17
7.18
10.85
6.69
6.70
10.31
7.10
10.75
7.18
7.18
7.18
11.69
16.75
8.20
20.83
13.54
28.58
18.58
8.89
9.82
7.95
8.88
11.82
5.64
13.27
8.67
12.82
20.15
19.72
39.38
33.41
33.41
14.38
32.76
14.38
19.23
17.92
17.92
17.89

Pret
amanuntul
maximal/UT
(RON)

0.329333
0.166071
0.334642
0.162333
0.334000
0.165000
0.166071
0.255357
0.330666
0.166000
0.166000
0.239285
0.363214
0.239333
0.361666
0.238928
0.239285
0.368214
0.253571
0.358333
0.239333
0.239333
0.239333
0.389666
0.558333
0.273333
0.743928
0.451333
1.020714
0.619333
0.444500
0.491000
0.397500
0.296000
0.394000
0.201428
0.442333
0.309642
0.457857
0.671666
0.704285
1.312666
1.113666
1.113666
0.479333
1.170000
0.479333
0.641000
0.597333
0.597333
0.638928

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

0.329333
0.166071
0.178312
0.162333
0.178312
0.165000
0.166071
0.178312
0.178312
0.166000
0.166000
0.239285
0.356625
0.239333
0.356625
0.238928
0.239285
0.356625
0.253571
0.356625
0.239333
0.239333
0.239333
0.118874
0.237749
0.059437
0.118874
0.118874
0.237749
0.237749
0.412071
0.412071
0.397500
0.296000
0.394000
0.201428
0.412071
0.309642
0.412071
0.412071
0.412071
1.054927
1.054927
1.054927
0.479333
1.054927
0.479333
0.527463
0.527463
0.527463
0.527463

0.296399
0.149463
0.160480
0.146099
0.160480
0.148500
0.149463
0.160480
0.160480
0.149400
0.149400
0.215356
0.320962
0.215399
0.320962
0.215035
0.215356
0.320962
0.228213
0.320962
0.215399
0.215399
0.215399
0.106986
0.213974
0.053493
0.106986
0.106986
0.213974
0.213974
0.370863
0.370863
0.357750
0.266400
0.354600
0.181285
0.370863
0.278677
0.370863
0.370863
0.370863
0.949434
0.949434
0.949434
0.431399
0.949434
0.431399
0.474716
0.474716
0.474716
0.474716

cod ATC

DCI

553 C09CA01

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
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM

Nr crt.

554 C09CA01
555 C09CA01
556 C09CA01
557 C10AA01
558 C10AA01
559 C10AA01
560 C10AA01
561 C10AA01
562 C10AA01
563 C10AA01
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
592 C10AA01
593 C10AA01
594 C10AA01
595 C10AA01
596 C10AA01
597 C10AA01
598 C10AA01
599 C10AA01
600 C10AA01
601 C10AA01
602 C10AA01
603 C10AA01

Denumire Comerciala

LOZAP 50
COZAAR 50 mg
LORISTA 50 mg
LOSARTAN ZENTIVA 50 mg
SIMVASTATINA BIOGALENICA 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 BLUEFISH 10 mg

RANVOR 10 mg
RANVOR 10 mg
RANVOR 10 mg
SIMVASTATINA SUN 10 mg
SIMVACARD 10 mg
SIMVASTATINA ALVOGEN 10 mg

SIMGAL 10 mg
SIMVASTATINA TEVA 10 mg
SIMVASTATIN AUROBINDO 10 mg

SIMVASTATIN ACTAVIS 10 mg
SIMVASTATIN TERAPIA 10 mg
SIMVASTATINA BIOGALENICA 20 mg

SIMVAHEXAL (R) 20 mg
ZEPLAN (R) 20 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
ZOCOR 20 mg
SINTENAL 20 mg
VASILIP 20 mg
SIMCOR 20 mg
SIMVASTATIN LPH 20 mg
SIMVASTATINA ACTAVIS 20 mg
SIMVASTATIN ACCORD 20 mg
SIMVASTATIN BLUEFISH 20 mg
SIMVASTATIN BLUEFISH 20 mg

RANVOR 20 mg
RANVOR 20 mg
RANVOR 20 mg
SIMVASTATINA SUN 20 mg
SIMVACARD 20 mg
SIMVASTATINA ALVOGEN 20 mg

SIMGAL 20 mg
SIMVASTATINA TEVA 20 mg
SIMVASTATIN AUROBINDO 20 mg

SIMVASTATIN ACTAVIS 20 mg
SIMVASTATIN TERAPIA 20 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.
COMPR. FILM.
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
10 mg
10mg
10mg
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
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

ZENTIVA A.S.

SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 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

ZENTIVA A.S.
SLOVACIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

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


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.

P-6L

GEDEON RICHTER ROMANIA SA

SLOVENIA

CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM.

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

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L


ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L
BLUEFISH PHARMACEUTICALS AB

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED

SUEDIA

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

P-6L
P-6L

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

MAREA BRITANIE

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

MAREA BRITANIE

P-6L

CIPLA (UK) LIMITED MAREA BRITANIE


ZENTIVA K.S.
CEHIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-6L

ALVOGEN IPCO S.A.R.L

LUXEMBOURG

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

P6L
P6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

TERAPIA SA
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L
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

KRKA D.D.
ANTIBIOTICE SA

SLOVENIA

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

GEDEON RICHTER ROMANIA SA

CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM.

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


LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

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

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED

SUEDIA
SUEDIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

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

P-6L
P-6L

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

MAREA BRITANIE

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

MAREA BRITANIE

P-6L

CIPLA (UK) LIMITED MAREA BRITANIE


ZENTIVA K.S.
CEHIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-6L

ALVOGEN IPCO S.A.R.L

LUXEMBOURG

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

TERAPIA SA

P6L
P6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

Pagina 12 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
28
28
30
28
30
14
28
28
30
28
30
30
30
30
14
28
30
28
28
30
28
30
30
30
30
28
30
28
14
14
28
30
28
30
30
30
30
28
30
14
28
30
28
28
30
28
30
30
30
30

7.75
64.56
18.00
7.75
8.75
9.37
4.38
8.75
13.45
9.35
8.74
9.37
9.35
9.26
5.56
4.24
8.47
9.37
3.98
4.01
9.37
4.01
4.28
4.93
9.35
8.81
16.55
17.75
16.56
8.27
12.74
25.45
17.69
16.55
17.73
17.73
14.05
17.73
13.61
14.58
7.90
15.79
14.05
6.58
6.63
16.84
6.63
7.10
11.16
14.05
14.87

Pret
amanuntul
maximal/UT
(RON)

0.258333
2.305714
0.642857
0.258333
0.312500
0.312333
0.312857
0.312500
0.480357
0.311666
0.312142
0.312333
0.311666
0.308666
0.185333
0.302857
0.302500
0.312333
0.142142
0.143214
0.312333
0.143214
0.142666
0.164333
0.311666
0.293666
0.591071
0.591666
0.591428
0.590714
0.910000
0.908928
0.589666
0.591071
0.591000
0.591000
0.468333
0.591000
0.486071
0.486000
0.564285
0.563928
0.468333
0.235000
0.236785
0.561333
0.236785
0.236666
0.372000
0.468333
0.495666

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

0.258333
0.527463
0.527463
0.258333
0.210693
0.210693
0.210693
0.210693
0.210693
0.210693
0.210693
0.210693
0.210693
0.210693
0.185333
0.210693
0.210693
0.210693
0.142142
0.143214
0.210693
0.143214
0.142666
0.164333
0.210693
0.210693
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.421387
0.235000
0.236785
0.421387
0.236785
0.236666
0.372000
0.421387
0.421387

0.232499
0.474716
0.474716
0.232499
0.189623
0.189623
0.189623
0.189623
0.189623
0.189623
0.189623
0.189623
0.189623
0.189623
0.166799
0.189623
0.189623
0.189623
0.127927
0.128892
0.189623
0.128892
0.128399
0.147899
0.189623
0.189623
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.379248
0.211500
0.213106
0.379248
0.213106
0.212999
0.334800
0.379248
0.379248

Nr crt.

cod ATC

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 C10AA02
632 C10AA02
633 C10AA02
634 C10AA02
635 C10AA02
636 C10AA03
637 C10AA03
638 C10AB05
639 C10AB05
640 C10AB05
641 C10AB05
642 C10AB05
643 C10AB05
644 C10AB05
645 D01AC02
646 D06BB03
647 D06BB03
648 D06BB03
649 D06BB03
650 D06BB03
651 D06BB03
652 D06BB03
653 D06BB03
654 D07AA02

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
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
HYDROCORTISONUM

Denumire Comerciala

SIMVAHEXAL (R) 30 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.

concentratie

30mg
SIMVASTATINA BIOGALENICA 40 mg
40 mg
VASILIP (R) 40 mg
40mg
ZOCOR FORTE
40mg
ZOCOR FORTE
40mg
ZEPLAN (R) 40 mg
40mg
ZEPLAN (R) 40 mg
40mg
SINTENAL 40 mg
40mg
SIMVAHEXAL (R) 40 mg
40mg
SIMCOR 40 mg
40mg
SIMVASTATIN LPH 40 mg
40mg
SIMVASTATINA ACTAVIS 40 mg
40mg
SIMVASTATIN ACCORD 40 mg
40mg
SIMVASTATIN BLUEFISH 40 mg
40mg
SIMVASTATIN BLUEFISH 40 mg
40mg
SIMVASTATIN BLUEFISH 40 mg
40mg
RANVOR 40 mg
40mg
RANVOR 40 mg
40mg
SIMVASTATINA SUN 40 mg
40mg
SIMVASTATINA ALVOGEN 40 mg
40mg
SIMVACARD 40 mg
40mg
SIMGAL 40 mg
40mg
SIMVASTATINA TEVA 40 mg
40mg
SIMVASTATIN AUROBINDO 40 mg
40mg
SIMVASTATIN ACTAVIS 40 mg
40mg
SIMVASTATIN TERAPIA 40 mg
40mg
SIMVASTATIN ACCORD 80 mg
80mg
MEDOSTATIN
COMPR.
20mg
MEDOSTATIN
COMPR.
20mg
MEDOSTATIN
COMPR.
20mg
LOVASTATINA ARENA 20 mg COMPR.
20mg
MEDOSTATIN 40 mg
COMPR.
40mg
PRAVATOR 20 mg
COMPR.
20mg
PRAVATOR 40 mg
COMPR.
40mg
LIPOFIB 160 mg
CAPS.
160mg
FENOLIP 160 mg
CAPS.
160mg
LIPIVIM
CAPS. PULB. MICRONIZATA
200mg
LIPANTIL NANO 145 mg
COMPR. FILM. 145mg
FENOFIBRAT TEVA 160 mg COMPR. FILM. 160mg
LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg
LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg
MICONAZOL NITRAT 2%
CREMA
2%
ACICLOVIR 50mg/g
CREMA
5%
ZOVIRAX
CREMA
5%
ACICLOVIR 50mg/g
CREMA
5%
ACICLOVIR HYPERION
CREMA
50mg/g
ACICLOVIR TIS 50mg/g
CREMA
50mg/g
ACICLOVIR SLAVIA 50 mg/g CREMA
50mg/g
ACICLOVIR TERAPIA 50 mg/g CREMA
50mg/g
ACICLOVIR SLAVIA 50 mg/g CREMA
50mg/g
HIDROCORTIZON 1%
UNGUENT
1%

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM

P-6L

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


MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
GEDEON RICHTER ROMANIA SA 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.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

MERCK SHARP & DOHME

HEXAL AG
ANTIBIOTICE S.A.

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

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

LABORMED PHARMA S.A.

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


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

ACTAVIS GROUP PTC EHF.

ISLANDA

P-6L
P-6L

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB
BLUEFISH PHARMACEUTICALS AB

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

SUEDIA
SUEDIA
SUEDIA

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

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

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

P-6L

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 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.

P-6L

ALVOGEN IPCO S.A.R.L

LUXEMBOURG

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

ZENTIVA K.S.

CEHIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

TERAPIA SA

P6L
P6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

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

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ARENA GROUP S.A.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU

RANBAXY U.K. LIMITED


RANBAXY U.K. LIMITED

MAREA BRITANIE

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


CUTIE X 4 BLIST. AL/PVC X 7 COMPR.

MAREA BRITANIE

CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L

TERAPIA SA

CUTIE X 10 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.
CUTIE X 3 BLIST. X 10 COMPR.

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

ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

CIPRU

P-6L

ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-6L
P-6L

CUTIE CU BLIST. PVC/AL X 30 CAPS.


P6L
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
P-6L
LAB. FOURNIER S.A. FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

TEVA PHARMACEUTICALS S.R.L.

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.
SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G
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
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA
TERAPIA S.A.
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 5 G CREMA
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB X 20 G

P-6L

Pagina 13 din 193

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

PRF
P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
28
28
28
14
28
14
30
30
30
30
30
30
14
28
30
14
30
28
30
28
28
30
30
30
30
30
100
10
30
30
30
28
28
30
30
30
30
30
10
30
1
1
1
1
1
1
1
1
1
1

21.09
29.88
29.86
44.47
22.99
29.88
14.93
31.99
31.99
31.99
31.99
23.11
31.99
15.01
30.03
18.54
15.01
23.14
9.06
23.14
9.12
9.12
9.77
17.72
23.11
25.79
56.17
67.59
14.44
20.79
25.87
47.66
22.45
35.52
26.89
26.44
26.43
34.74
26.89
13.81
40.04
6.83
7.60
21.06
4.98
7.33
4.70
6.72
6.72
5.39
7.40

Pret
amanuntul
maximal/UT
(RON)

0.703000
1.067142
1.066428
1.588214
1.642142
1.067142
1.066428
1.066333
1.066333
1.066333
1.066333
0.770333
1.066333
1.072142
1.072500
0.618000
1.072142
0.771333
0.323571
0.771333
0.325714
0.325714
0.325666
0.590666
0.770333
0.859666
1.872333
0.675900
1.444000
0.693000
0.862333
1.588666
0.801785
1.268571
0.896333
0.881333
0.881000
1.158000
0.896333
1.381000
1.334666
6.830000
7.600000
21.060000
4.980000
7.330000
4.700000
6.720000
6.720000
5.390000
7.400000

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

0.632081
0.842774
0.842774
0.842774
0.842774
0.842774
0.842774
0.842774
0.842774
0.842774
0.842774
0.770333
0.842774
0.842774
0.842774
0.618000
0.842774
0.771333
0.323571
0.771333
0.325714
0.325714
0.325666
0.590666
0.770333
0.842774
1.685549
0.280924
0.280924
0.280924
0.280924
0.561849
0.421387
0.842774
0.803324
0.803324
0.881000
0.728013
0.803324
0.803324
0.803324
6.455999
6.048000
2.016000
2.016000
6.048000
4.700000
6.048000
6.048000
2.016000
7.400000

0.568872
0.758496
0.758496
0.758496
0.758496
0.758496
0.758496
0.758496
0.758496
0.758496
0.758496
0.693299
0.758496
0.758496
0.758496
0.556200
0.758496
0.694199
0.291213
0.694199
0.293142
0.293142
0.293099
0.531599
0.693299
0.758496
1.516994
0.252831
0.252831
0.252831
0.252831
0.505664
0.379248
0.758496
0.722991
0.722991
0.792900
0.655211
0.722991
0.722991
0.722991
5.810399
5.443200
1.814400
1.814400
5.443200
4.230000
5.443200
5.443200
1.814400
6.660000

Nr crt.

cod ATC

655 D07AC01
656 D07AC01
657 D07AC01
658 G01AF04
659 G01AF04
660 G02AB03
661 G02AB03
662 G03BA03
663 G03BA03
664 G03BA03
665 G03BA03
666 G03BA03
667 G03CA03
668 G03CA03
669 G03CA03
670 G04CAN1
671 G04CAN1
672 G04CAN1
673 G04CAN1
674 G04CAN1
675 G04CAN1
676 G04CAN1
677 G04CAN1
678 G04CAN1
679 G04CAN1
680 H02AB04
681 H02AB04
682 H02AB04
683 H02AB07
684 H02AB07
685 H02AB07
686 H02AB07
687 H02AB09
688 H02AB09
689 H02AB09
690 H02AB09
691 H02AB09
692 J01AA02
693 J01AA02
694 J01AA02
695 J01AA02
696 J01CA04
697 J01CA04
698 J01CA04
699 J01CA04
700 J01CA04
701 J01CA04
702 J01CA04
703 J01CA04
704 J01CA04
705 J01CA04

DCI

BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
ERGOMETRINUM
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM

Denumire Comerciala

BETADERM
EKARZIN 0,5MG/G
BETADERM
GYNOZOL 200
GYNOZOL 400

forma farm.

CREMA
CREMA
UNGUENT
CAPS. VAG.
CAPS. VAG.
MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ.
MALEAT DE ERGOMETRINA ZENTIVA 0,2 mg/ml SOL. INJ.
UNDESTOR TESTOCAPS 40 mg CAPS. MOI
ANDROGEL 50 mg
GEL
TESTIM 50 mg
GEL TRANSDERMIC
NEBIDO 1000 mg/4 ml
SOL. INJ.
NEBIDO 1000 mg/4 ml
SOL. INJ.
ESTREVA (R)
GEL
OESTROGEL 0,6 mg/g
GEL
CLIMARA
PLASTURE TRANSDERM.
KAMIREN (vezi G04CAN1)
COMPR.
KAMIREN (vezi G04CAN1)
COMPR.
KAMIREN (vezi G04CAN1)
COMPR.
KAMIREN (vezi G04CAN1)
COMPR.
KAMIREN (vezi G04CAN1)
COMPR.
KAMIREN (vezi G04CAN1)
COMPR.
CARDURA XL 4 mg (vezi G04CAN1)
CARDURA XL 4 mg (vezi G04CAN1)

KAMIREN XL 4 mg (vezi C02CA04)


KAMIREN XL 4 mg (vezi C02CA04)

LEMOD SOLU 125 mg


LEMOD SOLU 500 mg
SOLU - MEDROL ACT-O-VIAL
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
HYDROCORTISONE ROUSSEL
HYDROCORTISONE SUCCINAT SODIC

HIDROCORTIZON HF 500 mg
HIDROCORTIZON HF 100 mg
HIDROCORTIZON HEMISUCCINAT

DOXICICLINA ATB 100 mg


DOXICICLINA
DOXICICLINA SANDOZ 100 mg

UNIDOX SOLUTAB
AMOXICILINA ARENA 250 mg
AMOXICILINA ANTIBIOTICE 250 mg

OSPAMOX 250 mg
AMOXICILINA SANDOZ 250 mg
AMOXICILINA ANTIBIOTICE 500 mg

AMOXICILINA FORTE 500 mg


AMOXICILINA FORTE 500 mg
AMOXICILINA ARENA 500 mg
AMOXICILINA SANDOZ 500 mg

OSPAMOX 1000 mg

concentratie

0,1%
0,5mg/g
0,1%
200mg
400mg
0,2mg/ml
0,2mg/ml
40mg
50mg
50mg
1000mg/4ml
1000mg/4ml
0,1%
0,6mg/g
50g/24ore
1mg
1mg
2mg
2mg
4mg
4mg
COMPR. ELIB. MODIF. 4mg
COMPR. ELIB. MODIF. 4mg
COMPR. FILM. ELIB. PREL. 4mg
COMPR. FILM. ELIB. PREL. 4mg
LIOF. PT. SOL. INJ. 125mg
LIOF. PT. SOL. INJ. 500mg
LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
10mg
LIOF. + SOLV. PT. SOL. INJ. 100mg
500mg
100mg
SOL. INJ. I.V. 25mg/5ml
CAPS.
100 mg
CAPS.
100mg
CAPS.
100mg
COMPR. DISP. 100mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
250mg
CAPS.
500mg
CAPS.
500mg
CAPS.
500mg
CAPS.
500mg
CAPS.
500mg
COMPR. FILM. 1000mg

PULB. + SOLV. PT. SOL. INJ./PERF.

PULB. SI SOLV. PT. SOL. INJ./PERF.

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

ANTIBIOTICE S.A.
E.I.P.I.CO. MED S.R.L.
PHARCO IMPEX 93 S.R.L.
PHARCO IMPEX 93 S.R.L.

ZENTIVA S.A.
ZENTIVA S.A.
N.V. ORGANON
LAB. BESINS INTERNATIONAL

FERRING GMBH
BAYER SCHERING PHARMA AG

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

OLANDA
FRANTA

Ambalaj

Prescriptie

CUTIE X 1 TUB X 20 G
CUTIE X 1 TUB DIN AL X 15 G CREMA
CUTIE X 1 TUB X 20 G
CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI
CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI

P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE

P-RF

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
P-RF

CUTIE X 30 PLICURI DIN FOLIE PET/AL/PE X 5 G GEL P-RF

GERMANIA CUTIE CU 30 TUBURI DIN AL X 5 G GEL TRANSDERMIC


GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ.

BAYER PHARMA AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ.


LAB. THERAMEX
MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G
LABORATOIRES BESINS INTERNATIONAL FRANTA CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN
BAYER PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

PR/PRF

S/P-RF
S/P-RF

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
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
PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL.

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
STADA HEMOFARM S.R.L.
PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAGISTRA C&C S.R.L. ROMANIA


ARENA GROUP SA ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
CN UNIFARM
ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
STADA HEMOFARM S.R.L. ROMANIA
ZENTIVA S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ARENA GROUP SA ROMANIA
SANDOZ SRL
ROMANIA

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
CUTIE X 1 FLAC. 25 COMPR.

Pagina 14 din 193

P-6L
S/P-RF
S/P-RF

P-RF
P-RF
P-RF
P-RF
P-RF

PRF

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. DIN STICLA X 20 ML, INCCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, C

PR/PRF

CUTIE X 1 FLACON DIN STICLA X 5 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DE ALUMINIU, CON

PR/PRF

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.


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP.


ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
SANDOZ GMBH
AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
SANDOZ GMBH
AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM.

ASTELLAS PHARMA EUROPE BV

P-6L

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

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
6
3
5
5
60
30
30
1
1
1
1
4
30
30
30
30
30
30
28
28
30
30
1
1
1
20
30
30
20
25
1
1
1
5
10
20
10
10
20
20
12
20
10
10
20
10
10
12

Pret
amanuntul
maximal/UT
(RON)

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

5.96
5.960000
3.570000
3.213000
7.40
7.400000
7.400000
6.660000
5.96
5.960000
3.570000
3.213000
5.96
0.993333
0.993333
0.893999
5.72
1.906666
1.906666
1.715999
7.13
1.426000
1.426000
1.283400
7.13
1.426000
1.426000
1.283400
47.33
0.788833
0.788833
0.709949
223.35
7.445000
6.444749
5.800274
183.34
6.111333
6.111333
5.500199
452.72 452.720000 452.720000 407.448000
452.72 452.720000 452.720000 407.448000
29.40 29.400000
9.998190
8.998371
16.61 16.610000
9.598263
8.638436
29.89
7.472500
7.472500
6.725250
10.18
0.339333
0.189482
0.170533
10.18
0.339333
0.189482
0.170533
17.07
0.569000
0.378964
0.341067
17.07
0.569000
0.378964
0.341067
30.86
1.028666
0.757928
0.682135
30.86
1.028666
0.757928
0.682135
46.49
1.660357
0.757928
0.682135
46.49
1.660357
0.757928
0.682135
37.34
1.244666
0.757928
0.682135
37.34
1.244666
0.757928
0.682135
8.81
8.810000
8.282500
7.454250
31.02 31.020000 31.020000 27.918000
20.48 20.480000 16.565000 14.908500
2.65
0.132500
0.087333
0.078599
2.62
0.087333
0.087333
0.078599
3.71
0.123666
0.087333
0.078599
2.57
0.128500
0.087333
0.078599
12.20
0.488000
0.488000
0.439200
3.91
3.910000
3.527999
3.175199
11.91 11.910000 11.910000 10.719000
7.09
7.090000
3.527999
3.175199
21.33
4.266000
0.881999
0.793799
4.01
0.401000
0.342900
0.308610
7.00
0.350000
0.342900
0.308610
3.61
0.361000
0.342900
0.308610
6.83
0.683000
0.342900
0.308610
5.95
0.297500
0.297500
0.267750
6.93
0.346500
0.311849
0.280664
4.44
0.370000
0.311849
0.280664
6.15
0.307500
0.307500
0.276750
5.86
0.586000
0.479374
0.431436
5.92
0.592000
0.479374
0.431436
8.81
0.440500
0.440500
0.396450
5.69
0.569000
0.479374
0.431436
4.92
0.492000
0.479374
0.431436
11.63
0.969166
0.958749
0.862874

Nr crt.

DCI

cod ATC

Denumire Comerciala

forma farm.

concentratie

Prescriptie

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

ROMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA

P-RF

COMPR. PT. DISPERSIE ORALA

ASTELLAS PHARMA EUROPE BV


ASTELLAS PHARMA EUROPE BV

COMPR. PT. DISPERSIE ORALA

ASTELLAS PHARMA EUROPE BV

COMPR. PT. DISPERSIE ORALA

ASTELLAS PHARMA EUROPE BV

OLANDA
OLANDA
OLANDA
OLANDA

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


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

P-RF

COMPR. PT. DISPERSIE ORALA

SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SUSP. ORALA 400.000U.I./5ml SANDOZ GMBH
PULB. PT. SUSP. INJ. 1200000UI
ANTIBIOTICE S.A.
PULB. PT. SUSP. INJ. 1200000UI
ANTIBIOTICE S.A.
CAPS.
250mg
ARENA GROUP SA
CAPS.
250mg
ANTIBIOTICE SA
CAPS.
250mg
SANDOZ SRL
CAPS.
500mg
ANTIBIOTICE SA
CAPS.
500mg
ARENA GROUP SA
CAPS.
500mg
FARMEX COMPANY SRL
CAPS.
500mg
SANDOZ SRL
PULB. PT. SOL. INJ./PERF. 1000mg
ANTIBIOTICE SA
PULB. PT. SOL. INJ./PERF. 1000mg
ANTIBIOTICE SA
PULB. PT. SOL. INJ./PERF. 500mg
ANTIBIOTICE S.A.
PULB. PT. SOL. INJ./PERF. 500mg
ANTIBIOTICE S.A.
500mg
ANTIBIOTICE SA
500mg
ANTIBIOTICE SA
1g
ANTIBIOTICE SA
1g
ANTIBIOTICE SA

ROMANIA

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. X 20 G PULB. PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE PE, CU GRADATII PT. 1,25

P-RF

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

737 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC

MAREA BRITANIE

708 J01CA04
709 J01CA04
710 J01CA04
711 J01CA04
712 J01CA04
713 J01CA04
714 J01CA04
715 J01CA04
716 J01CE02
717 J01CE02
718 J01CE02
719 J01CE02

PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM

720 J01CE08 BENZATHINI BENZYLPENICILLINUM


721 J01CE08 BENZATHINI BENZYLPENICILLINUM
722 J01CF04
723 J01CF04
724 J01CF04
725 J01CF04
726 J01CF04
727 J01CF04
728 J01CF04
729 J01CF04
730 J01CF04
731 J01CF04
732 J01CF04
733 J01CF04
734 J01CF04
735 J01CF04
736 J01CF04

OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM

738 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM


739 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
740 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
741 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
742 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
743 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
744 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
745 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
746 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXICILINA SANDOZ 125 mg/5 ml

OSPAMOX (R) 125 mg/5 ml


AMOXICILINA SANDOZ 250 mg/ 5 ml

OSPAMOX 250 mg/5 ml


OSPEN (R) 1000
OSPEN 1500
OSPEN (R) 500
OSPEN 400.000 U.I./5 ml
MOLDAMIN 1200000 UI
MOLDAMIN 1200000 UI
OXACILINA ARENA 250 mg
OXACILINA 250 mg
OXACILINA SANDOZ 250 mg
OXACILINA 500 mg
OXACILINA ARENA 500 mg
OXACILINA FORTE 500 mg
OXACILINA SANDOZ 500 mg
OXACILINA ATB 1000 mg
OXACILINA ATB 1000 mg
OXACILINA ATB 500 mg
OXACILINA ATB 500 mg
OXACILINA ANTIBIOTICE 500 mg
OXACILINA ANTIBIOTICE 500 mg

OXACILINA ANTIBIOTICE 1 g
OXACILINA ANTIBIOTICE 1 g

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


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

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg
COMPR. FILM.
AMOKSIKLAV 2 x 625 mg
COMPR. FILM.
AMOXIPLUS 875 mg/125 mg COMPR. FILM.
AUGMENTIN 875 mg/125 mg COMPR. FILM.
AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg
COMPR. FILM.

748 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg


750 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

AMOKSIKLAV 2 x 1000 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
AUGMENTIN 500 mg/125 mg

747 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg


749 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

500mg
1g
1000mg
250mg
500mg
750mg
PULB. PT. SUSP. ORALA 125mg/5ml
PULB. PT. SUSP. ORALA 125mg/5ml
PULB. PT. SUSP. ORALA 250mg/5ml
PULB. PT. SUSP. ORALA 250mg/5ml
COMPR. FILM. 1000000ui
COMPR. FILM. 1500000ui
COMPR. FILM. 500000ui

Ambalaj

AUSTRIA

707 J01CA04

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

Detinator APP

SANDOZ GMBH
TERAPIA SA

706 J01CA04

AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM

tara det.
APP

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

751 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

P-RF
P-RF

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


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

P-RF

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML SUSP. ORALA CU CAPAC SI LINGURITA DOZATOARE

P-RF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.

P-RF

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M. S/P-RF

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


CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

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

PRF

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

PRF

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

PRF

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

PRF

P-RF
P-RF
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

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

P-RF

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

P-RF

1000mg

LEK PHARMACEUTICALS D.D.

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


500 mg/125 mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.

P-RF

500/125mg

ANTIBIOTICE S.A.

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

P-RF

MAREA BRITANIE

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

P-RF

MAREA BRITANIE

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

500mg/125mg BEECHAM GROUP PLC


500mg/125mg AUROBINDO PHARMA LIMITED

625mg

LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.


875mg/125mg ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE
875mg/125mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.
1000mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
625mg
BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

PULB. PT. SUSP. ORALA

125mg+31,25/5ml

MEDOCHEMIE LTD. CIPRU

PULB. PT. SUSP. ORALA

156,25mg/5ml

LEK PHARMACEUTICALS D.D.

PULB. PT. SUSP. ORALA

250mg+62,5mg/5ml

MEDOCHEMIE LTD. CIPRU

PULB. PT. SUSP. ORALA

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

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

400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA

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

P-RF

PULB. PT. SUSP. ORALA

400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA

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

P-RF

753 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2x
AMOKSIKLAV 2x

754 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

PULB. PT. SUSP. ORALA

400mg/57mg/5ml

755 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

756 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

752 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

P-RF

SLOVENIA

MALTA

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

PRF

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

MAREA BRITANIE

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

P-RF

AUROBINDO PHARMA (MALTA) LIMITED

Pagina 15 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

12
21
20
20
20
20
1
1
1
1
12
12
12
1
1
100
20
20
20
10
10
20
10
1
100
1
100
100
1
100
1
28
14
28
14
14
14
14
14
14
14
14
14
1
1
1
1
1
1
1
1

5.69
19.41
23.77
10.12
14.76
19.75
5.73
4.55
4.88
4.88
3.47
6.10
2.62
8.63
5.39
451.96
7.10
7.55
7.70
7.50
6.19
11.17
7.04
5.33
448.06
4.92
418.89
418.89
4.92
448.06
5.33
44.84
39.13
33.07
10.83
15.32
9.95
28.06
18.97
26.35
17.12
25.07
16.53
14.90
11.69
22.11
6.46
12.93
6.47
9.95
9.95

Pret
amanuntul
maximal/UT
(RON)

0.474166
0.924285
1.188500
0.506000
0.738000
0.987500
5.730000
4.550000
4.880000
4.880000
0.289166
0.508333
0.218333
8.630000
5.390000
4.519600
0.355000
0.377500
0.385000
0.750000
0.619000
0.558500
0.704000
5.330000
4.480600
4.920000
4.188900
4.188900
4.920000
4.480600
5.330000
1.601428
2.795000
1.181071
0.773571
1.094285
0.710714
2.004285
1.355000
1.882142
1.222857
1.790714
1.180714
14.900000
11.690000
22.110000
6.460000
12.930000
6.470000
9.950000
9.950000

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

0.474166
0.924285
0.958749
0.311849
0.479374
0.719061
1.871099
1.871099
3.742199
3.742199
0.289166
0.440718
0.146906
0.195874
4.338799
4.338799
0.296110
0.296110
0.296110
0.592220
0.592220
0.558500
0.592220
5.117650
4.480600
2.558825
2.558825
2.558825
2.558825
4.480600
5.117650
1.548214
1.354687
0.774107
0.773571
0.774107
0.710714
0.774107
1.354687
1.354687
1.222857
1.354687
0.774107
5.815178
5.815178
11.630357
6.460000
12.930000
6.470000
6.513000
6.513000

0.426749
0.831856
0.862874
0.280664
0.431436
0.647154
1.683989
1.683989
3.367979
3.367979
0.260249
0.396646
0.132215
0.176286
3.904919
3.904919
0.266499
0.266499
0.266499
0.532998
0.532998
0.502650
0.532998
4.605885
4.032540
2.302942
2.302942
2.302942
2.302942
4.032540
4.605885
1.393392
1.219218
0.696696
0.696213
0.696696
0.639642
0.696696
1.219218
1.219218
1.100571
1.219218
0.696696
5.233660
5.233660
10.467321
5.814000
11.637000
5.823000
5.861700
5.861700

Nr crt.

cod ATC

DCI

Denumire Comerciala

757 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml
758 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
759 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
760 J01DB01
761 J01DB01
762 J01DB01
763 J01DB01
764 J01DB01
765 J01DB01
766 J01DB01
767 J01DB01
768 J01DB01
769 J01DB01
770 J01DB01
771 J01DB01
772 J01DB01
773 J01DB01
774 J01DB01
775 J01DB05
776 J01DB05
777 J01DB05
778 J01DB05
779 J01DB05
780 J01DB05
781 J01DC02
782 J01DC02
783 J01DC02
784 J01DC02
785 J01DC02
786 J01DC02
787 J01DC02
788 J01DC02
789 J01DC02
790 J01DC02
791 J01DC02
792 J01DC04
793 J01DC04
794 J01DC04
795 J01DC04
796 J01DC04
797 J01DC04
798 J01DC04
799 J01DC04
800 J01DC04
801 J01DC04
802 J01DC04
803 J01DC04
804 J01DC04
805 J01DC04
806 J01DC04
807 J01DC04

CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFALEXINUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
CEFADROXILUM
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

forma farm.
PULB. PT. SUSP. ORALA

AUGMENTIN (R) ES
PULB. PT. SUSP. ORALA
AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA
CEFALEXINA ARENA 250 mg CAPS.
CEFALEXINA 250 mg
CAPS.
OSPEXIN (R) 250 mg
CAPS.
CEFALEXIN SANDOZ 250 mg CAPSULE CAPS.
CEFALEXINA 500 mg
CAPS.
CEFALEXINA ARENA 500 mg CAPS.
CEFALEXIN SANDOZ
CAPS.
OSPEXIN 1000 mg
COMPR. FILM.
OSPEXIN 500 mg
COMPR. FILM.
KEFLEX (R) 125 mg/5 ml
GRAN. PT. SUSP. ORALA
OSPEXIN (R) 125 mg/5 ml
GRAN. PT. SUSP. ORALA
CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

KEFLEX (R) 250 mg/5 ml

GRAN. PT. SUSP. ORALA

CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GRAN. PT. SUSP. ORALA

OSPEXIN (R) 250 mg/5 ml


CEXYL 250 mg
CEXYL 500 mg
CEFORAN 500 mg
CEXYL 1000 mg
CEXYL 125 mg/5 ml
CEXYL 250 mg/5 ml
CEFUROXIMA ANTIBIOTICE 250 mg
CEFUROXIMA ANTIBIOTICE 250 mg
CEFUROXIMA AUROBINDO 250 mg
CEFUROXIMA ANTIBIOTICE 500 mg
CEFUROXIMA ANTIBIOTICE 500 mg
CEFUROXIMA AUROBINDO 500 mg

ZINNAT (R) 125 mg


ZINNAT (R) 250 mg
ZINNAT (R) 500 mg
ZINNAT
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


CECLODYNE (R) MR 500 mg
CECLODYNE (R) MR 750 mg
CECLOR (R) 125 mg/5 ml

GRAN. PT. SUSP. ORALA

CAPS.
CAPS.
CAPS.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

GRAN. SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
GRAN. PT. SUSP. ORALA

PULB. PT. SUSP. ORALA

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

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

GRAN. PT. SUSP. ORALA

concentratie

Detinator APP

400mg/57mg/5ml SMITHKLINE BEECHAM PLC

tara det.
APP
MAREA BRITANIE

600 mg/42,9mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE

312,5mg/5ml
250mg
250mg
250mg
250mg
500mg
500mg
500mg
1000mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg
500mg
500mg
1000mg
125mg/5ml
250mg/5ml
250mg
250mg
250mg
500mg
500mg
500mg
125mg
250mg
500mg
125mg/5ml
125mg/5ml
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
750mg
375mg
750mg
375mg
500mg
750mg
125mg/5ml

Ambalaj

P-RF

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

P-RF

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

P-RF

LEK PHARMACEUTICALS D.D.

SLOVENIA

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
ACTAVIS GROUP HF
SANDOZ SRL
SANDOZ GMBH
SANDOZ S.R.L.
SANDOZ S.R.L.
ANTIBIOTICE S.A.
SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ S.R.L.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

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


ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
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. X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS.

AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA

Prescriptie

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

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

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

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

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

AUROBINDO PHARMA ROMANIA S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.


CUTIE X 1 BLIST. X 10 COMPR.FILM
CUTIE X 1 BLIST. X 10 COMPR.FILM

GLAXO WELLCOME UK LTD.

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

CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

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

P-RF

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


CUTIE X 2 BLIST. X 8 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.


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

P-RF

CUTIE X 2 BLIST. X 8 CAPS.


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

P-RF

CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.

P-RF

CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL.

PRF

AUROBINDO PHARMA ROMANIA S.R.L.

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

SANDOZ SRL
SANDOZ SRL
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA
SANDOZ SRL
ROMANIA
DAR AL DAWA PHARMA S.R.L. ROMANIA
ARENA GROUP S.A. ROMANIA
TERAPIA SA
ROMANIA

ACTAVIS GROUP HF
ACTAVIS GROUP HF
TERAPIA SA
TERAPIA SA
SANDOZ SRL
SANDOZ SRL
SANDOZ SRL
ACTAVIS GROUP HF

ISLANDA
ISLANDA

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

CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF


CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
CUTIE CU BLIST. PA-AL-PVC/AL X 10 COMPR. PRF
CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF
CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF
CUTIE CU BLIST. PA-AL-PVC/AL X 10 COMPR. PRF
P-RF
P-RF
P-RF

P-RF

P-RF

P-RF

CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL.

PRF

ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL.


ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL.
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-RF

ISLANDA

P-RF

Pagina 16 din 193

CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF
P-RF
P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
20
20
12
10
10
10
10
12
12
1
1
1
1
1
1
10
10
10
10
1
1
10
10
10
10
10
10
10
10
10
1
1
10
10
16
15
10
16
10
15
10
10
10
10
10
10
10
1

19.89
34.30
24.02
11.91
12.02
7.15
5.98
10.51
9.00
10.02
15.79
11.88
6.19
7.61
6.93
10.48
9.65
9.63
18.55
13.45
13.02
26.15
12.05
22.42
14.28
14.28
10.80
30.12
30.12
17.97
15.13
16.61
27.64
19.41
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

Pret
amanuntul
maximal/UT
(RON)

19.890000
34.300000
24.020000
0.595500
0.601000
0.595833
0.598000
1.051000
0.900000
1.002000
1.315833
0.990000
6.190000
7.610000
6.930000
10.480000
9.650000
9.630000
1.855000
1.345000
1.302000
2.615000
12.050000
22.420000
1.428000
1.428000
1.080000
3.012000
3.012000
1.797000
1.513000
1.661000
2.764000
19.410000
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

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

13.026000
27.912857
11.630357
0.450900
0.450900
0.450900
0.450900
0.901800
0.900000
0.901800
1.315833
0.901800
5.136250
5.136250
5.136250
10.272500
9.650000
9.630000
0.450900
0.901800
0.901800
1.803600
5.136250
10.272500
1.355400
1.355400
1.080000
2.710800
2.710800
1.797000
1.324500
1.355400
2.710800
13.245000
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
9.933750

11.723400
25.121571
10.467321
0.405810
0.405810
0.405810
0.405810
0.811620
0.810000
0.811620
1.184249
0.811620
4.622625
4.622625
4.622625
9.245250
8.685000
8.667000
0.405810
0.811620
0.811620
1.623240
4.622625
9.245250
1.219860
1.219860
0.972000
2.439720
2.439720
1.617300
1.192050
1.219860
2.439720
11.920500
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
8.940375

Nr crt.

cod ATC

808 J01DC04
809 J01DC04
810 J01DC04
811 J01DC04
812 J01DC04
813 J01DC04
814 J01DC04
815 J01DC04
816 J01DD08
817 J01DD08
818 J01DD08
819 J01DD08

DCI

CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM

820 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM


821 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
822 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
823 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
824 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
825 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
826 J01FA01
827 J01FA01
828 J01FA01
829 J01FA01
830 J01FA09
831 J01FA09
832 J01FA09
833 J01FA09
834 J01FA09
835 J01FA09
836 J01FA09
837 J01FA09
838 J01FA09
839 J01FA09
840 J01FA09
841 J01FA09
842 J01FA09
843 J01FA09
844 J01FA09
845 J01FA09
846 J01FA09
847 J01FA09
848 J01FA09
849 J01FA09
850 J01FA09
851 J01FA09
852 J01FA09
853 J01FA09
854 J01FA09
855 J01FA09
856 J01FA09
857 J01FA09
858 J01FA09

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

Denumire Comerciala
CEFACLOR TERAPIA 125mg/5ml
CEFACLOR TERAPIA 250mg/5ml
CEFACLOR TERAPIA 250mg/5ml

CECLOR (R) 250 mg/5 ml


CLORACEF (R) 125
CEFAKLOR 125 mg/5 ml
CLORACEF (R) 250
CEFAKLOR 250 mg/5 ml
EFICEF 100 mg
EFICEF (R) 200 mg
XIFIA 400mg
XIFIA 400mg
TAGREMIN
SUMETROLIM
CO - TRIM ELL
BITRIM 400mg/80mg
EPITRIM
SUMETROLIM
ERITROMAGIS 200 mg
ERITROMICINA 200 mg

forma farm.

concentratie

125mg/5ml
GRAN. PT. SUSP. ORALA 250 mg/5 ml
GRAN. PT. SUSP. ORALA 250 mg/5 ml
GRAN. PT. SUSP. ORALA 250mg/5ml
PULB. PT. SUSP. ORALA 125mg/5ml
PULB. PT. SUSP. ORALA 125mg/5ml
PULB. PT. SUSP. ORALA 250mg/5ml
PULB. PT. SUSP. ORALA 250mg/5ml
CAPS.
100mg
CAPS.
200mg
COMPR. FILM. 400mg
COMPR. FILM. 400mg
COMPR.
400mg/80mg
COMPR.
400mg/80mg
COMPR.
400mg/80mg
COMPR.
400mg/80mg
GRAN. PT. SUSP. ORALA

Detinator APP

tara det.
APP
ROMANIA
ROMANIA
ROMANIA

TERAPIA SA
TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF ISLANDA

Ambalaj

Prescriptie

CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA

P-RF

CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF
STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF
DAR AL DAWA PHARMA S.R.L.

INN-FARM D.O.O.
INN-FARM D.O.O.
ZENTIVA S.A.

SLOVENIA
SLOVENIA

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


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

PRF

ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
BIO EEL SRL
ROMANIA
ARENA GROUP S.A. ROMANIA
SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA
SUSP. ORALA 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA
COMPR.
200mg
ARENA GROUP SA ROMANIA
COMPR.
200mg
ANTIBIOTICE SA
ROMANIA
ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR.
200mg
SANDOZ S.R.L.
ROMANIA
ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml
SANDOZ S.R.L.
ROMANIA

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


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

P-RF

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

P-RF

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

P-RF

CLAXIRIT 500 mg

COMPR. CU ELIB. PREL.

CLARITROMICINA TEVA 500 mg

COMPR. ELIB. PREL.

KLACID (R)
LEKOKLAR (R) 250 mg
KLERIMED (R) 250
KLABAX 250 mg
FROMILID 250

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLARITROMICINA TEVA 250 mg COMPR. FILM.
LEKOKLAR 250 mg
COMPR. FILM.
LEKOKLAR (R) 500 mg
COMPR. FILM.
KLERIMED (R) 500
COMPR. FILM.
KLABAX 500 mg
COMPR. FILM.
FROMILID 500
COMPR. FILM.
ROCLARIN 500 mg
COMPR. FILM.
CLAR 500
COMPR. FILM.
CLARITROMICINA TEVA 500 mg COMPR. FILM.
LEKOKLAR 500 mg
COMPR. FILM.

KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml

COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA
GRAN. PT. SUSP. ORALA

500mg
500mg
250mg
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
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

PRF

P-RF
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

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA

P-RF
P-RF

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


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

SANDOZ S.R.L.

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

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM.

TEVA PHARMACEUTICALS S.R.L.

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA

P-RF

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


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

ANTIBIOTICE S.A.

SANDOZ S.R.L.
TERAPIA SA

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


CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR) PRF
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF
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
ABBOTT SPA
KRKA D.D.
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA

SLOVENIA

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

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

TEVA PHARMACEUTICALS S.R.L.

REPUBLICA CEHA

ITALIA
ITALIA

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

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

P-RF

Pagina 17 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1 12.39
1 22.30
1 29.74
1 33.16
1 11.90
1
9.09
1 21.40
1 16.53
10 21.56
10 34.77
5 55.99
10 101.25
20
7.72
20
7.40
20
7.04
20
7.72
1
4.76
1 10.48
20
7.09
20
9.60
20
8.44
1 11.46
7 32.05
6 29.37
14 28.57
14 11.36
14 16.69
14 14.67
14 16.69
14 11.34
14 11.36
14 32.62
14 32.62
14 32.08
14 32.62
20 43.35
20 53.31
14 24.62
14 32.62
7 33.15
5 36.43
7 28.09
1 39.14
1 24.48
1 23.30
1 26.21
1 18.94
1 61.52
1 51.09
1 28.78
1 31.68

Pret
amanuntul
maximal/UT
(RON)

12.390000
22.300000
29.740000
33.160000
11.900000
9.090000
21.400000
16.530000
2.156000
3.477000
11.198000
10.125000
0.386000
0.370000
0.352000
0.386000
4.760000
10.480000
0.354500
0.480000
0.422000
11.460000
4.578571
4.895000
2.040714
0.811428
1.192142
1.047857
1.192142
0.810000
0.811428
2.330000
2.330000
2.291428
2.330000
2.167500
2.665500
1.758571
2.330000
4.735714
7.286000
4.012857
39.140000
24.480000
23.300000
26.210000
18.940000
61.520000
51.090000
28.780000
31.680000

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

9.933750
19.867500
26.490000
19.867500
9.933750
7.947000
19.867500
15.894000
1.846462
3.477000
7.385850
7.385850
0.328950
0.328950
0.328950
0.328950
4.760000
4.366125
0.354500
0.419400
0.419400
11.404800
2.097000
2.097000
1.048500
0.811428
1.048500
1.047857
1.048500
0.810000
0.811428
2.097000
2.097000
2.097000
2.097000
2.097000
2.097000
1.758571
2.097000
2.097000
2.097000
2.097000
23.760000
14.256000
14.256000
14.256000
14.256000
47.520000
47.520000
28.512000
28.512000

8.940375
17.880750
23.841000
17.880750
8.940375
7.152300
17.880750
14.304600
1.661815
3.129300
6.647265
6.647265
0.296055
0.296055
0.296055
0.296055
4.284000
3.929512
0.319050
0.377460
0.377460
10.264320
1.887300
1.887300
0.943650
0.730285
0.943650
0.943071
0.943650
0.729000
0.730285
1.887300
1.887300
1.887300
1.887300
1.887300
1.887300
1.582713
1.887300
1.887300
1.887300
1.887300
21.384000
12.830400
12.830400
12.830400
12.830400
42.768000
42.768000
25.660800
25.660800

Nr crt.

cod ATC

859 J01FA09
860 J01FA09
861 J01MA01
862 J01MA01
863 J01MA02
864 J01MA02
865 J01MA02
866 J01MA02
867 J01MA02
868 J01MA02
869 J01MA02
870 J01MA02
871 J01MA02
872 J01MA02
873 J01MA02
874 J01MA02
875 J01MA02
876 J01MA02
877 J01MA02
878 J01MA02
879 J01MA02
880 J01MA02
881 J01MA02
882 J01MA02
883 J01MA02
884 J01MA02
885 J01MA02
886 J01MA02
887 J01MA03
888 J01MA06
889 J01MA06
890 J01MA06
891 J01MA06
892 J01MA06
893 J01MB02
894 J01XD01
895 J01XD01
896 J01XD01
897 J01XD01
898 J01XD01
899 J01XD01
900 J01XD01
901 J01XD01
902 J01XD01
903 J01XD01
904 J01XD01
905 J02AC01
906 J02AC01
907 J02AC01
908 J02AC01
909 J02AC01

DCI

CLARITHROMYCINUM
CLARITHROMYCINUM
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
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

Denumire Comerciala

LEKOKLAR 250 mg/5 ml


KLACID I.V.
ZANOCIN
OFLOXIN 200
CIPROFLOXACINA ARENA 100 mg
CIPROFLOXACINA ARENA 100 mg

CIPROCIN 250 mg
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CUMINOL 250 mg
CIFRAN
CIPROFLOXACINA ARENA 250 mg
CIPROFLOXACINA ARENA 250 mg

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIFRAN
CIPRO QUIN (R)
CIPROFLOXACINA ARENA 500 mg
CIPROFLOXACINA ARENA 500 mg

ALVEBAR 500 mg
CIPRINOL 750 mg
CIPROFLOXACINA ARENA 750 mg

CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
PEFLOXACIN LAROPHARM
NORFLOXACINA LPH 400 mg
NORFLOX - 400
NOLICIN 400 mg
NOR QUIN 400 mg

forma farm.
GRAN. PT. SUSP. ORALA

LIOF. PT. SOL. 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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
NORFLOXACIN HELCOR 400 mg COMPR. FILM.

NALIXID 500 mg
METRONIDAZOL ARENA 250 mg (J01XD01)
METRONIDAZOL ARENA 250 mg (J01XD01)

FLAGYL ( vezi J01XD01)


FLAGYL ( vezi J01XD01)
METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL BRAUN 5mg/ml
METRONIDAZOL BRAUN 5mg/ml
METRONIDAZOL BRAUN 5mg/ml

FLUCOVIM 100
FUNGOLON 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOLE TEVA 100 mg
FLUCONAZOL AUROBINDO 100 mg

CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

250mg/5ml
500mg
200mg
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
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
100mg
100mg
100mg
100mg
100mg

SANDOZ S.R.L.

tara det.
APP
ROMANIA

ABBOTT LABORATORIES LTD.

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

RANBAXY UK LIMITED

MAREA BRITANIE

Detinator APP

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

Prescriptie

PRF
S/P-RF

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

P-RF

ZENTIVA K.S.
CEHIA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 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

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

AC HELCOR SRL
GEDEON RICHTER ROMANIA SA

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


ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

RANBAXY UK LIMITED

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

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

P-RF
P-RF
P-RF
P-RF

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.


ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

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

P-RF

DR. REDDY'S LABORATORIES

P-RF

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

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


AC HELCOR SRL
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
RANBAXY UK LIMITED MAREA BRITANIE
ANTIBIOTICE SA
ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
DR. REDDY'S LABORATORIES ROMANIA

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

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


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

P-RF

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

P-RF

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


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

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

ARENA GROUP S.A.


BAYER PHARMA AG
BAYER PHARMA AG
LAROPHARM S.R.L.

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

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


LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

CIPLA (UK) LIMITED

P-RF

MAREA BRITANIE

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF

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

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

ZENTIVA SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

FRANTA
LABORATOIRE AVENTIS FRANTA
LABORATOIRE AVENTIS

INFOMED FLUIDS SRL


INFOMED FLUIDS SRL
INFOMED FLUIDS SRL
INFOMED FLUIDS SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-RF/S

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

P-RF

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


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

P-RF

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

P-RF

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

CUTIE X 12 FLACOANE X 200 ML


CUTIE X 1 FLACON X 200 ML
CUTIE X 12 FLACOANE X 200 ML
CUTIE X 1 FLACON X 200 ML

P-RF
P-RF

P-RF
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

B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS.


P-RF
BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

Pagina 18 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1 28.78
1 53.78
10 11.36
10 20.02
10 37.31
20 65.61
10
6.83
10
6.83
10
6.83
10
6.83
20 12.30
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
8.78
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 15.73
10
6.19
20 17.60
20 17.60
20 17.60
30 29.29
30
7.72
30
7.72
20
7.09
20
7.09
12 100.25
1
9.11
12 98.29
1
8.91
10 48.92
10 48.37
20 278.47
4 25.61
16 82.66
2
9.43
7 31.51
7 43.36

Pret
amanuntul
maximal/UT
(RON)

28.780000
53.780000
1.136000
2.002000
3.731000
3.280500
0.683000
0.683000
0.683000
0.683000
0.615000
0.693000
0.656000
0.615000
0.476000
1.322000
1.322000
1.322000
1.322000
0.878000
1.322000
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
9.210000
2.786000
0.786500
0.619000
0.880000
0.880000
0.880000
0.976333
0.257333
0.257333
0.354500
0.354500
8.354166
9.110000
8.190833
8.910000
4.892000
4.837000
13.923500
6.402500
5.166250
4.715000
4.501428
6.194285

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

28.512000
25.576250
1.136000
1.189800
0.237960
0.237960
0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.476000
1.189800
1.189800
1.189800
1.189800
0.878000
1.189800
0.923000
0.821500
0.594900
1.784700
1.784700
2.379600
1.189800
1.189800
0.786500
0.619000
0.786500
0.786500
0.786500
0.976333
0.257333
0.257333
0.297187
0.297187
8.354166
8.632083
8.190833
8.632083
4.316041
4.316041
4.316041
4.198177
4.198177
4.198177
4.198177
4.198177

25.660800
23.018625
1.022400
1.070820
0.214164
0.214164
0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.428400
1.070820
1.070820
1.070820
1.070820
0.790200
1.070820
0.830700
0.739350
0.535410
1.606230
1.606230
2.141640
1.070820
1.070820
0.707850
0.557100
0.707850
0.707850
0.707850
0.878699
0.231599
0.231599
0.267468
0.267468
7.518749
7.768874
7.371749
7.768874
3.884436
3.884436
3.884436
3.778359
3.778359
3.778359
3.778359
3.778359

Nr crt.

cod ATC

910 J02AC01
911 J02AC01
912 J02AC01
913 J02AC01
914 J02AC01
915 J02AC01
916 J02AC01
917 J02AC01
918 J02AC01
919 J02AC01
920 J02AC01
921 J02AC01
922 J02AC01
923 J02AC01
924 J02AC01
925 J02AC01
926 J02AC01
927 J02AC01
928 J02AC01
929 J02AC01
930 J02AC01
931 J02AC01
932 J02AC01
933 J02AC01
934 J02AC01
935 J02AC01
936 J02AC01
937 J02AC01
938 J02AC01
939 J02AC01
940 J05AB01
941 J05AB01
942 J05AB01
943 J05AB01
944 J05AB01
945 J05AB01
946 J05AB01
947 J05AB01
948 J05AB01
949 J05AB01
950 M01AB01
951 M01AB01
952 M01AB01
953 M01AB01
954 M01AB01
955 M01AB01
956 M01AB05
957 M01AB05
958 M01AB05
959 M01AB05
960 M01AB05

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
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

Denumire Comerciala

FLUCOVIM 150
DIFLUCAN 150 mg
FLUCORIC 150 mg
FLUCONAZOL SANDOZ (R) 150
FLUCONAZOLE TEVA 150 mg

FLUCONAZOL 150 mg
FLUCONAZOL MEDOCHEMIE 150 mg
FLUCONAZOL BIOGALENICA 150 mg

FLUCONAZOL ARENA 150 MG

MYCOSYST 150 mg
FLUCONAZOL ACTAVIS 150 mg

MYCOMAX 150
FLUCONAZOL LPH 150 mg
FLUCONAZOL ROMPHARM 150 mg
FLUCONAZOL AUROBINDO 150 mg

FLUCONAZOL ZENTIVA 150 mg


FLUCONAZOLE TEVA 200 mg

FLUCOVIM 50
DIFLUCAN 50 mg
FLUCORIC 50 mg
FLUCONAZOL SANDOZ (R) 50
FLUCONAZOLE TEVA 50 mg

FLUCONAZOL 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCONAZOL BIOGALENICA 50 mg

FLUCONAZOL ARENA 50 MG
FLUCONAZOL LPH 50 mg
FLUCONAZOL AUROBINDO 50 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.

DIFLUCAN 10 mg/ml
DIFLAZON 2mg/ml
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR FARMEX 200 mg
ACICLOVIR ARENA 400 mg
ACICLOVIR TERAPIA 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR 400 mg
VIROLEX

PULB. PT. SOL. INJ./PERF.

INDOMETACIN LAROPHARM 25 mg

CAPS.

PULB. PT. SUSP. ORALA

SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

INDOMETACIN ARENA 25 MG CAPS.


INDOMETACIN ARENA 50 MG CAPS.

INDOMETACIN 50 mg
INDOMETACIN 50 mg
INDOMETACIN 50 mg
DICLOREUM 150 mg

SUPOZ.
SUPOZ.
SUPOZ.
CAPS. ELIB. PREL.

DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL.

TRATUL 50
DICLOTARD 100 mg
DICLAC (R) 75 ID

CAPS. MOI GASTROREZ.

COMPR. CU ELIB. PREL.

COMPR. ELIB. MODIF.

tara det.
concentratie
APP
Detinator APP
Ambalaj
150mg
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

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
10mg/ml
2mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
400mg
250mg
25mg
25mg
50mg
50mg
50mg
50mg
150mg
75mg
50mg
100mg
75mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA
SANDOZ SRL

GERMANIA

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

ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

ZENTIVA K.S.
LABORMED PHARMA S.A.
ROMPHARM COMPANY S.R.L.
AUROBINDO PHARMA (MALTA) LIMITED

ZENTIVA K.S.

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

Prescriptie

P-RF
P-RF
P-RF

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

P-RF

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

P-RF

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


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

P-RF

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

P-RF

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


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

P-RF

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


CEHIA
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.
REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

P-RF

PRF
P-RF

PRF
PRF
PRF
P-RF

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


VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
P-RF
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC 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
ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
P-RF
LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
PRF
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF
TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

PRF
S/PR-F

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.


ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

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


LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P-RF

EGIS PHARMACEUTICALS P.L.C.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

P-RF
P-RF
P-RF
P-RF
P-RF

P-RF
P-RF
S/P-RF

LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ALFA WASSERMANN SPA

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.

P-6L

ROMANIA

P-6L

PHARMASWISS CESKA REPUBLIKA S.R.O.

GEROT PHARMAZEUTIKA GMBH

TERAPIA SA
HEXAL AG

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


CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

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

P-6L

CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L

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

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF.

Pagina 19 din 193

P-6L

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
9.94
1 25.08
1 18.86
1 14.58
1
6.59
1
9.68
1
8.20
1
6.59
1
9.03
4 63.10
1 10.06
1 12.03
1
9.94
1 12.94
1 13.54
1 12.03
7 39.37
7 22.56
7 56.54
7 29.61
7 41.93
7 16.69
7 19.58
7 16.15
7 15.76
7 19.12
7 22.56
7 29.61
1 31.71
1 45.82
20 20.23
20 21.42
20 21.42
10 19.48
20 17.15
20 17.23
20 13.81
20 13.00
10 27.18
5 282.97
20
1.62
30
2.14
20
3.53
6
4.13
10
6.87
10
6.59
20 47.70
30 20.49
30
6.39
20
8.21
10
3.93

Pret
amanuntul
maximal/UT
(RON)

9.940000
25.080000
18.860000
14.580000
6.590000
9.680000
8.200000
6.590000
9.030000
15.775000
10.060000
12.030000
9.940000
12.940000
13.540000
12.030000
5.624285
3.222857
8.077142
4.230000
5.990000
2.384285
2.797142
2.307142
2.251428
2.731428
3.222857
4.230000
31.710000
45.820000
1.011500
1.071000
1.071000
1.948000
0.857500
0.861500
0.690500
0.650000
2.718000
56.594000
0.081000
0.071333
0.176500
0.688333
0.687000
0.659000
2.385000
0.683000
0.213000
0.410500
0.393000

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

6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
6.297266
5.624285
2.099088
2.099088
2.099088
2.099088
2.099088
2.099088
2.099088
2.099088
2.099088
2.099088
2.099088
14.693622
33.905812
0.760086
0.760086
0.760086
1.520172
0.760086
0.760086
0.690500
0.650000
1.520172
56.594000
0.074531
0.071333
0.149062
0.380999
0.380999
0.380999
0.447187
0.223593
0.149062
0.298125
0.223593

5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.667539
5.061856
1.889179
1.889179
1.889179
1.889179
1.889179
1.889179
1.889179
1.889179
1.889179
1.889179
1.889179
13.224259
30.515230
0.684077
0.684077
0.684077
1.368154
0.684077
0.684077
0.621450
0.585000
1.368154
50.934600
0.067077
0.064199
0.134155
0.342899
0.342899
0.342899
0.402468
0.201233
0.134155
0.268312
0.201233

Nr crt.

cod ATC

961 M01AB05
962 M01AB05
963 M01AB05
964 M01AB05
965 M01AB05
966 M01AB05
967 M01AB05
968 M01AB05
969 M01AB05
970 M01AB05
971 M01AB05
972 M01AB05
973 M01AB05
974 M01AB05
975 M01AB05
976 M01AB05
977 M01AB05
978 M01AB05
979 M01AB05
980 M01AB05
981 M01AB05
982 M01AB05
983 M01AB05
984 M01AB15
985 M01AB15
986 M01AB15
987 M01AB15
988 M01AB16
989 M01AC02
990 M01AC02
991 M01AC02
992 M01AC02
993 M01AC06
994 M01AC06
995 M01AC06
996 M01AC06
997 M01AC06
998 M01AC06
999 M01AC06
1,000

M01AC06

1,001

M01AC06

1,002

M01AC06

1,003

M01AC06

1,004

M01AC06

1,005

M01AC06

1,006

M01AC06

1,007

M01AC06

1,008

M01AC06

1,009

M01AC06

1,010

M01AC06

1,011

M01AC06

DCI

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
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN

ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM

Denumire Comerciala

VOLTAREN (R) RETARD


REFEN (R) RETARD
VOLTAREN (R) 50
DICLOFENAC 50 mg
DICLOFENAC HELCOR 50 mg

VOLTAREN RAPID (R)


DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
TRATUL (R)
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

forma farm.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
DICLOFENAC SINTOFARM 12,5 mg SUPOZ.
DICLOFENAC SINTOFARM 12,5 mg SUPOZ.
VOLTAREN (R)
SUPOZ.
KETOROL
COMPR. FILM.
KETANOV 10 mg
COMPR. FILM.
KETANOV
SOL. INJ.
KETOROL
SOL. INJ.
AFLAMIL 100mg
COMPR. FILM.
TENOXICAM LPH 20 mg
CAPS.
TENOXICAM ARENA 20 mg COMPR.
NEO - ENDUSIX (R)
COMPR. FILM.
NEO - ENDUSIX (R)
LIOF. + SOLV. PT. SOL. INJ.
MOVALIS (R) 15 mg
COMPR.
MOVALIS (R) 15 mg
COMPR.
MELOXICAM LPH 15 mg
COMPR.
MELOXICAM SANDOZ 15 mg COMPR.
MELOX 15 mg
COMPR.
MELOX 15 mg
COMPR.
RECOXA 15
COMPR.
MELOXICAM MCC 15 mg
COMPR.
VALZER 15 mg
COMPR.
NOFLAMEN 15 mg
COMPR.
NOFLAMEN 15 mg
COMPR.
MELOXICAM VIM SPECTRUM 15 mg COMPR.
ASPIFLEX 15 mg
COMPR.
Meloxicam Zentiva 15 mg comprimate 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.

concentratie

100mg
100mg
50mg
50mg
50mg
50mg
25mg
50mg
50mg
50mg
25mg/ml
30mg/ml
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
12,5 mg
12,5 mg
50mg
10mg
10mg
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5 mg
7,5 mg
7,5mg
7,5mg
7,5mg

Detinator APP

tara det.
APP

NOVARTIS PHARMA GMBH GERMANIA

STADA HEMOFARM S.R.L.

ROMANIA

Ambalaj
CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL.

Prescriptie

P-6L

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

NOVARTIS PHARMA GMBH GERMANIA

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

P-6L

TERAPIA SA

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

P-6L

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

P-6L

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

ROMANIA
ROMANIA

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
ROMANIA
ROMANIA
ROMANIA

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

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


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


GEROT PHARMAZEUTIKA GMBH

AUSTRIA

CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ.

P-RF

TERAPIA SA

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
ALIUD PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF
STADA HEMOFARM S.R.L. ROMANIA 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. P-6L

CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L


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
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 3 SUPOZITOARE P6L
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 5 SUPOZITOARE P6L

NOVARTIS PHARMA GMBH GERMANIA

SINTOFARM SA
MAGISTRA C & C
SINTOFARM S.A.
SINTOFARM S.A.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.

P-6L

ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP SA ROMANIA

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

P-6L

DR. REDDY'S LABORATORIES

ANFARM HELLAS S.A. PHARMACEUTICALS


ANFARM HELLAS S.A. PHARMACEUTICALS
BOEHRINGER INGELHEIM INTERNATIONAL GMBH
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

CUTIE CU 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. FILM. P-6L

CUTIE X 10 FIOLE X 1 ML

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

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV.

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

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


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

LABORMED PHARMA SA ROMANIA

CUTIE X 2 BLIST. X 10 COMPR.

HEXAL AG
MEDOCHEMIE LTD
MEDOCHEMIE LTD
ZENTIVA AS

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

CEHIA

MAGISTRA C & C SRL ROMANIA


GEDEON RICHTER ROMANIA SA ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA

ZENTIVA AS
MEDOCHEMIE LTD
MEDOCHEMIE LTD
BOEHRINGER INGELHEIM INTERNATIONAL GMBH
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

P-6L

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


CIPRU
CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L
CIPRU
CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L

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

P-6L

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


CUTIE X BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
CUTIE X BLIST. OPA-AL-PVC/AL X 20 COMPR. P-6L

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


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

P-6L

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


CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR.
CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR.
GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.
GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

CEHIA
CIPRU
CIPRU

LABORMED PHARMA SA ROMANIA

Pagina 20 din 193

CUTIE X 2 BLIST. X 10 COMPR.

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
20
20
20
20
10
30
20
20
30
5
5
5
5
10
5
6
5
10
10
6
10
10
20
20
10
10
20
20
20
10
1
20
10
20
20
30
10
20
20
20
10
20
20
20
20
10
30
10
20
20

6.56
8.55
6.56
4.25
2.27
2.34
5.72
2.54
2.65
3.98
9.40
14.24
6.10
6.10
12.22
4.05
3.94
5.47
6.95
6.38
3.64
6.01
9.45
6.75
10.14
24.75
19.61
22.71
11.45
14.11
6.35
5.44
15.44
7.70
10.03
9.98
30.39
10.60
6.92
10.03
10.03
5.01
10.03
10.03
10.03
6.92
9.61
25.65
7.41
14.84
9.65

Pret
amanuntul
maximal/UT
(RON)

0.656000
0.427500
0.328000
0.212500
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
2.848000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.638000
0.606666
0.601000
0.945000
0.337500
0.507000
2.475000
1.961000
1.135500
0.572500
0.705500
0.635000
5.440000
0.772000
0.770000
0.501500
0.499000
1.013000
1.060000
0.346000
0.501500
0.501500
0.501000
0.501500
0.501500
0.501500
0.346000
0.961000
0.855000
0.741000
0.742000
0.482500

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

0.298125
0.298125
0.149062
0.149062
0.113500
0.149062
0.074531
0.127000
0.132500
0.132666
1.097999
1.317600
1.097999
1.097999
1.097999
0.810000
0.656666
0.761999
0.695000
0.638000
0.095249
0.095249
0.380999
0.099374
0.099374
1.464000
1.464000
0.149062
0.451350
0.451350
0.451350
2.570850
0.451350
0.451350
0.451350
0.451350
0.451350
0.451350
0.346000
0.451350
0.451350
0.451350
0.451350
0.451350
0.451350
0.346000
0.225675
0.225675
0.225675
0.225675
0.225675

0.268312
0.268312
0.134155
0.134155
0.102150
0.134155
0.067077
0.114300
0.119250
0.119399
0.988199
1.185840
0.988199
0.988199
0.988199
0.729000
0.590999
0.685799
0.625500
0.574200
0.085724
0.085724
0.342899
0.089436
0.089436
1.317600
1.317600
0.134155
0.406215
0.406215
0.406215
2.313765
0.406215
0.406215
0.406215
0.406215
0.406215
0.406215
0.311400
0.406215
0.406215
0.406215
0.406215
0.406215
0.406215
0.311400
0.203107
0.203107
0.203107
0.203107
0.203107

Nr crt.

cod ATC

1,012

M01AC06

1,013

M01AC06

1,014

M01AC06

1,015

M01AC06

1,016

M01AC06

1,017

M01AC06

1,018

M01AC06

1,019

M01AE03

1,020

M01AE03

1,021

M01AE03

1,022

M01AE03

1,023

M01AE03

1,024

M01AE03

1,025

M01AE03

1,026

M01AE03

1,027

M01AE03

1,028

M01AE03

1,029

M01AE03

1,030

M01AE03

1,031

M01AE03

1,032

M01AE03

1,033

M01AE03

1,034

M01AE03

1,035

M01AE03

1,036

M04AA01

1,037

M04AA01

1,038

M04AC01

1,039

N02AD01

1,040

N02AD01

1,041

N02AX02

1,042

N02AX02

1,043

N02AX02

1,044

N02AX02

1,045

N02AX02

1,046

N02AX02

1,047

N02AX02

1,048

N02AX02

1,049

N02AX02

1,050

N02AX02

1,051

N02AX02

1,052

N02AX02

1,053

N02AX02

1,054

N02AX02

1,055

N02AX02

1,056

N02AX02

1,057

N02AX02

1,058

N02AX02

1,059

N02AX02

1,060

N02AX02

1,061

N02AX02

1,062

N02AX02

DCI

MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
ALLOPURINOLUM*
ALLOPURINOLUM*
COLCHICINUM
PENTAZOCINUM
PENTAZOCINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

forma farm.

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

CAPS. ELIB. PREL.


CAPS. ELIB. PREL.

KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL.

KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg

COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.

KETONAL 100 mg/ 2 ml

SOL. INJ.
SOL. INJ.
SOL. INJ.

KETOPROFEN TERAPIA 100MG/2ML

SOL. INJ./CONC. SOL. PERF.

RUBIFEN (R) 100 mg


KETOMAG
MILURIT 100 mg
MILURIT 300 mg
COLCHICINA
FORTRAL
FORTRAL
TRALGIT 50
TRAMADOL
MABRON 50 mg
K-ALMA (R)
TRAMADOL LPH 50 mg
TRAMADOL ARENA
TRAMACALM
TRAMADOL ZENTIVA 50 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
TRALGIT SR 100
TRAMADOL RETARD 100 mg

SUPOZ.
SUPOZ.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.

KETOPROFEN ROMPHARM 100 mg/2ml


KETOPROFEN ROMPHARM 100 mg/2ml

COMPR. ELIB. MODIF.

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.

TRAMADOL SR ZENTIVA 100 mg

COMPR. ELIB. PREL.

TRALGIT SR 150
TRADOLAN RETARD 150 mg

COMPR. ELIB. PREL.

TRAMADOL SR ZENTIVA 150 mg

COMPR. ELIB. PREL.

COMPR. ELIB. PREL.

TRADOLAN RETARD 200 mg COMPR. ELIB. PREL.


TRADOLAN 50 mg
COMPR. FILM.
TRAMAL RETARD 100 mg
COMPR. FILM. ELIB. PREL.
TRAMAL RETARD 150 mg
COMPR. FILM. ELIB. PREL.
TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL.

concentratie

7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg
100mg
150mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100 mg/2ml
100 mg/2ml
100mg/2ml
100mg/2ml
100mg
100mg
100mg
300mg
1mg
30mg/ml
30mg/ml
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
200mg
50mg
100mg
150mg
150mg

Detinator APP

HEXAL AG

tara det.
APP

Ambalaj

Prescriptie

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

MAGISTRA C & C SRL ROMANIA


GEDEON RICHTER ROMANIA SA ROMANIA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA

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

P-6L

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

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


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

P-6L
P-6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

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.
TERAPIA SA

ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ.


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

LEK PHARMACEUTICALS D.D.

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


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

ANTIBIOTICE SA
LAB. AVENTIS

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.

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

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
LEK PHARMACEUTICALS D.D.

LAB. AVENTIS

FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL.

P-6L

ROMPHARM COMPANY S.R.L.

CUTIE CU 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ

PRF

ROMPHARM COMPANY S.R.L.

ROMANIA
ROMANIA

CUTIE CU 10 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ

PRF

LEK PHARMACEUTICALS D.D.

SLOVENIA

TERAPIA SA
ANTIBIOTICE SA
MAGISTRA C & C

ROMANIA
ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA

EGIS PHARMACEUTICALS P.L.C.


EGIS PHARMACEUTICALS P.L.C.

BIOFARM SA

KRKA D.D. NOVO MESTO SLOVENIA


KRKA D.D. NOVO MESTO SLOVENIA

ZENTIVA A.S.
KRKA D.D.
MEDOCHEMIE LTD.
ANTIBIOTICE SA

SLOVACIA
SLOVENIA

CIPRU

ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
A.C. HELCOR PHARMA S.R.L. ROMANIA

ZENTIVA A.S.
MAGISTRA C & C
BIO EEL SRL
HEXAL AG
ZENTIVA AS

SLOVACIA

ROMANIA
ROMANIA

GERMANIA
SLOVACIA
KRKA, D.D., NOVO MESTO SLOVENIA
ZENTIVA AS
SLOVACIA
ZENTIVA AS
SLOVACIA

CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF

CUTIE X 5 FIOLE X 2 ML

P-RF

CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ.

P-6L

CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L

CUTIE X 1 FLAC. X 50 COMPR.


CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 2 BLIST. AL/PVC X 20 COMPR.
CUTIE X 10 FIOLE X 1 ML SOL. INJ.
CUTIE X 50 FIOLE X 1 ML SOL. INJ.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L
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 1 BLIST. X 10 COMPR. ELIB. MODIF.

P-RF

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

P-RF

CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF

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

P-RF

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

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

ZENTIVA AS

SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.


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

P-RF

LANNACHER HEILMITTEL GES.M.B.H.


LANNACHER HEILMITTEL GES.M.B.H.

GRUNENTHAL GMBH GERMANIA


GRUNENTHAL GMBH GERMANIA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

PRF
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

Pagina 21 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
20
20
20
20
5
6
10
20
20
10
20
20
30
20
20
20
14
5
10
10
5
6
10
50
30
40
10
50
20
20
10
20
20
20
10
20
20
20
10
30
30
30
30
30
30
30
30
10
10
30

9.65
9.65
9.65
9.65
9.65
15.12
9.46
11.93
16.49
26.32
15.13
15.02
9.03
13.20
11.62
7.89
7.15
13.36
5.70
11.36
11.36
9.63
4.10
6.53
8.23
12.87
5.76
14.70
66.75
5.61
5.82
3.85
7.67
7.67
9.00
3.85
5.61
7.67
7.67
6.30
18.89
18.91
18.89
27.55
33.41
27.55
34.30
10.65
9.69
22.03
41.57

Pret
amanuntul
maximal/UT
(RON)

0.482500
0.482500
0.482500
0.482500
0.482500
3.024000
1.576666
1.193000
0.824500
1.316000
1.513000
0.751000
0.451500
0.440000
0.581000
0.394500
0.357500
0.954285
1.140000
1.136000
1.136000
1.926000
0.683333
0.653000
0.164600
0.429000
0.144000
1.470000
1.335000
0.280500
0.291000
0.385000
0.383500
0.383500
0.450000
0.385000
0.280500
0.383500
0.383500
0.630000
0.629666
0.630333
0.629666
0.918333
1.113666
0.918333
1.143333
0.355000
0.969000
2.203000
1.385666

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

0.225675
0.225675
0.225675
0.225675
0.225675
2.570850
0.664200
0.494699
0.742050
0.989399
0.989399
0.742050
0.451500
0.440000
0.494699
0.394500
0.247349
0.954285
1.140000
1.136000
0.570000
1.140000
0.660583
0.653000
0.148399
0.429000
0.144000
1.368750
1.335000
0.280500
0.283348
0.283348
0.283348
0.283348
0.283348
0.283348
0.280500
0.283348
0.283348
0.566699
0.566699
0.566699
0.566699
0.850049
0.850049
0.850049
1.133398
0.283348
0.566699
0.850049
0.850049

0.203107
0.203107
0.203107
0.203107
0.203107
2.313765
0.597780
0.445229
0.667845
0.890459
0.890459
0.667845
0.406350
0.396000
0.445229
0.355050
0.222614
0.858856
1.026000
1.022400
0.513000
1.026000
0.594524
0.587700
0.133559
0.386100
0.129600
1.231875
1.201500
0.252450
0.255013
0.255013
0.255013
0.255013
0.255013
0.255013
0.252450
0.255013
0.255013
0.510029
0.510029
0.510029
0.510029
0.765044
0.765044
0.765044
1.020058
0.255013
0.510029
0.765044
0.765044

Nr crt.

cod ATC

1,063

N02AX02

1,064

N02AX02

1,065

N02AX02

1,066

N02AX02

1,067

N02AX02

1,068

N02AX02

1,069

N02AX02

1,070

N02AX02

1,071

N02AX02

1,072

N02AX02

1,073

N02CC01

1,074

N02CC01

1,075

N02CC01

1,076

N02CC01

1,077

N02CC01

1,078

N02CC01

1,079

N02CC01

1,080

N02CC01

1,081

N03AF01

1,082

N03AF01

1,083

N03AF01

1,084

N03AF01

1,085

N03AF01

1,086

N03AF01

1,087

N03AF01

1,088

N03AF01

1,089

N03AF01

1,090

N03AF01

1,091

N03AF01

1,092

N03AF01

1,093

N03AF01

1,094

N03AF01

1,095

N03AF01

1,096

N03AF01

1,097

N03AF01

1,098

N03AF01

1,099

N03AF01

1,100

N03AF01

1,101

N03AF01

1,102

N03AF01

1,103

N03AF01

1,104

N03AX12

1,105

N03AX12

1,106

N03AX12

1,107

N03AX12

1,108

N03AX12

1,109

N03AX12

1,110

N03AX12

1,111

N03AX12

1,112

N03AX12

1,113

N03AX12

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
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

Denumire Comerciala

TRAMAL RETARD 200 mg


TRAMADOL RETARD 200 mg
TRALGIT 50 mg
TRAMADOL ZENTIVA 50 mg
TRAMADOL ZENTIVA 50 mg
MABRON
MABRON
TRAMADOL
TRAMADOL
TRAMADOL
IMIGRAN DR 100 mg
IMIGRAN DR 50 mg
XIBIMER 100 mg
SUMACTA 100 mg
SUMACTA 100 mg
XIBIMER 50 mg
SUMACTA 50 mg
SUMACTA 50 mg
TEGRETOL (R) 200

forma farm.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
CARBAMAZEPINA LPH 200 mg COMPR.
CARBAVIM
COMPR.
CARBEPSIL 200
COMPR.
CARBAMAZEPIN
COMPR.
CARBAMAZEPIN EEL
COMPR.
FINLEPSIN
COMPR.
CARBAMAZEPINA ARENA 200 mg COMPR.
FINLEPSIN
COMPR.
CARBEPSIL 400
COMPR.
CARBAMAZEPINA ARENA 400 mg COMPR.
TIMONIL RETARD 150 mg
TIMONIL RETARD 300 mg
TIMONIL RETARD 600 mg

COMPR. CU ELIB. PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

NEUROTOP (R) RETARD 300 mg


NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
FINLEPSIN 200 RETARD
TEGRETOL CR 400
FINLEPSIN 400 RETARD
FINLEPSIN 400 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
GABAPENTIN AUROBINDO 100 mg

GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAPENTINA PFIZER 100 mg
GABAPENTINA PFIZER 100 mg

GABAPENTIN ARENA 100 mg


GABAPENTIN AUROBINDO 300 mg

GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

COMPR.FILM.ELIB.PREL

SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

200mg
200mg
50mg
50mg
50mg
100mg
100mg
50mg/ml
50mg/ml
100mg
100mg
50mg
100mg
100mg
100mg
50mg
50mg
50mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
150mg
300mg
600mg
300mg
600mg
200mg
200mg
400mg
400mg
400mg
200mg
100mg/5ml
100 mg
100mg
100mg
100mg
100mg
100mg
300 mg
300mg
300mg
300mg

tara det.
APP

Detinator APP
GRUNENTHAL GMBH GERMANIA

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

Prescriptie

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

ZENTIVA, A.S.
ZENTIVA, A.S.
ZENTIVA, A.S.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
KRKA D.D.
KRKA D.D.
KRKA D.D.

REPUBLICA SLOVACA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PRF

REPUBLICA SLOVACA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PRF

REPUBLICA SLOVACA

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

PRF

CIPRU
CIPRU

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

SLOVENIA CUTIE X 5 FIOLE X 1 ML


SLOVENIA CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ.

S/P-RF
S/P-RF

P-RF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

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

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

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

DR. REDDY'S LABORATORIES

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

P-RF

ACTAVIS GROUP PTC EHF.

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.


ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM.

DR. REDDY'S LABORATORIES

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

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.


ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM.

PRF

ACTAVIS GROUP PTC EHF.

PRF

PRF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

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


CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

VIM SPECTRUM SRL ROMANIA


AC HELCOR PHARMA SRL ROMANIA
SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
GERMANIA

CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.

P-6L

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


S.C. TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA

AWD PHARMA GMBH & CO.KG

ARENA GROUP SA

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

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

P6L
P6L
P6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIB. PRELUNGITA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

CUTIE X 5 BLIST. PVC/AL X 10 COMPR. CU ELIBERARE PRELUNGITA

GEROT PHARMAZEUTIKA GMBH

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

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

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

P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

AWD PHARMA GMBH & CO.KG

GERMANIA

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

P-6L

S.C. TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

P-6L

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

P-6L

DESITIN ARZNEIMITTEL GMBH

GERMANIA
GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

P-6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. DIIN POLIAMIDA/AL/PVC-AL X 50 CAPS.

P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

GEROT PHARMAZEUTIKA GMBH

NOVARTIS PHARMA GMBH GERMANIA


S.C. TEVA PHARMACEUTICALS S.R.L.

AWD PHARMA GMBH & CO.KG

EGIS PHARMACEUTICALS P.L.C.

ROMANIA

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L


CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L


P6L
CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

ARENA GROUP S.A. ROMANIA


AUROBINDO PHARMA LIMITED

PLIVA LJUBLJANA D.O.O. SLOVENIA

Pagina 22 din 193

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

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

P-6L
P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10 28.18
30 53.20
10
3.84
10
3.84
10
3.84
5
9.83
100 134.56
5
4.93
5 13.10
5
5.58
2 44.81
2 25.36
6 58.12
2 20.02
6 58.12
6 41.45
2 14.28
6 41.47
50 17.38
50 11.31
50 11.31
50 11.31
20
4.96
20
4.50
50 11.31
20
4.96
50 11.31
50 26.26
20 10.51
50 15.16
50 20.62
50 36.53
50 20.68
50 36.59
50 19.17
50 12.43
30 25.35
50 25.27
50 25.27
50 12.43
1 22.51
50
7.20
100 60.61
60 33.34
50 22.54
100 43.63
60 23.56
50 21.80
100 133.56
50 65.96
100 133.09

Pret
amanuntul
maximal/UT
(RON)

2.818000
1.773333
0.384000
0.384000
0.384000
1.966000
1.345600
0.986000
2.620000
1.116000
22.405000
12.680000
9.686666
10.010000
9.686666
6.908333
7.140000
6.911666
0.347600
0.226200
0.226200
0.226200
0.248000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.383400
0.248600
0.845000
0.505400
0.505400
0.248600
22.510000
0.144000
0.606100
0.555666
0.450800
0.436300
0.392666
0.436000
1.335600
1.319200
1.330900

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

1.133398
1.133398
0.283348
0.283348
0.283348
1.629810
1.345600
0.814902
1.629810
1.116000
9.929166
4.964583
9.686666
9.929166
9.686666
4.964583
4.964583
4.964583
0.230533
0.226200
0.226200
0.226200
0.230533
0.225000
0.226200
0.230533
0.226200
0.461066
0.461066
0.172900
0.345800
0.691600
0.345800
0.691600
0.230533
0.230533
0.461066
0.461066
0.461066
0.230533
22.510000
0.144000
0.288282
0.288282
0.288282
0.288282
0.288282
0.436000
0.864853
0.864853
0.864853

1.020058
1.020058
0.255013
0.255013
0.255013
1.466829
1.211040
0.733411
1.466829
1.004400
8.936249
4.468124
8.717999
8.936249
8.717999
4.468124
4.468124
4.468124
0.207479
0.203580
0.203580
0.203580
0.207479
0.202500
0.203580
0.207479
0.203580
0.414959
0.414959
0.155610
0.311220
0.622440
0.311220
0.622440
0.207479
0.207479
0.414959
0.414959
0.414959
0.207479
20.259000
0.129600
0.259453
0.259453
0.259453
0.259453
0.259453
0.392400
0.778367
0.778367
0.778367

Nr crt.

cod ATC

1,114

N03AX12

1,115

N03AX12

1,116

N03AX12

1,117

N03AX12

1,118

N03AX12

1,119

N03AX12

1,120

N03AX12

1,121

N03AX12

1,122

N03AX12

1,123

N03AX12

1,124

N03AX12

1,125

N03AX12

1,126

N03AX12

1,127

N03AX12

1,128

N03AX12

1,129

N03AX12

1,130

N05AD01

1,131

N05AD01

1,132

N05AD01

1,133

N05AD01

1,134

N05AD01

1,135

N05AD01

1,136

N05AD01

1,137

N05AD01

1,138

N05BA01

1,139

N05BA01

1,140

N05BA01

1,141

N05BA01

1,142

N05BA01

1,143

N05BA01

1,144

N05BA01

1,145

N05BA03

1,146

N05BA03

1,147

N05BA03

1,148

N05BA03

1,149

N05BA06

1,150

N05BA08

1,151

N05BA08

1,152

N05BA08

1,153

N05BA08

1,154

N05BA08

1,155

N05BA12

1,156

N05BA12

1,157

N05BA12

1,158

N05BA12

1,159

N05BA12

1,160

N05BA12

1,161

N05BA12

1,162

N05BA12

1,163

N05BA12

1,164

N05BA12

DCI

GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*

Denumire Comerciala

GRIMODIN 300 mg
GABAPENTINA PFIZER 300 mg
GABAPENTINA PFIZER 300 mg

GABAPENTIN ARENA 300 mg


GABAPENTIN AUROBINDO 400 mg

GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABAPENTINA PFIZER 400 mg
GABAPENTINA PFIZER 400 mg

GABAPENTIN ARENA 400 mg


GABARAN 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GRIMODIN 800 mg
HALOPERIDOL LAROPHARM 0,5 mg

HALOPERIDOL ARENA 1 mg
HALOPERIDOL ARENA 2 mg
HALDOL
HALOPERIDOL ROMPHARM 2 mg/ml

HALOPERIDOL 2 mg/ml
HALOPERIDOL DECANOAT
HALOPERIDOL RICHTER 5 mg/ml

DIAZEPAM 10 mg
DIAZEPAM
DIAZEPAM LAROPHARM 10 mg

DIAZEPAM 10 mg
DIAZEPAM 5 mg/ml
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg

MEDAZEPAM
MEDAZEPAM
MEDAZEPAM 10 mg
MEDAZEPAM LPH 10 mg
ANXIAR (R) 1 mg
BROMAZEPAM LPH 1,5 mg
LEXOTAN
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
ALPRAZOLAM ATB 0,25 mg
ALPRAZOLAM ATB 0,25 mg
ALPRAZOLAM ATB 0,25 mg
XANAX 0,5 mg
ALPRAZOLAM LPH (R) 0,5 mg

FRONTIN 0,5 mg

forma farm.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

tara det.
concentratie
APP
Detinator APP
Ambalaj
300mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.
300mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS.
300mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS.
300mg
ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

60
50
100
60
400 mg
AUROBINDO PHARMA LIMITED MAREA BRITANIE
50
400mg
WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS.
P-6L 100
400mg
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L
50
400mg
PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100
400mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L
60
400mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L
50
400mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L 100
400mg
ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L
60
COMPR. FILM. 600mg
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
30
COMPR. FILM. 600mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
COMPR. FILM. 800mg
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
30
COMPR. FILM. 800mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
COMPR.
0,5mg
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR.
1mg
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
COMPR.
2mg
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF
30
COMPR.
5mg
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
PIC. OFT., SOL. 2 mg/ml
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF
1
PIC. ORALE-SOL. 2mg/ml
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
1
SOL. INJ.
50mg/ml
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
5
SOL. INJ.
5mg/ml
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF
5
COMPR.
10mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
COMPR.
10mg
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR.
10mg
LAROPHARM SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
SOL. INJ.
10mg/2ml
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE X 2 ML
S/P-RF
5
SOL. INJ.
10mg/2ml
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE X 2 ML
S/P-RF
5
SOL. RECTALA 10mg/2,5ml DESITIN
GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF
5
SOL. RECTALA 5mg/2,5ml
DESITIN
GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF
5
COMPR.
10 mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR.
10 mg
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF
50
COMPR.
10mg
LAROPHARM SRL
ROMANIA CUTIE X 1 BLIST. X 20 COMPR.
P-RF
20
COMPR.
10mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR.
1 mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF
50
COMPR.
1,5mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR.
3mg
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR.
3mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
COMPR.
3mg
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
10
COMPR.
3mg
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. P-RF
10
COMPR.
0,25mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR.
0,25mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
COMPR.
0,25mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
COMPR.
0,25mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
COMPR.
0,25mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF
10
COMPR.
0,25mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF
20
COMPR.
0,25mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
COMPR.
0,5mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
COMPR.
0,5mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
COMPR.
0,5mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
P-6L

P6L
P6L
P6L
CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L

Pagina 23 din 193

63.62
47.92
91.03
51.89
28.81
175.18
72.72
169.16
85.96
64.12
121.79
64.86
65.21
123.68
104.24
197.38
3.24
7.72
10.80
17.94
4.31
6.66
44.52
12.48
1.99
4.01
2.08
10.48
10.48
32.62
25.99
2.45
5.61
3.05
2.47
6.70
2.14
7.16
3.10
2.20
1.54
5.65
2.68
4.35
4.93
1.22
2.45
3.67
8.94
4.24
7.46

Pret
amanuntul
maximal/UT
(RON)

1.060333
0.958400
0.910300
0.864833
0.576200
1.751800
1.454400
1.691600
1.432666
1.282400
1.217900
1.081000
2.173666
2.061333
3.474666
3.289666
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
0.099500
0.133666
0.104000
2.096000
2.096000
6.524000
5.198000
0.122500
0.112200
0.152500
0.123500
0.134000
0.107000
0.238666
0.155000
0.220000
0.154000
0.188333
0.134000
0.145000
0.164333
0.122000
0.122500
0.122333
0.298000
0.212000
0.248666

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

0.864853
0.864853
0.864853
0.864833
0.576200
1.153140
1.153140
1.153140
1.153140
1.153140
1.153140
1.081000
1.729711
1.729711
2.306281
2.306281
0.081000
0.162000
0.324000
0.717600
4.310000
3.240000
8.904000
1.162619
0.099500
0.133666
0.104000
2.096000
2.096000
6.524000
5.198000
0.122500
0.112200
0.123637
0.123500
0.098909
0.037091
0.074182
0.074182
0.074182
0.074182
0.061818
0.061818
0.061818
0.061818
0.061818
0.061818
0.061818
0.123637
0.123637
0.123637

0.778367
0.778367
0.778367
0.778349
0.518580
1.037826
1.037826
1.037826
1.037826
1.037826
1.037826
0.972900
1.556739
1.556739
2.075652
2.075652
0.072900
0.145800
0.291600
0.645840
3.879000
2.916000
8.013600
1.046357
0.089550
0.120299
0.093600
1.886400
1.886400
5.871600
4.678200
0.110250
0.100980
0.111273
0.111150
0.089018
0.033381
0.066763
0.066763
0.066763
0.066763
0.055636
0.055636
0.055636
0.055636
0.055636
0.055636
0.055636
0.111273
0.111273
0.111273

Nr crt.

cod ATC

1,165

N05BA12

1,166

N05BA12

1,167

N05BA12

1,168

N05BA12

1,169

N05BA12

1,170

N05BA12

1,171

N05BA12

1,172

N05BA12

1,173

N05BA12

1,174

N05BA12

1,175

N05BA12

1,176

N05CD02

1,177

N05CD02

1,178

N05CD02

1,179

N05CD02

1,180

N05CF01

1,181

N05CF01

1,182

N05CF02

1,183

N05CF02

1,184

N05CF02

1,185

N05CF02

1,186

N05CF02

1,187

N05CF02

1,188

N05CF02

1,189

N05CF02

1,190

N06AA04

1,191

N06AA04

1,192

N06AA09

1,193

N06AA12

1,194

N06AB03

1,195

N06AB03

1,196

N06AB03

1,197

N06AB03

1,198

N06AB03

1,199

N06AB04

1,200

N06AB04

1,201

N06AB04

1,202

N06AB04

1,203

N06AB04

1,204

N06AB05

1,205

N06AB05

1,206

N06AB05

1,207

N06AB05

1,208

N06AB05

1,209

N06AB05

1,210

N06AB06

1,211

N06AB06

1,212

N06AB06

1,213

N06AB06

1,214

N06AB06

1,215

N06AB06

DCI

ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM*
ZOPICLONUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*

Denumire Comerciala

forma farm.

PRAZOLEX (R) 0,5 mg


ALPRAZOLAM ATB 0,5 mg
ALPRAZOLAM ATB 0,5 mg
ALPRAZOLAM ATB 0,5 mg
XANAX 1 mg
ALPRAZOLAM LPH (R) 1 mg
PRAZOLEX (R) 1 mg
FRONTIN 1mg
ALPRAZOLAM ATB 1 mg
ALPRAZOLAM ATB 1 mg
ALPRAZOLAM ATB 1 mg
NITRAZEPAM LPH (R) 2,5 mg
NITRAZEPAM LPH (R) 5 mg
NITRAZEPAM 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
NITRAZEPAM - RICHTER 5 mg COMPR.
SONLAX 7,5 mg
COMPR. FILM.
IMOVANE 7,5 mg
COMPR. FILM.
SANVAL (R) 10 mg
COMPR. FILM.
SANVAL (R) 10 mg
COMPR. FILM.
ZOLPIDEM 10 mg
COMPR. FILM.
ZOLPIDEM ATB 10 MG
COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.
ZOLSANA 5 mg
COMPR. FILM.
ONIRIA 10 mg/ml
PIC. ORALE, SOL.
ANAFRANIL (R) 10 mg
DRAJ.
ANAFRANIL (R) 25 mg
DRAJ.
AMITRIPTILINA ARENA 25 mg COMPR. FILM.

DOXEPIN 25 mg
FLUOXIN 20 mg
FLUOXIN 20 mg
MAGRILAN 20 mg
ROFLUXIN 20 mg
PROZAC 20 mg
LINISAN 10 mg
DALSAN 10 mg
LINISAN 20 mg
DALSAN 20 mg
DALSAN 40 mg
ARKETIS
PAROXETIN ATB 20 mg
SEROXAT 20 mg
PAXETIN 20 mg
PALUXETIL 20 mg
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
SETALOFT 100 mg
XIMPROVE 100 mg
ZOLOFT 100 mg
ADJUVIN 100 mg

DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. DISP.
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.

concentratie

0,5mg
0,5mg
0,5mg
0,5mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2,5mg
5mg
5mg
5mg
7,5 mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg/ml
10mg
25mg
25mg
25mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
20mg
20mg
40mg
20mg
20 mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

Detinator APP
GEDEON RICHTER ROMANIA SA

LABORMED PHARMA SA ROMANIA

ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
LABORMED PHARMA SA ROMANIA
LABORMED PHARMA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
GEDEON RICHTER ROMANIA SA

AS GRINDEKS
SANOFI AVENTIS
LEK PHARMACEUTICALS D.D.
LEK PHARMACEUTICALS D.D.

Ambalaj

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.


CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
CUTIE X 1 FLAC. X 30 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

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


FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM.
SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

Prescriptie

P-RF

PRF
PRF
PRF
P-RF
P-RF
P-RF
P-RF

PRF
PRF
PRF
P-RF
P-RF
P-RF
P-RF

PRF
P-RF
P-RF
P-RF

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

ANTIBIOTICE S.A.
SANOFI - AVENTIS ROMANIA S.R.L.
SANOFI - AVENTIS ROMANIA S.R.L.

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


ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
ITF PHARMA KERESKEDELMI ES SZOLGALTATO KFT.

UNGARIA

CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CU PIC. ORALE, SOL.+PIPETA

P-RF
P-RF
P-RF
P-RF
P-RF

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


GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.

P-RF

ARENA GROUP S.A.


TERAPIA SA
VIM SPECTRUM SRL
VIM SPECTRUM SRL
MEDOCHEMIE LTD.
ANTIBIOTICE S.A.
ELI LILLY SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-RF

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


CUTIE X 2 BLIST. PVC/AL X 7 CAPS.
CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.

P-RF

GEDEON RICHTER ROMANIA SA

ROMANIA
UNGARIA
ROMANIA
UNGARIA
UNGARIA

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

P-RF

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

P-RF

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

P-RF

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

P-RF

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

P-RF

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH

EGIS PHARMACEUTICALS P.L.C.


GEDEON RICHTER ROMANIA SA
EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

P-RF

P-RF
P-RF
P-RF
P-RF
P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM.

P-RF

PRF

SMITHKLINE BEECHAM

MAREA BRITANIE

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


ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM.

P-RF

SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA
KRKA D.D.

ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR.FILM.


ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 COMPR.FILM.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-RF

SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

P-RF

P-RF
P-RF

CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF

DR. REDDY'S LABORATORIES

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM.

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

Pagina 24 din 193

P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
10
20
30
30
20
30
30
10
20
30
20
20
20
20
20
20
10
20
10
10
10
20
20
1
30
30
50
30
14
28
30
20
28
30
28
30
28
28
30
30
30
30
30
30
28
28
28
28
28
30

5.79
1.93
3.87
5.81
12.70
6.06
8.24
12.60
2.74
5.50
8.24
1.37
1.57
2.40
2.40
10.06
15.50
4.13
8.27
4.25
4.25
3.90
7.80
13.56
60.41
7.24
14.31
15.01
19.95
11.28
22.06
17.63
15.12
36.82
7.12
7.40
39.54
10.72
33.59
23.05
23.04
34.30
23.05
20.48
36.77
35.28
40.84
34.09
35.28
68.51
36.52

Pret
amanuntul
maximal/UT
(RON)

0.193000
0.193000
0.193500
0.193666
0.423333
0.303000
0.274666
0.420000
0.274000
0.275000
0.274666
0.068500
0.078500
0.120000
0.120000
0.503000
0.775000
0.413000
0.413500
0.425000
0.425000
0.390000
0.390000
0.678000
60.410000
0.241333
0.477000
0.300200
0.665000
0.805714
0.787857
0.587666
0.756000
1.315000
0.237333
0.264285
1.318000
0.382857
1.199642
0.768333
0.768000
1.143333
0.768333
0.682666
1.225666
1.260000
1.458571
1.217500
1.260000
2.446785
1.217333

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

0.123637
0.123637
0.123637
0.123637
0.247274
0.247274
0.247274
0.247274
0.247274
0.247274
0.247274
0.054000
0.078500
0.108000
0.108000
0.503000
0.513900
0.407250
0.407250
0.407250
0.407250
0.390000
0.390000
0.203625
12.217500
0.122399
0.305999
0.300200
0.305999
0.614399
0.614399
0.587666
0.614399
0.614399
0.237333
0.264285
0.614399
0.382857
1.199642
0.614399
0.614399
0.614399
0.614399
0.614399
1.225666
1.228798
1.228798
1.217500
1.228798
1.228798
1.217333

0.111273
0.111273
0.111273
0.111273
0.222546
0.222546
0.222546
0.222546
0.222546
0.222546
0.222546
0.048600
0.070650
0.097200
0.097200
0.452700
0.462510
0.366525
0.366525
0.366525
0.366525
0.351000
0.351000
0.183262
10.995750
0.110159
0.275399
0.270180
0.275399
0.552959
0.552959
0.528899
0.552959
0.552959
0.213599
0.237856
0.552959
0.344571
1.079677
0.552959
0.552959
0.552959
0.552959
0.552959
1.103099
1.105918
1.105918
1.095750
1.105918
1.105918
1.095599

Nr crt.

cod ATC

DCI

1,216

N06AB06

1,217

N06AB06

1,218

N06AB06

1,219

N06AB06

1,220

N06AB06

1,221

N06AB06

1,222

N06AB06

1,223

N06AB06

1,224

N06AB06

1,225

N06AB06

1,226

N06AB06

1,227

N06AB08

1,228

N06AB08

1,229

N06AX03

1,230

N06AX03

1,231

N06AX11

1,232

N06AX11

1,233

N06AX11

1,234

N06AX11

1,235

N06AX11

1,236

N06AX11

1,237

N06AX11

1,238

N06AX11

1,239

N06AX11

1,240

N06AX11

1,241

N06AX11

1,242

N06AX11

1,243

N06AX16

1,244

N06AX16

1,245

N06AX16

1,246

N06AX16

1,247

N06AX16

1,248

N06AX16

1,249

N06AX16

1,250

N06AX16

1,251

N06AX16

1,252

N06AX16

1,253

N06AX16

1,254

N06AX16

1,255

N06AX16

1,256

N06AX16

1,257

N06AX16

1,258

N06AX16

1,259

N06AX16

1,260

N06AX16

1,261

N06AX16

1,262

N06AX16

1,263

N06AX16

1,264

N06AX16

1,265

N06AX16

1,266

N06AX16

SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
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**

tara det.
forma farm. concentratie
APP
Denumire Comerciala
Detinator APP
Ambalaj
STIMULOTON 100 mg
COMPR. FILM. 100mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
SERTRALINA ARENA 100 mg COMPR. FILM. 100mg
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
SERLIFT 50 mg
COMPR. FILM. 50mg
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
P-RF
ASENTRA (R)
COMPR. FILM. 50mg
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.
P-RF
SETALOFT 50 mg
COMPR. FILM. 50mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF
XIMPROVE 50 mg
COMPR. FILM. 50mg
DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
ZOLOFT 50 mg
COMPR. FILM. 50mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF
ADJUVIN 50 mg
COMPR. FILM. 50mg
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF
STIMULOTON 50 mg
COMPR. FILM. 50mg
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. FILM.
P-RF
SERTRALINA ARENA 50 mg COMPR. FILM. 50mg
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

Prescriptie

ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
MIANSERIN 10
MIANSERIN 30
REMERON SOLTAB 30 mg
MIRTAZAPIN ARENA 15 mg
MIRZATEN (R) 30 mg
PHARMATAZ 30 mg
ESPRITAL (R) 30
MIRTAZAPIN ARENA 45 mg

CONC. PT. SOL. ORALA

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

MIRTAZAPIN AUROBINDO 15 mg

COMPR. ORODISPERSABILE

MIRZATEN Q-TAB 30 mg

COMPR. ORODISPERSABILE

MIRTAZAPINA BLUEFISH 30 mg
MIRTAZAPIN AUROBINDO 30 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

ZULIN 30 mg

COMPR. ORODISPERSABILE

MIRTAZAPIN AUROBINDO 45 mg

COMPR. ORODISPERSABILE

IVRYX 150mg
EFECTIN EP 150 mg
ELIFY EP 150 mg
IVRYX 150mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
ADOXA EP 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.

VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL.

VENLAFAXINA TERAPIA 150 mg


VENLAFAXINA TERAPIA 150 mg

CAPS. ELIB. PREL.

FOBILESS 37,5 mg

CAPS. ELIB. PREL.

CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL.

IVRYX 75mg
EFECTIN EP 75 mg
ELIFY EP 75 mg
IVRYX 75mg
IVRYX 75mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
ADOXA EP 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 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.

20mg/ml
100mg
50mg
10mg
30mg
30mg
15mg
30mg
30mg
30mg
45mg
15mg
30mg
30mg
30mg
30mg
45mg
150 mg
150 mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
75 mg
75 mg
75 mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg

PFIZER EUROPE MA EEIG


ABBOTT HEALTHCARE PRODUCTS B.V.
ABBOTT HEALTHCARE PRODUCTS B.V.

MAREA BRITANIE

REMEDICA LTD.
REMEDICA LTD.
NV ORGANON
ARENA GROUP S.A. ROMANIA
KRKA D.D.
SLOVENIA
ACTAVIS GROUP HF. ISLANDA
ZENTIVA KS
CEHIA
ARENA GROUP S.A. ROMANIA
AUROBINDO PHARMA LIMITED

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA

OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM.


OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM.
CIPRU
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
CIPRU
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
OLANDA
CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.

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

P-RF
P-RF

CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM.

PRF

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM.

PRF

MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE

P-RF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

AUROBINDO PHARMA LIMITED

MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

ANTIBIOTICE S.A.

ROMANIA

AUROBINDO PHARMA LIMITED

MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

ROMASTRU TRADING S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.

CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE P-RF


P-RF

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

PRF

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL.

NEOLA PHARMA S.R.L. ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL.

PRF
P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

ISLANDA
ARENA GROUP S.A. ROMANIA
TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
ARENA GROUP S.A. ROMANIA
ACTAVIS GROUP PTC EHF.

P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF


CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

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

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

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE CU BLIST. DIN ACLAR-PE-PVC/AL X 28 CAPS. ELIB. PREL.

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

PRF

MEDOCHEMIE LTD. CIPRU

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

NEOLA PHARMA S.R.L. ROMANIA


NEOLA PHARMA S.R.L. ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF

EGIS PHARMACEUTICALS P.L.C.

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF
LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF

Pagina 25 din 193

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28
30
28
28
28
28
28
30
30
30
1
30
30
100
20
30
30
30
30
30
30
30
30
30
30
30
30
28
28
30
28
28
30
30
30
28
30
30
30
30
30
28
28
30
28
28
28
30
30
30
28

35.28
37.64
19.54
22.87
18.74
19.54
36.98
20.06
20.94
20.92
65.61
48.83
25.21
46.70
26.06
82.15
24.62
37.92
36.01
13.91
63.52
24.62
37.92
37.92
38.11
37.90
63.52
23.22
58.69
40.87
23.22
38.14
40.87
40.87
40.87
23.11
40.71
40.87
40.87
17.24
24.04
17.89
35.58
25.61
17.89
17.89
23.88
25.59
19.15
25.61
17.72

Pret
amanuntul
maximal/UT
(RON)

1.260000
1.254666
0.697857
0.816785
0.669285
0.697857
1.320714
0.668666
0.698000
0.697333
65.610000
1.627666
0.840333
0.467000
1.303000
2.738333
0.820666
1.264000
1.200333
0.463666
2.117333
0.820666
1.264000
1.264000
1.270333
1.263333
2.117333
0.829285
2.096071
1.362333
0.829285
1.362142
1.362333
1.362333
1.362333
0.825357
1.357000
1.362333
1.362333
0.574666
0.801333
0.638928
1.270714
0.853666
0.638928
0.638928
0.852857
0.853000
0.638333
0.853666
0.632857

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

1.228798
1.228798
0.614399
0.614399
0.614399
0.614399
0.614399
0.614399
0.614399
0.614399
14.745585
0.614399
0.307199
0.398248
1.194751
1.263833
0.631916
1.263833
1.200333
0.463666
1.895749
0.631916
1.263833
1.263833
1.263833
1.263333
1.895749
0.829285
1.277856
1.277856
0.829285
1.277856
1.277856
1.277856
1.277856
0.825357
1.277856
1.277856
1.277856
0.319464
0.319464
0.638928
0.638928
0.638928
0.638928
0.638928
0.638928
0.638928
0.638333
0.638928
0.632857

1.105918
1.105918
0.552959
0.552959
0.552959
0.552959
0.552959
0.552959
0.552959
0.552959
13.271026
0.552959
0.276479
0.358423
1.075275
1.137449
0.568724
1.137449
1.080299
0.417299
1.706174
0.568724
1.137449
1.137449
1.137449
1.136999
1.706174
0.746356
1.150070
1.150070
0.746356
1.150070
1.150070
1.150070
1.150070
0.742821
1.150070
1.150070
1.150070
0.287517
0.287517
0.575035
0.575035
0.575035
0.575035
0.575035
0.575035
0.575035
0.574499
0.575035
0.569571

Nr crt.

cod ATC

1,267

N06AX16

1,268

N06AX16

1,269

N06AX16

1,270

N06AX16

1,271

N06AX16

1,272

N06AX16

1,273

N06AX16

1,274

N06AX16

1,275

N07AA01

1,276

P01AB02

1,277

P01AB02

1,278

P01AB02

1,279

P01AB02

1,280

P02CA03

1,281

P02CA03

1,282

P02CA03

1,283

P02CA03

1,284

P02CA03

1,285

P02CA03

1,286

P02CE01

1,287

P02CE01

1,288

P02CE01

1,289

P02CE01

1,290

R01AD01

1,291

R03AC02

1,292

R03AC02

1,293

R03AC02

1,294

R03BA01

1,295

R03BA02

1,296

R03BA02

1,297

R03BA02

1,298

R03BA02

1,299

R03BA02

1,300

R03BA02

1,301

R03BA02

1,302

R03BB01

1,303

R03BB01

1,304

R03CC02

1,305

R03CC02

1,306

R03DA04

1,307

R03DA04

1,308

R05DA04

1,309

R05DA04

1,310

R05DA04

1,311

R05DA04

1,312

R05DA04

1,313

R05DA04

1,314

R06AB04

1,315

R06AE07

1,316

R06AE07

1,317

R06AE07

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
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
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM
CETIRIZINUM
CETIRIZINUM

Denumire Comerciala

forma farm.

concentratie

VENLAFAXINA ARENA EP 75 mg

CAPS. ELIB. PREL.

75mg
75mg
75mg
37,5mg
50mg
75mg
150mg
75mg
15mg
500mg
500mg
500mg
500mg
200mg
400mg
200mg
200 mg
0,4g/10ml
400mg/10ml
150mg
150mg
50mg
50mg
100mcg/doza
5mg/ml
100mcg/doza
100mcg/doza
250mcg/doza

VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL.


VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL.
VENLAFAXINA ARENA 37,5 mg COMPR.

VENLAFAXINA ARENA 50 mg
VENLAFAXINA ARENA 75 mg
ARGOFAN 150 SR
ARGOFAN 75 SR
NEOSTIGMINA LPH 15 mg
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)
ALBENDAZOL VIM SPECTRUM 200 mg

ESKAZOLE
DUADOR 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)
TEOTARD (R) 200
TEOTARD (R) 350
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT
CODEINA FOSFAT LPH 15 mg
CODEINA FOSFAT MCC 15 mg

CLORFENIRAMIN
CELERG
LETIZEN (R) 10 mg
ZYRTEC 10 mg/ml

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

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

COMPR.
COMPR.
COMPR. FILM.

COMPR.FILM
SUSP. ORALA
SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
SPRAY NAZ.,SUSP.

SOL. INHAL.
SUSP. INHAL. PRESURIZATA
SUSP. INHAL. PRESURIZATA
SOL. INHALAT PRESURIZATA

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.

200 mcg/doza
200 mcg/doza

Detinator APP

tara det.
APP
Ambalaj
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF
ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF
ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF

Prescriptie

ARENA GROUP S.A.


TERAPIA S.A.
TERAPIA S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
ZENTIVA A.S.
SLOVACIA
ZENTIVA A.S.
SLOVACIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL.

P-RF

P-6L

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. AL/PVC X 20 COMPR.


CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. AL/PVC X 2 COMPR.

GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE

CUTIE X 12 BLIST. PVC-PVDC/AL X 1 COMPR.

P-RF

ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM.


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

P-RF

BIOFARM S.A.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA

P-RF

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


CUTIE CU 1 BLIST. PVC/AL X 1 COMPR.
CUTIE X 1 BLIST. AL/PVC X 2 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.

P-RF

LABORMED PHARMA SA ROMANIA

ZENTIVA S.A.
AC HELCOR SRL
ZENTIVA S.A.
AC HELCOR SRL
VIM SPECTRUM SRL
GEDEON RICHTER ROMANIA SA

ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA

P-RF
P-RF
P-RF
P-RF
P-RF

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

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L

GLAXOWELLCOME UK LTD.

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

CHIESI FARMACEUTICI SPA

ITALIA

CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP

P-RF

MEDOCHEMIE ROMANIA SRL

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE

MEDOCHEMIE ROMANIA SRL

P-RF

P-RF
P-RF

200mcg/doza ASTRAZENECA AB

SUEDIA

400 mcg/doza
400 mcg/doza
200 mcg/doza

MEDOCHEMIE ROMANIA SRL

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE

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
CAPS. ELIB. PREL. 200mg
CAPS. ELIB. PREL. 350mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
15mg
COMPR.
4mg
COMPR. FILM. 10 mg
COMPR. FILM. 10mg
PICATURI ORALE, SOL. 10mg/ml

CHIESI FARMACEUTICI SPA

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.

TEVA PHARMACEUTICALS S.R.L.

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

SOL. DE INHALAT PRESURIZATA

MEDOCHEMIE ROMANIA SRL

CHIESI FARMACEUTICI SPA

CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF

P-RF

P-6L

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

CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP

P-6L

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 5 FIOLE DIN STICLA X 1 ML

P-6L

KRKA D.D.
KRKA D.D.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.


SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

LABORMED PHARMA SA

MAGISTRA C & C SRL


LABORMED PHARMA SA
AC HELCOR PHARMA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

P-6L

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

KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6L
UCB PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA + PICURATOR DIN PEJD X 20 ML PIC. ORALE, SOL. P6L

Pagina 26 din 193

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

Pret
amanuntul
maximal/UT
(RON)

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

30 25.42
0.847333
0.638928
0.575035
30 25.61
0.853666
0.638928
0.575035
30 25.61
0.853666
0.638928
0.575035
30 24.04
0.801333
0.319464
0.287517
30 24.50
0.816666
0.425952
0.383356
30 25.42
0.847333
0.638928
0.575035
30 20.74
0.691333
0.691333
0.622199
30 15.98
0.532666
0.532666
0.479399
20 13.73
0.686500
0.686500
0.617850
4
3.70
0.925000
0.594374
0.534936
4
3.68
0.920000
0.594374
0.534936
4
3.70
0.925000
0.594374
0.534936
4
3.68
0.920000
0.594374
0.534936
2
6.22
3.110000
3.079166
2.771249
12 71.68
5.973333
5.973333
5.375999
2
6.38
3.190000
3.079166
2.771249
2
6.39
3.195000
3.079166
2.771249
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 39.158398
1 74.98 74.980000 43.509332 39.158398
20 31.83
1.591500
1.579124
1.421211
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
40
9.38
0.234500
0.234500
0.211050
40 13.98
0.349500
0.349500
0.314550
30
6.01
0.200333
0.162250
0.146025
25
5.13
0.205200
0.162250
0.146025
20
3.02
0.151000
0.151000
0.135900
20
3.41
0.170500
0.162250
0.146025
20
3.19
0.159500
0.159500
0.143550
20
3.65
0.182500
0.162250
0.146025
20
2.31
0.115500
0.115499
0.103949
20 21.16
1.058000
0.604687
0.544218
20 13.53
0.676500
0.604687
0.544218
1 13.16 13.160000 12.093750 10.884375

DCI

Nr crt.

cod ATC

1,318

R06AX17

1,319

R06AX17

1,320

R06AX17

1,321

R06AX17

1,322

R06AX17

1,323

S01BC03

1,324

S01BC03

1,325

S01BC03

KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

1,326

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

1,327

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

Denumire Comerciala

H - KETOTIFEN
KETOTIFEN

forma farm.

COMPR.
COMPR.
KETOTIFEN LAROPHARM 1 mg COMPR.
KETOTIFEN LPH 1 mg
COMPR.
KETOF 1 mg/5 ml
SIROP
DICLOFENAC ROMPHARM PIC. OFT.-SOL.
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL.
VOLTAREN OPHTHA CD
PICATURI OFT.-SOL.
BETABIOPTAL
PICATURI OFT.SUSP.
BETABIOPTAL
UNG. OFT.

tara det.
concentratie
APP
Detinator APP
1mg
AC HELCOR SRL
ROMANIA
1mg
MAGISTRA C&C S.R.L. ROMANIA
1mg
LAROPHARM SRL
ROMANIA
1mg
LABORMED PHARMA SA ROMANIA

1mg/5ml
1mg/ml
0,1%
0,1%

HEXAL AG

GERMANIA

ROMPHARM COMPANY SRL

ROMANIA

Prescriptie

CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L

FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL.

P-6L

UNIMED PHARMA LTD. SLOVACIA


LABORATOIRES THEA FRANTA

CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR

P-6L

CUTIE X 1 FLAC. PEJD X 5 ML PICATURI OFT.-SOL. + PICURATOR PEJD + CAPAC CU INEL DE SIGURANTA

P-6L

THEA FARMASPA

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

ITALIA
0,2g+0,5g/100g THEA FARMACEUTICI S ITALIA

0,2g+0,5g/100ml

Ambalaj

CUTIE X 2 BLIST. X 10 COMPR.


P-6L
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L
CUTIE X 2 BLIST. PVC X 10 COMPR
P6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

20
20
20
20
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 27 din 193

3.65
3.45
3.45
3.31
11.43
10.69
11.23
14.30
13.45
15.45

Pret
amanuntul
maximal/UT
(RON)

0.182500
0.172500
0.172500
0.165500
11.430000
10.690000
11.230000
14.300000
13.450000
15.450000

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

0.172500
0.172500
0.172500
0.165500
11.430000
9.421250
11.230000
9.421250
13.450000
13.950000

0.155250
0.155250
0.155250
0.148950
10.287000
8.479125
10.107000
8.479125
12.105000
12.555000

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 2014

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

cod ATC

DCI

A02BC02

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
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM

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
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05

Denumire Comerciala

CONTROLOC 20 mg
SELTRAZ 20 mg
CONTROLOC 40mg
SELTRAZ 40 mg
ZENCOPAN 20 mg
PANTEXEL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
PANTOPRAZOL TEVA 20 mg
AZATOL 20 mg
PANTOPRAZOL TERAPIA 20 mg
ZENCOPAN 40 mg
PANTEXEL 40 mg
PANTOSAL 40 mg
NOLPAZA 40mg
PANTOPRAZOL TEVA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL MACLEODS 40 mg
PANTOPRAZOL ATB 40 mg
AZATOL 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
NOLPAZA 40 mg
CONTROLOC 40mg
PANTOPRAZOL TEVA 40 mg
EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
MESOPRAL 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
MESOPRAL 40 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg
ESOMEPRAZOL TORRENT 20 mg
ESOMEPRAZOL TEVA 20 mg
PRAGASTROL 20 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL TORRENT 40 mg
ESOMEPRAZOL TEVA 40 mg
PRAGASTROL 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg

forma farm.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. 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. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

PULB. PT. SOL. INJ.


PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ. SAU PERF.

CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

concentratie

20mg
20mg
40mg
40mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg
40mg
40mg
40 mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
20mg
40mg

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

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6L

NYCOMED GMBH

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

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.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

P-6L

NYCOMED GMBH

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

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

KRKA D.D., NOVO MESTO SLOVENIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.

P-6L

ROMANIA
NEOLA PHARMA SRL ROMANIA
TERAPIA S.A.
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L
P6L
P6L
P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

P-6L

NYCOMED GMBH

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

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

KRKA D.D., NOVO MESTO SLOVENIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. GASTROREZ.

P6L

CUTIE X 1 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P-6L

MACLEODS PHARMA UK LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. GASTROREZ.

P6L
P6L
P6L
P6L
P6L

TEVA PHARMACEUTICALS S.R.L.

TERAPIA S.A.
TERAPIA S.A.
ANTIBIOTICE SA

ROMANIA
NEOLA PHARMA SRL ROMANIA

G.L. PHARMA GMBH AUSTRIA


G.L. PHARMA GMBH AUSTRIA
KRKA D.D., NOVO MESTO SLOVENIA

CUTIE CU 3 BLIST. AL/AL X 10 COMPR. GASTROREZ.


CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE


CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

P-6L

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

P-RF

NYCOMED GMBH

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

S/P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR/PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ.

P6L

SUEDIA

CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ.

P-6L

ROMANIA

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L

ASTRAZENECA AB
SANDOZ SRL

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ. P6L
TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ALVOGEN IPCO S.A.R.L

LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ.

P6L
P6L

ASTRAZENECA AB
SANDOZ SRL

SUEDIA

P-6L

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

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

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ. P-6L


CUTIE CU BLIST. AL/AL X 28 COMPR. GASTROREZ.
CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

ALVOGEN IPCO S.A.R.L

LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ.

TERAPIA S.A.
TERAPIA S.A.

ROMANIA
ROMANIA

Pagina 28 din 166

P6L
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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30 34.83
28 22.06
30 55.68
28 31.62
28
6.38
28 22.06
28 21.91
30 21.88
30 20.43
28 22.57
30 23.39
28 11.63
28 31.62
28 31.39
30 32.77
30 36.17
10
5.93
30 19.57
28 27.57
30 32.77
28 33.80
30 22.28
30 34.10
1 19.31
1 13.39
10 190.42
14 26.47
28 37.80
28 18.38
28 51.23
14 38.71
28 55.99
28 30.80
28 73.54
14 39.41
14 30.17
28 51.18
14 18.94
30 26.75
14 59.56
14 44.12
28 73.48
14 26.58
30 47.82
14 26.47
14 38.71

Pret
amanuntul
maximal/UT
(RON)

1.161000
0.787857
1.856000
1.129285
0.227857
0.787857
0.782500
0.729333
0.681000
0.806071
0.779666
0.415357
1.129285
1.121071
1.092333
1.205666
0.593000
0.652333
0.984642
1.092333
1.207142
0.742666
1.136666
19.310000
13.390000
19.042000
1.890714
1.350000
0.656428
1.829642
2.765000
1.999642
1.100000
2.626428
2.815000
2.155000
1.827857
1.352857
0.891666
4.254285
3.151428
2.624285
1.898571
1.594000
1.890714
2.765000

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.670349
0.670349
1.340699
1.129285
0.227857
0.670349
0.670349
0.670349
0.670349
0.667574
0.670349
0.415357
1.129285
1.121071
1.092333
1.205666
0.593000
0.652333
0.984642
1.092333
1.207142
0.670349
1.136666
14.597999
13.390000
14.597999
0.893798
0.893798
0.656428
0.893798
1.787598
1.787598
1.100000
1.787598
0.893798
0.893798
0.893798
0.893798
0.891666
1.787598
1.787598
1.787598
1.787598
1.594000
0.893798
1.787598

Nr. crt

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
98
99

cod ATC
A02BC05
A02BC05
A02BC05
A02BC05

A02BX02
A02BX02
A02BX05
A03AB06
A06AD15
A06AD15

A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03
A11CC03
A11CC03

A16AX01
A16AX01
A16AX01
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10

DCI

ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
MACROGOLUM*2)
MACROGOLUM*2)
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM

Denumire Comerciala

NEXIUM 10 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL POLPHARMA 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
OLOPEG
OLOPEG
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
ALFACALCIDOL SANDOZ 0,5 mcg
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi N07XN03)
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOSSEN 600 (vezi N07XN03)
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID 600T (vezi N07XN03)
DALTEPARINUM**#
FRAGMIN 10000 UI/0,4 ml
DALTEPARINUM**#
FRAGMIN 12500 UI/0,5 ml
DALTEPARINUM**#
FRAGMIN15000 UI/0,6 ml
DALTEPARINUM**#
FRAGMIN 18000 UI/0,72 ml
DALTEPARINUM**#
FRAGMIN 2500 UI/0,2 ml
DALTEPARINUM**#
FRAGMIN 5000 UI/0,2 ml
DALTEPARINUM**#
FRAGMIN 7500 UI/0,3 ml
ENOXAPARINUM**#
CLEXANE 2000ui anti-Xa/0,2ml
ENOXAPARINUM**#
CLEXANE 4000ui anti-Xa/0,4ml
ENOXAPARINUM**#
CLEXANE 6000ui anti-Xa/0,6ml
ENOXAPARINUM**#
CLEXANE 8000ui anti-Xa/0,8ml
ENOXAPARINUM**#
CLEXANE 8000ui anti-Xa/0,8ml
NADROPARINUM**#
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
NADROPARINUM**#
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
NADROPARINUM**#
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
NADROPARINUM**#
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml
TINZAPARINUM**#
INNOHEP
TINZAPARINUM**#
INNOHEP 10000 UI ANTI-XA/ml
TINZAPARINUM**#
INNOHEP 20000 UI ANTI-Xa/ml
TINZAPARINUM**#
INNOHEP 10000 UI ANTI-XA/ml
TINZAPARINUM**#
INNOHEP 10000 UI ANTI-XA/ml
TINZAPARINUM**#
INNOHEP 20000 UI ANTI-Xa/ml
TINZAPARINUM**#
INNOHEP 20000 UI ANTI-Xa/ml
TINZAPARINUM**#
INNOHEP 20000 UI ANTI-Xa/ml

forma farm.

concentratie

10mg
PULB. PT. SOL. INJ./PERF. 40mg
PULB. PT. SOL. INJ./PERF. 40mg
PULB. PT. SOL. PERF./INJ. 40mg
COMPR.
1g
COMPR.
1g
COMPR. FILM. 120mg
COMPR. FILM. 40mg

GRAN. GASTROREZ. PT. SUSP.ORALA

CONC. PT. SOL. ORALA

FARA CONCENTRATIE

CONC. PT. SOL. ORALA

FARA CONCENTRATIE

Detinator APP

ASTRAZENECA AB
ASTRAZENECA AB
SANDOZ S.R.L.

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

KRKA D.D.
ASTELLAS PHARMA EUROPE BV
A. MENARINI IND. FARM. RIUNITE SRL

100mg/5ml
CAPS. GASTROREZ. 3mg
GRANULE GASTROREZ. 9mg
SPUMA RECTALA 2mg/doza
SPUMA RECTALA 2mg/doza
CAPS.
100mg
PULB. PT. SOL. ORALA 10mg
PULB. PT. SOL. ORALA 30mg
CAPS.
120mg
CAPS.
120mg
CAPS. MOI 0,25mcg
CAPS. MOI 0,25g
CAPS. MOI 0,50mcg
CAPS. MOI 0,5g
COMPR. FILM. 600mg
COMPR. FILM. 600mg
SOL. INJ.
25mg/ml
SOL. INJ.
10000UI/0,4ml
SOL. INJ.
12500 UI/0,5ml
SOL. INJ.
15000ui/0,6ml
SOL. INJ.
18000 UI/0,72ml
SOL. INJ.
2500ui/0,2ml
SOL. INJ.
5000ui/0,2ml
SOL. INJ.
7500ui/0,3ml
SOL. INJ.
2000ui anti-Xa/0,2ml
SOL. INJ.
4000ui anti-Xa/0,4ml
SOL. INJ.
6000ui anti-Xa/0,6ml
SOL. INJ.
8000ui anti-Xa/0,8ml
SOL. INJ.
8000UI anti-Xa/0,8ml
SOL. INJ.
2850 ui AFXa/0,3ml
SOL. INJ.
3800 ui AFXa/0,4ml
SOL. INJ.
5700 ui AFXa/0,6ml
SOL. INJ.
7600 ui AFXa/0,8ml
SOL. INJ.
10000 U-AXa/ml

ALFA WASSERMANN SPA

10000UI anti-XA/ml

SOL. INJ. IN FLACOANE

20000 UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

10000UI anti-XA/ml

SOL. INJ. IN SERINGI PREUMPLUTE

10000UI anti-XA/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

SLOVENIA

OLANDA
ITALIA

CNP PHARMA GMBH GERMANIA


CNP PHARMA GMBH GERMANIA
ALFA WASSERMANN SPA

SOL. INJ. IN FLACOANE

SUEDIA
SUEDIA

PHARMACEUTICAL WORKS POLPHARMA SA

COMPR. FILM. 200mg


COMPR. FILM. 200mg
GRAN. PT. SUSP. ORALA

tara det.
APP

ALFA WASSERMANN SPA

ITALIA
ITALIA
ITALIA

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA

Ambalaj

28
10
PRF
10
P6L
10
CUTIE X 5 BLIST. AL/PVC X 4 COMPR. P-6L
20
CUTIE X 5 BLIST. X 10 COMPR.
P-6L
50
CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L
40
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L
30
PRF
1
PRF
1
CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF
12
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
36
P-RF
1
CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ. P-RF
100
CUTIE CU 30 PLICURI PET/AL/PEJD CU GRANULE GASTROREZ. PRF
30
P-RF
1
P-RF
2
CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF
20
CUTIE X 16 PLICURI X 1 G
P-RF
16
CUTIE X 16 PLICURI X 3 G
P-RF
16
CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF
21
CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF
84
CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF
50
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
30
CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF
30
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF
30
CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L
30
CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L
30
CUTIE X 5 FIOLE X 24 ML SOL.INJ. S/P-RF
5
CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ. S/P-RF
5
CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ. S/P-RF
5
S/P-RF
5
CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ. S/P-RF
5
S/P-RF
10
S/P-RF
10
S/P-RF
10
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. PR/PRF
10
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. PR/PRF
10
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. PR/PRF
10
CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.
PR/PRF
2
PR/PRF
6
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.
S/P-RF
10
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.
S/P-RF
10
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.
S/P-RF
10
CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.
S/P-RF
10
CUTIE X 10 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF
10
PR/PRF
10
PR/PRF
10
PR/PRF
10
PR/PRF
10
PR/PRF
2
PR/PRF
2
PR/PRF
2

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

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.

CUTIE CU 1 FLAC. DIN PET X 500 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT

CUTIE CU 1 FLAC. DIN PET X 200 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT

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

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL

DR. FALK PHARMA GMBH GERMANIA

CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU

LAB. FOURNIER SA FRANTA


LAB. FOURNIER SA FRANTA
LAB. FOURNIER SA FRANTA
ROCHE REGISTRATION LTD.

MAREA BRITANIE

ROCHE REGISTRATION LTD.

MAREA BRITANIE

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

MEDA PHARMA GMBH & CO KG

GERMANIA

SANDOZ S.R.L.
TEVA PHARMACEUTICALS S.R.L.

AAA - PHARMA GMBH GERMANIA


MEDA PHARMA GMBH & CO KG

GERMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA
LABORATOIRE AVENTIS FRANTA
GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

LEO PHARMA A/S


LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S

Pagina 29 din 166

DANEMARCA
DANEMARCA
DANEMARCA
DANEMARCA

Prescriptie

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULO

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULO

CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE

DANEMARCA

CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

DANEMARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

DANEMARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

DANEMARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

174.25
6.223214
6.223214
297.47 29.747000 19.463995
193.35 19.335000 19.335000
193.35 19.335000 19.335000
6.19
0.309500
0.309500
15.95
0.319000
0.314250
39.95
0.998750
0.314250
33.57
1.119000
1.119000
44.15 44.150000 44.150000
19.03 19.030000 18.002500
33.10
2.758333
2.646666
91.26
2.535000
2.535000
19.11 19.110000 15.880014
444.55
4.445500
4.048486
419.11 13.970333 12.145471
419.11 419.110000 383.830000
744.14 372.070000 372.070000
43.59
2.179500
2.081306
41.04
2.565000
2.081306
39.13
2.445625
2.081306
92.03
4.382380
3.789970
301.77
3.592500
3.592500
33.62
0.672400
0.523333
22.97
0.765666
0.523333
31.40
1.046666
1.046666
34.01
1.133666
1.046666
68.47
2.282333
1.978474
46.05
1.535000
1.535000
120.12 24.024000 24.024000
125.97 25.194000 25.194000
170.87 34.174000 32.045000
206.87 41.374000 38.454000
235.27 47.054000 46.144800
77.59
7.759000
6.409000
142.16 14.216000 12.818000
202.99 20.299000 19.227000
64.09
6.409000
6.409000
118.84 11.884000 11.884000
144.45 14.445000 14.445000
40.14 20.070000 20.070000
127.39 21.231666 21.231666
75.42
7.542000
6.409000
103.46 10.346000
8.545331
132.46 13.246000 12.818000
189.75 18.975000 17.090662
123.06 12.306000
6.409000
517.40 51.740000 36.622852
1,090.55 109.055000 73.245711
123.06 12.306000
6.409000
155.09 15.509000
8.240141
73.65 36.825000
9.155711
98.32 49.160000 25.636000
120.16 60.080000 32.960570

Nr. crt

cod ATC

DCI

129 B01AC18

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**
TRIFLUSALUM
TRIFLUSALUM

130 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)**

131 B01AX05

FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#

100 B01AB11
101 B01AB11
102 B01AC04
103 B01AC04
104 B01AC04
105 B01AC04
106 B01AC04
107 B01AC04
108 B01AC04
109 B01AC04
110 B01AC04
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 B01AC18

132 B01AX05

133 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA


134 C01EB17
135 C01EB17
136 C01EB17
137 C01EB17
138 C02AC05
139 C02AC05
140 C02AC05
141 C02AC05
142 C02AC05
143 C02AC05
144 C02AC05
145 C02AC05
146 C02AC06
147 C02AC06
148 C03DA04
149 C03DA04
150 C04AE02
151 C04AE02
152 C04AE02

IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
EPLERENONUM*#
EPLERENONUM*#
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM

Denumire Comerciala

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
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg
PLATEL 75 mg
DEPLATT 75 mg
TROMBEX 75 mg
TROMBEX 75 mg
CLOPIDOGREL POLIPHARMA 75 mg
PLATROX 300 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
PHYSIOTENS 0,2
MOXONIDINA MYLAN 0,2 mg
MOXOGAMMA 0,3 mg
MOXONIDINA MYLAN 0,3 mg
MOXOGAMMA 0,4 mg
PHYSIOTENS 0,4
MOXONIDINA MYLAN 0,4 mg
TENAXUM
RILMENIDINA TEVA 1 mg
INSPRA 25 mg
INSPRA 50 mg
NICERIUM (R) 15
NICERIUM (R) 30 UNO
NICERGOLINA LPH 10 mg

forma farm.

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.

CAPS.
CAPS.
CAPS. ELIB. MODIF.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ./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.
COMPR.
COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. MODIF.
CAPS. ELIB. MODIF.

COMPR. FILM.

concentratie

Detinator APP

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
300 mg
300mg
25mg/200mg
2,5mg/0,5ml
7,5mg/0,6ml
20mg/ml
5mg
5mg
7,5mg
7,5mg
0,2mg
0,2mg
0,2mg
0,3mg
0,3mg
0,4mg
0,4mg
0,4mg
1mg
1mg
25mg
50mg
15mg
30mg
10mg

ALFA WASSERMANN SPA

tara det.
APP

ITALIA
ITALIA
FRANTA
OLANDA

Ambalaj

Prescriptie

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

ALFA WASSERMANN SPA


SANOFI PHARMA - BRISTOL MYERS SQUIBB

TEVA PHARMA BV

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

P-RF

ZENTIVA K.S.

FRANTA
CEHIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

P-RF

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM.

P-RF

SANOFI PHARMA - BRISTOL MYERS SQUIBB

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

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

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.


GEDEON RICHTER ROMANIA SA

DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.

P-RF
P-RF

ROMANIA
ROMANIA
ROMANIA

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

P-RF

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

P-RF

CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

P-RF

CIPRU
CIPRU
CIPRU

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

ROMANIA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.

CIPRU

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

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


CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF
PRF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

PRF

ZENTIVA K.S.
ZENTIVA K.S.

CEHIA
CEHIA

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATE

P-RF

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATE

P-RF

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU 5 BLIST. AL-PVC/PVDC X 10 CAPS. PRF

GALENICA S.A.

GRECIA CUTIE X 5 BLIST. X 10 CAPS.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L

GLAXO GROUP LTD. MAREA BRITANIE


GLAXO GROUP LTD. MAREA BRITANIE
VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML

CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

LES LAB. SERVIER


LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER

FRANTA
FRANTA
FRANTA
FRANTA

P-RF

P-RF
P-RF
S/P-RF

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

P-6L

CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

P-6L

CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

P-6L

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

P-6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 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

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

GENERICS (UK) LTD

MAREA BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P6L

WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 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

LES LABORATOIRES SERVIER

FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P6L
P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM.

P-RF

PFIZER EUROPE MA EEIG

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

CUTIE X BLISTERE AL/AL (FOLIE AL CFF FORMATA LA RECE/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC) X 30 COMPRIMATE

P6L

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L

Pagina 30 din 166

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

50
10
30
28
28
28
30
28
90
28
28
28
28
28
28
28
30
30
28
10
60
90
30
28
30
30
90
30
50
50
60
10
10
5
28
56
56
28
30
28
28
30
28
30
28
28
30
30
30
30
30
30
30

102.83
78.43
359.66
37.53
37.53
57.74
17.86
37.52
52.86
79.52
79.52
37.53
37.53
37.53
37.53
37.53
40.26
40.22
37.52
13.82
76.22
114.32
51.97
37.46
40.20
17.18
49.88
40.22
58.12
84.93
63.61
233.80
653.26
149.77
160.23
240.27
260.36
160.23
21.80
32.50
13.24
25.87
20.22
33.14
43.79
26.58
41.62
27.94
185.59
185.59
27.89
51.38
13.45

Pret
amanuntul
maximal/UT
(RON)

2.056600
7.843000
11.988666
1.340357
1.340357
2.062142
0.595333
1.340000
0.587333
2.840000
2.840000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
0.572666
0.554222
1.340666
1.162400
1.698600
1.060166
23.380000
65.326000
29.954000
5.722500
4.290535
4.649285
5.722500
0.726666
1.160714
0.472857
0.862333
0.722142
1.104666
1.563928
0.949285
1.387333
0.931333
6.186333
6.186333
0.929666
1.712666
0.448333

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

2.056600
7.843000
9.648000
1.340357
1.340357
2.062142
0.595333
1.340000
0.587333
2.412000
2.412000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
0.572666
0.554222
1.340666
1.162400
1.206000
1.060166
22.176499
65.326000
29.954000
3.272517
3.272517
4.649285
4.908776
0.726666
0.866569
0.472857
0.862333
0.722142
1.104666
1.563928
0.949285
1.299855
0.931333
3.866458
6.186333
0.486749
0.973499
0.324499

Nr. crt

cod ATC

DCI

189 C07AB12

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**
DIOSMINUM (COMBINATII)**
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM

190 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

191 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

192 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

193 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

194 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

195 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

196 C08CA09

LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM

153 C04AE02
154 C04AE02
155 C04AE02
156 C04AE02
157 C04AE02
158 C04AE02
159 C04AE02
160 C04AE02
161 C04AX07
162 C04AX07
163 C04AXN1
164 C04AXN1
165 C04AXN1
166 C04AXN1
167 C04AXN1
168 C04AXN1
169 C04AXN1
170 C04AXN1
171 C04AXN1
172 C04AXN1
173 C04AXN1
174 C04AXN1
175 C04AXN1
176 C04AXN1
177 C04AXN1
178 C05CA53
179 C07AB12
180 C07AB12
181 C07AB12
182 C07AB12
183 C07AB12
184 C07AB12
185 C07AB12
186 C07AB12
187 C07AB12
188 C07AB12

197 C08CA13
198 C08CA13
199 C08CA13
200 C08CA13
201 C08CA13
202 C08CA13
203 C08CA13
204 C08CA13
205 C08CA13

Denumire Comerciala

GRALIN 10 mg
SERMION
NICERGOLINA LPH 30 mg
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)
GINGIUM 40mg (vezi N06DX02 )

forma farm.
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.
GINKO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM.
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM.
GINKGO BILOBA BIOFARM 40 mg (vezi N06DX02) COMPR. FILM.
TANAKAN (EGB 761) (N06DX02)
COMPR. FILM.
GINGIUM 80mg (vezi N06DX02)
COMPR. FILM.
GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02) COMPR. FILM.
GINKGO BILOBA BIOFARM 80 mg (vezi N06DX02) COMPR. FILM.

TANAKAN (EGB 761) (C04AXN1)


TANAKAN (EGB 761) (C04AXN1)
DETRALEX ( R )
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
NEBINORM 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
NEBICARD 5 mg
LODOZ 10 mg/6,25mg
LODOZ 10 mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 5mg/6,25mg
LODOZ 5mg/6,25mg
LACIPIL 4 mg
LERCANIDIPINA TEVA 10 mg
LERCANIDIPINA TEVA 10 mg
LERCANIDIPIN ACTAVIS 10 mg
LERIDIP
LERPIN 10 mg
KAPIDIN10 mg
PEGFEL 10 mg
LERCANIDIPIN ACTAVIS 10 mg
LERCANIDIPINA ZENTIVA 10 mg

PICATURI ORALE-SOL.
PICATURI ORALE-SOL.

COMPR. FILM.

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

concentratie

10mg
30mg
30mg
30mg
5mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg
120mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
40mg/ml
40mg/ml
500mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg

tara det.
APP
Detinator APP
Ambalaj
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.

P-6L

PFIZER EUROPE MA EEIG

P-6L

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-PVDC/AL-PVC X 15 COMPR. FILM

Prescriptie

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L

SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.


SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ.
SINTOFARM SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL.
BIOFARM SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ.

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

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L

HEXAL AG
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.
BIOFARM S.A.
IPSEN PHARMA
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM.

P-6L

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM.

P-6L

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.


ROMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM.
ROMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM.

P-6L

FRANTA

P-6L
P-6L

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

GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM.

P-6L

ROMANIA
ROMANIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-6L

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

P-6L

CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

P-6L

CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

P-6L

FRANTA
IPSEN PHARMA
FRANTA
LES LAB. SERVIER IND. FRANTA

BEAUFOUR IPSEN PHARMA

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

BERLIN CHEMIE AG MENARINI GROUP

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

ACTAVIS S.R.L.

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

P-6L

LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

P6L

ANTIBIOTICE S.A.

P-6L

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR.


ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

P-6L
P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

SANDOZ S.R.L.
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L


ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L
TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L
BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L

MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
5mg/6,25mg MERCK KGAA
5mg/6,25mg MERCK KGAA
4mg
GLAXO OPERATIONS UK LTD.
10 mg
TEVA PHARMACEUTICALS S.R.L.
10 mg
TEVA PHARMACEUTICALS S.R.L.
10mg
ACTAVIS GROUP PTC EHF.
10mg
BERLIN CHEMIE AG MENARINI GROUP
10mg
TORRENT PHARMA S.R.L.
10mg
ZENTIVA K.S.
10mg
DR. REDDY'S LABORATORIES
10mg
ACTAVIS GROUP PTC EHF.
10mg
ZENTIVA K.S.

10 mg/6,25mg
10 mg/6,25mg
2,5mg/6,25mg
2,5mg/6,25mg

Pagina 31 din 166

GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM.

P-6L

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


GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM.

P-6L

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


GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM.

P-6L

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


MAREA BRITANIE

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

P-6L

ROMANIA
ROMANIA

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

P-6L

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

P-6L

ISLANDA

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

GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM. P-6L

ROMANIA

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

REPUBLICA CEHA

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

ROMANIA

CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM.

ISLANDA

CUTIE CU BLIST. AL/PVDC X 30 COMPR. FILM. P-6L

REPUBLICA CEHA

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

P -6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
30
30
30
30
25
30
20
10
20
60
20
60
60
30
30
30
60
60
30
30
30
60
1
1
30
28
30
30
30
28
30
30
28
28
30
28
30
30
30
30
30
30
14
60
30
30
60
28
30
28
30
30

13.45
48.31
32.45
32.45
6.76
14.11
32.39
21.59
9.26
6.72
65.18
9.58
27.50
45.29
33.74
12.48
12.30
23.51
23.51
23.17
23.51
23.17
44.84
24.88
24.88
26.39
34.55
23.20
27.09
24.87
22.80
24.44
24.87
13.84
22.65
24.59
22.93
29.46
29.46
26.29
26.29
29.46
29.46
12.80
26.92
21.09
16.18
40.07
22.99
13.45
21.76
16.18
13.45

Pret
amanuntul
maximal/UT
(RON)

0.448333
1.610333
1.081666
1.081666
0.225333
0.564400
1.079666
1.079500
0.926000
0.336000
1.086333
0.479000
0.458333
0.754833
1.124666
0.416000
0.410000
0.391833
0.391833
0.772333
0.783666
0.772333
0.747333
24.880000
24.880000
0.879666
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.829000
0.494285
0.808928
0.819666
0.818928
0.982000
0.982000
0.876333
0.876333
0.982000
0.982000
0.914285
0.448666
0.703000
0.539333
0.667833
0.821071
0.448333
0.777142
0.539333
0.448333

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.324499
0.973499
0.973499
0.973499
0.162249
0.324499
0.973499
0.973499
0.926000
0.315500
1.086333
0.379604
0.379604
0.754833
1.124666
0.379604
0.379604
0.379604
0.379604
0.379604
0.759208
0.759208
0.747333
24.880000
24.880000
0.879666
0.820499
0.773333
0.820499
0.820499
0.814285
0.814666
0.820499
0.494285
0.808928
0.819666
0.818928
0.902749
0.902749
0.876333
0.876333
0.902749
0.902749
0.578249
0.448666
0.578249
0.539333
0.578249
0.578249
0.448333
0.578249
0.539333
0.448333

cod ATC

DCI

206 C08CA13

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
PERINDOPRILUM
PERINDOPRILUM
BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM

Nr. crt

Denumire Comerciala

255 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

LERCANIDIPINA TEVA 20 mg
LERCANIDIPINA TEVA 20 mg
LERCANIDIPIN ACTAVIS 20 mg
LERIDIP 20
LERPIN 20 mg
PEGFEL 20 mg
LERCANIDIPIN ACTAVIS 20 mg
PRENESSA 2 mg
PRICORON 4 mg
COVEREX (R) 4 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
STOPRESS 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PRICORON 8 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
STOPRESS 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PRENESSA 8 mg
PRESTARIUM 10 mg
PERINDOPRIL TOSILAT TEVA 10 mg
PERINDOPRIL TOSILAT TEVA 2,5 mg
PRESTARIUM 5 mg
PERINDOPRIL TOSILAT TEVA 5 mg
CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
GOPTEN (R) 2 mg
GOPTEN (R) 4 mg
ZOMEN (R) 30 mg
ZOMEN (R) 7,5 mg
COTREZEN 2 mg/0,625 mg
PRINDEX PLUS 2 mg/0,625 mg
CO-PRENESSA 2mg/0,625 mg
DANURIT 2 mg/0,625 mg
COTREZEN 4 mg/1,25 mg
PRINDEX PLUS 4 mg/1,25mg
PANINDORIL 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

256 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 2,5 mg/0,625 mg

257 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

NOLIPREL ARG FORTE 5mg/1,25mg


PRESTARIUM ARG PLUS 5mg/1,25mg

207 C08CA13
208 C08CA13
209 C08CA13
210 C08CA13
211 C08CA13
212 C08CA13
213 C09AA04
214 C09AA04
215 C09AA04
216 C09AA04
217 C09AA04
218 C09AA04
219 C09AA04
220 C09AA04
221 C09AA04
222 C09AA04
223 C09AA04
224 C09AA04
225 C09AA04
226 C09AA04
227 C09AA04
228 C09AA04
229 C09AA04
230 C09AA04
231 C09AA04
232 C09AA04
233 C09AA04
234 C09AA04
235 C09AA04
236 C09AA07
237 C09AA07
238 C09AA07
239 C09AA10
240 C09AA10
241 C09AA10
242 C09AA15
243 C09AA15

244 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)


245 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
246 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
247 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
248 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
249 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
250 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
251 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
252 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
253 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
254 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

258 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

forma farm.
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. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.

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

concentratie

20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
2mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
10 mg
10mg
2,5mg
5mg
5mg
10mg
20mg
5mg
0,5mg
2mg
4mg
30mg
7,5mg

Detinator APP
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

tara det.
APP
ROMANIA
ROMANIA

Ambalaj

Prescriptie

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

P-6L

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

BERLIN CHEMIE AG MENARINI GROUP

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

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVCDC/AL X 28 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. AL/PVDC X 30 COMPR. FILM. P-6L

KRKA POLSKA SP. Z.O.O.

POLONIA

CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR.

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

UNGARIA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA
TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
KRKA POLSKA SP. Z.O.O. POLONIA

P -6L

P-6L

EGIS PHARMACEUTICALS P.L.C.

CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR.

P-6L

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

P-6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

ZENTIVA K.S.

REPUBLICA CEHA

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

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

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


CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L

CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L


CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR. P-6L


ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L
PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA CUTIE CU BLIST. ACLAR-PVC/AL X 30 COMPR. FILM. P-6L
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
TERAPIA S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L
KRKA POLSKA SP Z O.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L
TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER ROMANIA SA

LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM.
LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS.
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS.
TEVA PHARMACEUTICALS S.R.L.

P-6L

P6L
P6L
P-6L

P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

2 mg/0,625 mg TERAPIA S.A.


ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR.
2 mg/0,625mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

2mg/0,625mg KRKA POLSKA SP ZO.O.


2mg/0,625mg GEDEON RICHTER ROMANIA SA
4 mg/1,25 mg TERAPIA S.A.
4 mg/1,25mg GLENMARK PHARMACEUTICALS S.R.O.
4mg/1, 25mg SANDOZ S.R.L.

P6L
P6L

POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L


ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR. P6L
REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

P6L

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L


4mg/1,25mg KRKA POLSKA SP ZO.O. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L
4mg/1,25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L
8mg/2,5mg KRKA-POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L
2,5mg/0,625mg

10mg/2,5mg LES LAB. SERVIER


LES LABORATOIRES SERVIER

FRANTA
FRANTA

2,5mg/0,625mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L

5mg/1,25mg
5mg/1,25mg

LES LABORATOIRES SERVIER

FRANTA
FRANTA

LES LABORATOIRES SERVIER

Pagina 32 din 166

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

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

P-6L

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

P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

60
30
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
30
30
30
28
28
28
20
28
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30

43.54
32.91
26.96
64.75
34.95
33.98
26.96
13.44
23.14
29.01
25.32
33.45
16.61
25.87
25.87
26.87
26.90
44.36
49.00
53.44
30.88
49.12
49.12
54.01
49.45
63.61
42.77
13.81
41.11
27.61
43.66
57.30
21.80
9.71
28.09
46.79
44.47
19.69
15.72
16.18
16.18
16.18
24.21
29.41
21.09
29.41
29.41
29.54
75.76
57.17
37.16
61.63
61.63

Pret
amanuntul
maximal/UT
(RON)

0.725666
1.097000
0.898666
1.079166
1.248214
1.213571
0.898666
0.448000
0.771333
0.967000
0.844000
1.115000
0.553666
0.862333
0.862333
0.895666
0.896666
1.478666
1.633333
1.781333
1.029333
1.637333
1.637333
1.800333
1.648333
2.120333
1.425666
0.460333
1.370333
0.920333
1.559285
2.046428
0.778571
0.485500
1.003214
1.671071
1.588214
0.703214
0.524000
0.539333
0.539333
0.539333
0.807000
0.980333
0.703000
0.980333
0.980333
0.984666
2.525333
1.905666
1.238666
2.054333
2.054333

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.725666
1.097000
0.898666
1.079166
1.156499
1.156499
0.898666
0.178312
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.713250
0.713250
0.713250
0.713250
0.713250
0.713250
0.713250
0.713250
0.891562
0.891562
0.222890
0.445781
0.445781
0.475499
0.950999
0.237749
0.089156
0.356625
0.713250
0.356625
0.089156
0.524000
0.539333
0.539333
0.539333
0.807000
0.824142
0.703000
0.824142
0.824142
0.824142
0.824142
0.824142
0.824142
0.824142
0.824142

Nr. crt

cod ATC

DCI

Denumire Comerciala

259 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 5 mg/1,25 mg

260 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)

ACCUZIDE
ACCUZIDE FORTE
ENEAS
TARKA 240 mg/2 mg
TARKA 240 mg/4 mg
TARKA
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
VALSARTAN ZENTIVA 160 mg
VAPRESS 160 mg
VAPRESS 160 mg
WAROTA 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg
VALSACOR 80 mg
AVASSAN 80 mg
VALSARTAN ZENTIVA 80 mg
WAROTA 80 mg
VAPRESS 80 mg
VAPRESS 80 mg
DIOVAN 3 mg/ml
IRBESARTAN AUROBINDO 150 mg
IRBESARTAN AUROBINDO 300 mg
IRBESARTAN GALENICA 150 mg
APROVEL 150mg
IRBESARTAN WINTHROP 150mg
IRBESARTAN TERAPIA 150 mg
IRBESARTAN SANDOZ 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN TORRENT 150 mg
ATOKKEN 150 mg
IRBESARTAN ZENTIVA 150mg
IRBESARTAN HF 150 mg
APROVEL 150mg
ATOKKEN 150 mg
IRBESARTAN TEVA 300 mg

261 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)


262 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM)
263 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
264 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
265 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
266 C09CA03
267 C09CA03
268 C09CA03
269 C09CA03
270 C09CA03
271 C09CA03
272 C09CA03
273 C09CA03
274 C09CA03
275 C09CA03
276 C09CA03
277 C09CA03
278 C09CA03
279 C09CA03
280 C09CA03
281 C09CA03
282 C09CA03
283 C09CA03
284 C09CA03
285 C09CA03
286 C09CA03
287 C09CA03
288 C09CA03
289 C09CA03
290 C09CA03
291 C09CA03
292 C09CA03
293 C09CA03
294 C09CA03
295 C09CA04
296 C09CA04
297 C09CA04
298 C09CA04
299 C09CA04
300 C09CA04
301 C09CA04
302 C09CA04
303 C09CA04
304 C09CA04
305 C09CA04
306 C09CA04
307 C09CA04
308 C09CA04
309 C09CA04
310 C09CA04
311 C09CA04

VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMPR.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR.FILM.ELIB.MODIF.

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.

SOL. ORALA
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. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

5mg/1,25mg

Detinator APP
TEVA PHARMACEUTICALS S.R.L.

10mg/12,5mg PFIZER EUROPE MA EEIG


20mg/12,5mg PFIZER EUROPE MA EEIG

20mg+10mg
240mg/2mg
240mg/4mg
180mg/2mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
150mg
300mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300 mg

GALENICA S.A.

tara det.
APP
Ambalaj
ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L

Prescriptie

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.

ABBOTT GMBH & CO.KG GERMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF.

P6L
P6L

ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL.

P-6L

ROMASTRU TRADING S.R.L.

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 30 COMPR. FILM.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

TEVA PHARMACEUTICALS S.R.L.


TEVA PHARMACEUTICALS S.R.L.

ROMASTRU TRADING S.R.L.

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

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

P6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA

TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L
P6L

CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

P6L
P6L
P6L
P6L
P6L
P6L
P6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

ALKALOID - INT D.O.O. SLOVENIA

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.


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

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ROMASTRU TRADING S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

TERAPIA S.A.
ZENTIVA, K.S.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L
P6L
P6L
P6L

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

ROMANIA

ALKALOID - INT D.O.O. SLOVENIA

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

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

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

SANOFI PHARMA - BRISTOL MYERS SQUIBB

MALTA
MALTA
GRECIA
FRANTA
FRANTA

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

P-6L

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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

AUROBINDO PHARMA (MALTA) LIMITED


AUROBINDO PHARMA (MALTA) LIMITED

GALENICA S.A.
SANOFI PHARMA - BRISTOL MYERS SQUIBB

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L


CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM.

P6L

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

TEVA PHARMA B.V. OLANDA

P-6L

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
ROMASTRU TRADING SRL

ROMANIA

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

P6L

SANOFI-AVENTIS GROUPE

FRANTA

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

P-6L

STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

SANOFI CLIR SNC

FRANTA

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

NEOLA PHARMA S.R.L. ROMANIA

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

P6L

TEVA PHARMA B.V. OLANDA

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

Pagina 33 din 166

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30 40.04
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 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 22.79
28 32.82
28 32.82
30 33.16
28 71.91
28 42.63
28 11.16
28 11.16
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
28 14.95
30 32.48
28 18.18
28 18.18
1 41.42
28 27.21
28 35.53
28 18.10
28 32.76
28 18.12
28 29.83
28 33.50
30 23.08
28 37.35
28 21.54
28 21.54
28 24.01
28 18.12
30 23.08
28 32.76
28 24.01
28 29.01

Pret
amanuntul
maximal/UT
(RON)

1.334666
0.722666
1.052333
3.217333
1.980357
2.596071
1.887500
1.163928
0.723571
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
0.813928
1.172142
1.172142
1.105333
2.568214
1.522500
0.398571
0.398571
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
0.533928
1.082666
0.649285
0.649285
41.420000
0.971785
1.268928
0.646428
1.170000
0.647142
1.065357
1.196428
0.769333
1.333928
0.769285
0.769285
0.857500
0.647142
0.769333
1.170000
0.857500
1.036071

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.824142
0.722666
0.824142
3.217333
1.887500
1.887500
1.887500
1.163928
0.723571
2.109855
2.109855
1.130333
2.109855
2.109855
1.173214
2.109855
0.813928
1.172142
1.172142
1.105333
0.527463
0.527463
0.398571
0.398571
1.054927
1.054927
0.775000
1.054927
1.054927
1.030000
1.054927
0.533928
1.054927
0.649285
0.649285
6.329566
0.971785
1.268928
0.646428
1.054927
0.647142
1.054927
1.054927
0.769333
1.054927
0.769285
0.769285
0.857500
0.647142
0.769333
1.054927
0.857500
1.036071

Nr. crt

cod ATC

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 C09CA06
328 C09CA06
329 C09CA06
330 C09CA06
331 C09CA06
332 C09CA06
333 C09CA06
334 C09CA06
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
358 C09CA06
359 C09CA06
360 C09CA06
361 C09CA06
362 C09CA06
363 C09CA06
364 C09CA06

DCI

IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL

Denumire Comerciala

IRBESARTAN GALENICA 300 mg


APROVEL 300mg
IRBESARTAN WINTHROP 300mg
IRBESARTAN TERAPIA 300 mg
IRBESARTAN SANDOZ 300 mg
IFIRMASTA 300mg
IRBESARTAN TORRENT 300 mg
ATOKKEN 300 mg
IRBESARTAN ZENTIVA 300mg
IRBESARTAN HF 300 mg
APROVEL 300mg
ATOKKEN 300 mg
IRBESARTAN TORRENT 75 mg
ATOKKEN 75 mg
ATOKKEN 75 mg
ATACAND
TANDESAR 16 mg
CANDESARTAN CILEXETIL ZENTIVA 16 mg

CANDESARTAN SANDOZ 16 mg
HIPOSTYN 16 mg
KARBIS 16 mg
CANDESARTAN TORRENT 16 mg
CLASTINOL 16 mg
CANDEPOL 16 mg
CANZENO 16mg
CANDEGAMMA 16 mg
CANDESARTAN CILEXETIL TEVA 16 mg
CANDESARTAN LABORMED 16 mg
CANDESARTAN AUROBINDO 16 mg
ATACAND 32 mg
CANDESARTAN CILEXETIL ZENTIVA 32 mg

HIPOSTYN 32 mg
KARBIS 32 mg
CANDESARTAN TORRENT 32 mg
CLASTINOL 32 mg
CANDEPOL 32 mg
CANZENO 32mg
CANDEGAMMA 32 mg
CANDESARTAN CILEXETIL TEVA 32 mg
CANDESARTAN LABORMED 32 mg
ATACAND
TANDESAR 8 mg
CANDESARTAN CILEXETIL ZENTIVA 8 mg

CANDESARTAN SANDOZ 8 mg
HIPOSTYN 8 mg
KARBIS 8 mg
CANDESARTAN TORRENT 8 mg
CLASTINOL 8 mg
CANDEPOL 8 mg
CANZENO 8mg
CANDEGAMMA 8 mg
CANDESARTAN CILEXETIL TEVA 8 mg
CANDESARTAN LABORMED 8 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.
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.

concentratie

300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
75mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

Detinator APP

GALENICA S.A.

tara det.
APP

SANOFI PHARMA - BRISTOL MYERS SQUIBB

GRECIA
FRANTA
FRANTA

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

SANOFI PHARMA - BRISTOL MYERS SQUIBB

Ambalaj

Prescriptie

CUTIE CU BLIST. PVC/PVDC/AL A CATE 28 COMPR. FILM.

P6L

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

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

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
ROMASTRU TRADING SRL

ROMANIA

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

P6L

SANOFI-AVENTIS GROUPE

FRANTA

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

P-6L

STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

SANOFI CLIR SNC

FRANTA

NEOLA PHARMA S.R.L. ROMANIA

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM.

P-6L

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

P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L

ROMANIA

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

NEOLA PHARMA S.R.L. ROMANIA

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

P6L
P6L

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
SANDOZ SRL

ROMASTRU TRADING SRL

TEVA PHARMACEUTICALS S.R.L.

SUEDIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

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


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

PHARMACEUTICAL WORKS POLPHARMA SA

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L


POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA
SUEDIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

ASTRAZENECA AB
ZENTIVA K.S.

REPUBLICA CEHA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR.

P-6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

PHARMACEUTICAL WORKS POLPHARMA SA

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L


POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
SANDOZ SRL
TEVA PHARMACEUTICALS S.R.L.

SUEDIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

P-6L

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.

P-6L

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

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


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

PHARMACEUTICAL WORKS POLPHARMA SA

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L


POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

Pagina 34 din 166

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28 29.43
28 43.20
28 29.32
28 38.87
28 64.85
28 60.27
28 29.01
28 31.00
28 29.32
30 31.09
28 43.20
28 31.00
28 16.18
28 23.11
28 23.11
28 66.74
28 44.87
30 29.85
28 26.95
30 42.50
30 43.24
30 48.03
28 44.85
28 44.88
30 29.85
30 39.63
30 29.85
28 41.42
30 29.28
28 117.40
30 36.65
30 71.36
30 81.75
30 81.75
28 69.33
28 76.32
30 36.65
30 72.06
30 36.65
28 56.66
28 56.10
28 36.46
30 16.22
28 16.81
30 24.13
30 33.01
30 39.07
28 36.46
28 36.46
30 16.22
30 33.77
30 23.07
28 33.65

Pret
amanuntul
maximal/UT
(RON)

1.051071
1.542857
1.047142
1.388214
2.316071
2.152500
1.036071
1.107142
1.047142
1.036333
1.542857
1.107142
0.577857
0.825357
0.825357
2.383571
1.602500
0.995000
0.962500
1.416666
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
0.976000
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
2.003571
1.302142
0.540666
0.600357
0.804333
1.100333
1.302333
1.302142
1.302142
0.540666
1.125666
0.769000
1.201785

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

1.051071
1.542857
1.047142
1.388214
2.109855
2.109855
1.036071
1.107142
1.047142
1.036333
1.542857
1.107142
0.527463
0.527463
0.527463
2.109855
1.602500
0.995000
0.962500
1.416666
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
0.976000
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
1.054927
1.054927
0.540666
0.600357
0.804333
1.054927
1.054927
1.054927
1.054927
0.540666
1.054927
0.769000
1.054927

Nr. crt

cod ATC

DCI

forma farm.

399 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

CANDESARTAN AUROBINDO 8 mg
TELMISARTAN ACTAVIS 40mg
MICARDIS 40 mg
PRITOR 40 mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN TEVA 40 mg
TELMISARTAN LABORMED 40 mg
TELMISARTAN RANBAXY 40 mg
TELMA 40 mg
TELMISARTAN TORRENT 40 mg
TELMISARTAN DR. REDDY'S 40 mg
TELMISARTAN ACTAVIS 80mg
MICARDIS 80 mg
PRITOR 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMISARTAN TEVA 80 mg
TELMISARTAN LABORMED 80 mg
TELMISARTAN RANBAXY 80 mg
TELMA 80 mg
TELMISARTAN TORRENT 80 mg
TELMISARTAN DR. REDDY'S 80 mg
TELMARK 40 mg
TANYDON 40 mg
TELMISARTAN EGIS 40 mg
TELMOTENS 40mg
TELMARK 80 mg
TANYDON 80 mg
TELMISARTAN EGIS 80 mg
TELMOTENS 80mg
HYZAAR (R) 50 mg/12,5 mg
LOSARTAN HCT FARMAL 50mg/12,5mg
LORISTA HL 100 mg/12,5 mg
LORISTA H

400 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/12,5 mg

401 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/25 mg

402 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/12,5 mg

403 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 320 mg/25 mg

404 C09DA03

COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

VALSARTAN HIDROCLOROTIAZIDA TORRENT 80 mg/12,5 mg

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

405 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

406 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg

COMPR.
COMPR.

407 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 150mg/12,5mg

408 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 150mg/12,5mg

409 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE WINTHROP 300mg/12,5mg

410 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 300mg/12,5mg

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

411 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,5 mg

412 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IFIRMACOMBI 150mg/12,5mg

413 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg

414 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg

415 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 150mg/12,5mg

416 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,5 mg

417 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IFIRMACOMBI 300mg/12,5mg

365 C09CA06
366 C09CA07
367 C09CA07
368 C09CA07
369 C09CA07
370 C09CA07
371 C09CA07
372 C09CA07
373 C09CA07
374 C09CA07
375 C09CA07
376 C09CA07
377 C09CA07
378 C09CA07
379 C09CA07
380 C09CA07
381 C09CA07
382 C09CA07
383 C09CA07
384 C09CA07
385 C09CA07
386 C09CA07
387 C09CA07
388 C09CA07
389 C09CA07
390 C09CA07
391 C09CA07
392 C09CA07
393 C09CA07
394 C09CA07
395 C09CA07

CANDESARTANUM CILEXETIL
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

Denumire Comerciala

396 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)


397 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)
398 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

8mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. 50mg+12,5mg
COMPR. FILM. 50mg/12,5mg
COMPR.FILM 100mg/12,5mg

Detinator APP

tara det.
APP

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM. 300 mg/12,5mg
COMPR. FILM. 300mg/12,5mg

Prescriptie

ACTAVIS GROUP PTC EHF.


BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

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
TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1

P6L

LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

RANBAXY (U.K.) LIMITED

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P6L

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 28 COMPR.
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR.

P6L
P6L
P6L
P6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BAYER SCHERING PHARMA AG

GERMANIA

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC )

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
TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1

P6L

LABORMED PHARMA S.A. ROMANIA

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

RANBAXY (U.K.) LIMITED

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P6L

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 28 COMPR. P6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L
GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

GEDEON RICHTER ROMANIA SA


EGIS PHARMACEUTICALS P.L.C.

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L


UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L
P6L

ALVOGEN IPCO S.AR.L. LUXEMBURG

CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM.

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GEDEON RICHTER ROMANIA SA


EGIS PHARMACEUTICALS P.L.C.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L


UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

ALVOGEN IPCO S.AR.L. LUXEMBURG

CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM.

P6L

MERCK SHARP & DOHME ROMANIA

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

CUTIE X 2 BLIST. PVC-PE PCDC/AL X 14 COMPR. FILM.

P-6L

FARMAL INTERNATIONAL S.R.L.

ROMANIA

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA


160mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA
160mg/25mg TORRENT PHARMA S.R.L. ROMANIA
320mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA
320mg/25mg TORRENT PHARMA S.R.L. ROMANIA
80mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA
150mg/12,5mg
300mg/12,5mg
150mg/12,5mg
150mg/12,5mg
300mg/12,5mg
300mg/12,5mg
150mg/12,5mg
150mg/12,5mg
150mg/12,5mg
150mg/12,5mg
150mg/12,5mg

Ambalaj

MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L


ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

AUROBINDO PHARMA (MALTA) LIMITED

CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L
P6L
P6L
P6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.


SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA
CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA
CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
SANOFI-AVENTIS GROUPE FRANTA CUTIE CU BLIST. PVC/PVDC/AL X 28 COMPR. FILM.
SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA
CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
SANOFI-AVENTIS GROUPE FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM.

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.

P6L
P6L
P6L

SANOFI PHARMA - BRISTOL MYERS SQUIBB

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

SANOFI CLIR SNC FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.


TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

P6L

Pagina 35 din 166

CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM.

P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30 21.57
28 39.46
28 60.70
28 64.10
28 39.46
30 17.20
30 42.27
28 36.43
28 39.46
28 17.20
28 42.24
28 17.20
28 52.99
28 77.42
28 77.42
28 52.99
30 28.09
30 56.77
28 48.91
28 52.99
28 22.68
28 56.53
28 28.09
28 39.46
30 42.27
28 39.63
30 42.27
28 52.99
30 56.78
28 52.98
30 56.77
28 79.46
28 30.06
28 29.31
28 18.06
28 85.68
28 136.15
28 132.23
28 150.44
28 73.85
28 39.26
28 55.40
28 20.39
28 20.39
28 33.70
28 33.70
28 26.49
30 39.59
28 35.50
28 35.50
28 39.26
28 51.49
30 73.91

Pret
amanuntul
maximal/UT
(RON)

0.719000
1.409285
2.167857
2.289285
1.409285
0.573333
1.409000
1.301071
1.409285
0.614285
1.508571
0.614285
1.892500
2.765000
2.765000
1.892500
0.936333
1.892333
1.746785
1.892500
0.810000
2.018928
1.003214
1.409285
1.409000
1.415357
1.409000
1.892500
1.892666
1.892142
1.892333
2.837857
1.073571
1.046785
0.645000
3.060000
4.862500
4.722500
5.372857
2.637500
1.402142
1.978571
0.728214
0.728214
1.203571
1.203571
0.946071
1.319666
1.267857
1.267857
1.402142
1.838928
2.463666

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.719000
1.054927
1.054927
1.054927
1.054927
0.573333
1.054927
1.054927
1.054927
0.614285
1.054927
0.614285
1.892500
2.109855
2.109855
1.892500
0.936333
1.892333
1.746785
1.892500
0.810000
2.018928
1.003214
1.054927
1.054927
1.054927
1.054927
1.892500
1.892666
1.892142
1.892333
1.141071
1.073571
1.046785
0.645000
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
0.728214
0.728214
1.141071
1.141071
0.946071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071

Nr. crt

cod ATC

DCI

Denumire Comerciala

418 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/12,5 mg

419 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/12,5 mg

420 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

421 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

422 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 300mg/12,5mg
COAPROVEL 300mg/25mg
IFIRMACOMBI 300mg/25mg

423 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg

424 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg

425 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

426 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

427 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

428 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

429 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

430 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

431 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

432 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

433 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

434 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA EGIS 80 mg/12,5 mg

435 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA DR. REDDY'S 80 mg/12,5 mg

436 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

437 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TEZEO HCT 80 mg/12,5 mg


TELMARK PLUS 80mg/12,5mg

438 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg

439 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg

440 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

441 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

442 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

443 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

PRITOR PLUS 80mg/25mg


TANYDON HCT 80 mg/25 mg
TEZEO HCT 80 mg/25 mg
TELMARK PLUS 80mg/25mg

444 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg

445 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg

446 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)


447 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
448 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
449 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
450 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
451 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
452 C10AA04
453 C10AA04
454 C10AA04
455 C10AA05
456 C10AA05
457 C10AA05
458 C10AA05
459 C10AA05
460 C10AA05
461 C10AA05
462 C10AA05
463 C10AA05
464 C10AA05
465 C10AA05
466 C10AA05
467 C10AA05
468 C10AA05
469 C10AA05
470 C10AA05

FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

COAPROVEL 300mg/25mg
ACTELSAR HCT 80 mg/12,5 mg
TOLUCOMBI 80 mg/12,5mg
TOLUCOMBI 80 mg/25mg
ACTELSAR HCT 80 mg/25mg
MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
PRITOR PLUS 80mg/12,5mg
TANYDON HCT 80 mg/12,5 mg

EXFORGE 10mg/160mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/160mg
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
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
MODLIP 10 mg
VOREDANIN 10 mg
ATORVASTATIN RANBAXY 10 mg

forma farm.
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. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

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.

tara det.
concentratie
APP
Detinator APP
300mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE
300mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE
300mg/12,5mg SANOFI CLIR SNC
FRANTA

300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB

FRANTA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L


CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L
CUTIE CU BLIST. DIN OPA/AL/PVC/AL X 30 COMPR. FILM.

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.

SANOFI CLIR SNC

FRANTA
ISLANDA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

P6L
P6L
P6L

CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE

PRF

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)

P-6L

GERMANIA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC PERFORATE)

P-6L

80mg/12,5mg BAYER SCHERING PHARMA AG


80mg/12,5mg GEDEON RICHTER ROMANIA SA
80mg/12,5mg EGIS PHARMACEUTICALS P.L.C.
80mg/12,5mg DR. REDDY'S LABORATORIES
80mg/12,5mg ZENTIVA, K.S.
80mg/12,5mg GLENMARK PHARMACEUTICALS S.R.O.
80mg/12,5mg TERAPIA S.A.
80mg/12,5mg TERAPIA S.A.

80mg/25mg
80mg/25mg
80mg/25mg
80mg/25mg
80mg/25mg
80mg/25mg
10mg/160mg
10mg/160mg
5mg/160mg
5mg/160mg
5mg/80mg
5mg/80mg
20mg
40mg
80mg
10 mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.

Prescriptie

P6L
P6L

KRKA D.D. NOVO MESTO SLOVENIA

80 mg/12,5 mg ACTAVIS GROUP PTC EHF.


80 mg/12,5mg KRKA D.D.
SLOVENIA
80 mg/25mg KRKA D.D.
SLOVENIA

80 mg/25mg
80/12,5mg
80/25mg

Ambalaj
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L
REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L

REPUBLICA CEHA

CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPRIMATE

P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR. P6L

BAYER SCHERING PHARMA AG

GERMANIA

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

ZENTIVA, K.S.

REPUBLICA CEHA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA)

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPRIMATE

P-6L

TERAPIA S.A.
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR. P6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

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

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

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

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

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

NOVARTIS PHARMA GMBH GERMANIA


NOVARTIS PHARMA GMBH GERMANIA

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


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

MEDOCHEMIE LTD. CIPRU


ISLANDA

ACTAVIS GROUP PTC EHF.

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L


CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM. P-6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL/AL X 90 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
TORRENT PHARMA S.R.L. ROMANIA
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

RANBAXY (U.K.) LIMITED

Pagina 36 din 166

MAREA BRITANIE

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

P6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

28
28
28
28
30
28
28
28
28
30
30
28
28
28
28
30
28
28
30
30
28
28
28
30
30
30
28
28
56
28
56
28
56
28
28
28
28
30
30
30
30
30
30
30
30
30
90
28
30
30
30
30
30

68.91
68.91
55.40
55.40
73.91
68.91
68.91
55.40
43.24
56.77
73.02
53.68
77.42
104.85
79.57
29.81
35.00
52.99
29.54
56.77
52.99
52.99
104.85
29.81
41.71
73.02
69.38
69.38
252.74
128.66
252.74
128.66
214.81
113.26
15.98
29.09
46.24
18.38
16.75
41.50
10.57
19.43
21.14
21.05
16.75
21.23
55.45
19.83
18.77
27.86
27.86
19.43
10.57

Pret
amanuntul
maximal/UT
(RON)

2.461071
2.461071
1.978571
1.978571
2.463666
2.461071
2.461071
1.978571
1.544285
1.892333
2.434000
1.917142
2.765000
3.744642
2.841785
0.993666
1.250000
1.892500
0.984666
1.892333
1.892500
1.892500
3.744642
0.993666
1.390333
2.434000
2.477857
2.477857
4.513214
4.595000
4.513214
4.595000
3.835892
4.045000
0.570714
1.038928
1.651428
0.612666
0.558333
1.383333
0.352333
0.647666
0.704666
0.701666
0.558333
0.707666
0.616111
0.708214
0.625666
0.928666
0.928666
0.647666
0.352333

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
0.993666
1.141071
1.141071
0.984666
1.141071
1.141071
1.141071
1.141071
0.993666
1.141071
1.141071
1.141071
1.141071
4.162053
4.162053
4.162053
4.162053
3.835892
4.045000
0.421387
0.842774
1.651428
0.612666
0.558333
0.632081
0.352333
0.632081
0.632081
0.632081
0.558333
0.632081
0.616111
0.632081
0.625666
0.632081
0.632081
0.632081
0.352333

cod ATC

DCI

471 C10AA05

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
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

Nr. crt

472 C10AA05
473 C10AA05
474 C10AA05
475 C10AA05
476 C10AA05
477 C10AA05
478 C10AA05
479 C10AA05
480 C10AA05
481 C10AA05
482 C10AA05
483 C10AA05
484 C10AA05
485 C10AA05
486 C10AA05
487 C10AA05
488 C10AA05
489 C10AA05
490 C10AA05
491 C10AA05
492 C10AA05
493 C10AA05
494 C10AA05
495 C10AA05
496 C10AA05
497 C10AA05
498 C10AA05
499 C10AA05
500 C10AA05
501 C10AA05
502 C10AA05
503 C10AA05
504 C10AA05
505 C10AA05
506 C10AA05
507 C10AA05
508 C10AA05
509 C10AA05
510 C10AA05
511 C10AA05
512 C10AA05
513 C10AA05
514 C10AA05
515 C10AA05
516 C10AA05
517 C10AA05
518 C10AA05
519 C10AA05
520 C10AA05
521 C10AA05
522 C10AA05
523 C10AA05

Denumire Comerciala

ATORVASTATINA POLIPHARMA 10 mg
ATORVASTATINA TEVA 10 mg
STAVRA 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
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
MODLIP 20 mg
VOREDANIN 20 mg
ATORVASTATIN RANBAXY 20 mg
ATORVASTATINA POLIPHARMA 20 mg
ATORVASTATINA TEVA 20 mg
STAVRA 20 mg
AMICOR 40 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
TULIP 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
MODLIP 40 mg
VOREDANIN 40 mg
ATORVASTATIN RANBAXY 40 mg
ATORVASTATINA POLIPHARMA 40 mg
ATORVASTATINA TEVA 40 mg
STAVRA 40 mg
SORTIS 80 mg
ASCORD 80 mg
ATILEN 80 mg
XAMARA 80 mg
MODLIP 80 mg
TORVACARD 80 mg
ATORVASTATIN RANBAXY 80 mg
ATORVASTATINA POLIPHARMA 80 mg
ATORVASTATINA TEVA 80 mg
STAVRA 80 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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40 mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg

tara det.
APP
Ambalaj
POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L
Detinator APP

Prescriptie

ACTAVIS GROUP PTC EHF.

ISLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR. FILM.

ZENTIVA K.S.

CEHIA

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

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L


P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM. P-6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL/AL X 90 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
TORRENT PHARMA S.R.L. ROMANIA
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

P6L

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L


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

TEVA PHARMACEUTICALS S.R.L.

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

ALKALOID-INT D.O.O. SLOVENIA

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

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
ACTAVIS GROUP PTC EHF. ISLANDA

CUTIE CU BLIST. DIN AL/AL X 14 COMPR. FILM. P6L

P6L

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L


CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

ZENTIVA K.S.

CEHIA

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

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 14 COMPR.FILM. P-6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.FILM. P-6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

P-6L

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

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

P-6L

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L


ROMANIA CUTIE CU BLIST. AL/AL X 90 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
TORRENT PHARMA S.R.L. ROMANIA
P6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

P6L

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

POLIPHARMA INDUSTRIES S.R.L.

ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L


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

TEVA PHARMACEUTICALS S.R.L.

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

ALKALOID-INT D.O.O. SLOVENIA

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

P6L

PFIZER EUROPE MA EEIG

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

MAREA BRITANIE

TERAPIA SA

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


ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA
P6L

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

ZENTIVA, K.S.

REPUBLICA CEHA

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

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

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

POLIPHARMA INDUSTRIES S.R.L.

P6L
P6L
ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. FILM. P6L

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


ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L

TEVA PHARMACEUTICALS S.R.L.

Pagina 37 din 166

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
28
30
30
30
30
30
30
30
30
30
30
90
28
30
30
30
30
30
30
28
30
14
30
30
14
30
14
30
30
30
30
30
90
28
30
30
30
30
30
30
28
30
14
30
28
30
30
30
30
30
28
30

10.57
6.36
21.69
26.90
24.56
53.41
15.82
29.45
31.51
34.71
24.14
30.65
79.50
31.37
28.64
34.71
34.71
29.45
15.82
15.82
7.50
32.60
28.58
59.26
50.55
45.27
32.68
25.86
53.61
63.06
56.69
52.86
61.73
152.32
58.84
52.68
63.04
63.04
53.61
32.10
32.68
26.78
38.11
72.66
101.21
94.46
101.21
101.21
44.03
50.04
44.03
38.25
42.62

Pret
amanuntul
maximal/UT
(RON)

0.352333
0.227142
0.723000
0.896666
0.818666
1.780333
0.527333
0.981666
1.050333
1.157000
0.804666
1.021666
0.883333
1.120357
0.954666
1.157000
1.157000
0.981666
0.527333
0.527333
0.267857
1.086666
2.041428
1.975333
1.685000
3.233571
1.089333
1.847142
1.787000
2.102000
1.889666
1.762000
2.057666
1.692444
2.101428
1.756000
2.101333
2.101333
1.787000
1.070000
1.089333
0.956428
1.270333
5.190000
3.373666
3.373571
3.373666
3.373666
1.467666
1.668000
1.467666
1.366071
1.420666

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.352333
0.227142
0.632081
0.896666
0.818666
1.264162
0.527333
0.981666
1.050333
1.157000
0.804666
1.021666
0.883333
1.120357
0.954666
1.157000
1.157000
0.981666
0.527333
0.527333
0.267857
1.086666
2.041428
1.975333
1.685000
2.528325
1.089333
1.847142
1.787000
2.102000
1.889666
1.762000
2.057666
1.692444
2.101428
1.756000
2.101333
2.101333
1.787000
1.070000
1.089333
0.956428
1.270333
5.056650
3.373666
3.373571
3.373666
3.373666
1.467666
1.668000
1.467666
1.366071
1.420666

cod ATC

DCI

524 C10AA07

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
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM

Nr. crt

525 C10AA07
526 C10AA07
527 C10AA07
528 C10AA07
529 C10AA07
530 C10AA07
531 C10AA07
532 C10AA07
533 C10AA07
534 C10AA07
535 C10AA07
536 C10AA07
537 C10AA07
538 C10AA07
539 C10AA07
540 C10AA07
541 C10AA07
542 C10AA07
543 C10AA07
544 C10AA07
545 C10AA07
546 C10AA07
547 C10AA07
548 C10AA07
549 C10AA07
550 C10AA07
551 C10AA07
552 C10AA07
553 C10AA07
554 C10AA07
555 C10AA07
556 C10AA07
557 C10AA07
558 C10AA07
559 C10AA07
560 C10AA07
561 C10AA07
562 C10AA07
563 C10AA07
564 C10AA07
565 C10AA07
566 C10AA07
567 C10AA07
568 C10AA07
569 C10AA07
570 C10AA07
571 C10AA07
572 C10AA07
573 C10AA07
574 C10AA07
575 C10AA07
576 C10AA07

forma farm.
ROSUVASTATINA RATIOPHARM 10 mg COMPR. FILM.
CRESTOR 10 mg
COMPR. FILM.
ROSUCARD 10 mg
COMPR. FILM.
ROSUVASTATINA TEVA 10 mg
COMPR. FILM.
ROXARDIO 10 mg
COMPR. FILM.
ROSWERA 10 mg
COMPR. FILM.
ROSTAT 10 mg
COMPR. FILM.
TINTAROS 10 mg
COMPR. FILM.
ROSUVASTATINA LABORMED 10 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 10 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 10 mg
COMPR. FILM.
ROSUVASTATINA AUROBINDO 10 mg COMPR. FILM.
ROVASTAMED 10mg
COMPR. FILM.
STARCREST 10 mg
COMPR. FILM.
ROSUVASTATINA ALVOGEN 10 mg
COMPR. FILM.
ROZUCOR 10 mg
COMPR. FILM.
ROSUVASTATINA RATIOPHARM 20 mg COMPR. FILM.
CRESTOR 20 mg
COMPR. FILM.
ROSUCARD 20 mg
COMPR. FILM.
ROSUVASTATINA TEVA 20 mg
COMPR. FILM.
ROXARDIO 20 mg
COMPR. FILM.
ROSWERA 20 mg
COMPR. FILM.
ROSTAT 20 mg
COMPR. FILM.
TINTAROS 20 mg
COMPR. FILM.
ROSUVASTATINA LABORMED 20 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 20 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 20 mg
COMPR. FILM.
ROSUVASTATINA AUROBINDO 20 mg COMPR. FILM.
ROVASTAMED 20mg
COMPR. FILM.
STARCREST 20 mg
COMPR. FILM.
ROSUVASTATINA ALVOGEN 20 mg
COMPR. FILM.
ROZUCOR 20 mg
COMPR. FILM.
ROSUCARD 40 mg
COMPR. FILM.
ROSUVASTATINA TEVA 40 mg
COMPR. FILM.
ROSWERA 40 mg
COMPR. FILM.
ROSTAT 40 mg
COMPR. FILM.
TINTAROS 40 mg
COMPR. FILM.
ROSUVASTATINA LABORMED 40 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 40 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 40 mg
COMPR. FILM.
ROSUVASTATINA AUROBINDO 40 mg COMPR. FILM.
ROVASTAMED 40mg
COMPR. FILM.
STARCREST 40 mg
COMPR. FILM.
ROZUCOR 40 mg
COMPR. FILM.
CRESTOR 5 mg
COMPR. FILM.
ROSUVASTATINA TEVA 5 mg
COMPR. FILM.
ROXARDIO 5 mg
COMPR. FILM.
ROSWERA 5 mg
COMPR. FILM.
ROSTAT 5 mg
COMPR. FILM.
TINTAROS 5 mg
COMPR. FILM.
ROSUVASTATINA LABORMED 5 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 5 mg
COMPR. FILM.
ROSUVASTATINA TERAPIA 5 mg
COMPR. FILM.
Denumire Comerciala

concentratie

10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

RATIOPHARM GMBH GERMANIA

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

P-6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

ZENTIVA K.S.

REPUBLICA CEHA

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

P-6L

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

ROMANIA
ROMANIA

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L
P6L

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM.


TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
RATIOPHARM GMBH GERMANIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM.

ZENTIVA K.S.
TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

REPUBLICA CEHA

ROMANIA
ROMANIA

P6L
P6L
P-6L
P-6L

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

P-6L

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L
P6L

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG


TORRENT PHARMA SRL ROMANIA

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


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

P6L
P6L

ZENTIVA K.S.

REPUBLICA CEHA

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

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TORRENT PHARMA SRL ROMANIA

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

P6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM.

P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PVAC-AL/OPA-AL-PVC X 30 COMPR. FILM.

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-6L

SANDOZ S.R.L.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TERAPIA SA
TERAPIA SA

Pagina 38 din 166

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L
P6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
28
30
30
28
30
30
28
28
28
28
30
28
28
30
30
30
28
30
30
28
30
30
28
28
28
28
30
28
28
30
30
30
30
30
30
28
28
28
28
30
28
28
30
28
30
28
30
30
28
28
28
28

73.14
105.02
24.08
53.55
45.03
53.56
24.08
39.44
18.60
33.52
33.52
35.92
69.48
18.60
59.03
46.97
109.71
149.38
26.72
92.42
80.72
92.43
34.30
52.95
18.61
48.16
48.16
51.61
102.40
18.61
95.09
60.39
50.56
109.71
109.71
58.69
68.64
36.03
75.14
75.14
72.25
155.32
36.03
78.60
91.37
50.53
32.48
50.55
22.34
27.73
18.58
62.54
62.54

Pret
amanuntul
maximal/UT
(RON)

2.438000
3.750714
0.802666
1.785000
1.608214
1.785333
0.802666
1.408571
0.664285
1.197142
1.197142
1.197333
2.481428
0.664285
1.967666
1.565666
3.657000
5.335000
0.890666
3.080666
2.882857
3.081000
1.143333
1.891071
0.664642
1.720000
1.720000
1.720333
3.657142
0.664642
3.169666
2.013000
1.685333
3.657000
3.657000
1.956333
2.451428
1.286785
2.683571
2.683571
2.408333
5.547142
1.286785
2.620000
3.263214
1.684333
1.160000
1.685000
0.744666
0.990357
0.663571
2.233571
2.233571

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

1.264162
1.264162
0.802666
1.264162
1.264162
1.264162
0.802666
1.264162
0.664285
1.197142
1.197142
1.197333
1.264162
0.664285
1.264162
1.264162
2.528325
2.528325
0.890666
2.528325
2.528325
2.528325
1.143333
1.891071
0.664642
1.720000
1.720000
1.720333
2.528325
0.664642
2.528325
2.013000
1.685333
3.657000
3.657000
1.956333
2.451428
1.286785
2.683571
2.683571
2.408333
5.056650
1.286785
2.620000
0.632081
0.632081
0.632081
0.632081
0.632081
0.632081
0.632081
0.632081
0.632081

cod ATC

DCI

577 C10AA07

ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM

Nr. crt

578 C10AA07
579 C10AA07
580 C10AA07
581 C10AA07
582 C10AB02
583 C10AX06
584 C10AX06
585 C10AX09
586 C10AX09

ACID OMEGA-3-ESTERI ETILICI 90**


ACID OMEGA-3-ESTERI ETILICI 90**

EZETIMIBUM
EZETIMIBUM

587 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)


588 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
589 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
590 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
591 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
592 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
593 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
594 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
595 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
596 D01BA02
597 D01BA02
598 D01BA02
599 D01BA02
600 D01BA02
601 D01BA02
602 D01BA02
603 D01BA02

TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM

604 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*


605 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
606 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
607 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
608 D05BB02
609 D06AX01
610 D06AX01
611 D06BB04
612 D06BB04
613 D06BB10
614 D07AB02
615 D07AB02
616 D07AB02
617 D07AB02
618 D07AC13
619 D07AC13
620 D07AC13
621 D07AC13
622 D07AC13

ACITRETINUM**
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
PODOPHYLLOTOXINUM*
PODOPHYLLOTOXINUM*
IMIQUIMODUM*
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM

628 D07AC14

METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT

629 D07AC17

FLUTICASONUM PROPIONAT

623 D07AC14
624 D07AC14
625 D07AC14
626 D07AC14
627 D07AC14

Denumire Comerciala

ROSUVASTATINA AUROBINDO 5 mg
ROVASTAMED 5mg
STARCREST 5 mg
ROSUVASTATINA ALVOGEN 5 mg
ROZUCOR 5 mg
REGADRIN (R) B
TEVOCOR 1000 mg
OMACOR (R)
EZETROL (R)
EZETROL (R)
CADUET 10mg/10mg
DUPLECOR 10 mg/10 mg
ATORDAPIN 10 mg/10 mg
TORVALIPIN PLUS 10 mg/10 mg
CADUET 10mg/5mg
DUPLECOR 10 mg/5 mg
TORVALIPIN PLUS 5 mg/10 mg
DUPLECOR 20 mg/10 mg
DUPLECOR 20 mg/5 mg
LAMISIL (R)
TERBINARAN
TERBINARAN
TERBINAFINE 250 mg
TERBINAFINA SLAVIA 250mg
TERBINAFINA BIOGALENICA 250 mg
EXIFINE 250 mg
TERBISIL 250 mg
XAMIOL 50 micrograme/ 0,5 mg/g
DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET 50 micrograme/0,5mg/g
NEOTIGASON 10 mg
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
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
MOMETAZONA ATB 1 mg/g
ELOCOM
ELOCOM
MOMETAZONA ATB 1 mg/g
ADVANTAN 1mg/g crema
ADVANTAN 1mg/g crema
ADVANTAN MILK 1mg/g
ADVANTAN MILK 1mg/g
ADVANTAN 1mg/g unguent
ADVANTAN 1mg/g unguent
CUTIVATE

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

DRAJ.
CAPS. MOI
CAPS. MOI
COMPR.
COMPR.
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.
GEL
GEL
GEL
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
SOL. CUT.
CREMA
CREMA
CREMA

concentratie

5mg
5mg
5mg
5mg
5mg
200mg
1000 mg
1000mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/10mg
10mg/10mg
10mg/5mg
10mg/5mg
10mg/5mg
20mg/10mg
20mg/5mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
0,5 mg/g
50micrograme/0,5mg/g
50micrograme/0,5mg/g

Detinator APP

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

Ambalaj

Prescriptie

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF


CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPR. FILM.


TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.
BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 5 BLIST. X 10 DRAJ.

P6L
P6L
P-6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. PRF

PRONOVA BIOPHARMA NORGE A.S.

NORVEGIA

FALC. DIN PEID X 28 CAPS. MOI

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
PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L

ACTAVIS GROUP PTC EHF.

ISLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

ACTAVIS GROUP PTC EHF.

ISLANDA

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

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA

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

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L
P6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 BLIST. X 14 COMPR.

P-RF

RANBAXY UK LIMITED
RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF

MAREA BRITANIE

CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF

GEDEON RICHTER ROMANIA SA

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

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.

P-RF

P-RF

GEDEON RICHTER ROMANIA SA

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


ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR.

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE CU 1 FLAC. PEID X 15 G GEL

P-RF

LEO PHARMA A/S


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 CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 15 G GEL

PRF

DR. REDDY'S LABORATORIES

P-RF
P-RF

P-RF

DANEMARCA CUTIE CU 1 TUB DIN AL/EPOXIFENOL X 15 G UNGUENT

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

GLAXOSMITHKLINE (GSK) SRL

ROMANIA CUTIE X 1 TUB X 5 G CREMA

P-RF
P-RF

MERCK SHARP & DOHME

OLANDA
SUEDIA CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA
OLANDA CUTIE X 1 TUB DIN AL X 30 G
OLANDA CUTIE X 1 TUB DIN AL X 30 G
OLANDA CUTIE X 1 FLACON X 30 G
OLANDA CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML
ROMANIA CUTIE X 1 TUB DIN AL X 15 G

ANTIBIOTICE SA

ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L

SCHERING PLOUGH EUROPE

BELGIA

50micrograme/0,5mg/g LEO PHARMACEUTICAL PRODUCTS

10mg
20mg/g
20mg/g
1,5 mg/g
5mg/ml
5%
0,1%
0,1%
EMULSIE CUT. 0.1%
SOL. CUT.
0,1%
CREMA
1mg/g
CREMA
1mg/g
SOL. CUT.
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
1mg/g
CREMA
1mg/g
EMULSIE CUT. 1mg/g
EMULSIE CUT. 1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
0,05%

tara det.
APP

ASTELLAS PHARMA EUROPE BV

MEDA AB
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV

CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE

MERCK SHARP & DOHME ROMANIA

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA

P-RF

CUTIE X 1 TUB DIN AL X 15 G

P-RF

ANTIBIOTICE SA
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L


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

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

Pagina 39 din 166

GERMANIA
GERMANIA

CUTIE X 1 TUB X 20 G
CUTIE X 1 TUB X 50 G

P-RF
P-RF

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


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

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30
28
28
30
30
50
30
28
14
28
30
30
30
30
30
30
30
30
30
14
30
28
28
14
28
14
28
1
1
1
1
30
1
1
1
1
12
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Pret
amanuntul
maximal/UT
(RON)

29.72
0.990666
62.54
2.233571
18.58
0.663571
50.53
1.684333
42.50
1.416666
28.55
0.571000
70.92
2.364000
100.04
3.572857
95.45
6.817857
180.99
6.463928
81.46
2.715333
55.75
1.858333
55.75
1.858333
55.17
1.839000
71.34
2.378000
48.82
1.627333
48.46
1.615333
71.26
2.375333
64.10
2.136666
87.90
6.278571
234.95
7.831666
107.44
3.837142
29.74
1.062142
18.21
1.300714
31.99
1.142500
16.66
1.190000
108.77
3.884642
81.72 81.720000
108.59 108.590000
57.17 57.170000
53.43 53.430000
74.74
2.491333
15.19 15.190000
15.19 15.190000
85.55 85.550000
75.96 75.960000
265.43 22.119166
12.93 12.930000
13.39 13.390000
12.80 12.800000
11.23 11.230000
7.67
7.670000
10.18 10.180000
18.78 18.780000
7.67
7.670000
10.18 10.180000
12.70 12.700000
24.16 24.160000
15.75 15.750000
34.03 34.030000
12.99 12.990000
24.16 24.160000
10.31 10.310000

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.632081
0.632081
0.632081
0.632081
0.632081
0.571000
2.364000
2.399592
6.552410
6.463928
1.839000
1.839000
1.839000
1.839000
1.927916
1.627333
1.615333
1.927916
1.839000
1.178125
1.178125
1.178125
1.062142
1.178125
1.142500
1.178125
1.178125
56.234999
56.234999
56.234999
53.430000
2.491333
15.190000
15.190000
45.803214
75.960000
22.119166
12.407500
12.407500
12.407500
11.230000
7.670000
7.670000
10.226666
7.670000
7.670000
11.879375
23.758750
15.750000
34.030000
11.879375
23.758750
10.310000

Nr. crt

cod ATC

630 D07AC17
631 D07AD01
632 D07AD01
633 D07AD01

DCI

FLUTICASONUM PROPIONAT
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*

634 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)


635 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)
636 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
637 D07XC03 COMBINATII (MOMETASONUM + AC. SALICILICUM)
638 D10AD54 COMBINATII (ISOTRETINOINUM + ERITROMICINUM)
639 D10AX03
640 D10AX03
641 D10BA01
642 D10BA01
643 D10BA01
644 G01AA51
645 G01AA51
646 G01AA51
647 G01AA51
648 G01AF12
649 G01AF12
650 G01AF12
651 G01AF15

ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
COMBINATII
COMBINATII
COMBINATII
COMBINATII
FENTICONAZOLUM
FENTICONAZOLUM
FENTICONAZOLUM
BUTOCONAZOLUM

652 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)


653 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
654 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
655 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
656 G01AF20 COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
657 G02CB03
658 G02CB03
659 G03AC03
660 G03CA04
661 G03CA09
662 G03CA09
663 G03CX01
664 G03DA04
665 G03DA04
666 G03DA04
667 G03DA04
668 G03DA04
669 G03DA04
670 G03DB01
671 G03DC03
672 G03FA17
673 G03FB01
674 G03FB08
675 G03GA05
676 G03GA05
677 G03GA05
678 G03GA05
679 G03GA06
680 G03GA06
681 G03GA06
682 G03GA07

CABERGOLINUM*
CABERGOLINUM*
LEVONORGESTRELUM***#
ESTRIOLUM*
PROMESTRIENUM*
PROMESTRIENUM*
TIBOLONUM**
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
DYDROGESTERONUM*
LYNESTRENOLUM*
COMBINATII**
COMBINATII**
COMBINATII**
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#

Denumire Comerciala

CUTIVATE
DERMOVATE 0,5 mg/g
DERMOVATE (R)
DERMOVATE 0,5 mg/g
FUCIDIN H
FUCICORT 20 mg/1mg pe gram
ELOSALIC 1mg+5mg/gram
ELOSALIC 1mg+5mg/gram
ISOTREXIN GEL
SKINOREN
SKINOREN 150mg/g
ROACCUTANE 10 mg
SOTRET 10 mg
SOTRET 20 mg
MACMIROR COMPLEX
POLYGYNAX
POLYGYNAX
MACMIROR COMPLEX
LOMEXIN 1000 mg
LOMEXIN 600 mg
LOMEXIN CREMA VAGINALA
GYNOFORT 2%
MECLODIN
MECLON
MECLON
MECLON
MECLON
DOSTINEX
DOSTINEX
MIRENA 20 mcg/24 h
OVESTIN
COLPOTROPHINE (R)
COLPOTROPHINE (R)
LIVIAL (R) 2,5 mg
UTROGESTAN (R) 100 mg
AREFAM 100 mg
UTROGESTAN (R) 200 mg
AREFAM 200 mg
PROGESTOGEL 10 mg/g
MASTOPROFEN 10 mg/g
DUPHASTON 10 mg
ORGAMETRIL
ANGELIQ
CYCLO-PROGYNOVA
FEMOSTON 2/10
GONAL - f 75 UI (5,5 mcg)
GONAL-f 300 UI/0,5 ml ( 22 g/0,5 ml)
GONAL-f 450 UI/0,75 ml (33 g/0,75 ml)
GONAL-f 900 UI/1,5ml (66 g/1,5 ml)
PUREGON 100UI/0,5ml
PUREGON 300UI/0,36 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI

forma farm.

UNGUENT
CREMA
SOL. CUT.
UNGUENT
CREMA
CREMA
UNGUENT
UNGUENT
GEL
CREMA
GEL
CAPS. MOI
CAPS. MOI
CAPS. MOI

concentratie

MAREA BRITANIE

Ambalaj
CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE CU 1 TUB AL X 25 G CREMA

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

P-RF

LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS

DANEMARCA

CUTIE CU 1 TUB AL X 25 G UNGUENT


CUTIE X 1 TUB DIN AL X 15 G CREMA
CUTIE X 1 TUB DIN AL X 15 G CREMA

1mg+5mg/gram MERCK SHARP & DOHME ROMANIA

P-RF

1mg+5mg/gram MERCK SHARP & DOHME

CUTIE X 1 TUB DIN AL X 45 G


ROMANIA CUTIE X 1 TUB DIN AL X 15 G
MAREA BRITANIE CUTIE X 1 TUB DIN AL X 30 G GEL

P-RF

FARA CONCENTRATIE

0,05%/0,2%
200mg/g
150mg/g
10mg
10mg
20mg

STIEFEL LABORATORIES IRELAND LTD.

INTENDIS GMBH
INTENDIS GMBH

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

GERMANIA

CREMA

FARA CONCENTRATIE

CREMA VAG.

FARA CONCENTRATIE

OVULE

FARA CONCENTRATIE

SOL. VAGINALA

FARA CONCENTRATIE

COMPR.
COMPR.

0,5mg
0,5mg
DISPOZITIV INTRAUTERIN 52mg
OVULE
0,5mg
CAPS. MOI VAG. 10mg
CREMA VAG. 1%
COMPR.
2,5mg
CAPS. MOI 100mg
CAPS. MOI 100mg
CAPS. MOI 200mg
CAPS. MOI 200mg
GEL
10mg/g
GEL
10mg/g
COMPR. FILM. 10mg
COMPR.
5mg
COMPR. FILM.

FARA CONCENTRATIE

DRAJ.

FARA CONCENTRATIE

COMPR. FILM.

FARA CONCENTRATIE

PULB. + SOLV. PT. SOL. INJ.


SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

FRANTA
FRANTA

SOL. INJ.
SOL. INJ.
SOL. INJ.
PULB+SOLV.PT.SOL.INJ

P-RF

P-RF

CUTIE X 1 TUB AL X 50 G GEL

P-RF

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF


CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI

P-RF

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 1 CAPS. VAG. MOALE

P-RF

CUTIE X 1 TUB AL + APLICATOR X 78 G CREMA

P-RF

CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.

P-RF

CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG.

P-RF

CUTIE X 1 TUB DIN AL X 30 G

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

GEDEON RICHTER ROMANIA SA

ITALIA
ALFA WASSERMAN SPA ITALIA
ALFA WASSERMAN SPA ITALIA
ALFA WASSERMAN SPA ITALIA

ALFA WASSERMANN SPA

CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI P-RF

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

BAYER SCHERING PHARMA AG

FINLANDA

CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR

P-RF

ORGANON NV
LAB. THERAMEX
LAB. THERAMEX
ORGANON NV

OLANDA CUTIE X 3 FOLII X 5 OVULE

P-RF

MONACO CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG.


MONACO CUTIE X 1 TUB X 15 G

P-RF

P-RF

LAB. BESINS INTERNATIONAL

OLANDA CUTIE X 1 BLIST. X 28 COMPR.


FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI

MEDICO UNO PHARMA KFT.

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI

P-6L

LAB. BESINS INTERNATIONAL

FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI

P-6L

MEDICO UNO PHARMA KFT.

UNGARIA

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

LABORATOIRES BESINS INTERNATIONAL

FRANTA

CUTIE CU 1 TUB DIN AL X 80 G GEL + DISPOZITIV DE DOZARE

ANTIBIOTICE SA

ROMANIA CUTIE CU 1 TUB DIN AL X 40 G GEL P6L

PFIZER EUROPE MA EEG

MAREA BRITANIE

PFIZER EUROPE MA EEG

P-RF

P-RF

P-6L

PRF

OLANDA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-RF


ORGANON NV
OLANDA CUTIE X 1 BLIST. X 30 COMPR.
P-6L
BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P6L
BAYER PHARMA AG GERMANIA CUTIE CU 1 BLIST. PVC/AL TIP CALENDAR X 21 DRAJ. P-6L
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA
P-RF
ABBOTT HEALTHCARE PRODUCTS B.V.

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

75UI
SERONO EUROPE LTD.
300UI/0,5ml MERCK SERONO EUROPE LIMITED
450UI/0,75ml

P-RF

LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF

ROMANIA
COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA
FARA CONCENTRATIE

Prescriptie

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

ROCHE ROMANIA SRL ROMANIA


TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA

CAPS. MOI VAG. 500mg/200000UI

CREMA VAG.

tara det.
APP

GLAXO WELLCOME UK LIMITED

0,005%
0,5mg/g
0,05%
0,5mg/g

Detinator APP

MERCK SERONO EUROPE LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV.

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 12 ACE PT. ADM. SUBCUTANATA

900UI/1,5ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE


100UI/0,5ml N. V. ORGANON
OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ.
300UI/0,36ml N. V. ORGANON
OLANDA CUTIE X 1 CARTUS + 6 ACE
900UI/1,08ml N. V. ORGANON
OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE
75UI
SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 20 ACE PT. ADM. SUBCUTANATA

Pagina 40 din 166

P-RF/R

MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 8 ACE PT. ADM. P-RF/R
P-RF/R
P-RF/R
PR/PRF
PR/PRF
PR/PRF

P-RF/R

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
1
1
1
1
1
1
1
1
30
30
30
12
6
12
1
2
1
1
1
10
1
1
10
5
2
8
1
15
10
1
28
30
30
14
30
1
1
20
30
28
21
28
1
1
1
1
1
1
1
1

10.31
12.08
5.21
8.91
21.74
23.82
47.00
16.66
36.22
34.10
46.69
53.29
33.09
64.28
38.11
17.46
33.74
35.47
51.21
20.09
36.01
40.29
15.01
9.63
12.87
36.96
21.99
43.59
123.74
513.53
20.62
12.08
13.87
72.82
30.00
19.49
30.00
37.74
21.14
9.01
21.57
9.12
57.86
7.77
30.99
132.63
505.65
735.78

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

10.310000
12.080000
5.210000
8.910000
21.740000
23.820000
47.000000
16.660000
36.220000
34.100000
46.690000
1.776333
1.103000
2.142666
3.175833
2.910000
2.811666
35.470000
25.605000
20.090000
36.010000
40.290000
1.501000
9.630000
12.870000
3.696000
4.398000
21.795000
15.467500
513.530000
1.374666
1.208000
13.870000
2.600714
1.000000
0.649666
2.142857
1.258000
21.140000
9.010000
1.078500
0.304000
2.066428
0.370000
1.106785
132.630000
505.650000
735.780000

10.310000
6.354000
5.210000
6.354000
21.740000
23.820000
47.000000
15.915000
36.220000
29.535500
46.690000
1.087166
1.087166
2.142666
2.404332
2.404332
2.404332
35.470000
17.092497
10.255498
26.664296
1.709249
1.109700
9.630000
12.870000
1.109700
1.109700
8.262750
8.262750
513.530000
1.374666
0.663539
9.953098
2.600714
0.644499
0.644499
1.288999
1.258000
18.800000
9.010000
1.078500
0.304000
2.066428
0.370000
0.554196
120.123106
480.492426
720.738639

1,384.42 1384.420000 1384.420000

200.89 200.890000 160.164102


517.31 517.310000 480.300229
1,410.83 1410.830000 1410.830000

146.72 146.720000 146.720000

Nr. crt

cod ATC

683 G03GB02
684 G03XC01
685 G04BD04
686 G04BD07
687 G04BD07
688 G04BD07
689 G04BD08
690 G04BD08
691 G04BD08
692 G04BD08
693 G04BD08
694 G04BD09
695 G04BD09
696 G04CA01
697 G04CA01
698 G04CA01
699 G04CA02
700 G04CA02
701 G04CA02
702 G04CA02
703 G04CA02
704 G04CA02
705 G04CA02
706 G04CA02
707 G04CA02
708 G04CB01
709 G04CB01
710 G04CB01
711 G04CB01
712 G04CB01
713 G04CB01
714 G04CB02
715 H01AA02
716 H01AC01
717 H01AC01
718 H01AC01
719 H01AC01
720 H01AC01
721 H01AC01
722 H01AC01
723 H01AC01
724 H01AC01
725 H01CC01
726 H01CC02
727 H02AA02
728 H02AB01
729 H02AB06
730 H02AB06
731 H03BB02
732 H03BB02
733 H03BB02
734 H05BA01
735 H05BA01

DCI

CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*
TETRACOSACTIDUM
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)

Denumire Comerciala

CLOSTILBEGYT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
DETRUSITOL SR 4 mg
UROFLOW 1
UROFLOW 2
ZEVESIN 10 mg
VESICARE 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
ASOLFENA 5 mg
INKONTAN 15 mg
INKONTAN 30 mg
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 AUROBINDO 400 micrograme

TAMSULOSIN TEVA 400 g


TANYZ 0,4 mg
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg
FINASTERIDE TEVA 5mg
TAREDOX 5 mg
FINASTERIDA BIOGALENICA 5 mg
FINASTERIDA ARENA 5 mg
AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
OMNITROPE 15mg/1,5ml
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
NORDITROPIN FLEXPRO 5 mg/1,5 ml
ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
ASTONIN H
DIPROPHOS
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
NYLEX (R)
MIACALCIC (R)

forma farm.

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. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

CAPS. ELIB. MODIF.


CAPS. ELIB. MODIF.

CAPS. ELIB. PREL.


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

concentratie

50mg
60mg
5mg
4mg
1mg
2mg
10 mg
10mg
5 mg
5mg
5mg
15mg
30mg
10mg
10mg
5mg
0,4mg
0,4mg
0,4mg
0,4mg
0,4mg

CAPS. ELIB. PREL. 400micrograme

Detinator APP

tara det.
APP

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

DAIICHI SANKYO EUROPE GMBH

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF

Ambalaj
CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR.

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR.


PFIZER EUROPE MA EEIG

ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA K.S.

MAREA BRITANIE
REPUBLICA CEHA
REPUBLICA CEHA
REPUBLICA CEHA

ASTELLAS PHARMA EUROPE BV

OLANDA

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

ZENTIVA K.S.

REPUBLICA CEHA

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

ASTELLAS PHARMA EUROPE BV

OLANDA

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

KRKA, TOVARNA ZDRAVIL, D.D. NOVO MESTO

SLOVENIA

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

AUSTRIA
AUSTRIA

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL.

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.


PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

TERAPIA SA
SANOFI-AVENTIS ROMANIA S.R.L.
SANOFI-AVENTIS ROMANIA S.R.L.

GEDEON RICHTER ROMANIA SA

ZENTIVA KS
RANBAXY UK LTD.

P-6L

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL.

P-6L

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF.

P-6L

MAREA BRITANIE

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA


ICN POLFA RZESZOW S.A.

POLONIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.

P-6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. CU ELIB. PRELUNG.

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. CU ELIB. PREL.

P6L
P6L
P6L

MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

15mg/1,5ml
10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

AUSTRIA
FRANTA
AUSTRIA
AUSTRIA

SOL INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ.
PULB+SOLV. PT. SOL. INJ.

COMPR.
SUSP. INJ. I.M.
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

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

SOL. INJ.
SOL. INJ.

P-6L

CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL.

5,3mg/ml (16ui) PFIZER EUROPE MA EEIG

CAPS. MOI
SUSP. INJ.

P6L

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

PULB. + SOLV. PT. SOL. INJ.

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

P6L

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

PULB. + SOLV. PT. SOL. INJ.

COMPR. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L


CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. OPA/AL/PVC/AL X 30 COMPR. FILM.
P6L

400 g
0,4mg
0,4mg
5mg
5mg
5mg
5mg
5mg
5mg
0,5mg
1mg/ml
4mg (12ui)

COMPR. CU ELIB. PRELUNGITA

Prescriptie

P-RF

KRKA D.D., NOVO MESTO SLOVENIA

OLANDA

CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.

P-6L

MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM.

P-6L

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


DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI

P-6L

ASTELLAS PHARMA EUROPE BV

TEVA PHARMACEUTICAL S.R.L.

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ.

S/P-RF

FERING GMBH

P-RF

SANDOZ GMBH
IPSEN PHARMA
SANDOZ GMBH
SANDOZ GMBH
NOVO NORDISK A/S
NOVO NORDISK A/S
NOVO NORDISK A/S
0,25mg/0,5ml N. V. ORGANON
0,25mg
SERONO EUROPE LTD.
0,1mg
MERCK KGAA
7mg/ml
MERCK SHARP & DOHME
250mg
MERCK KGAA
50mg
MERCK KGAA
10mg
MERCK KGAA
20mg
MERCK KGAA
5mg
MERCK KGAA
100UI/ml
PROEL E.P. CORONIS SA
50ui/ml
NOVARTIS PHARMA GMBH

Pagina 41 din 166

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.

CUTIE X 1 CARTUS X 1,5 ML SOL.INJ.


CUTIE X 1 CARTUS X 2 ML. SOL. INJ.
CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
CUTIE X 1CARTUS X 1,5 ML SOL.INJ.

P-RF
PR/PRF

P-RF/R
P-RF/R
P-RF/R

DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.

P-RF

DANEMARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

DANEMARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P-RF

OLANDA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT

P-RF/R

MAREA BRITANIE

CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII

P-RF

GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF

BELGIA

CUTIE X 5 FIOLE X 1 ML

P-RF

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

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

P-RF

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L


GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L
GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L

GRECIA CUTIE X 5 FIOLE X 1ML


CUTIE X 5 FIOLE X 1 ML

GERMANIA

P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

10
28
60
28
28
28
30
30
30
30
30
30
30
30
30
28
30
30
30
30
30
30
30
30
30
14
28
30
28
28
28
30
1
1
1
1
1
1
1
1
1
1
1
7
50
5
3
3
50
50
100
5
5

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

17.07
1.707000
1.707000
124.97
4.463214
4.463214
26.63
0.443833
0.443833
174.60
6.235714
2.361299
22.20
0.792857
0.590324
26.66
0.952142
0.952142
147.62
4.920666
4.722599
227.12
7.570666
4.722599
83.61
2.787000
2.361299
183.34
6.111333
2.361299
83.61
2.787000
2.361299
38.11
1.270333
0.885487
63.52
2.117333
1.770974
36.04
1.201333
1.201333
40.59
1.353000
1.353000
15.72
0.561428
0.561428
36.34
1.211333
1.211333
21.00
0.700000
0.700000
26.93
0.897666
0.897666
21.20
0.706666
0.706666
22.96
0.765333
0.765333
26.93
0.897666
0.897666
20.08
0.669333
0.669333
31.90
1.063333
1.063333
63.98
2.132666
1.515857
33.27
2.376428
1.175357
64.36
2.298571
1.175357
35.18
1.172666
1.172666
32.91
1.175357
1.175357
32.91
1.175357
1.175357
32.91
1.175357
1.175357
95.62
3.187333
3.187333
5.75
5.750000
5.750000
434.84 434.840000 396.484000
555.63 555.630000 528.645333
1,653.92 1653.920000 1486.815000

991.21 991.210000 991.210000


484.12 484.120000 484.120000
765.73 765.730000 765.730000
1,320.72 1320.720000 991.210000
1,726.64 1726.640000 991.210000
898.74 898.740000 495.605000
176.88 176.880000 121.294606
845.15 120.735714 120.735714
47.78
0.955600
0.955600
34.53
6.906000
6.906000
95.62 31.873333 31.873333
35.71 11.903333
6.981149
21.00
0.420000
0.303840
25.52
0.510400
0.510400
30.86
0.308600
0.151920
32.36
6.472000
6.472000
34.46
6.892000
3.735000

Nr. crt

cod ATC

736 J01CR01
737 J01CR01
738 J01CR04
739 J01CR04
740 J01FA02
741 J01FA02
742 J01FA10
743 J01FA10
744 J01FA10
745 J01FA10
746 J01FA10
747 J01FA10
748 J01FA10
749 J01FA10
750 J01FA10
751 J01FA10
752 J01FA10
753 J01FA10
754 J01FA10
755 J01FA10
756 J01FA10
757 J01FA10
758 J01FA10
759 J01FA10
760 J01FA10
761 J01FA10
762 J01FA10
763 J01FA10
764 J01FA10
765 J01FF01
766 J01FF01
767 J01FF01
768 J01FF01
769 J01FF01
770 J01FF01
771 J01MA12
772 J01MA12
773 J01MA12
774 J01MA12
775 J01MA12
776 J01MA12
777 J01MA12
778 J01MA12
779 J01MA12
780 J01MA12
781 J01MA12
782 J01MA12
783 J01MA12
784 J01MA14
785 J01MA14
786 J01MA14
787 J01MA14
788 J02AC02

DCI

AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
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
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*

Denumire Comerciala

AMPIPLUS (R) 1,5 g


AMPIPLUS 1000 mg/500 mg
UNASYN
UNASYN
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg
SUMAMED 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZIBIOT 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg
ZITROCIN 500 mg
AZITROX (R) 500
AZATRIL 500 mg
AZITROMICINA ARENA 500 mg
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg
AZITROX 200 mg/5 ml
AZITROMICINA SANDOZ 100 mg/5 ml
AZITROMICINA SANDOZ 200 mg/5 ml
SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
DALACIN C 150 mg
DALACIN C 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 600 mg
CLINDAMYCIN - MIP 600 mg
FLERADAY 250 mg
LEVOFLOXACINA ACTAVIS 250 mg
TAVANIC 250 mg
LEVOTOR 250 mg
LEVOFLOXACINA MACLEODS 250 mg
FLERADAY 500 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA MACLEODS 500 mg
LEVOFLOXACINA MACLEODS 500 mg
AVELOX 400 mg
MOXIFLOXACINA AUROBINDO 400 mg
MOFINACIN 400 mg
MOFIL 400 mg
ORUNGAL

forma farm.
PULB. PT. SOL. INJ.
PULB. PT. SOL. INJ./PERF.

COMPR. FILM.
PULB. PT. SUSP. ORALA

COMPR. FILM.
COMPR. FILM.

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.
PULB. + SOLV. SUSP. ORALA

PULB. PT. SUSP. ORALA


PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. 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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

CAPS.

concentratie

Detinator APP

1g+500mg

ANTIBIOTICE SA
1000mg/500mg ANTIBIOTICE S.A.
375mg
PFIZER EUROPE MA EEIG
250mg/5ml PFIZER EUROPE MA EEIG
1,5 M ui
LAB. AVENTIS
3M ui
LAB. AVENTIS
250mg
BALKANPHARMA RAZGRAD AD
250mg
PLIVA LJUBLIJANA D.O.O.
125mg
PLIVA LJUBLJANA D.O.O.
250mg
SANDOZ S.R.L.
250mg
TERAPIA SA
250mg
TERAPIA SA
500mg
PLIVA LJUBLJANA D.O.O.
500mg
SANDOZ S.R.L.
500mg
KRKA D.D. NOVO MESTO
500mg
TERAPIA SA
500mg
TERAPIA SA
500mg
LABORMED PHARMA S.A.
500mg
ZENTIVA K.S.
500mg
ACTAVIS GROUP PTC EHF.
500mg
ARENA GROUP S.A.
600mg
TERAPIA SA
600mg
TERAPIA SA
200mg/5ml ZENTIVA S.A.
100mg/5ml SANDOZ SRL
200 mg/5 ml SANDOZ SRL
200mg/5ml PLIVA LJUBLIJANA D.O.O.
200mg/5ml PLIVA LJUBLIJANA D.O.O.
200mg/5ml PLIVA LJUBLIJANA D.O.O.
150mg
PFIZER EUROPE MA EEIG
300mg
PFIZER EUROPE MA EEIG
300mg
MIP PHARMA GMBH
300mg
MIP PHARMA GMBH
600mg
MIP PHARMA GMBH
600mg
MIP PHARMA GMBH
250 mg
DR. REDDY'S LABORATORIES
250mg
ACTAVIS GROUP PTC EHF.
250mg
TERAPIA S.A.
250mg
TORRENT PHARMA S.R.L.
250mg
MACLEODS PHARMA UK LIMITED
500 mg
DR. REDDY'S LABORATORIES
500mg
ACTAVIS GROUP PTC EHF.
500mg
TERAPIA S.A.
500mg
TORRENT PHARMA S.R.L.
500mg
BLUEFISH PHARMACEUTICALS AB
500mg
BLUEFISH PHARMACEUTICALS AB
500mg
MACLEODS PHARMA UK LIMITED
500mg
MACLEODS PHARMA UK LIMITED
400mg
BAYER PHARMA AG
400mg
AUROBINDO PHARMA (MALTA) LIMITED
400mg
ALVOGEN IPCO S.A.R.L
400mg
ACTAVIS GROUP PTC EHF.
100mg
JANSSEN PHARMACEUTICA N.V.

Pagina 42 din 166

tara det.
APP
Ambalaj
ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G
ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

PR, PRF

CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR.

P-RF

MAREA BRITANIE

MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA

FRANTA
FRANTA

Prescriptie

P-RF/S

P-RF

CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF


CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF

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


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

P-RF

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


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

P-RF

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

P-RF

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

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

P-RF

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


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

P-RF

CEHIA
ISLANDA

P-RF
P-RF

P-RF
P-RF

P-RF
P-RF

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


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

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


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

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

SLOVENIA
SLOVENIA
SLOVENIA
MAREA BRITANIE
MAREA BRITANIE

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

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


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

P-RF
P-RF

GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF


GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF
GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF
GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF

ROMANIA

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

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

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


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

P-RF
P-RF

MAREA BRITANIE

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

ROMANIA

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

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

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


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

P-RF

SUEDIA
SUEDIA

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

PRF

MAREA BRITANIE

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

MAREA BRITANIE

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

GERMANIA

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

P-RF

MALTA

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

PRF

P-RF

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

PRF

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

ISLANDA
BELGIA

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

PRF

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

50 728.96
50 728.96
12 33.18
1 24.41
16
9.85
10 25.56
6 25.50
6 37.99
6 25.36
6 48.80
6 25.52
6 25.52
3 38.17
3 48.80
3 25.65
3 25.64
3 25.64
3 25.65
3 22.13
3 21.26
3 25.64
3 44.61
3 44.61
1 16.36
1 22.45
1 34.36
1 25.18
1 48.58
1 60.36
16 12.14
16 23.33
16 23.31
30 54.01
16 52.16
30 95.84
7 17.40
7 17.41
7 26.78
7 17.40
10 23.64
7 33.85
7 33.86
7 52.08
7 33.65
7 31.96
7 31.96
5 23.64
10 41.93
5 74.08
5 55.37
5 55.17
5 46.22
15 76.92

Pret
amanuntul
maximal/UT
(RON)

14.579200
14.579200
2.765000
24.410000
0.615625
2.556000
4.250000
6.331666
4.226666
8.133333
4.253333
4.253333
12.723333
16.266666
8.550000
8.546666
8.546666
8.550000
7.376666
7.086666
8.546666
14.870000
14.870000
16.360000
22.450000
34.360000
25.180000
48.580000
60.360000
0.758750
1.458125
1.456875
1.800333
3.260000
3.194666
2.485714
2.487142
3.825714
2.485714
2.364000
4.835714
4.837142
7.440000
4.807142
4.565714
4.565714
4.728000
4.193000
14.816000
11.074000
11.034000
9.244000
5.128000

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

14.579200
14.579200
2.765000
22.692500
0.615625
1.397998
3.494998
3.494998
1.747497
3.494998
3.494998
3.494998
6.989997
6.989997
6.989997
6.989997
6.989997
6.989997
6.989997
6.989997
6.989997
8.388000
8.388000
16.360000
12.671996
25.343993
19.008000
38.016000
47.520000
0.736484
1.458125
1.456875
1.472968
2.945937
2.945937
2.379600
2.379600
2.379600
2.379600
2.364000
4.759200
4.759200
4.759200
4.759200
4.565714
4.565714
4.728000
4.193000
4.759200
4.759200
4.759200
4.759200
5.128000

Nr. crt

cod ATC

789 J02AC02
790 J02AC02
791 J02AC02
792 J02AC02
793 J05AB11
794 J05AB11
795 J05AB15
796 L01AA01
797 L02AE02
798 L02AE02
799 L02AE03
800 L02AE04
801 L02AE04
802 L02AE04
803 L02AE04
804 L04AX01
805 M01AC01
806 M01AC01
807 M01AC01
808 M01AC01
809 M01AC01
810 M01AC01
811 M01AC01
812 M01AC01
813 M01AC01
814 M01AC01
815 M01AC01
816 M01AC01
817 M01AC01
818 M01AC01
819 M01AC05
820 M01AC05
821 M01AE17
822 M01AE17
823 M01AE17
824 M01AH01
825 M01AH01
826 M01AH01
827 M01AH01
828 M01AH01
829 M01AH01
830 M01AH05
831 M01AH05
832 M01AH05
833 M01AH05
834 M01AH05
835 M01AH05
836 M01AH05
837 M01AH05
838 M01AH05
839 M01AH05
840 M01AH05
841 M01AH05

DCI

ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM

Denumire Comerciala

ITRACONAZOL 100 mg
OMICRAL 100 mg
MICOGAL 100 mg
ITRACONAZOL ARENA 100 mg
VALTREX 500 mg
VALACICLOVIR ARENA 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN
PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM ARENA 20 MG
PIROXICAM HELCOR 20 mg
FLAMEXIN
FLAMEXIN
FLAMEXIN
FLAMEXIN (R)
HOTEMIN
PIROXICAM ATB 20 mg
PIROXICAM ATB 20 mg
PIROXICAM 20 mg
XEFO RAPID 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
DEXKETOPROFEN TROMETAMOL SANDOZ 25mg

TADOR INJECT
CELEBREX 100 mg
CALIDEM 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
CALIDEM 200 mg
CALIDEM 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

forma farm.

CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.

COMPR.
DRAJ.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

IMPLANT
LIOF. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. INJ.
COMPR. FILM.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. EFF.
COMPR. EFF.
COMPR. EFF.
PULB. PT. SOL. ORALA

SOL. INJ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
COMPR. FILM.
SOL. INJ./CONC. PT. SOL. PERF.

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.

concentratie

100mg
100mg
100mg
100mg
500 mg
500mg
125mg
50mg
11,25mg
3,75mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
50mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg/plic
20mg/ml
20 mg
20 mg
20mg
8mg
8mg/2ml
25mg
25mg
50mg/2ml
100mg
100mg
200mg
200mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg

tara det.
APP
SLAVIA PHARM SRL ROMANIA
MEDICO UNO PHARMACEUTICAL SRL ROMANIA
ROMPHARM COMPANY SRL ROMANIA
ARENA GROUP S.A. ROMANIA
Detinator APP

THE WELLCOME FOUNDATION LTD.

Ambalaj

Prescriptie

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


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

P-RF

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

PRF

ARENA GROUP S.A. ROMANIA

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

P-RF
P-RF
P-RF

PRF

BERLIN CHEMIE AG MENARINI GROUP

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

ABBOTT LABORATORIES LTD.


ABBOTT LABORATORIES LTD.

SPANIA
SPANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA
FERRING GMBH

FRANTA
FRANTA
FRANTA
GERMANIA

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

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

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

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

S/P-RF

ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR. P-6L
CHIESI FARMACEUTICI SPA
CHIESI FARMACEUTICI SPA

ITALIA
ITALIA

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


CUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

AC HELCOR PHARMA S.R.L.

ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L

CHIESI FARMACEUTICI SPA

ITALIA
ITALIA
ITALIA
ITALIA

CHIESI FARMACEUTICI SPA


CHIESI FARMACEUTICI SPA
CHIESI FARMACEUTICI SPA

CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L


CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L
CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L
CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA

P-6L

UNGARIA CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF


ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ. P6L
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ. P6L
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L
NYCOMED AUSTRIA AUSTRIA CUTIE CU BLIST. AL/AL X 10 COMPR. FILM. P-6L
NYCOMED AUSTRIA GMBH AUSTRIA
PRF

EGIS PHARMACEUTICALS P.L.C.

CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV

BERLIN CHEMIE AG (MENARINI GROUP)

GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L

SANDOZ S.R.L.

ROMANIA

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

UNGARIA/OLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

UNGARIA/OLANDA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA/OLANDA

CUTIE BLIST. DIN PVC-PVDC/AL X 20 COMPRIMATE FILMATE

P6L
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF


CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF
CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF
CUTIE CU BLIST. PVC/AL X 10 CAPS. PRF
CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF

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
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. 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 X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF

Pagina 43 din 166

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

15
15
15
15
10
10
7
50
1
1
1
7
1
1
28
100
20
30
10
20
20
20
10
20
30
20
5
6
6
10
10
10
10
20
5
30
30
10
30
10
30
7
28
14
14
28
14
28
14
14
7
14
28

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

52.56
3.504000
3.504000
52.56
3.504000
3.504000
52.55
3.503333
3.503333
52.56
3.504000
3.504000
56.95
5.695000
5.067219
37.01
3.701000
3.701000
332.58 47.511428 47.511428
26.13
0.522600
0.522600
994.94 994.940000 994.940000
429.71 429.710000 378.914998
436.52 436.520000 402.272492
134.62 19.231428 10.104391
1,184.81 1184.810000 1136.745010

440.58 440.580000 440.580000


630.48 22.517142
1.353989
70.21
0.702100
0.569974
2.63
0.131500
0.131500
29.01
0.967000
0.902700
17.58
1.758000
0.902700
3.13
0.156500
0.156500
2.47
0.123500
0.123500
4.44
0.222000
0.222000
20.80
2.080000
0.902700
39.37
1.968500
0.902700
48.42
1.614000
0.902700
27.37
1.368500
0.902700
11.77
2.354000
2.354000
4.44
0.740000
0.740000
4.44
0.740000
0.740000
7.32
0.732000
0.732000
16.61
1.661000
0.601799
137.31 13.731000
1.713898
14.05
1.405000
0.494699
16.81
0.840500
0.494699
30.51
6.102000
2.280000
63.57
2.119000
1.099566
42.74
1.424666
1.099566
33.03
3.303000
2.199133
94.10
3.136666
2.199133
22.17
2.217000
2.199133
64.40
2.146666
2.146666
35.09
5.012857
4.398267
128.69
4.596071
4.398267
67.83
4.845000
4.398267
67.83
4.845000
4.398267
86.14
3.076428
1.099566
55.68
3.977142
2.199133
105.76
3.777142
2.199133
55.68
3.977142
2.199133
59.15
4.225000
3.298700
30.54
4.362857
3.298700
59.15
4.225000
3.298700
112.36
4.012857
3.298700

Nr. crt

cod ATC

DCI

882 M05BA07

GLUCOSAMINUM
GLUCOSAMINUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*

883 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

884 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

885 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

886 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

887 M05BX03

STRONTIUM RANELATUM*
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#

842 M01AX05
843 M01AX05
844 M01AX05
845 M01AX05
846 M01AX17
847 M01AX17
848 M01AX17
849 M01AX17
850 M01AX17
851 M01AX17
852 M01AX17
853 M03BX01
854 M03BX01
855 M05BA04
856 M05BA04
857 M05BA04
858 M05BA04
859 M05BA04
860 M05BA04
861 M05BA04
862 M05BA04
863 M05BA06
864 M05BA06
865 M05BA06
866 M05BA06
867 M05BA06
868 M05BA06
869 M05BA06
870 M05BA06
871 M05BA06
872 M05BA06
873 M05BA06
874 M05BA07
875 M05BA07
876 M05BA07
877 M05BA07
878 M05BA07
879 M05BA07
880 M05BA07
881 M05BA07

888 M05BX03
889 N02AA05
890 N02AA05
891 N02AA05
892 N02AA05
893 N02AA05
894 N02AA05

Denumire Comerciala

CARTIFLEX 625 mg
GLUCOZAMINA PHARMATAXIS 1250 mg
SLIDEFLEX 1178mg
DONA (R)
LEMESIL
NIMESULID 100 mg
NIMESULID SLAVIA
APONIL
APONIL
NIMESULID ARENA 100 mg
NIMESULID FARMEX 100 mg
LIORESAL (R)
LIORESAL (R)
TEVANAT 70 mg
RANOS 70 mg
ACID ALENDRONIC AUROBINDO 70 mg
FOSAMAX 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
QUODIXOR 150 mg
OSAGRAND 150 mg
ACID IBANDRONIC SANDOZ 150 mg
OSSICA 3 mg
ACID IBANDRONIC TEVA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ACID IBANDRONIC ALVOGEN 3 mg
RISEDRONAT BLUEFISH 35 mg
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
LORINE 35mg
OSODENS 35 mg
ACTONEL SAPTAMANAL 35 mg
RISEDRONAT SODIC SANDOZ 35 mg
RISEDRONAT SODIC ZENTIVA 35mg
ACTONEL 75 mg
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g
OXYCONTIN 10 mg
OXYCONTIN 20 mg
OXYCONTIN 40 mg
OXYCONTIN 80 mg
RELTEBON 10 mg
RELTEBON 20 mg

forma farm.

CAPS.

concentratie

Detinator APP

tara det.
APP
ROMANIA

TERAPIA S.A.
PHARMATAXIS LTD CIPRU
BLUE BIO PHARMACEUTICALS LIMITED IRLANDA
ROTTAPHARM SPA ITALIA
ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA
MAGISTRA C & C
ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE LTD CIPRU
MEDOCHEMIE LTD CIPRU
ARENA GROUP S.A. ROMANIA

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

625 mg
1250mg
1178mg
1500mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
10mg
25mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg
150mg
150mg
150mg
3mg
3mg
3mg/3ml
1mg/1ml
3 mg
35 mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
75mg

COMPR.
COMPR.
COMPR.
COMPR.

COMPR. EFF.
COMPR. FILM.
PULB. PT. SOL. ORALA

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.
SOL INJ. IN SERINGA PREUMPLUTA

SOL INJ. IN SERINGA PREUMPLUTA

SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL.INJ. IN SERINGA PREUMPLUTA

GRAN. PT. SUSP. ORALA


GRAN. PT. SUSP. ORALA
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.

Ambalaj
CUTIE CU 6 BLIST. PVC/PVDC/AL X 10 (6 BLIST. X 10) CAPS.

CUTIE CU 3 TUBURI DIN PP CU DOP PP X 10 COMPR. EFF.

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

Prescriptie

P6L
P6L
P6L

CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF


CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR. P-6L
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L
MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L
SANDOZ S.R.L.
ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L
ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L
GEDEON RICHTER PLC. UNGARIA

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

P-6L

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

P-6L

REPUBLICA CEHA

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


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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

P6L
P6L
P6L
P6L
P6L

ROCHE REGISTRATION LTD.

MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

ALVOGEN IPCO S.AR.L

LUXEMBURG

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA SI 1 AC PT. INJECTARE X 3 ML SOL.INJ.

PR/PRF

BLUEFISH PHARMACEUTICALS AB

SUEDIA

CUTIE CU BLIST. DIN PVC/PE/PVDC-AL X 4 COMPR. FILM.

P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

ALVOGEN IPCO S.AR.L

ZENTIVA K.S.
SANDOZ S.R.L.
GEDEON RICHTER ROMANIA SA

TEVA PHARMACEUTICALS SRL

ANTIBIOTICE S.A.
TERAPIA SA
SANOFI - AVENTIS ROMANIA S.R.L.

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTARE

ROMANIA CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L


ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
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/AL X 4 COMPR. FILM. P6L

SANDOZ S.R.L.
ZENTIVA KS

REPUBLICA CEHA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE

P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.

P-6L

70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI

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

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

2g
2g
10 mg
20 mg
40 mg
80mg
10mg
20mg

LES LAB. SERVIER


LES LAB. SERVIER

FRANTA
FRANTA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ISLANDA
ISLANDA

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.

Pagina 44 din 166

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF

CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.

PS
PS
PS
PS

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.


CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

60
30
30
20
20
10
10
20
10
10
10
50
50
4
4
4
2
2
12
2
4
1
1
1
1
1
1
1
1
1
1
1
4
4
4
4
4
4
4
4
2
4
2
2
4
14
28
60
60
60
60
60
60

41.65
42.05
41.65
43.20
9.72
4.87
7.24
8.20
4.51
4.78
7.20
20.37
33.50
48.27
47.66
48.27
37.13
12.82
131.92
24.78
47.97
61.42
89.74
72.31
71.46
38.80
52.90
239.77
283.25
271.45
424.57
182.83
35.79
14.31
45.27
36.50
45.27
67.31
28.38
14.31
66.39
89.84
47.30
47.30
89.84
104.74
174.60
64.10
121.02
172.88
309.83
43.09
78.60

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.694166
1.401666
1.388333
2.160000
0.486000
0.487000
0.724000
0.410000
0.451000
0.478000
0.720000
0.407400
0.670000
12.067500
11.915000
12.067500
18.565000
6.410000
10.993333
12.390000
11.992500
61.420000
89.740000
72.310000
71.460000
38.800000
52.900000
239.770000
283.250000
271.450000
424.570000
182.830000
8.947500
3.577500
11.317500
9.125000
11.317500
16.827500
7.095000
3.577500
33.195000
22.460000
23.650000
23.650000
22.460000
7.481428
6.235714
1.068333
2.017000
2.881333
5.163833
0.718166
1.310000

0.694166
1.388332
1.388332
1.388332
0.486000
0.487000
0.724000
0.410000
0.451000
0.478000
0.720000
0.321719
0.670000
10.185750
10.185750
10.185750
10.185750
6.410000
10.185750
10.185750
10.185750
43.653214
43.653214
43.653214
43.653214
38.800000
43.653214
239.770000
267.423187
267.423187
267.423187
182.830000
8.947500
3.577500
10.185750
9.125000
10.185750
10.185750
7.095000
3.577500
21.826607
10.185750
10.185750
10.185750
10.185750
6.547142
6.235714
0.533249
1.066498
2.133000
4.266000
0.533249
1.066498

Nr. crt

cod ATC

895 N02AA05
896 N02AA05
897 N02AA05
898 N02AA05
899 N02AA05
900 N02AA05
901 N02AA05
902 N02AA05
903 N02AA05
904 N02AA05
905 N02AA05
906 N02AA05
907 N02AA05
908 N02AA05
909 N02AA05
910 N02AA05
911 N02AA08
912 N02AA08
913 N02AA08
914 N02AX52
915 N02AX52

DCI

OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*
COMBINATII
COMBINATII

916 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM


917 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
918 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
919 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
920 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
921 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
922 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
923 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM
924 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
925 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
926 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
927 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
928 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
929 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
930 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
931 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
932 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
933 N03AE01
934 N03AE01
935 N03AX16
936 N03AX16
937 N03AX16
938 N03AX16
939 N03AX16
940 N03AX16
941 N04AA02
942 N04BC05
943 N04BC05
944 N04BC05
945 N04BC05
946 N04BC05
947 N04BC05

CLONAZEPAMUM
CLONAZEPAMUM
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
BIPERIDENUM
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*

Denumire Comerciala

RELTEBON 40 mg
RELTEBON 80 mg
OXIDOLOR 10 mg
ALNAGON 10 mg
OXIDOLOR 20 mg
ALNAGON 20 mg
OXIDOLOR 40 mg
ALNAGON 40 mg
OXICODONA SANDOZ 40 mg
OXICODONA SANDOZ 60 mg
OXIDOLOR 80 mg
OXICODONA SANDOZ 80 mg
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
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
TRAUMOBOL 37,5mg/325mg
TRAUMOBOL 37,5mg/325mg
PADOLTEN 37,5 mg/325 mg
PADOLTEN 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
DORETA 75 mg/650 mg
DORETA 75 mg/650 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
PRAMIPEXOL ZENTIVA 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg

forma farm.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.

COMPR. ELIB. PREL.


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

concentratie

40mg
80mg
10mg
10mg
20mg
20mg
40mg
40mg
40mg
60mg
80mg
80mg
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

LANNACHER HEILMITTEL GES.M.B.H.

ISLANDA
ISLANDA
AUSTRIA

ZENTIVA, K.S.

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

P-TS

ZENTIVA, K.S.

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

P-TS

ACTAVIS GROUP PTC EHF.


ACTAVIS GROUP PTC EHF.

ZENTIVA, K.S.
SANDOZ S.R.L.
SANDOZ S.R.L.

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

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

P-TS

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

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

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. ELIB. PREL.

P-RF

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.


CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.

PS
PS

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

P-TS

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.

PS

MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS

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

37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA


37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA

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

CAPS.
CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
37,5mg/325mg
75 mg/650 mg
75 mg/650 mg

COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

0,5mg
2mg
150mg
150mg
300mg
300mg
75mg
75mg
2mg
0,088mg
0,18 mg
0,18 mg
0,18mg
0,18mg
0,18mg

COMPR. ELIB. PREL.


COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. ELIB. PREL.


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

GMBH
GMBH
GMBH
GMBH

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS


CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS
CUTIE X 4 BLIST. X 14 COMPR. FILM. ELIB. MODIF. P-TS
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.
CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

PS
PS
PS

CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-RF

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 GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM.

P-RF

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF
37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM.

P-RF

37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM.

P-RF

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL
S.C.TEVA PHARMACEUTICALS S.R.L.
S.C.TEVA PHARMACEUTICALS S.R.L.
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
POLONIA
POLONIA
POLONIA

CUTIE X 2 BLISTERE PVC/PE/PVDC/AL X 15 CAPSULE

PRF

CUTIE CU 1 BLIST. DIN PVC/PE/PVDC/AL A 15 CAPS. PRF

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


CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-RF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF

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.
ZENTIVA, K.S.
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

KRKA D.D.
TEVA PHARMA BV

Pagina 45 din 166

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

CUTIE X 14 CAPS. (BLIST. PVC/AL)


CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 56 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 14 CAPS. (BLIST. PVC/AL)
CUTIE X 56 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

REPUBLICA CEHA

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

PRF

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

GERMANIA

P-RF
P-RF

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

60
60
60
56
60
56
60
56
20
20
60
20
56
56
56
56
56
56
56
10
20
30
10
20
30
10
50
50
20
30
15
10
20
10
20
30
10
20
50
30
14
56
56
14
14
56
50
30
30
30
30
30
30

118.39
201.30
43.09
48.27
78.65
88.08
118.50
132.72
47.40
139.36
201.38
80.55
116.83
214.65
395.50
652.80
128.54
29.34
101.69
7.89
15.58
34.76
12.14
23.96
34.76
12.14
57.78
57.78
23.96
23.34
11.71
7.89
15.59
7.90
15.59
23.36
15.78
31.14
6.89
6.56
76.16
288.91
422.67
114.28
53.71
193.52
10.57
19.75
17.43
17.43
49.77
17.70
33.41

Pret
amanuntul
maximal/UT
(RON)

1.973166
3.355000
0.718166
0.861964
1.310833
1.572857
1.975000
2.370000
2.370000
6.968000
3.356333
4.027500
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
0.789000
0.779000
1.158666
1.214000
1.198000
1.158666
1.214000
1.155600
1.155600
1.198000
0.778000
0.780666
0.789000
0.779500
0.790000
0.779500
0.778666
1.578000
1.557000
0.137800
0.218666
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
0.211400
0.658333
0.581000
0.581000
1.659000
0.590000
1.113666

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

1.973166
3.355000
0.533249
0.533249
1.066498
1.066498
1.975000
2.133000
2.133000
3.199501
3.356333
4.027500
0.533249
1.066498
2.133000
4.266000
1.504445
0.523928
1.128334
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.702074
0.067904
0.218666
5.189139
5.159107
7.547678
8.162857
2.594569
2.594569
0.211400
0.131375
0.268723
0.268723
0.268723
0.268723
0.268723

Nr. crt

cod ATC

948 N04BC05
949 N04BC05
950 N04BC05
951 N04BC05
952 N04BC05
953 N04BC05
954 N04BC05
955 N04BC05
956 N04BC05
957 N04BC05
958 N04BC05
959 N04BC05
960 N04BC05
961 N04BC05
962 N04BC05
963 N04BC05
964 N04BC05
965 N04BC05
966 N04BC05
967 N04BC05
968 N04BC05
969 N04BC05
970 N04BC05
971 N04BC05
972 N04BC05
973 N04BC05
974 N04BC05
975 N04BC05
976 N04BC05
977 N04BC05
978 N04BC05
979 N04BC05
980 N04BC05
981 N04BC05
982 N04BC08
983 N05AL03
984 N05BE01
985 N05BE01
986 N06AA21
987 N06AA21
988 N06AB10
989 N06AB10
990 N06AB10
991 N06AB10
992 N06AB10
993 N06AB10
994 N06AB10
995 N06AB10
996 N06AB10
997 N06AB10
998 N06AB10
999 N06AB10
1,000

N06AB10

DCI

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*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
MAPROTILINUM*
MAPROTILINUM*
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**

Denumire Comerciala

PRAMIPEXOL SANDOZ 0,18 mg


MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAXITAB 0,18mg
PRAMIPEXOL AUROBINDO 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg
MIPARKAN 0,7 mg
PRAMIPEXOL AUROBINDO 0,7 mg
PRAMIPEXOL ZENTIVA 0,7 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
MIGLASEN 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
PRAXITAB 0,7 mg
MIGLASEN 0,7 mg
MIRAPEXIN 0,26 mg
OPRYMEA 0,26mg
MIRAPEXIN 0,52 mg
OPRYMEA 0,52mg
MIRAPEXIN 1,05 mg
OPRYMEA 1,05mg
OPRYMEA 1,57mg
OPRYMEA 2,10mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg
TIAPRIDAL (R) 100 mg
SPITOMIN 10 mg
SPITOMIN 5 mg
LUDIOMIL 10 mg
LUDIOMIL 25 mg
DESPRA 10 mg
CIPRALEX 10 mg
ESCITIL 10 mg
ESCITALOPRAM-TEVA 10 mg
LENUXIN 10 mg
ESLOREX 10 mg
SERODEPS 10mg
ESCITALOPRAM TORRENT 10 mg
ESTAN 10 mg
ESTAN 10 mg
ESCITALOPRAM ACTAVIS 10 mg
ELICEA 10 mg
ESCITALOPRAM-TEVA 15 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. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.

DRAJ. ELIB. PREL.

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. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,26mg
0,52mg
0,52mg
1,05mg
1,05mg
1,57mg
2,10mg
2,1mg
3,15mg
50mg
100mg
10mg
5mg
10mg
25mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg

Detinator APP

tara det.
APP
Ambalaj
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

SANDOZ S.R.L.
MEDOCHEMIE LTD. CIPRU

Prescriptie

P-RF/R

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

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

P-RF

P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF


POLIPHARMA INDUSTRIES S.R.L.

ROMANIA

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

P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR.

PRF

NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L


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

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

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

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR.

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

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

PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR.

P-RF

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P-RF
P-RF/R

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR.

RANBAXY (UK) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC X 30 COMPR. P-RF

ROMASTRU TRADING S.R.L.

ROMANIA

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

P-RF

P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF

ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L


NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L

POLIPHARMA INDUSTRIES S.R.L.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

KRKA D.D.

SLOVENIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

KRKA D.D.

SLOVENIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

KRKA D.D.
KRKA D.D.
KRKA D.D.

SLOVENIA
SLOVENIA
SLOVENIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF

LES LAB. SERVIER IND. FRANTA

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

P-RF

CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF

SANOFI-SYNTHELABO FRANCE

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA
UNGARIA

EGIS PHARMACEUTICALS P.L.C.

P-RF

P-RF

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


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

AMDIPHARM LIMITED IRLANDA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.


AMDIPHARM LIMITED IRLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF
P-RF

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

PRF

H. LUNDBECK A/S

DANEMARCA

CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM.

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P-RF

CEHIA

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

P-6L

TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER ROMANIA SA

ZENTIVA K.S.
TERAPIA SA

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

ROMANIA
TORRENT PHARMA SRL ROMANIA

CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF


CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM.

PRF

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
ACTAVIS GROUP PTC EHF. ISLANDA

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

PRF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

PRF

CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM.

PRF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

PRF

TEVA PHARMACEUTICALS S.R.L.

Pagina 46 din 166

ROMANIA

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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

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
30
30
30
30
30
20
60
60
50
30
28
28
28
30
28
30
28
28
14
28
28
30
30

33.42
27.83
14.88
30.86
14.87
17.72
25.30
23.56
14.87
48.92
60.97
83.51
60.97
167.86
73.16
115.05
115.05
99.54
72.02
106.21
72.03
73.14
90.45
72.03
58.12
96.88
314.07
183.73
650.35
409.85
579.36
748.86
1,229.85
1,809.33

28.69
9.23
17.75
10.82
12.47
8.83
21.00
90.38
25.01
22.51
27.57
22.57
21.06
32.82
24.13
46.70
21.00
22.57
33.77

Pret
amanuntul
maximal/UT
(RON)

1.114000
0.927666
0.496000
1.028666
0.495666
0.590666
0.843333
0.785333
0.495666
1.630666
2.032333
2.783666
2.032333
5.595333
2.438666
3.835000
3.835000
3.318000
2.400666
3.540333
2.401000
2.438000
3.015000
2.401000
5.812000
3.229333
10.469000
6.124333
21.678333
13.661666
19.312000
24.962000
40.995000
60.311000
0.956333
0.461500
0.295833
0.180333
0.249400
0.294333
0.750000
3.227857
0.893214
0.750333
0.984642
0.752333
0.752142
1.172142
1.723571
1.667857
0.750000
0.752333
1.125666

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.268723
0.268723
0.268723
0.268723
0.268723
0.268723
0.268723
0.268723
0.268723
0.522517
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
1.045035
0.388156
0.388156
0.776312
0.776312
1.567553
1.567553
2.343865
3.135107
3.135107
4.702660
0.933067
0.461500
0.295833
0.156020
0.244799
0.294333
0.750000
1.228798
0.893214
0.750333
0.984642
0.752333
0.752142
1.172142
1.228798
1.228798
0.750000
0.752333
1.125666

Nr. crt

cod ATC

1,001

N06AB10

1,002

N06AB10

1,003

N06AB10

1,004

N06AB10

1,005

N06AB10

1,006

N06AB10

1,007

N06AB10

1,008

N06AB10

1,009

N06AB10

1,010

N06AB10

1,011

N06AB10

1,012

N06AB10

1,013

N06AB10

1,014

N06AX05

1,015

N06AX05

1,016

N06AX05

1,017

N06AX05

1,018

N06AX12

1,019

N06AX14

1,020

N06AX14

1,021

N06AX14

1,022

N06AX14

1,023

N06AX14

1,024

N06AX17

1,025

N06AX17

1,026

N06AX21

1,027

N06AX21

1,028

N06BX16

1,029

N06BX18

1,030

N06BX18

1,031

N06BX18

1,032

N06BX18

1,033

N06BX18

1,034

N06DX02

1,035

N07CA01

1,036

N07CA01

1,037

N07CA01

1,038

N07CA01

1,039

N07CA01

1,040

N07CA01

1,041

N07CA01

1,042

N07CA01

1,043

N07CA01

1,044

N07CA01

1,045

N07CA01

1,046

N07CA01

1,047

N07CA01

1,048

N07CA01

1,049

N07CA01

1,050

N07CA01

1,051

N07CA01

1,052

N07CA01

1,053

N07CA01

DCI

ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA**
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

Denumire Comerciala

ELICEA 15 mg
DESPRA 20 mg
ESCITALOPRAM-TEVA 20 mg
SERODEPS 20mg
ESCITALOPRAM TORRENT 20 mg
ESCITALOPRAM ACTAVIS 20 mg
ELICEA 20 mg
ELICEA Q-TAB 10 mg
ELICEA Q-TAB 10 mg
ELICEA Q-TAB 15 mg
ELICEA Q-TAB 15 mg
ELICEA Q-TAB 20 mg
ELICEA Q-TAB 20 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
ELONTRIL 150 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
NOBIXAL 12,5 mg
NOBIXAL 12,5 mg
COAXIL (R)
IXEL
IXEL
CYMBALTA 30mg
CYMBALTA 60mg
PRAMISTAR
VIMPOCETIN 5 mg
VINPOCETINA VIM SPECTRUM 5 mg
CAVINTON(R) FORTE
VICEBROL
CAVINTON(R)

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

COMPR. ELIB. PREL.


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

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

DRAJ.
CAPS.
CAPS.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

COMPR. FILM.

CAPS.
CAPS.
COMPR.
COMPR.
COMPR.

GINKO BILOBA BIOFARM 40 mg (vezi C04AXN1) COMPR. FILM.

VERTIMED 16 mg
BETAHISTINA LPH 16 mg
EMPERIN 24 mg
BETAHISTINA LPH 24 mg
BETAHISTIN MCC 24 mg
BETAHISTIN MCC 24 mg
BETASERC 24 mg
VERTIMED 24 mg
VERTIMED 24 mg
MARBETA 24 mg
BETAHISTIN MCC 24 mg
EMPERIN 8 mg
MICROSER
BETAHISTIN MCC 8 mg
BETASERC 8 mg
BETASERC 8 mg
BETAHISTINA LPH 8 mg
BETAHISTIN MCC 8 mg
VERTIMED 8 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

15mg
20 mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
15mg
15mg
20mg
20mg
150mg
150mg
75mg
75mg
150mg
12,5 mg
12,5 mg
12,5mg
12,5mg
12,5mg
25mg
50mg
30mg
60mg
600mg
5mg
5mg
10mg
5mg
5mg
40mg
16mg
16mg
24 mg
24 mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

tara det.
APP
KRKA, D.D., NOVO MESTO SLOVENIA

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

PRF

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

PRF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
TORRENT PHARMA SRL ROMANIA

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

TERAPIA SA

CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF

Detinator APP

Ambalaj

Prescriptie

CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM.

PRF

CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM.

PRF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE

PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE

PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE

PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE

PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE

PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE

PRF

ACTAVIS GROUP PTC EHF.

ANGELINI FRANCESCO SPA


ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA

ISLANDA

ITALIA
ITALIA
ITALIA
ITALIA

ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA

GLAXOSMITHKLINE (GSK) SRL

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF


CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-RF
CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-RF
CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. P-RF
CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF.

P-RF

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

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM.

PRF

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


CUTIE CU BLIST. PVC/ACLAR-AL X 30 COMPR. FILM. 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
CUTIE X 4 BLIST. AL/PVC X 14 CAPS.
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.
VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS.

P-RF

PIERRE FABRE MEDICAMENT PRODUCTION

P-RF
P-RF
P-RF

P-6L
P-6L

VIM SPECTRUM SRL ROMANIA


GEDEON RICHTER ROMANIA SA ROMANIA
BMF PHARM S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
BIOFARM S.A.
ROMANIA

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

MEDOCHEMIE LTD. CIPRU

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

CUTIE X 5 BLIST. X PVC/AL X10 CAPS. P6L

CUTIE X 2 BLIST. X 15 COMPR.

P-6L

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


CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L
P6L

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


EGIS PHARMACEUTICALS P.L.C.

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.


MAGISTRA C&C SRL ROMANIA CUTIE CU 5 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.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/PE/PVDC-AL X 60 COMPR.
MEDREG S.R.O.
REPUBLICA CEHA CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR.
MAGISTRA C&C SRL ROMANIA CUTIE CU 6 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC-PVDC/AL X 100 COMPR.
PRODOTTI FORMENTI ITALIA
CUTIE X 5 BLIST. X 10 COMPR.
MAGISTRA C&C SRL ROMANIA CUTIE CU 3 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.
ABBOTT HEALTHCARE PRODUCTS B.V. OLANDA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.

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

P6L
P6L
P6L
P-6L

P6L
P-6L
P-6L
P-6L
P-6L

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

MAGISTRA C&C SRL ROMANIA


MEDOCHEMIE LTD. CIPRU

Pagina 47 din 166

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

P-6L

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

P6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30 39.57
28 42.62
30 43.57
28 36.70
28 63.52
28 42.56
30 45.60
28 21.06
28 21.06
28 36.95
28 36.95
28 42.56
28 42.56
20 24.95
60 63.31
30 18.71
30 18.71
30 63.54
30 22.65
90 63.54
30 22.65
30 22.65
30 33.74
56 71.52
56 117.26
28 105.39
28 178.89
20 71.94
50 10.29
50 10.29
30 14.45
50 10.29
50 15.82
30 12.30
30 19.17
30 16.84
60 34.85
60 35.79
20 18.35
50 39.78
20 27.97
30 19.81
60 38.37
60 34.85
60 35.76
100 19.24
50 26.66
30
9.58
30 14.76
100 29.63
30
9.58
100 19.26
30
7.15

Pret
amanuntul
maximal/UT
(RON)

1.319000
1.522142
1.452333
1.310714
2.268571
1.520000
1.520000
0.752142
0.752142
1.319642
1.319642
1.520000
1.520000
1.247500
1.055166
0.623666
0.623666
2.118000
0.755000
0.706000
0.755000
0.755000
1.124666
1.277142
2.093928
3.763928
6.388928
3.597000
0.205800
0.205800
0.481666
0.205800
0.316400
0.410000
0.639000
0.561333
0.580833
0.596500
0.917500
0.795600
1.398500
0.660333
0.639500
0.580833
0.596000
0.192400
0.533200
0.319333
0.492000
0.296300
0.319333
0.192600
0.238333

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

1.319000
1.522142
1.452333
1.310714
2.268571
1.520000
1.520000
0.752142
0.752142
1.319642
1.319642
1.520000
1.520000
1.199290
1.055166
0.599645
0.599645
2.118000
0.755000
0.706000
0.755000
0.755000
0.755000
1.104508
2.093928
3.336830
6.388928
3.597000
0.205800
0.205800
0.411600
0.205800
0.205800
0.379604
0.397499
0.397499
0.580833
0.596250
0.596250
0.596250
0.596250
0.596250
0.596250
0.580833
0.596000
0.192400
0.198749
0.198749
0.198749
0.198749
0.198749
0.192600
0.198749

DCI

Denumire Comerciala

forma farm.

concentratie

Nr. crt

cod ATC

1,054

N07CA01

1,055

N07CA01

1,056

N07CA01

1,057

N07CA01

1,058

N07CA52

1,059

N07XN03

1,060

N07XN03

1,061

N07XXN3

1,062

N07XXN3

1,063

N07XXN3

1,064

P01BA02

1,065

R01AD05

1,066

R01AD08

1,067

R01AD09

1,068

R01AD09

1,069

R01AD09

1,070

R01AD09

1,071

R03AC04

1,072

R03AK03

1,073

R03AK06

1,074

R03AK06

1,075

R03AK06

1,076

R03AK06

1,077

R03AK06

1,078

R03AK06

1,079

R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie PULB. DE INHAL.

160micrograme/4,5micrograme/in

1,080

R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie

PULB. DE INHAL.

320micrograme/9micrograme/inha

1,081

R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie

PULB. DE INHAL.

80micrograme/4,5micrograme/inh

1,082

R03BA05

1,083

R03BA05

1,084

R03BA05

1,085

R03BA05

1,086

R03BA05

1,087

R03BA05

1,088

R03BA05

1,089

R03BA07

1,090

R03BA07

1,091

R03BA08

1,092

R03BA08

1,093

R03BB04

1,094

R03BB04

1,095

R03DA05

1,096

R03DA05

1,097

R03DA05

1,098

R03DA05

1,099

R03DA05

1,100

R03DA05

1,101

R03DC03

1,102

R03DC03

1,103

R03DC03

1,104

R03DC03

1,105

R03DC03

1,106

R03DC03

BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

MARBETA 8 mg
BETAHISTINA LPH 8 mg
ACUVER 8 mg/doza
ACUVER 8 mg/doza
COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01)
ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOCTACID (R) 600 HR (vezi A16AX01)
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN
HYDROXYCHLOROQUINUM
PLAQUENIL
BUDESONIDUM*
RHINOCORT AQUA 32 micrograme/doza
FLUTICASONUM*
FLIXONASE 0,05g/100g
MOMETASONUM*
KALMENTE 50 micrograme/doza
MOMETASONUM*
MOMETAZONA FUROAT SANDOZ 50 micrograme/doza
MOMETASONUM*
MOMETAZONA TEVA 50 micrograme/doza
MOMETASONUM*
NASONEX 50mcg/doza
FENOTEROLUM
BEROTEC N - 100 mcg
COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER CFC FREE
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE

FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
TIOTROPIUM*
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*

FLIXOTIDE DISKUS 100 mcg


FLIXOTIDE DISKUS 250 mcg
FLIXOTIDE DISKUS 500 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 g
ASMANEX TWISTHALER 400 g
ALVESCO 160 INHALER
ALVESCO 80 INHALER
SPIRIVA 18 micrograme
SPIRIVA RESPIMAT 2,5 micrograme
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN
MIOFILIN 24mg/ml
ASTHATOR 10 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 10 mg
MONTELUKAST TEVA 10 mg
SPIROKAST 10 mg

COMPR.
COMPR.
SOL. ORALA
SOL. ORALA
COMPR.

8mg
8mg
8mg/doza
8mg/doza

Detinator APP

MEDREG S.R.O.

tara det.
APP
REPUBLICA CEHA

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

Prescriptie

P6L

LABORMED PHARMA S.A. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L


CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG

AUSTRIA
AUSTRIA

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

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF

COMPR. FILM. 600mg


COMPR. FILM. 600mg

MEDA PHARMA GMBH & CO KG

GERMANIA CUTIE X 1 FLAC. X 30 COMPR. FILM. P-6L

MEDA PHARMA GMBH & CO KG

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

215,2mg/ml
SOL. INJ./PERF. 215,2mg/ml
SOL. INJ./PERF. 215,2mg/ml
COMPR. FILM. 200mg

EVER NEURO PHARMA GMBH

EVER NEURO PHARMA GMBH

AUSTRIA
AUSTRIA
AUSTRIA

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-6L

SPRAY NAZAL SUSP. 32micrograme/doza

ASTRAZENECA AB

SUEDIA

PRF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE

SOL. INJ./PERF.

SPRAY NAZAL SUSP.

0,05g/100g

SPRAY NAZ., SUSP. 50micrograme/doza

EVER NEURO PHARMA GMBH

ALVOGEN IPCO S.AR.L. LUXEMBURG

SANDOZ S.R.L.

CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML PR/PRF


CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML

PR/PRF

CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML PR/PRF

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SPRAY NAZAL, SUSP. ECHIVALENT CU 120 DOZE, PREVAZUT CU POM

CUTIE CU 1 FLAC. PEID PREVAZUT CU POMPA DOZATOARE SI APLICATOR NAZAL CARE CONTINE SPRAY NAZAL, SUSP.

P-RF

PRF

SOL. DE INHALAT PRESURIZATA

ROMANIA
PRF
50g/doza TEVA PHARMACEUTICALS S.R.L. ROMANIA
PRF
50mcg/doza MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON PP X 140 DOZE P-RF
100mcg/doza BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA P-6L

AEROSOL SOL. INHAL.

0,020mg+0,050mg

SPRAY NAZ.,SUSP. 50micrograme/doza


SPRAY NAZ.,SUSP.
SPRAY NAZAL SUSP.

CUTIE CU 1 FLAC. PEID PREVAZUT CU O POMPA PULVERIZATOARE NAZALA DIN PE/PP CARE CONTINE 18 G SUSP. NA

CUTIE CU 1 FLACON DIN PEID, CU POMPA DOZATOARE DIN PP SI SISTEM DE ACTIONARE X 140 DOZE SPRAY NAZAL,

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA

P-6L

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

GLAXOWELLCOME UK LTD.

MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

ASTRAZENECA AB
ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA
SUEDIA

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

P6L
P6L
P6L

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-RF

GLAXO WELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA

P-RF

SUSP. INHAL. PRESURIZATA

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE

P-RF

SUSP. INHAL. PRIN NEBULIZATOR

MAREA BRITANIE

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

MAREA BRITANIE

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

PULB. INHAL. 50mg/100mg


PULB. INHAL. 50mg/250mg
PULB. INHAL. 50mg/500mg
SUSP. INHAL. PRESURIZATA

25mcg/125mcg GLAXOWELLCOME UK LTD.


25mcg/250mcg GLAXOWELLCOME UK LTD.

SUSP. INHAL. PRESURIZATA

25mcg/50mcg

SUSP. INHAL. PRESURIZATA

PULB. INHAL. 100mcg/doza


PULB. INHAL. 250mcg/doza
PULB. INHAL. 500mcg/doza
SUSP. INHAL. PRESURIZATA
125mcg/doza

50mcg/doza GLAXO WELLCOME UK LTD.


0,5mg/2ml GLAXO WELLCOME UK LIMITED
2mg/2ml
GLAXO WELLCOME UK LIMITED
PULB. INHAL. 200g/doza MERCK SHARP & DOHME
PULB. INHAL. 400g/doza MERCK SHARP & DOHME
160g/doza NYCOMED GMBH
80g/doza NYCOMED GMBH

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.


CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE


ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE

P-6L

SOL. DE INHALAT PRESURIZATA

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

SOL. DE INHALAT PRESURIZATA

GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER

PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE CU 1 AMBALAJ UNIC CU UN INHALATOR RESPIMAT SI UN CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MED

PRF

CAPS. CU PULB. INHAL.

SOL. DE INHALAT

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

18micrograme
2,5micrograme

100mg
100mg
100mg
200mg
24mg/ml
24mg/ml
10 mg
10mg
10mg
10mg
10mg
10mg

ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.
ZENTIVA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
MERCK SHARP & DOHME ROMANIA
MERCK SHARP & DOHME ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

ZENTIVA, K.S.

Pagina 48 din 166

REPUBLICA CEHA

P-6L

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

P-RF

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.


CUTIE X 4 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF
P-RF
P-RF

CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ. S/P-RF


CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ. S/P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L


P6L
P6L
CUTIE CU BLIST. DIN AL/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. FILM.
P6L
CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM.
CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM.

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

100
90
1
1
48
30
100
5
5
10
60
1
1
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
30
1
20
50
40
20
5
5
28
14
28
28
30
28

19.26
28.74
38.11
70.00
76.16
68.47
212.63
124.46
86.41
39.22
31.39
25.27
30.65
31.77
25.39
31.77
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
81.74
124.79
112.34
164.34
171.62
3.62
6.78
6.95
7.72
11.82
11.82
61.93
76.80
145.70
82.04
87.90
42.11

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

0.192600
0.319333
38.110000
70.000000
1.586666
2.282333
2.126300
24.892000
17.282000
3.922000
0.523166
25.270000
30.650000
31.770000
25.390000
31.770000
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
81.740000
124.790000
112.340000
5.478000
171.620000
0.181000
0.135600
0.173750
0.386000
2.364000
2.364000
2.211785
5.485714
5.203571
2.930000
2.930000
1.503928

0.192600
0.198749
14.906249
29.812499
1.586666
1.978474
1.978474
24.892000
14.863999
2.972800
0.523166
25.270000
30.650000
30.174999
25.390000
30.174999
30.174999
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
44.984999
81.740000
124.790000
74.881250
5.478000
166.160000
0.166544
0.135600
0.166544
0.333090
2.364000
2.364000
2.128034
2.128034
2.128034
2.128034
2.128034
1.503928

Nr. crt

cod ATC

1,107

R03DC03

1,108

R03DC03

1,109

R03DC03

1,110

R03DC03

1,111

R03DC03

1,112

R03DC03

1,113

R03DC03

1,114

R03DC03

1,115

R03DC03

1,116

R03DC03

1,117

R03DC03

1,118

R03DC03

1,119

R03DC03

1,120

R03DC03

1,121

R03DC03

1,122

R03DC03

1,123

R03DC03

1,124

R03DC03

1,125

R03DC03

1,126

R03DC03

1,127

R03DC03

1,128

R03DC03

1,129

R03DC03

1,130

R03DC03

1,131

R03DC03

1,132

R03DC03

1,133

R03DC03

1,134

R03DC03

1,135

R03DC03

1,136

R03DC03

1,137

R03DC03

1,138

R03DC03

1,139

R03DC03

1,140

R03DC03

1,141

R03DC03

1,142

R03DC03

1,143

R03DC03

1,144

R03DC03

1,145

R03DC03

1,146

R03DC03

1,147

R03DC03

1,148

R03DC03

1,149

R03DC03

1,150

R03DC03

1,151

R03DX03

1,152

R03DX03

1,153

R05CB15

1,154

R05CB15

1,155

R05CB15

1,156

R05DA09

1,157

R05DA09

1,158

R05DA09

1,159

R05DA09

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*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM**
ERDOSTEINUM**
ERDOSTEINUM**
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM

Denumire Comerciala

MONTELUKAST ACTAVIS 10 mg
MONKASTA 10 mg
ASTMASAN 10 mg
MONTELUKAST ALVOGEN 10 mg
STANGEN 10 mg
SOLOK 10 mg
MONART 10 mg
MONTELUKAST AUROBINDO 10 mg
MONTELUKAST CHIESI 10 mg
MONTELUKAST ABBOTT 10 mg
ASTHATOR 4 mg
SINGULAIR
SINGULAIR
MONTELUKAST TEVA 4 mg
MONTELUKAST TEVA 4 mg
SPIROKAST 4 mg
MONTELUKAST ACTAVIS 4 mg
MONKASTA 4 mg
MONTELUKAST ALVOGEN 4 mg
STANGEN 4 mg
SOLOK 4 mg
MONART 4 mg
MONTELUKAST AUROBINDO 4 mg
MONTELUKAST CHIESI 4 mg
MONTELUKAST ABBOTT 4 mg
ASTMASAN 4 mg
ASTHATOR 5 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 5 mg
MONTELUKAST TEVA 5 mg
SPIROKAST 5 mg
MONTELUKAST ACTAVIS 5 mg
MONKASTA 5 mg
MONTELUKAST ALVOGEN 5 mg
STANGEN 5 mg
SOLOK 5 mg
MONART 5 mg
MONTELUKAST CHIESI 5 mg
MONTELUKAST AUROBINDO 5 mg
MONTELUKAST ABBOTT 5 mg
ASTMASAN 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 20 mg
HUMISEC 5mg/5ml
HUMEX
HUMEX 0,133 g/100 ml

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.
COMPR. MAST.

GRANULE
GRANULE
COMPR. CU ELIBERARE PRELUNGITA

SIROP
CAPS.
GRAN. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

COMPR.
SIROP
SIROP
SIROP

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
4mg
4mg
80mg
2mg/ml
300mg
225mg
175mg/5ml
20mg
0,1%
0,1%
0,13%

Detinator APP

tara det.
APP

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA D.D., NOVO MESTO SLOVENIA

SANDOZ S.R.L.

ROMANIA

ALVOGEN IPCO S.A.R.L LUXEMBURG


DR. REDDY'S LABORATORIES

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CHIESI PHARMACEUTICALS GMBH

MALTA
AUSTRIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

AUROBINDO PHARMA (MALTA) LIMITED

Ambalaj

Prescriptie

P6L
CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM.
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.
P6L
CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. P6L
CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM.

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.

P6L
P6L

MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.

P-RF

MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST.

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

ZENTIVA, K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA

TEVA PHARMACEUTICALS S.R.L.

KRKA D.D., NOVO MESTO SLOVENIA

ALVOGEN IPCO S.A.R.L LUXEMBURG


DR. REDDY'S LABORATORIES

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CHIESI PHARMACEUTICALS GMBH

MALTA
AUSTRIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

AUROBINDO PHARMA (MALTA) LIMITED

SANDOZ SRL

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L
P6L
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST.
P6L
CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST.
P6L
CUTIE CU BLIST. PAPVC/AL X 28 COMPR. MAST. P6L
CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L
CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L
CUTIE CU BLIST. DIN AL/AL X 28 COMPR. MAST.
CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST.

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

P6L
P6L
P6L
P6L
P6L
P6L
P6L
CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.
P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST.
P6L
CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L
CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE P6L
CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST.
P6L
CUTIE CU BLIST. PA/PVC/AL X 28 COMPR. MAST. P6L
CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.


TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.
MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 28 COMPR. MAST.
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST.

ZENTIVA, K.S.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA D.D., NOVO MESTO SLOVENIA

ALVOGEN IPCO S.A.R.L LUXEMBURG


DR. REDDY'S LABORATORIES

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

AUROBINDO PHARMA (MALTA) LIMITED

AUSTRIA
MALTA

CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST.

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

CHIESI PHARMACEUTICALS GMBH

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

SANDOZ SRL
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST.


ROMANIA CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE
MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE
LES LAB. SERVIER IND. FRANTA
LES LAB. SERVIER IND. FRANTA

P6L
P6L
P6L
P6L
P6L

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.CU ELIBERARE PRELUGITA

P-6L

CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML

P-6L
P-6L

CSC PHARMACEUTICALS HANDELS GMBH

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


AUSTRIA CUTIE CU 20 PLICURI UNIDOZA DIN HARTIE AL/PE
AUSTRIA

GLAXOSMITHKLINE (GSK) SRL

ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

LAB. URGO SA
LAB. URGO SA
LAB. URGO SA

FRANTA
FRANTA
FRANTA

CSC PHARMACEUTICALS HANDELS GMBH


CSC PHARMACEUTICALS HANDELS GMBH

Pagina 49 din 166

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA

P-6L
P-6L

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 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

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

30 52.34
28 63.22
28 77.66
28 63.22
28 63.22
28 63.10
28 52.55
28 64.30
28 44.73
28 67.75
28 44.47
28 157.51
14 83.04
28 42.84
30 45.90
28 29.97
30 41.75
28 42.84
28 42.84
28 42.84
28 42.32
28 42.32
28 48.83
28 27.73
28 42.84
28 17.20
28 55.28
14 76.63
28 145.31
28 53.46
30 57.27
28 36.31
30 47.72
28 53.46
28 53.46
28 53.46
28 53.25
28 53.46
28 34.30
28 60.94
28 53.46
28 21.20
28 77.86
28 158.93
30 28.09
1 20.02
10 15.81
20 33.14
1 24.95
20
6.78
1
8.46
1
8.46
1 10.82

Pret
amanuntul
maximal/UT
(RON)

1.744666
2.257857
2.773571
2.257857
2.257857
2.253571
1.876785
2.296428
1.597500
2.419642
1.588214
5.625357
5.931428
1.530000
1.530000
1.070357
1.391666
1.530000
1.530000
1.530000
1.511428
1.511428
1.743928
0.990357
1.530000
0.614285
1.974285
5.473571
5.189642
1.909285
1.909000
1.296785
1.590666
1.909285
1.909285
1.909285
1.901785
1.909285
1.225000
2.176428
1.909285
0.757142
2.780714
5.676071
0.936333
20.020000
1.581000
1.657000
24.950000
0.339000
8.460000
8.460000
10.820000

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

1.744666
2.128034
2.128034
2.128034
2.128034
2.128034
1.876785
2.128034
1.597500
2.128034
1.511428
1.511428
1.511428
1.511428
1.511428
1.070357
1.391666
1.511428
1.511428
1.511428
1.511428
1.511428
1.511428
0.990357
1.511428
0.614285
1.889284
1.889284
1.889284
1.889284
1.889284
1.296785
1.590666
1.889284
1.889284
1.889284
1.889284
1.889284
1.225000
1.889284
1.889284
0.757142
1.511428
1.511428
0.936333
20.019999
1.581000
1.303562
24.950000
0.339000
4.362396
8.460000
9.283183

DCI

Nr. crt

cod ATC

1,160

R05DA09

1,161

R05DA09

1,162

R05DA09

1,163

R05DA09

1,164

R05DA09

1,165

R06AE09

1,166

R06AE09

1,167

R06AE09

1,168

R06AE09

1,169

R06AE09

1,170

R06AE09

1,171

R06AE09

1,172

R06AE09

1,173

R06AE09

1,174

R06AX26

1,175

R06AX27

1,176

R06AX27

1,177

R06AX27

1,178

R06AX27

1,179

R06AX27

1,180

R06AX27

1,181

R06AX27

1,182

R06AX27

1,183

R06AX27

1,184

R06AX27

1,185

R06AX27

1,186

R06AX27

1,187

R06AX27

1,188

R06AX27

1,189

R06AX27

1,190

R06AX27

1,191

R06AX27

1,192

R06AX27

1,193

R06AX27

1,194

R06AX27

1,195

R06AX27

1,196

R06AX27

1,197

S01AA11

1,198

S01AA12

1,199

S01AA12

1,200

S01AA12

1,201

S01AA12

1,202

S01AA23

1,203

S01AA23

1,204

S01AA23

1,205

S01AX11

1,206

S01AX11

1,207

S01BA01

1,208

S01BA01

1,209

S01BA01

1,210

S01BA06

1,211

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1,212

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
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

Denumire Comerciala

forma farm.

concentratie

ROFEDEX
HUMISEC pentru adulti 20mg/15 ml
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR
ROBITUSSIN ANTITUSSICUM
XYZAL (R)
XYZAL (R)
CEZERA 5 mg
LEVOCETIRIZINA SANDOZ 5 mg
CETIZAL 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
ZENARO 5 mg
XYZAL
ZENARO 0,5 mg/ml
TELFAST 120 mg
DYNID 5 mg
DESLORATADINA ACTAVIS
DESLORATADINA ACTAVIS
DESLORATADINA SANDOZ 5 mg
DASSELTA
DESLORATADINAE RATIOPHARM
DESLORATADINA ALVOGEN 5 mg
DESLORATADINA TERAPIA 5 mg
LORDESTIN 5 mg
DESLORATADINA TEVA
AERIUS 5mg
AERIUS 5mg
AERIUS 2,5mg
DESLORATADINA TEVA 5 mg
AERIUS 5mg
DESLORATADINA SANDOZ 0.5 mg/ml
DESLORATADINA ALVOGEN 0,5 mg/ml
DYNID 0,5 mg/ml
DESLORATADINA TEVA 0,5 mg/ml
AERIUS 0,5mg/ml
LORDESTIN 0,5 mg/ml
DYNID 0,5 mg/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
DEXAMETAZONA ROMPHARM 1mg/ml
MAXIDEX (R)
OPHTAMESONE
NETILDEX
NETILDEX

SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA

SOL. OFT.

15mg/5ml
20mg/15 ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg/ml
0,5mg/ml
120mg
5mg
5 mg
5 mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
2,5mg
5mg
5mg
0,5 mg/ml
0,5mg/ml
0,5mg/ml
0,5mg/ml
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%

PIC. OFT.,SOL.

FARA CONCENTRATIE

PIC. OFT.SOL. UNIDOZA

FARA CONCENTRATIE

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE, SOL.

SIROP
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. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
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

BIOFARM SA
LAB. URGO SA
ROPHARMA S.A.
PFIZER CORPORATION AUSTRIA GMBH
PFIZER CORPORATION AUSTRIA GMBH

U.C.B. GMBH
U.C.B. GMBH

tara det.
APP
ROMANIA

CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE

P-RF

FRANTA

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-RF

ROMANIA

CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML

P-RF

CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M

P-RF

CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M

P-RF

AUSTRIA
AUSTRIA

Ambalaj

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.

SANDOZ S.R.L.

Prescriptie

P-6L

ROMANIA

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

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-ACLAR/AL X 20 COMPR. FILM.

P6L
P6L

UCB PHARMA GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR

P-6L

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML SIROP + 1 LINGURITA DOZATOARE DE 5 ML GRADATA LA 2,5 ML S

P6L

SANOFI-AVENTIS ROMANIA S.R.L.

ROMANIA

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

P-6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 10


ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-AL X30

SANDOZ S.R.L.

ROMANIA

ACTAVIS GROUP PTC EHF.

KRKA D.D. NOVO MESTO SLOVENIA

RATIOPHARM GMBH GERMANIA


ALVOGEN IPCO S.A.R.L LUXEMBURG

PRF
PRF

CUTIE CU BLISTER NON UNIDOZA PVC-ACLAR/AL X 30 COMPR.FILM.

P6L

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. PVC-PE-PVDC/AL X 30 COMPR. FILM.

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

P6L
P6L
P6L

TEVA PHARMA B.V. OLANDA

CUTIE CU BLIST. DIN OPA/AL/PVC - AL X 30 COMPR. FILM.

PRF

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL)

P-RF

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF

TERAPIA SA
GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA

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

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/HARTIE-PET-AL X 30 COMPR. ORODISPERSABILE

P6L

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 125 ML X 120 ML, SOL. ORALA + LINGURITA DOZATOAR

P-RF

P6L
P6L
P6L
P6L

ALVOGEN IPCO S.A.R.L LUXEMBURG

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA + 1 LINGURA DOZATOARE DIN PEID GRADATA LA DOZE DE 2,5 ML SI 5 ML X 120 M

MERCK SHARP&DOHME LTD.

MAREA BRITANIE CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

P-RF

GEDEON RICHTER ROMANIA SA

ROMANIA

P6L
P6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU O LINGURITA DOZATOARE GRADATA LA 2,5 ML SI 5 ML X 120 ML SOL.

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 150 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

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


ALCON COUVREUR NV BELGIA
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

ROMPHARM COMPANY SRL

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

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANIA

CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G

P-RF

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

ROMPHARM COMPANY SRL


ROMPHARM COMPANY SRL

ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF

DAR AL DAWA PHARMA S.R.L.

ROMANIA CUTIE X 1 FLACON X 10ML

P-RF

S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA

P-RF

Pagina 50 din 166

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.

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
1
1
10
30
30
10
10
10
20
1
1
10
30
10
30
30
30
30
30
30
30
30
10
30
30
30
30
1
1
1
1
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
1
20

5.27
10.82
7.87
8.61
8.61
16.92
42.17
28.34
10.99
7.27
6.41
12.80
36.23
23.91
10.80
25.42
9.35
28.06
33.14
25.45
35.44
35.44
25.45
35.46
28.46
8.21
24.62
28.55
19.94
28.55
13.31
13.31
13.31
13.31
16.73
10.88
16.86
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

Pret
amanuntul
maximal/UT
(RON)

5.270000
10.820000
7.870000
8.610000
8.610000
1.692000
1.405666
0.944666
1.099000
0.727000
0.641000
0.640000
36.230000
23.910000
1.080000
0.847333
0.935000
0.935333
1.104666
0.848333
1.181333
1.181333
0.848333
1.182000
0.948666
0.821000
0.820666
0.951666
0.664666
0.951666
13.310000
13.310000
13.310000
13.310000
16.730000
10.880000
16.860000
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

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

5.270000
9.283183
5.217428
2.617438
5.234876
1.209375
1.209375
0.944666
1.099000
0.727000
0.641000
0.640000
24.187500
23.910000
0.848083
0.847333
0.848083
0.848083
0.848083
0.848083
0.848083
0.848083
0.848083
0.848083
0.848083
0.821000
0.820666
0.424041
0.664666
0.848083
12.000000
12.000000
12.000000
12.000000
12.000000
10.880000
15.000000
4.710000
4.080000
4.080000
4.080000
3.060000
14.180000
1.251059
20.850997
11.302500
15.380000
9.107999
4.553999
4.553999
4.500000
11.920500
0.715230

Nr. crt

cod ATC

DCI

1,213

S01CA01 COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)

1,214

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,215

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,216

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,217

S01GX09

1,218

S01XA02

OLOPATADINUM
RETINOLUM

Denumire Comerciala

SPERSADEX COMP
DEXATOBROM 3 mg+1 mg/ml
TOBRADEX ( R )
TOBRADEX (R)
OPATANOL 1mg/ml
OCULOTECT

tara det.
APP
Detinator APP
Ambalaj
PICATURI OFT.-SOL. 5mg/ml+1mg/ml LABORATOIRES THEA FRANTA CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR
PIC. OFT. SUSP. 3mg+1mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR
PICATURI OFT.-SUSP. 1mg+3mg
ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML
UNG. OFT. 1mg+3mg
ALCON COUVREUR NV BELGIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G
forma farm.

PIC. OFT., SOL.

GEL OFT.

concentratie

1mg/ml
10mg/g

ALCON LABORATORIES LTD.

NOVARTIS PHARMA GMBH

CUTIE X 1 FLACON X 5 ML
GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT.

MAREA BRITANIE

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 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;
- Pentru medicamentele corespunztoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

Pagina 51 din 166

Prescriptie

P-RF
P-RF
P-RF
P-RF
P-RF

P-6L

Pret
amanun
tul
cant/ maximal
amba /ambalaj
laj
(RON)

1
1
1
1
1
1

12.53
10.00
15.39
13.07
30.49
16.43

Pret
amanuntul
maximal/UT
(RON)

12.530000
10.000000
15.390000
13.070000
30.490000
16.430000

Val suportata
de CNAS/UT
(RON)Legea
nr. 95/2006 art
213 alin.1 lit.
a) si f)

11.920500
10.000000
11.920500
8.344350
30.490000
16.430000

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.335174
0.335174
0.670349
0.564642
0.113928
0.335174
0.335174
0.335174
0.335174
0.333787
0.335174
0.207678
0.564642
0.560535
0.546166
0.602833
0.296500
0.326166
0.492321
0.546166
0.603571
0.335174
0.568333
7.298999
6.695000
7.298999
0.446899
0.446899
0.328214
0.446899
0.893799
0.893799
0.550000
0.893799
0.446899
0.446899
0.446899
0.446899
0.445833
0.893799
0.893799
0.893799
0.893799
0.797000
0.446899
0.893799

Pagina 52 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

3.111607
9.731997
9.667500
9.667500
0.154750
0.157125
0.157125
0.559500
22.075000
9.001250
1.323333
1.267500
7.940007
2.024243
6.072735
191.915000
186.035000
1.040653
1.040653
1.040653
1.894985
1.796250
0.261666
0.261666
0.523333
0.523333
0.989237
0.767500
12.012000
12.597000
16.022500
19.227000
23.072400
3.204500
6.409000
9.613500
3.204500
5.942000
7.222500
10.035000
10.615833
3.204500
4.272665
6.409000
8.545331
3.204500
18.311426
36.622855
3.204500
4.120070
4.577855
12.818000
16.480285

Pagina 53 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

1.028300
3.921500
4.824000
0.670178
0.670178
1.031071
0.297666
0.670000
0.293666
1.206000
1.206000
0.670178
0.670178
0.670178
0.670178
0.670178
0.671000
0.670333
0.670000
0.691000
0.635166
0.635111
0.866166
0.668928
0.670000
0.286333
0.277111
0.670333
0.581200
0.603000
0.530083
11.088249
32.663000
14.977000
1.636258
1.636258
2.324642
2.454388
0.363333
0.433284
0.236428
0.431166
0.361071
0.552333
0.781964
0.474642
0.649927
0.465666
1.933229
3.093166
0.243374
0.486749
0.162249

Pagina 54 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.162249
0.486749
0.486749
0.486749
0.081124
0.162249
0.486749
0.486749
0.463000
0.157750
0.543166
0.189802
0.189802
0.377416
0.562333
0.189802
0.189802
0.189802
0.189802
0.189802
0.379604
0.379604
0.373666
12.440000
12.440000
0.439833
0.410249
0.386666
0.410249
0.410249
0.407142
0.407333
0.410249
0.247142
0.404464
0.409833
0.409464
0.451374
0.451374
0.438166
0.438166
0.451374
0.451374
0.289124
0.224333
0.289124
0.269666
0.289124
0.289124
0.224166
0.289124
0.269666
0.224166

Pagina 55 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.362833
0.548500
0.449333
0.539583
0.578249
0.578249
0.449333
0.089156
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.178312
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.356625
0.445781
0.445781
0.111445
0.222890
0.222890
0.237749
0.475499
0.118874
0.044578
0.178312
0.356625
0.178312
0.044578
0.262000
0.269666
0.269666
0.269666
0.403500
0.412071
0.351500
0.412071
0.412071
0.412071
0.412071
0.412071
0.412071
0.412071
0.412071

Pagina 56 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.412071
0.361333
0.412071
1.608666
0.943750
0.943750
0.943750
0.581964
0.361785
1.054927
1.054927
0.565166
1.054927
1.054927
0.586607
1.054927
0.406964
0.586071
0.586071
0.552666
0.263731
0.263731
0.199285
0.199285
0.527463
0.527463
0.387500
0.527463
0.527463
0.515000
0.527463
0.266964
0.527463
0.324642
0.324642
3.164783
0.485892
0.634464
0.323214
0.527463
0.323571
0.527463
0.527463
0.384666
0.527463
0.384642
0.384642
0.428750
0.323571
0.384666
0.527463
0.428750
0.518035

Pagina 57 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.525535
0.771428
0.523571
0.694107
1.054927
1.054927
0.518035
0.553571
0.523571
0.518166
0.771428
0.553571
0.263731
0.263731
0.263731
1.054927
0.801250
0.497500
0.481250
0.708333
0.720666
0.800500
0.800892
0.801428
0.497500
0.660500
0.497500
0.739642
0.488000
2.096428
0.610833
1.189333
1.362500
1.362500
1.238035
1.362857
0.610833
1.201000
0.610833
1.011785
0.527463
0.527463
0.270333
0.300178
0.402166
0.527463
0.527463
0.527463
0.527463
0.270333
0.527463
0.384500
0.527463

Pagina 58 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.359500
0.527463
0.527463
0.527463
0.527463
0.286666
0.527463
0.527463
0.527463
0.307142
0.527463
0.307142
0.946250
1.054927
1.054927
0.946250
0.468166
0.946166
0.873392
0.946250
0.405000
1.009464
0.501607
0.527463
0.527463
0.527463
0.527463
0.946250
0.946333
0.946071
0.946166
0.570535
0.536785
0.523392
0.322500
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.364107
0.364107
0.570535
0.570535
0.473035
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535

Pagina 59 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.496833
0.570535
0.570535
0.492333
0.570535
0.570535
0.570535
0.570535
0.496833
0.570535
0.570535
0.570535
0.570535
2.081026
2.081026
2.081026
2.081026
1.917946
2.022500
0.210693
0.421387
0.825714
0.306333
0.279166
0.316040
0.176166
0.316040
0.316040
0.316040
0.279166
0.316040
0.308055
0.316040
0.312833
0.316040
0.316040
0.316040
0.176166

Pagina 60 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.176166
0.113571
0.316040
0.448333
0.409333
0.632081
0.263666
0.490833
0.525166
0.578500
0.402333
0.510833
0.441666
0.560178
0.477333
0.578500
0.578500
0.490833
0.263666
0.263666
0.133928
0.543333
1.020714
0.987666
0.842500
1.264162
0.544666
0.923571
0.893500
1.051000
0.944833
0.881000
1.028833
0.846222
1.050714
0.878000
1.050666
1.050666
0.893500
0.535000
0.544666
0.478214
0.635166
2.528325
1.686833
1.686785
1.686833
1.686833
0.733833
0.834000
0.733833
0.683035
0.710333

Pagina 61 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.632081
0.632081
0.401333
0.632081
0.632081
0.632081
0.401333
0.632081
0.332142
0.598571
0.598571
0.598666
0.632081
0.332142
0.632081
0.632081
1.264162
1.264162
0.445333
1.264162
1.264162
1.264162
0.571666
0.945535
0.332321
0.860000
0.860000
0.860166
1.264162
0.332321
1.264162
1.006500
0.842666
1.828500
1.828500
0.978166
1.225714
0.643392
1.341785
1.341785
1.204166
2.528325
0.643392
1.310000
0.316040
0.316040
0.316040
0.316040
0.316040
0.316040
0.316040
0.316040
0.316040

Pagina 62 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.316040
0.316040
0.316040
0.316040
0.316040
0.285500
1.182000
1.199796
3.276205
3.231964
0.919500
0.919500
0.919500
0.919500
0.963958
0.813666
0.807666
0.963958
0.919500
0.589062
0.589062
0.589062
0.531071
0.589062
0.571250
0.589062
0.589062
28.117499
28.117499
28.117499
26.715000
1.245666
7.595000
7.595000
22.901607
37.980000
11.059583
6.203750
6.203750
6.203750
5.615000
3.835000
3.835000
5.113333
3.835000
3.835000
5.939687
11.879375
7.875000
17.015000
5.939687
11.879375
5.155000

Pagina 63 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

5.155000
3.177000
2.605000
3.177000
10.870000
11.910000
23.500000
7.957500
18.110000
14.767750
23.345000
0.543583
0.543583
1.071333
1.202166
1.202166
1.202166
17.735000
8.546248
5.127749
13.332148
0.854624
0.554850
4.815000
6.435000
0.554850
0.554850
4.131375
4.131375
256.765000
0.687333
0.331769
4.976549
1.300357
0.322249
0.322249
0.644499
0.629000
9.400000
4.505000
0.539250
0.152000
1.033214
0.185000
0.277098
60.061553
240.246213
360.369319
692.210000
80.082051
240.150114
705.415000
73.360000

Pagina 64 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.853500
2.231607
0.221916
1.180649
0.295162
0.476071
2.361299
2.361299
1.180649
1.180649
1.180649
0.442743
0.885487
0.600666
0.676500
0.280714
0.605666
0.350000
0.448833
0.353333
0.382666
0.448833
0.334666
0.531666
0.757928
0.587678
0.587678
0.586333
0.587678
0.587678
0.587678
1.593666
2.875000
198.242000
264.322666
743.407500
495.605000
242.060000
382.865000
495.605000
495.605000
247.802500
60.647303
60.367857
0.477800
3.453000
15.936666
3.490574
0.151920
0.255200
0.075960
3.236000
1.867500

Pagina 65 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

7.289600
7.289600
1.382500
11.346250
0.307812
0.698999
1.747499
1.747499
0.873748
1.747499
1.747499
1.747499
3.494998
3.494998
3.494998
3.494998
3.494998
3.494998
3.494998
3.494998
3.494998
4.194000
4.194000
8.180000
6.335998
12.671996
9.504000
19.008000
23.760000
0.368242
0.729062
0.728437
0.736484
1.472968
1.472968
1.189800
1.189800
1.189800
1.189800
1.182000
2.379600
2.379600
2.379600
2.379600
2.282857
2.282857
2.364000
2.096500
2.379600
2.379600
2.379600
2.379600
2.564000

Pagina 66 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

1.752000
1.752000
1.751666
1.752000
2.533609
1.850500
23.755714
0.261300
497.470000
189.457499
201.136246
5.052195
568.372505
220.290000
0.676994
0.284987
0.065750
0.451350
0.451350
0.078250
0.061750
0.111000
0.451350
0.451350
0.451350
0.451350
1.177000
0.370000
0.370000
0.366000
0.300899
0.856949
0.247349
0.247349
1.140000
0.549783
0.549783
1.099566
1.099566
1.099566
1.073333
2.199133
2.199133
2.199133
2.199133
0.549783
1.099566
1.099566
1.099566
1.649350
1.649350
1.649350
1.649350

Pagina 67 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.347083
0.694166
0.694166
0.694166
0.243000
0.243500
0.362000
0.205000
0.225500
0.239000
0.360000
0.160859
0.335000
5.092875
5.092875
5.092875
5.092875
3.205000
5.092875
5.092875
5.092875
21.826607
21.826607
21.826607
21.826607
19.400000
21.826607
119.885000
133.711593
133.711593
133.711593
91.415000
4.473750
1.788750
5.092875
4.562500
5.092875
5.092875
3.547500
1.788750
10.913303
5.092875
5.092875
5.092875
5.092875
3.273571
3.117857
0.266624
0.533249
1.066500
2.133000
0.266624
0.533249

Pagina 68 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.986583
1.677500
0.266624
0.266624
0.533249
0.533249
0.987500
1.066500
1.066500
1.599750
1.678166
2.013750
0.266624
0.533249
1.066500
2.133000
0.752222
0.261964
0.564167
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.351037
0.033952
0.109333
2.594569
2.579553
3.773839
4.081428
1.297284
1.297284
0.105700
0.065687
0.134361
0.134361
0.134361
0.134361
0.134361

Pagina 69 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.134361
0.134361
0.134361
0.134361
0.134361
0.134361
0.134361
0.134361
0.134361
0.261258
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.522517
0.194078
0.194078
0.388156
0.388156
0.783776
0.783776
1.171932
1.567553
1.567553
2.351330
0.466533
0.230750
0.147916
0.078010
0.122399
0.147166
0.375000
0.614399
0.446607
0.375166
0.492321
0.376166
0.376071
0.586071
0.614399
0.614399
0.375000
0.376166
0.562833

Pagina 70 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.659500
0.761071
0.726166
0.655357
1.134285
0.760000
0.760000
0.376071
0.376071
0.659821
0.659821
0.760000
0.760000
0.599645
0.527583
0.299822
0.299822
1.059000
0.377500
0.353000
0.377500
0.377500
0.377500
0.552254
1.046964
1.668415
3.194464
1.798500
0.102900
0.102900
0.205800
0.102900
0.102900
0.189802
0.198749
0.198749
0.290416
0.298125
0.298125
0.298125
0.298125
0.298125
0.298125
0.290416
0.298000
0.096200
0.099374
0.099374
0.099374
0.099374
0.099374
0.096300
0.099374

Pagina 71 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.096300
0.099374
7.453124
14.906249
0.793333
0.989237
0.989237
12.446000
7.431999
1.486400
0.261583
12.635000
15.325000
15.087499
12.695000
15.087499
15.087499
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
22.492499
40.870000
62.395000
37.440625
2.739000
83.080000
0.083272
0.067800
0.083272
0.166545
1.182000
1.182000
1.064017
1.064017
1.064017
1.064017
1.064017
0.751964

Pagina 72 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

0.872333
1.064017
1.064017
1.064017
1.064017
1.064017
0.938392
1.064017
0.798750
1.064017
0.755714
0.755714
0.755714
0.755714
0.755714
0.535178
0.695833
0.755714
0.755714
0.755714
0.755714
0.755714
0.755714
0.495178
0.755714
0.307142
0.944642
0.944642
0.944642
0.944642
0.944642
0.648392
0.795333
0.944642
0.944642
0.944642
0.944642
0.944642
0.612500
0.944642
0.944642
0.378571
0.755714
0.755714
0.468166
10.009999
0.790500
0.651781
12.475000
0.169500
2.181198
4.230000
4.641591

Pagina 73 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

2.635000
4.641591
2.608714
1.308719
2.617438
0.604687
0.604687
0.472333
0.549500
0.363500
0.320500
0.320000
12.093750
11.955000
0.424041
0.423666
0.424041
0.424041
0.424041
0.424041
0.424041
0.424041
0.424041
0.424041
0.424041
0.410500
0.410333
0.212020
0.332333
0.424041
6.000000
6.000000
6.000000
6.000000
6.000000
5.440000
7.500000
2.355000
2.040000
2.040000
2.040000
1.530000
7.090000
0.625529
10.425498
5.651250
7.690000
4.553999
2.276999
2.276999
2.250000
5.960250
0.357615

Pagina 74 din 166

Val suportata
CNAS/UT
(RON) pt.
Adulti

5.960250
5.000000
5.960250
4.172175
15.245000
8.215000

Pagina 75 din 166

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 2014

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/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. 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
38
39

B01AA07
B01AA07
C01AA05
C01AA05
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
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
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
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 ZENTIVA 0,25 mg
DIGOXIN 0,5 mg/2 ml
DIGOXIN ZENTIVA 0,5 mg/2ml

NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

SPIRONOLACTONA LPH 25 mg

VEROSPIRON
SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg
SPIRONOLACTONA BIOEEL 25 mg

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL LAROPHARM 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
EGILOK 25 mg

COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
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
0,25mg
0,5mg/2ml
0,5mg/2ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
25mg

TERAPIA SA

30
20
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF
5
S/P-RF
5
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L
25
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.
P-RF
5
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
30
CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100
CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
50
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L
20

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

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

P-RF

ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA SA
MAGISTRA C&C S.R.L.

SLAVIA PHARM SRL


BIO EEL SRL
ZENTIVA SA
LABORMED PHARMA SA

ARENA GROUP S.A.


BIO EEL SRL
ZENTIVA SA
GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


LABORMED PHARMA S.A.
GEDEON RICHTER ROMANIA SA

ARENA GROUP S.A.


BIO EEL SRL
BIO EEL SRL
TERAPIA SA
AC HELCOR PHARMA SRL
AC HELCOR PHARMA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

KRKA D.D. NOVO MESTO SLOVENIA

ROMANIA
UNGARIA
LABORMED PHARMA SA ROMANIA
LAROPHARM SRL ROMANIA

AC HELCOR PHARMA SRL


EGIS PHARMACEUTICALS P.L.C.

ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

ALIUD PHARMA GMBH & CO.KG

GERMANIA

MAGISTRA C & C SRL ROMANIA


TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP SA ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

Pagina 76 din 209

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE S

6.53
6.76
3.34
3.34
7.97
7.97
4.18
3.02
3.02
5.42
6.02
3.04
6.02
5.42
6.07
28.51
16.07
19.46
16.72
16.24
4.30
4.30
16.21
4.30
13.74
14.05
10.94
6.56
7.12
5.86
9.12
19.75
13.00
9.49
15.12
7.38
7.01
8.09
1.90

0.217666
0.338000
0.133600
0.133600
1.594000
1.594000
0.167200
0.151000
0.151000
0.271000
0.301000
0.152000
0.301000
0.271000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215000
0.324200
0.215000
0.687000
0.468333
0.364666
0.328000
0.237333
0.293000
0.304000
0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.095000

0.217666
0.338000
0.133600
0.133600
1.594000
1.594000
0.167200
0.151000
0.151000
0.181200
0.181200
0.152000
0.181200
0.181200
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215000
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.095000

0.217666
0.338000
0.133600
0.133600
1.594000
1.594000
0.167200
0.151000
0.151000
0.181200
0.181200
0.152000
0.181200
0.181200
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215000
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.095000

NR.CRT

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

COD ATC

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
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AB12
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02
C07AG02

DCI

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
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

Denumire Comerciala

forma farm.

METOPROLOL LPH 25 mg
METOPROLOL 25 mg

COMPR.
COMPR.
METOPROLOL ARENA 25 MG COMPR.
METOPROLOL LAROPHARM 50 mg COMPR.
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL LPH 50 mg COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TERAPIA 50 mg COMPR.
METOPROLOL VIM SPECTRUM 50 mg COMPR.
METOPROLOL ARENA 50 MG COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL RETARD 100 mg COMPR. ELIB. PREL.
METOPROLOL TARTRAT AUROBINDO 100 mg

METOPROLOL TARTRAT AUROBINDO 50 mg

BETALOC (R) ZOK 100 mg


BETALOC (R) ZOK 50 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

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


METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD.

METOSUCCINAT SANDOZ 95 mg

BETALOC
BOREZ 10 mg
CONCOR COR 10 mg
SOBYC 10 mg
BOREZ 2,5 mg
CONCOR COR 2,5 mg
SOBYC 2,5 mg
CONCOR COR 5 mg
SOBYC 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
NEBINORM 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
NEBICARD 5 mg
CARVEDILOL SANDOZ

COMPR.FILM.ELIB.MOD.

SOL. INJ.
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.
CARVEDILOL SANDOZ 12,5 mg COMPR.
DILATREND (R) 12,5 mg
COMPR.
CORYOL 12,5 mg
COMPR.
TALLITON (R) 12,5 mg
COMPR.
CARVEDILOL LPH 12,5 mg COMPR.
CARVEDILOL VIM SPECTRUM 12,5mg COMPR.
GLADYCOR 12,5 mg
COMPR.

concentratie

25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
50mg
100mg
50mg
190mg
47,5mg
95mg
5mg/5ml
10 mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
12,5 mg
12,5 mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg

DETINATOR APP
LABORMED PHARMA SA

MAGISTRA C & C SRL

ARENA GROUP S.A.


LAROPHARM SRL
AC HELCOR PHARMA SRL
EGIS PHARMACEUTICALS P.L.C.

LABORMED PHARMA SA

ALIUD PHARMA GMBH


ALIUD PHARMA GMBH
ALIUD PHARMA GMBH
MAGISTRA C & C SRL

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA

P-6L

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

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


P-6L
P-6L

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL.

P-6L

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


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

P6L
P6L

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL.

P-6L

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF.

P-6L

CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF.


CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM.

GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

ALKALOID-INT D.O.O. SLOVENIA

CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM.

GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

ACTAVIS S.R.L.

P-6L

GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

ALKALOID-INT D.O.O. SLOVENIA

BERLIN CHEMIE AG MENARINI GROUP

P-6L

P-6L

MALTA
AUROBINDO PHARMA (MALTA) LIMITED MALTA
ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
ASTRAZENECA AB SUEDIA

MERCK KGAA

P-6L

GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR

AUROBINDO PHARMA (MALTA) LIMITED

MERCK KGAA

Prescriptie

P-6L

GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

ROMANIA
TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP S.A. ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
TERAPIA SA
ROMANIA

MERCK KGAA

AMBALAJ

CUTIE X 1 BLIST. AL/PVC X 20 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

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

S
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L

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

TEVA PHARMACEUTICALS S.R.L.

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


ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

LABORMED PHARMA S.A.

ANTIBIOTICE S.A.
TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

SANDOZ S.R.L.
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L


ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L
TORRENT PHARMA SRL ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. P6L
BIOFARM SP. ZO.O POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P6L

HEXAL AG
HEXAL AG

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

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L


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
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 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.

Pagina 77 din 209

P-6L
P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

20
30
30
20
30
20
30
30
100
50
30
30
20
30
20
20
30
30
30
30
30
30
30
5
30
30
30
30
30
30
30
30
28
30
30
30
28
30
30
28
28
30
28
30
30
28
28
30
30
20
30

1.90
2.85
2.85
3.51
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
11.12
9.09
5.24
25.70
15.69
22.71
8.14
13.59
22.16
10.51
32.72
10.05
8.07
14.76
6.04
22.31
6.04
34.55
23.20
27.09
24.87
22.80
24.44
24.87
13.84
22.65
24.59
22.93
8.20
8.20
29.94
12.48
13.30
13.36
6.72
13.10

0.095000
0.095000
0.095000
0.175500
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.556000
0.303000
0.174666
0.856666
0.523000
0.757000
0.271333
0.453000
4.432000
0.350333
1.090666
0.335000
0.269000
0.492000
0.201333
0.743666
0.201333
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.829000
0.494285
0.808928
0.819666
0.818928
0.273333
0.273333
1.069285
0.445714
0.443333
0.445333
0.336000
0.436666

0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.100800
0.237000
0.100800
0.757000
0.271333
0.453000
4.432000
0.350333
0.402000
0.335000
0.241599
0.241599
0.201333
0.241599
0.201333
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.593142
0.273333
0.273333
0.327999
0.327999
0.327999
0.327999
0.327999
0.327999

0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.100800
0.237000
0.100800
0.757000
0.271333
0.453000
4.432000
0.350333
0.402000
0.335000
0.241599
0.241599
0.201333
0.241599
0.201333
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.593142
0.273333
0.273333
0.327999
0.327999
0.327999
0.327999
0.327999
0.327999

NR.CRT

91
92
93
94
95
96
97
98
99

DCI

COD ATC
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
136 C09AA02
137 C09AA02
138 C09AA02
139 C09AA02
140 C09AA02
141 C09AA02

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
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

MIOCARVIL 12,5 mg
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
CARVEDILOL HELCOR 25 mg
CARVEDILOL SANDOZ 25 mg

DILATREND (R) 6,25 mg


CORYOL (R)
TALLITON 6,25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 6,25 mg
CARVEDILOL VIM SPECTRUM 6,25 mg

GLADYCOR 6,25 mg
MIOCARVIL 6,25 mg
CARVEDILOL SANDOZ 6,25 mg
CARVEDILOL AUROBINDO 12,5mg

CARVEDILOL AUROBINDO 25mg


CARVEDILOL AUROBINDO 6,25mg

CAPTOPRIL MCC 12,5 mg


CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL - AC 25 mg
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
CAPTOPRIL SINTOFARM 25 mg

CAPTOPRIL ARENA 25 mg
CAPTOPRIL ARENA 50 mg
CAPTOPRIL 50 mg
CAPTOPRIL 50 EEL
CAPTOPRIL - AC 50 mg
CAPTOPRIL MCC 50 mg
CAPTOPRIL LPH 50 mg
ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL SLAVIA 10 mg
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM 10 mg

ENALAPRIL LAROPHARM 10 mg

ENALAPRIL 20 mg

forma farm.

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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

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
10mg
10mg
10mg
10mg
10mg
20mg

TARA
DET. APP
DETINATOR APP
AMBALAJ
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR. P-6L

Prescriptie

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

HEXAL AG

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

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

ANTIBIOTICE S.A.

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


SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

HEXAL AG

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

GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L

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


KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

HEXAL AG

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

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 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.
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR.

HEXAL AG
AUROBINDO PHARMA (MALTA) LIMITED
AUROBINDO PHARMA (MALTA) LIMITED
AUROBINDO PHARMA (MALTA) LIMITED

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL
AC HELCOR PHARMA SRL

MAGISTRA C & C
LABORMED PHARMA SA

SINTOFARM SA
ARENA GROUP SA
ARENA GROUP SA
TERAPIA SA
BIO EEL SRL
AC HELCOR PHARMA SRL

MAGISTRA C & C
LABORMED PHARMA SA

MAGISTRA C & C
SANDOZ SRL
LABORMED PHARMA SA

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

GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L

MALTA
MALTA
MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.

P-6L

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

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P6L
P6L
P6L
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

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR.

P-6L

CUTIE X 2 BLIST. AL/AL X 14 COMPR.

P-6L

ROMANIA
TERAPIA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
VIM SPECTRUM SRL ROMANIA
LAROPHARM SRL ROMANIA
MAGISTRA C & C
ROMANIA

MERCK SHARP & DOHME

Pagina 78 din 209

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

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


CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 10 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLAC. DIN PE X 20 COMPR.

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

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

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

P6L

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

30
20
28
28
30
30
30
30
30
20
30
28
28
30
30
30
20
30
30
30
28
28
28
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
28
20
30
50
100
20
20
20
20

13.36
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
15.72
9.18
16.46
6.44
6.89
5.33
6.89
4.56
6.70
6.89
5.33
14.81
21.99
7.32
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
3.96
4.39
4.39
4.39
10.52
7.30
6.87
11.25
22.02
11.28
4.10
4.39
7.94

0.445333
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.786000
0.306000
0.587857
0.230000
0.229666
0.177666
0.229666
0.228000
0.223333
0.229666
0.177666
0.528928
0.785357
0.261428
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
0.198000
0.219500
0.219500
0.219500
0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.219500
0.397000

0.327999
0.327999
0.367200
0.367200
0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.306000
0.213199
0.213199
0.213199
0.177666
0.213199
0.213199
0.213199
0.213199
0.177666
0.327999
0.367200
0.213199
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
0.198000
0.219500
0.219500
0.219500
0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.219500
0.394320

0.327999
0.327999
0.367200
0.367200
0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.306000
0.213199
0.213199
0.213199
0.177666
0.213199
0.213199
0.213199
0.213199
0.177666
0.327999
0.367200
0.213199
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
0.198000
0.219500
0.219500
0.219500
0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.219500
0.394320

NR.CRT

DCI

COD ATC

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 C09AA03
163 C09AA03
164 C09AA03
165 C09AA03
166 C09AA03
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
185 C09AA05
186 C09AA05
187 C09AA05
188 C09AA05
189 C09AA05
190 C09AA05
191 C09AA05
192 C09AA05

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
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

forma farm.

ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ./PERF.
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.

ENALAPRIL LAROPHARM 20 mg

ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
ENALAPRIL ARENA 5 mg
ENALAPRIL VIM SPECTRUM 5 mg

ENALAPRIL SLAVIA 5 mg
ENALAPRIL LAROPHARM 5 mg

ENAP 1,25 mg/ml


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
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
TONOLYSIN 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ATB 40 MG
RANOLIP
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
TRITACE 10
RAMIPRIL AUROBINDO 10 mg

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,25mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

TARA
DET. APP
AMBALAJ
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L
DETINATOR APP

Prescriptie

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L

ROMANIA 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.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR.

P-6L

SLAVIA PHARM S.R.L. ROMANIA


LAROPHARM SRL ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA

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


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

P6L
P6L

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. X 10 COMPR.

P-6L

MERCK SHARP & DOHME

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
MERCK SHARP & DOHME

ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR.

P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L

TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L


SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L
KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

PR/PRF

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

AC HELCOR SRL
HEXAL AG

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


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

WORWAG PHARMA GMBH & CO. KG

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

MEDOCHEMIE ROMANIA SRL

GEDEON RICHTER ROMANIA SA

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


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

RANBAXY U.K. LIMITED

MAREA BRITANIE

AC HELCOR SRL
HEXAL AG

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


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

WORWAG PHARMA GMBH & CO. KG

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

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.

P-6L

ANTIBIOTICE SA

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


CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
CUTIE X 2 BLIST. PVDC/AL X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

ANTIBIOTICE SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

CUTIE X 3 BLIST. X 10 COMPR.

P-6L

WORWAG PHARMA GMBH & CO. KG

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

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA

MEDOCHEMIE ROMANIA SRL

CUTIE X 3 BLIST. X 10 COMPR.

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


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
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.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC 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

MEDOCHEMIE ROMANIA SRL

P-6L

ACTAVIS GROUP PTC EHF.

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

Pagina 79 din 209

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

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

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

20
20
20
28
20
30
50
20
20
20
20
20
28
20
20
30
20
20
20
5
30
20
30
30
30
30
30
28
28
30
20
30
30
30
30
28
20
30
30
30
30
30
28
28
28
30
30
28
28
28
28

10.18
8.75
7.94
17.12
11.11
11.12
16.43
7.92
7.94
3.67
3.67
3.67
7.87
3.84
3.93
5.58
3.65
3.67
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
11.96
15.47
8.75
23.11
15.65
15.05
12.93
23.37
23.48
22.90
14.44
39.31
7.64
6.50
8.67
7.37
9.28
9.23
23.28
9.74
24.93
9.21
9.23
14.19
9.49

0.509000
0.437500
0.397000
0.611428
0.555500
0.370666
0.328600
0.396000
0.397000
0.183500
0.183500
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.398666
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.779000
0.782666
0.817857
0.722000
1.310333
0.254666
0.216666
0.289000
0.245666
0.331428
0.329642
0.831428
0.324666
0.831000
0.328928
0.329642
0.506785
0.338928

0.394320
0.394320
0.394320
0.394320
0.394320
0.370666
0.328600
0.394320
0.394320
0.183500
0.183500
0.183500
0.219000
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.344400
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200
1.310333
0.254666
0.216666
0.259999
0.245666
0.259999
0.329642
0.389599
0.324666
0.389599
0.328928
0.329642
0.389599
0.338928

0.394320
0.394320
0.394320
0.394320
0.394320
0.370666
0.328600
0.394320
0.394320
0.183500
0.183500
0.183500
0.219000
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.344400
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200
1.310333
0.254666
0.216666
0.259999
0.245666
0.259999
0.329642
0.389599
0.324666
0.389599
0.328928
0.329642
0.389599
0.338928

NR.CRT

DCI

COD ATC

193 C09AA05
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 C09CA03
220 C09CA03
221 C09CA03
222 C09CA03
223 C09CA03
224 C09CA03
225 C09CA03
226 C09CA03
227 C09CA03
228 C09CA03
229 C09CA03
230 C09CA03
231 C09CA03
232 C09CA03
233 C09CA03
234 C09CA03
235 C09CA03
236 C09CA03
237 C09CA03
238 C09CA03
239 C09CA03
240 C09CA03
241 C09CA03
242 C09CA03
243 C09CA03

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**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**

Denumire Comerciala

AMPRIGEN 10 mg
RAMIPRIL TEVA 10 mg
RAMIRAN 10 mg
RAMIRAN 10 mg
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
AMPRIGEN 2,5 mg
RAMIRAN 2,5 mg
RAMIRAN 2,5 mg
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
RAMIPRIL AUROBINDO 5 mg
AMPRIGEN 5 mg
RAMIPRIL TEVA 5 mg
RAMIRAN 5 mg
RAMIRAN 5 mg
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 mg

VALSACOR 160 mg
AVASSAN 160 mg
VALSARTAN ZENTIVA 160 mg

VAPRESS 160 mg
VAPRESS 160 mg
WAROTA 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg

VALSACOR 80 mg
AVASSAN 80 mg
VALSARTAN ZENTIVA 80 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.
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.

concentratie

10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg

DETINATOR APP
ALVOGEN IPCO S.A.R.L
TEVA PHARMACEUTICALS S.R.L.

TARA
DET. APP

AMBALAJ

TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.
SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR.
AC HELCOR PHARMA SRL

Prescriptie

P6L
ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

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

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

P6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

P-6L
P-6L

TERAPIA SA
TERAPIA SA
ACTAVIS GROUP HF
SANDOZ SRL

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L
ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR.

TEVA PHARMACEUTICALS S.R.L.

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA S.A.

TERAPIA SA
TERAPIA SA
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

ROMASTRU TRADING S.R.L.

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

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

P6L

CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. P6L


CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR.

P6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. P-6L


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

P-6L

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

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ALKALOID - INT D.O.O. SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.

P-6L

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

P6L
P6L
P6L
P6L
P6L
P6L
P6L

CUTIE CU BLIST. PVC-PE-PVDC/AL-PVDC X 28 COMPR. FILM.

P-6L

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

P-6L

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.


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

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ROMASTRU TRADING S.R.L.

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.
ZENTIVA, K.S.

Pagina 80 din 209

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.

REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC (TRIPLEX)/AL X 28 COMPR. FILM.

P6L
P-6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

30 24.04
30
9.88
30
9.88
30
9.88
28
4.65
28
9.37
30
4.87
30 10.02
28
4.62
28
4.65
28
7.15
30
9.92
30
4.98
30
4.98
28
6.70
28 10.17
30
7.18
30 10.85
28
6.69
28
6.70
28 10.31
28
7.10
30 10.75
30
7.18
30
7.18
30
7.18
28 32.59
28 20.26
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 22.79
28 32.82
28 32.82
30 33.16
28 71.91
28 42.63
28 11.16
28 11.16
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
28 14.95

0.801333
0.329333
0.329333
0.329333
0.166071
0.334642
0.162333
0.334000
0.165000
0.166071
0.255357
0.330666
0.166000
0.166000
0.239285
0.363214
0.239333
0.361666
0.238928
0.239285
0.368214
0.253571
0.358333
0.239333
0.239333
0.239333
1.163928
0.723571
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
0.813928
1.172142
1.172142
1.105333
2.568214
1.522500
0.398571
0.398571
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
0.533928

0.389599
0.329333
0.329333
0.329333
0.166071
0.194799
0.162333
0.194799
0.165000
0.166071
0.194799
0.194799
0.166000
0.166000
0.239285
0.286713
0.239333
0.286713
0.238928
0.239285
0.286713
0.253571
0.286713
0.239333
0.239333
0.239333
0.976713
0.640713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.813928
0.976713
0.976713
0.976713
0.478285
0.478285
0.398571
0.398571
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.533928

0.389599
0.329333
0.329333
0.329333
0.166071
0.194799
0.162333
0.194799
0.165000
0.166071
0.194799
0.194799
0.166000
0.166000
0.239285
0.286713
0.239333
0.286713
0.238928
0.239285
0.286713
0.253571
0.286713
0.239333
0.239333
0.239333
0.976713
0.640713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.813928
0.976713
0.976713
0.976713
0.478285
0.478285
0.398571
0.398571
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.533928

NR.CRT

COD ATC

244 C09CA03
245 C09CA03
246 C09CA03
247 C09CA03
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
268 C09CA06
269 C09CA06
270 C09CA06
271 C09CA06
272 C09CA06
273 C09CA06
274 C09CA06
275 C09CA06
276 C09CA06
277 C09CA06
278 C09CA06
279 C09CA06
280 C09CA06
281 C09CA06
282 C09CA06
283 C09CA06
284 C09CA06
285 C09CA06
286 C09CA06

DCI

VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**

Denumire Comerciala

WAROTA 80 mg
VAPRESS 80 mg
VAPRESS 80 mg
DIOVAN 3 mg/ml
ATACAND
TANDESAR 16 mg
CANDESARTAN CILEXETIL ZENTIVA 16 mg

CANDESARTAN SANDOZ 16 mg

HIPOSTYN 16 mg
KARBIS 16 mg
CANDESARTAN TORRENT 16 mg

CLASTINOL 16 mg
CANDEPOL 16 mg
CANZENO 16mg
CANDEGAMMA 16 mg
CANDESARTAN CILEXETIL TEVA 16 mg

CANDESARTAN LABORMED 16 mg
CANDESARTAN AUROBINDO 16 mg

ATACAND 32 mg
CANDESARTAN CILEXETIL ZENTIVA 32 mg

HIPOSTYN 32 mg
KARBIS 32 mg
CANDESARTAN TORRENT 32 mg

CLASTINOL 32 mg
CANDEPOL 32 mg
CANZENO 32mg
CANDEGAMMA 32 mg
CANDESARTAN CILEXETIL TEVA 32 mg

CANDESARTAN LABORMED 32 mg

ATACAND
TANDESAR 8 mg
CANDESARTAN CILEXETIL ZENTIVA 8 mg

CANDESARTAN SANDOZ 8 mg

HIPOSTYN 8 mg
KARBIS 8 mg
CANDESARTAN TORRENT 8 mg

CLASTINOL 8 mg
CANDEPOL 8 mg
CANZENO 8mg
CANDEGAMMA 8 mg
CANDESARTAN CILEXETIL TEVA 8 mg

CANDESARTAN LABORMED 8 mg
CANDESARTAN AUROBINDO 8 mg

forma farm.

concentratie

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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

80mg
80mg
80mg
3mg/ml
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

COMPR.
COMPR.

2mg
4mg

TARA
DET. APP
DETINATOR APP
ALKALOID - INT D.O.O. SLOVENIA

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
NOVARTIS PHARMA GMBH GERMANIA

AMBALAJ

Prescriptie

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM.

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

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


CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

TORRENT PHARMA S.R.L.


EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

MALTA
ASTRAZENECA AB SUEDIA
ZENTIVA K.S.
REPUBLICA CEHA

AUROBINDO PHARMA (MALTA) LIMITED

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L


CUTIE X 2 BLIST. AL-PVC/PVDC X 14 COMPR. P-6L
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

TORRENT PHARMA S.R.L.


EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L


TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X 28 COMPR. P6L

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 30 (3X10) COMPR.

TORRENT PHARMA S.R.L.


EGIS PHARMACEUTICALS P.L.C.

P6L

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/PVC-PVAC-AL-OPA X 30 COMPR. P6L


LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. P6L

TEVA PHARMACEUTICALS S.R.L.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

TERAPIA SA

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

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

30 32.48
28 18.18
28 18.18
1 41.42
28 66.74
28 44.87
30 29.85
28 26.95
30 42.50
30 43.24
30 48.03
28 44.85
28 44.88
30 29.85
30 39.63
30 29.85
28 41.42
30 29.28
28 117.40
30 36.65
30 71.36
30 81.75
30 81.75
28 69.33
28 76.32
30 36.65
30 72.06
30 36.65
28 56.66
28 56.10
28 36.46
30 16.22
28 16.81
30 24.13
30 33.01
30 39.07
28 36.46
28 36.46
30 16.22
30 33.77
30 23.07
28 33.65
30 21.57

1.082666
0.649285
0.649285
41.420000
2.383571
1.602500
0.995000
0.962500
1.416666
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
0.976000
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
2.003571
1.302142
0.540666
0.600357
0.804333
1.100333
1.302333
1.302142
1.302142
0.540666
1.125666
0.769000
1.201785
0.719000

0.640713
0.640713
0.640713
41.420000
1.155000
1.155000
0.995000
0.962500
1.155000
1.155000
1.155000
1.155000
1.155000
0.995000
1.155000
0.995000
1.155000
0.976000
1.465999
1.221666
1.465999
1.465999
1.465999
1.465999
1.465999
1.221666
1.465999
1.221666
1.465999
0.648799
0.648799
0.540666
0.600357
0.648799
0.648799
0.648799
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799
0.648799

0.640713
0.640713
0.640713
41.420000
1.155000
1.155000
0.995000
0.962500
1.155000
1.155000
1.155000
1.155000
1.155000
0.995000
1.155000
0.995000
1.155000
0.976000
1.465999
1.221666
1.465999
1.465999
1.465999
1.465999
1.465999
1.221666
1.465999
1.221666
1.465999
0.648799
0.648799
0.540666
0.600357
0.648799
0.648799
0.648799
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799
0.648799

0.217666
0.338000

0.217666
0.338000

0.217666
0.338000

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2


1
2

B01AA07
B01AA07

ACENOCUMAROLUM*
ACENOCUMAROLUM*

TROMBOSTOP 2 mg
SINTROM 4 mg

Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

Pagina 81 din 209

30
20

6.53
6.76

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/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
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

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

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***

PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLOPIDOGREL MYLAN 75mg COMPR. FILM.
TROGRAN 75 mg
COMPR. FILM.
CLOPIGAMMA 75 mg
COMPR. FILM.
CLOPIGAMMA 75 mg
COMPR. FILM.
PLAVOCORIN 75 mg
COMPR. FILM.
CLOPIDOGREL ACTAVIS 75 mg COMPR. FILM.
DEFROZYP 75 mg
COMPR. FILM.
TESSYRON 75 mg
COMPR. FILM.
CLOPIDOGREL DR. REDDY'S 75 mg COMPR. FILM.
MOYTOR 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
CLOPIDOGREL TERAPIA 75 mg COMPR. FILM.
PLATEL 75 mg
COMPR. FILM.
DEPLATT 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
CLOPIDOGREL POLIPHARMA 75 mg COMPR. FILM.

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

SANOFI PHARMA - BRISTOL MYERS SQUIBB

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

ZENTIVA K.S.

FRANTA
CEHIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 COMPR. FILM. P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 90 COMPR. FILM. P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

WORWAG PHARMA GMBH & CO. KG

GERMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

WORWAG PHARMA GMBH & CO. KG

GERMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

SANDOZ S.R.L.

ROMANIA

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

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

LABORMED PHARMA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVDC/AL X 28 COMPR. FILM.

P-RF

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

P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU

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

ROMANIA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF

CIPRU

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P-RF

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF

ZENTIVA K.S.
ZENTIVA K.S.

CEHIA
CEHIA

POLIPHARMA INDUSTRIES S.R.L.

MERCK SHARP & DOHME

SANOFI PHARMA - BRISTOL MYERS SQUIBB

GEDEON RICHTER ROMANIA SA

DR. REDDY'S LABORATORIES

ROMASTRU TRADING S.R.L.

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

P-RF

P-RF

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM.

P-RF

CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-RF

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF


CUTIE CU BLIST. PCTFE-PE-PVC/AL X 28 COMPR. FILM.

P-RF

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


CUTIE CU BLIST. AL/AL X 90 COMPR. FILM. P-RF

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATE

P-RF

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATE

P-RF

ROMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P6L

MAREA BRITANIE

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

P-RF/R

30 359.66
28 37.53
28 37.53
28 57.74
30 17.86
28 37.52
90 52.86
28 79.52
28 79.52
28 37.53
28 37.53
28 37.53
28 37.53
28 37.53
30 40.26
30 40.22
28 37.52
10 13.82
60 76.22
90 114.32
30 51.97
28 37.46
30 40.20
30 17.18
90 49.88
30 40.22

11.988666
1.340357
1.340357
2.062142
0.595333
1.340000
0.587333
2.840000
2.840000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
0.572666
0.554222
1.340666

11.988666
0.665066
0.665066
0.665066
0.595333
0.665066
0.587333
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.572666
0.554222
0.665066

11.988666
0.665066
0.665066
0.665066
0.595333
0.665066
0.587333
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.572666
0.554222
0.665066

4.350000
3.960000
6.470333
9.954642
64.299333
58.287666
64.614000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000

4.350000
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000

4.350000
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000

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

J05AB04
J05AB04

J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02

RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml

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

200mg
200mg
100 mg
100mg
10mg
0,5mg
1mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml
SOL. INJ./PERF. 120g/0,2ml
SOL. INJ./PERF. 300mcg/0,5ml
SOL. INJ./PERF. 300g/0,5ml
SOL. INJ./PERF. 480mcg/0,8ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA


SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

TEVA PHARMA B.V. OLANDA


GLAXO GROUP LTD. MAREA BRITANIE

P-RF/R

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

P-RF/R

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

P-RF/R

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P-RF/R

BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA)

P-RF/R

BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

P-RF/R

GILEAD SCIENCE INTERNATIONAL LIMITED

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

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

HOSPIRA UK LIMITED

MAREA BRITANIE

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

P-RF

TEVA GENERICS GMBH GERMANIA

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

S/P-RF/R

HOSPIRA UK LIMITED

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

MAREA BRITANIE

TEVA GENERICS GMBH GERMANIA

Pagina 82 din 209

140
168
30
28
30
30
30
1
1
1
1
5
1
5
1

609.00
665.28
194.11
278.73
1,928.98
1,748.63
1,938.42

326.02
514.01
197.89
318.52
494.26
261.45
1,129.37

426.08

NR.CRT

16
17
18
19
20
21
22
23
24
25
26

DCI

COD ATC

L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01

FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 g
PEGINTRON 120 g
PEGINTRON 150 g
PEGINTRON 50 g
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

TARA
DET. APP
DETINATOR APP
SOL. INJ./PERF. 480g/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
SOL. INJ.
3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
SOL. INJ.
9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA
forma farm.

concentratie

AMBALAJ

Prescriptie

5
1
1
1
1
1
1
1
1
1
50

87.43
183.22
434.34
715.89
652.37
768.67
943.12
358.21
975.16
17.07

368.704000
87.430000
183.220000
434.340000
715.890000
652.370000
768.670000
943.120000
358.210000
975.160000
0.341400

368.704000
87.430000
183.220000
434.340000
715.890000
652.370000
768.670000
943.120000
358.210000
975.160000
0.341400

368.704000
87.430000
183.220000
434.340000
715.890000
652.370000
768.670000
943.120000
358.210000
975.160000
0.341400

50
20
1
1
1
3
3
100
100

32.62
29.65
8.81
31.02
20.48
95.62
35.71
70.21
78.89

0.652400
1.482500
8.810000
31.020000
20.480000
31.873333
11.903333
0.702100
0.788900

0.652400
1.482500
8.810000
31.020000
20.480000
31.873333
11.903333
0.702100
0.788900

0.652400
1.482500
8.810000
31.020000
20.480000
31.873333
11.903333
0.702100
0.788900

100 124.28
50 71.49
50 68.77
60 55.47
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L
60 54.19
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20 35.88
CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L
50 136.52
CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 268.17
P6L
1 97.49

1.242800
1.429800
1.375400
0.924500
0.903166
1.794000
2.730400
2.681700
97.490000

1.109400
1.109400
1.109400
0.924500
0.903166
1.794000
2.730400
2.681700
97.490000

1.109400
1.109400
1.109400
0.924500
0.903166
1.794000
2.730400
2.681700
97.490000

10.370000
10.420000
3.470000
17.230000

10.370000
10.420000
3.470000
17.230000

10.370000
10.420000
3.470000
17.230000

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

P-RF

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

PR
PR

SOL. INJ. PEN MULTIDOZA

18 milioane U.I. MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SOL. INJ. PEN MULTIDOZA

30 milioane U.I. MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

MERCK SHARP & DOHME

MAREA BRITANIE

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

MERCK SHARP & DOHME

MAREA BRITANIE

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

MERCK SHARP & DOHME

MAREA BRITANIE

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

PULB. + SOLV. PT. SOL. INJ.

100g
120g
150g
50g

MERCK SHARP & DOHME

MAREA BRITANIE

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

PR
PR
PR
PR

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

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

P-RF/R

CAPS.

100mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

PULB. + SOLV. PT. SOL. INJ.


PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

P-6L

1,843.52

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

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB06
H02AB06

L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*

MEDROL A 16
MEDROL 32
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg

COMPR.
COMPR.

16mg
32mg
LIOF. PT. SOL. INJ. 125mg
LIOF. PT. SOL. INJ. 500mg
SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml
SOLU - DECORTIN H 250
LIOF. + SOLV. PT. SOL. INJ. 250mg
SOLU - DECORTIN H 50
LIOF. + SOLV. PT. SOL. INJ. 50mg
IMURAN
COMPR. FILM. 50mg
IMMUNOPRIN 75 mg
COMPR. FILM. 75mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

STADA HEMOFARM S.R.L.


STADA HEMOFARM S.R.L.

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV

P-RF

MERCK KGAA
MERCK KGAA

GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-RF

GERMANIA

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

ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.


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

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

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

P-RF
S/P-RF

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
6
7
8
9

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOROM 250 mg
URSOCHOL 150 mg
URSOCHOL 300 mg
URSOFALK 500 mg
URSOFALK 500 mg
URSOFALK 250 mg/5 ml

CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA

250mg
250mg
250mg
250mg
150mg
300mg
500mg
500mg
250mg/5ml

LICHID ORAL
SIROP
SIROP
SIROP

66,7%
65%
65%
650mg/ml

CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L


CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L
PRO. MED. CS PRAHA AS CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L
DR. FALK PHARMA GMBH GERMANIA
DR. FALK PHARMA GMBH GERMANIA

ZAMBON S.P.A.
ZAMBON S.P.A.

ITALIA
ITALIA

DR. FALK PHARMA GMBH GERMANIA


DR. FALK PHARMA GMBH GERMANIA
DR. FALK PHARMA GMBH GERMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP

OLANDA

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

7. CIROZA HEPATICA - G7
1
2
3
4

A06AD11
A06AD11
A06AD11
A06AD11

LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*

DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml

ABBOTT HEALTHCARE PRODUCTS B.V.

P-RF

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML


E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML

P-6L

MIP PHARMA GMBH GERMANIA

P-6L

Pagina 83 din 209

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

1
1
1
1

10.37
10.42
3.47
17.23

NR.CRT

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

COD ATC

A06AD11
A06AD11
A06AD11
A07AA11
A07AA11
A07AA11
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01

H02AB06
H02AB06

J05AB04
J05AB04

J05AF05
J05AF05
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11

DCI

LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM*
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****

Denumire Comerciala

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
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

SPIRONOLACTONA LPH 25 mg

VEROSPIRON
SPIRONOLACTONA ARENA 50 mg

SPIRONOLACTONA EEL 25 mg
SPIRONOLACTONA BIOEEL 25 mg

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 g
PEGINTRON 120 g
PEGINTRON 150 g
PEGINTRON 50 g
PEGASYS 180 mcg/0,5ml

forma farm.

concentratie

SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.

650mg/ml
660 mg/ml
670mg/ml
200mg
200mg
GRAN. PT. SUSP. ORALA 100mg/5ml
COMPR.
40mg
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. FILM. 25mg
COMPR. FILM. 25mg
COMPR. FILM. 50mg
LIOF. + SOLV. PT. SOL. INJ. 250mg
LIOF. + SOLV. PT. SOL. INJ. 50mg
CAPS.
200mg
COMPR. FILM. 200mg
COMPR. FILM. 100 mg
COMPR. FILM. 100mg
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. 120g/0,2ml
SOL. INJ./PERF. 300mcg/0,5ml
SOL. INJ./PERF. 300g/0,5ml
SOL. INJ./PERF. 480mcg/0,8ml
SOL. INJ./PERF. 480g/0,5ml
SOL. INJ.
3Mui/0,5ml
SOL. INJ.
9Mui/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA


SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

DETINATOR APP

TARA
DET. APP

MIP PHARMA GMBH GERMANIA


ROMPHARM COMPANY SRL
FRESENIUS KABI AUSTRIA GMBH

ALFA WASSERMANN SPA


ALFA WASSERMANN SPA
ALFA WASSERMANN SPA

ROMANIA

AUSTRIA
ITALIA
ITALIA
ITALIA

MAGISTRA C&C S.R.L. ROMANIA


SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
ZENTIVA SA
ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA
ZENTIVA SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
LABORMED PHARMA S.A. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA
BIO EEL SRL
ROMANIA
TERAPIA SA
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
AC HELCOR PHARMA SRL ROMANIA

MERCK KGAA
MERCK KGAA

GERMANIA

MERCK SHARP & DOHME

MAREA BRITANIE

GERMANIA

ROCHE ROMANIA SRL ROMANIA

TEVA PHARMA B.V. OLANDA


GLAXO GROUP LTD. MAREA BRITANIE
GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE


BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE

AMGEN EUROPE B.V. OLANDA


AMGEN EUROPE B.V. OLANDA

SANDOZ GMBH
SANDOZ GMBH

AUSTRIA
AUSTRIA

HOSPIRA UK LIMITED

MAREA BRITANIE

TEVA GENERICS GMBH GERMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

TEVA GENERICS GMBH GERMANIA

HOSPIRA UK LIMITED

MAREA BRITANIE

ROCHE ROMANIA S.R.L. ROMANIA


ROCHE ROMANIA S.R.L. ROMANIA

AMBALAJ

1
1
P-RF
1
CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF
12
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
36
P-RF
1
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.
P-RF
5
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
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 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140
CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R
28
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R
30
CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R
30
CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R
30
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF. P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.
1
CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF
5
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL PR
1
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL
PR
1
P-RF/R
1
P-RF/R
1
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR
1
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR
1
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR
1
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. PR
1
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R
1

CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP

P-6L

CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE

P-6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D

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

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

SOL. INJ. PEN MULTIDOZA

18 milioane U.I. MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

SOL. INJ. PEN MULTIDOZA

30 milioane U.I. MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

MERCK SHARP & DOHME

MAREA BRITANIE

MERCK SHARP & DOHME

MAREA BRITANIE

MERCK SHARP & DOHME

MAREA BRITANIE

PULB. + SOLV. PT. SOL. INJ.

100g
120g
150g
50g

MERCK SHARP & DOHME

MAREA BRITANIE

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

PULB. + SOLV. PT. SOL. INJ.


PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

Pagina 84 din 209

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

33.34
6.73
3.57
33.10
91.26
19.11
3.02
3.02
5.42
6.02
3.04
6.02
5.42
6.07
28.51
16.07
19.46
16.72
16.24
4.30
4.30
16.21
4.30
13.74
95.62
35.71
609.00
665.28
194.11
278.73
1,928.98
1,748.63
1,938.42

S/P-RF/R

326.02
514.01
197.89
318.52
494.26
261.45

S/P-RF/R

426.08

1,129.37
1,843.52

87.43
183.22
434.34
715.89
652.37
768.67
943.12
358.21
975.16

33.340000
6.730000
3.570000
2.758333
2.535000
19.110000
0.151000
0.151000
0.271000
0.301000
0.152000
0.301000
0.271000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215000
0.324200
0.215000
0.687000
31.873333
11.903333
4.350000
3.960000
6.470333
9.954642
64.299333
58.287666
64.614000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000
426.080000
368.704000
87.430000
183.220000
434.340000
715.890000
652.370000
768.670000
943.120000
358.210000
975.160000

33.340000
6.730000
3.570000
2.758333
2.535000
19.110000
0.151000
0.151000
0.181200
0.181200
0.152000
0.181200
0.181200
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215000
0.258000
0.215000
0.649599
31.873333
11.903333
4.350000
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
87.430000
183.220000
434.340000
715.890000
652.370000
768.670000
943.120000
358.210000
975.160000

33.340000
6.730000
3.570000
2.758333
2.535000
19.110000
0.151000
0.151000
0.181200
0.181200
0.152000
0.181200
0.181200
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215000
0.258000
0.215000
0.649599
31.873333
11.903333
4.350000
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000
382.224000
368.704000
87.430000
183.220000
434.340000
715.890000
652.370000
768.670000
943.120000
358.210000
975.160000

NR.CRT

COD ATC

56

N04BB01

DCI

AMANTADINUM**

Denumire Comerciala

VIREGYT (R)- K

forma farm.

CAPS.

concentratie

100mg

DETINATOR APP
EGIS PHARMACEUTICALS P.L.C.

TARA
DET. APP
AMBALAJ
UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

P-6L

50

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF

10
10
5
5
5
5
10
10
10
10
10
10
5
5
5
1
1
6
6
6
1
6
1
1
6
6
6
6
1
6
6
4
4
4
4
1
4
4
1
4
4
4
50
100

17.07

0.341400

0.341400

0.341400

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
148.63 14.863000 14.863000
148.63 14.863000 14.863000
178.35 17.835000 17.835000
171.89 17.189000 17.189000
236.15 23.615000 23.615000
271.77 27.177000 27.177000
199.30 39.860000 39.860000
71.52 14.304000 14.304000
199.86 39.972000 39.972000
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
14.863000
14.863000
17.835000
17.189000
23.615000
27.177000
39.860000
14.304000
39.972000
403.430000
381.180000
288.090000
36.403333
70.971666
788.230000
100.621666

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
31
32
33
34
35
36
37
38
39
40
41
42
43
44

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05
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
G03HA01

H02AB02

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
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***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM

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.
GRANISETRON ACTAVIS 1 mg COMPR. FILM.
GRANEGIS 1 mg
COMPR. FILM.
GRANORED 1 mg
COMPR. FILM.
SETROGEN 1 mg
COMPR. FILM.
GRANISETRON ACTAVIS 2 mg COMPR. FILM.
GRANORED 2 mg
COMPR. FILM.

SOL. INJ. IN SERINGA PREUMPLUTA

4mg
DR. REDDY'S LABORATORIES
8mg
DR. REDDY'S LABORATORIES
2mg/ml
DR. REDDY'S LABORATORIES
2mg/ml
DR. REDDY'S LABORATORIES
2mg/ml
CIPLA (UK) LIMITED
2mg/ml
CIPLA (UK) LIMITED
1mg
ACTAVIS GROUP PTC EHF.
1mg
EGIS PHARMACEUTICALS P.L.C.
1mg
DR. REDDY'S LABORATORIES
1mg
ALVOGEN IPCO S.A.R.L
2mg
ACTAVIS GROUP PTC EHF.
2mg
DR. REDDY'S LABORATORIES
1mg/ml
FRESENIUS KABI ROMANIA SRL
1mg/1ml
TEVA PHARMACEUTICALS S.R.L.
3mg/3ml
TEVA PHARMACEUTICALS S.R.L.
500mcg
HELSINN BIREX PHARMACEUTICALS LTD.
250 mcg/5ml HELSINN BIREX PHARMACEUTICALS LTD.
10000UI/1,0ml SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
2000UI/1,0ml SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O.
40000 UI/1 ml SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
5000UI/0,5ml SANDOZ GMBH

NEORECORMON 10000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

NEORECORMON 2000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

NEORECORMON 30000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6ml ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

ROCHE REGISTRATION LTD.

GRANISETRON KABI 1 mg/ml


GRANISETRON TEVA 1mg/1ml
GRANISETRON TEVA 3mg/3ml

CONC. PT. SOL. INJ./PERF.

ALOXI 500mcg
ALOXI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml

CAPS. MOI
SOL. INJ.

NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
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

CONC. PT. SOL. PERF./INJ.


CONC. PT. SOL. PERF./INJ.

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

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

ISLANDA

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

P-RF

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


ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF
LUXEMBURG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM.

PRF

ISLANDA

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

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

PRF

IRLANDA
IRLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ.

PR
S
S

CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE

PRF

CUTIE X 5 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF.


CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.

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

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

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

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,3ml
5000UI/0,3ml

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

COMPR.
COMPR.

10mcg/0,4ml AMGEN EUROPE BV


150mcg/0,3ml AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6ml AMGEN EUROPE BV
30mcg/0,3ml AMGEN EUROPE BV
40mcg/0,4ml AMGEN EUROPE BV
500mcg/ml AMGEN EUROPE BV
50mcg/0,5ml AMGEN EUROPE BV
60mcg/0,3ml AMGEN EUROPE BV
80mcg/0,4ml AMGEN EUROPE BV
50mg
BAYER PHARMA AG
0,5mg
CN UNIFARM S.A.

Pagina 85 din 209

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF

ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE PRF

1,353.47 1353.470000 1193.316000 1193.316000

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 1174.530000 1174.530000 1174.530000

981.05 163.508333 163.508333 163.508333


1,208.30 201.383333 201.383333 201.383333
3,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000
4,708.35 1177.087500 1177.087500 1177.087500

702.64 175.660000 175.660000 175.660000


2,208.61 2208.610000 2208.610000 2208.610000
1,009.47
1,318.95

252.367500 252.367500 252.367500


329.737500 329.737500 329.737500

3,633.81 3633.810000 3633.810000 3633.810000

406.690000 406.690000 406.690000


484.292500 484.292500 484.292500
2,555.95 638.987500 638.987500 638.987500
108.46
2.169200
2.169200
2.169200
18.38
0.183800
0.183800
0.183800
1,626.76
1,937.17

NR.CRT

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
95

COD ATC

DCI

H02AB02

DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM

H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02

J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04

J02AX04
J02AX04
L01XX35
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05

Denumire Comerciala

forma farm.

SOL. INJ.
DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ.
DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ.
DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ.
DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ.
DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMED
SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
MICOGAL 100 mg
CAPS.
ITRACONAZOL ARENA 100 mg CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL. PERF.
VFEND 40 mg/ml
PULB. PT. SUSP. ORALA
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
PULB. PT. CONC. PT. SOL. PERF.
CANCIDAS 70 mg
PULB. PT. CONC. PT. SOL. PERF.
THROMBOREDUCTIN
CAPS.
THROMBOREDUCTIN
CAPS.
EQUORAL 100 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL 25 mg
CAPS. MOI
SANDIMMUN NEORAL (R) CAPS. MOI
EQUORAL 50 mg
CAPS. MOI
MST CONTINUS 100 mg
COMPR. ELIB. MODIF.
MST CONTINUS 10 mg
COMPR. ELIB. MODIF.
MST CONTINUS 200 mg
COMPR. ELIB. MODIF.
MST CONTINUS 30 mg
COMPR. ELIB. MODIF.
MST CONTINUS 60 mg
COMPR. ELIB. MODIF.
SEVREDOL 10 mg
COMPR. FILM.
SEVREDOL 10 mg
COMPR. FILM.
SEVREDOL 20 mg
COMPR. FILM.
SEVREDOL 20 mg
COMPR. FILM.
DEXAMETAZONA ROMPHARM 4 mg/ml

VENDAL (R) RETARD 100 mg


VENDAL (R) RETARD 30 mg
VENDAL (R) RETARD 60 mg

MORFINA 20 mg/ml

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.

SOL. INJ.
MORFINA ZENTIVA 20 mg/ml SOL. INJ.
OXYCONTIN 10 mg
COMPR. CU ELIB. MODIF.
OXYCONTIN 20 mg
COMPR. CU ELIB. MODIF.
OXYCONTIN 40 mg
COMPR. CU ELIB. MODIF.
OXYCONTIN 80 mg
COMPR. CU ELIB. MODIF.
RELTEBON 10 mg
COMPR. CU ELIB. PREL.
RELTEBON 20 mg
COMPR. CU ELIB. PREL.
RELTEBON 40 mg
COMPR. CU ELIB. PREL.
RELTEBON 80 mg
COMPR. CU ELIB. PREL.

concentratie

4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
8mg
8mg
8mg/2ml
8mg/2ml
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
40mg/ml
50mg
70mg
0,5mg
0,5mg
100mg
25mg
25mg
50mg
50mg
100mg
10mg
200mg
30mg
60mg
10mg
10mg
20mg
20mg
100mg
30mg
60mg
20mg/ml
20mg/ml
10 mg
20 mg
40 mg
80mg
10mg
20mg
40mg
80mg

TARA
DET. APP
ROMPHARM COMPANY S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA
DETINATOR APP

AMBALAJ

PRF

CUTIE CU UN SUPORT CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

PRF

CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

PRF

CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

PRF

CUTIE CU 25 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

PRF

CUTIE CU 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

PRF

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

P-RF

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

MEDOCHEMIE LTD. CIPRU


CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.
SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
MEDICO UNO PHARMACEUTICAL SRL
ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
PFIZER LIMITED
MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML
PFIZER LIMITED
MAREA BRITANIE
MERCK SHARP & DOHME

MAREA BRITANIE

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

MERCK SHARP & DOHME

MAREA BRITANIE

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

NOVARTIS PHARMA GMBH


TEVA CZECH INDUSTRIES S.R.O.

NOVARTIS PHARMA GMBH


TEVA CZECH INDUSTRIES S.R.O.

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

MUNDIPHARMA GMBH
MUNDIPHARMA GMBH
MUNDIPHARMA GMBH
MUNDIPHARMA GMBH
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.

ZENTIVA S.A.
ZENTIVA S.A.
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.
ACTAVIS GROUP PTC EHF.

Pagina 86 din 209

P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

TEVA CZECH INDUSTRIES S.R.O.

P-RF

P-RF/R

MAREA BRITANIE

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

P-RF/S

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

MERCK SHARP & DOHME

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

Prescriptie

CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS.


AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS.
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. CU ELIB. MOD.
AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 56 COMPR. FILM.
AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 60 COMPR. FILM.
AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 56 COMPR. FILM.
AUSTRIA CUTIE CU BLIST. AL/PVC-PVDC X 60 COMPR. FILM.
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
ROMANIA CUTIE X 5 FIOLE X 1 ML
ROMANIA CUTIE X 5 FIOLE X 1 ML
AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
AUSTRIA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
ISLANDA
ISLANDA
ISLANDA
ISLANDA

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

P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS
P-TS

PS
PS
PS
PS

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR. VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit.
UT (RON)
laj
(RON)
(RON)
a) si f)
PT. ADULTI

10
25
100
10
25
100
100
5
100
10
15
15
15
15
15
28
28
1
1
1
1
1
42
100
50
50
50
50
50
60
60
60
60
60
56
60
56
60
30
30
30
5
5
60
60
60
60
60
60
60
60

8.32
20.42
73.64
13.87
33.18
124.62
123.66
6.98
118.60
14.38
76.92
52.56
52.56
52.55
52.56

0.832000
0.832000
0.832000
0.816800
0.816800
0.816800
0.736400
0.736400
0.736400
1.387000
1.387000
1.387000
1.327200
1.327200
1.327200
1.246200
1.246200
1.246200
1.236600
1.236600
1.236600
1.396000
1.396000
1.396000
1.186000
1.186000
1.186000
1.438000
1.423200
1.423200
5.128000
4.203999
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
3.503333
3.503333
3.504000
3.504000
3.504000
3,917.72 139.918571 139.918571 139.918571
1,032.33 36.868928 36.868928 36.868928
537.45 537.450000 537.450000 537.450000
2,439.99 2439.990000 2439.990000 2439.990000
2,750.28 2750.280000 2750.280000 2750.280000
1,348.76 1348.760000 1348.760000 1348.760000
1,738.70 1738.700000 1738.700000 1738.700000

875.92
1,655.48

307.60
137.32
75.17
292.16
147.58
205.94
37.61
393.65
65.71
132.81
46.96
50.10
67.34
71.78
71.84
23.04
47.06
8.29
8.29
64.10
121.02
172.88
309.83
43.09
78.60
118.39
201.30

20.855238
16.554800
6.152000
2.746400
1.503400
5.843200
2.951600
3.432333
0.6268