ANEXA 2a

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM

Nr crt.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48

cod ATC
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03
A03AD01
A03AD01

A03FA01
A03FA01
A03FA01
A03FA01
A03FA01
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A06AD11
A06AD11
A06AD11

DCI

OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM

Denumire Comerciala

forma farm.

ULTOP
OMEPRAZOL 20 mg
OMEPRAZOL LPH 20 mg
OMERAN 20
OMEPRAZOL 20 mg

CAPS. GASTROREZ.

OMEPRAZOL TERAPIA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ARENA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL FARMEX 20 mg

CAPS. GASTROREZ.

NOVOGAST 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ROMPHARM 20 mg

CAPS. GASTROREZ.

ORTANOL 20 mg
HELICID 20
OMEZ 20mg

CAPS. GASTROREZ.

OMEPRAZOL AUROBINDO 20 mg

CAPS. GASTROREZ.

OMZATOL 20 mg
OMZATOL 20 mg
OMZATOL 20 mg
OMEPRAZOL ATB 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ZENTIVA 20 mg
OMEPRAZOL ZENTIVA 20 mg
OMEPRAZOL ZENTIVA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL LPH 20 mg
OMERAN 20 mg
ORTANOL 40 mg

CAPS. GASTROREZ.

OMEPRAZOL AUROBINDO 40 mg

CAPS. GASTROREZ.

OMEDAR 20 mg
OMEZ 40 mg
OMEPRAZOL ZENTIVA 40 mg

HELICID 40 INF
LEVANT 15 mg
LANZUL
LEVANT 30 mg
LANZAP 30mg

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

CAPS. GASTROREZ.
CAPS. GASTROREZ.

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

CAPS. GASTROREZ.
CAPS. GASTROREZ.

CAPS. GASTROREZ.
CAPS. GASTROREZ.

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

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
40mg
20mg
40mg
40mg

PULB. PT. SOL. PERF. FARA CONCENTRATIE

15mg
CAPS. GASTROREZ. 30mg
CAPS. GASTROREZ. 30mg
CAPS. GASTROREZ. 30mg
PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg COMPR.
100mg
PAPAVERINI HYDROCHLORIDUM PAPAVERINA FARMACOM 200 mg COMPR.
200 mg
METOCLOPRAMIDUM
METOCLOPRAMID
COMPR.
10mg
METOCLOPRAMIDUM
METOCLOPRAMID 10 mg
COMPR.
10mg
METOCLOPRAMIDUM
METOCLOPRAMID ARENA 10 mg COMPR.
10mg
METOCLOPRAMIDUM
METOCLOPRAMID BIOFARM 1mg/5ml SIROP
1mg/5ml
METOCLOPRAMIDUM
METOCLOPRAMID 5mg/ml SOL. INJ.
5mg/ml
ACIDUM URSODEOXYCHOLICUM* URSOFALK (R)
CAPS.
250mg
ACIDUM URSODEOXYCHOLICUM* URSOFALK (R)
CAPS.
250mg
ACIDUM URSODEOXYCHOLICUM* URSOROM 250 mg
CAPS.
250mg
ACIDUM URSODEOXYCHOLICUM* URSOFALK 500 mg
COMPR. FILM. 500mg
ACIDUM URSODEOXYCHOLICUM* URSOFALK 250 mg/5 ml
SUSP. ORALA 250mg/5ml
LACTULOSUM
DUPHALAC (R)
LICHID ORAL 66,7%
LACTULOSUM
LACTULOSE
SIROP
65%
LACTULOSUM
LACTULOSE
SIROP
65%
CAPS. GASTROREZ.

tara det.
APP

Detinator APP

Ambalaj

Prescriptie

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 01 IANUARIE 2016

KRKA D.D.

SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L

GEDEON RICHTER ROMANIA SA

ROMPHARM COMPANY SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ.

P-6L

ZENTIVA K.S.

CEHIA

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

MALTA

LABORMED PHARMA SA

EUROPHARM SA
SLAVIA PHARM SRL
TERAPIA SA
ARENA GROUP S.A.
FARMEX COMPANY SRL

ANTIBIOTICE S.A.

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

P-6L

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

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

P6L

ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.

NEOLA PHARMA S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR.

P-6L

ZENTIVA K.S.
ZENTIVA, K.S.
ZENTIVA, K.S.

P-6L

ROMASTRU TRADING S.R.L.

CEHIA

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

REPUBLICA CEHA

CUTIE CU 2 BLISTERE DIN OPA-AL-PED-PE-DESICANT-PED/AL A CATE 14 CAPSULE GASTROREZISTENTE

REPUBLICA CEHA

CUTIE CU 4 BLISTERE DIN OPA-AL-PED-PE-DESICANT-PED/AL A CATE 7 CAPSULE GASTROREZISTENTE

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

P6L
P6L

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ P-6L

GLAXOSMITHKLINE (GSK) SRL

LEK PHARMACEUTICALS D.D.

AUROBINDO PHARMA (MALTA) LIMITED

ROMANIA CUTIE CU 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P6L

SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L
MALTA CUTIE CU BLIST. PVC/PA/AL/PVC/HARTIE/AL X 14 CAPS. GASTROREZ. P6L
ROMANIA
ROMANIA

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

P-6L

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

S/P-RF

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

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

P-6L

RANBAXY UK LTD.

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

P-6L

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

P-6L

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

P-6L

DAR AL DAWA PHARMA S.R.L.

DR. REDDY'S LABORATORIES

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

MAREA BRITANIE

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

DR. REDDY'S LABORATORIES

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

CUTIE X 4 BLIST. AL/PVC X 10 COMPR.

CUTIE X 4 BLIST. AL/PVC X 10 COMPR.

P-6L
P-6L

CUTIE CU 4 BLIST. PVC/AL A CATE 10 COMPR. P6L

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 4 BLIST. AL/PVC X 25 CAPS. P6L

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

DR. FALK PHARMA GMBH GERMANIA

DR. FALK PHARMA GMBH
ROMPHARM COMPANY S.R.L.

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

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

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

Pagina 1 din 21

P6L
P6L
P-6L
P-6L

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

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

0.547200
0.547200
0.547200
0.547200
0.547200
0.547200
0.547200
0.547200
0.547200
0.547200
0.437857
0.547200
0.547200
0.331428
0.547200
0.547200
0.547200
0.547200
0.376785
0.376785
0.376785
0.547200
0.547200
1.094400
0.645714
0.535357
15.153749
15.153749
15.153749
0.273600
0.547200
0.547200
0.547200
0.217500
0.427000
0.103500
0.104000
0.104000
9.010000
2.742000
1.152400
1.152400
0.788500
2.304800
57.620055
6.899858
10.085999
3.361999

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.128514
0.138514
0.116800
0.246371
0.235466
0.231800
0.214466
0.147800
0.300300
0.191466
0.000000
0.108871
0.193466
0.000000
0.246371
0.246371
0.246371
0.300300
0.000000
0.000000
0.000000
0.117466
0.246371
0.097028
0.000000
0.000000
1.676251
1.686251
1.676251
0.212828
0.425657
0.294942
0.316300
0.012000
0.000000
0.000000
0.043250
0.000000
0.000000
0.000000
0.000000
0.061000
0.000000
0.376900
39.869945
3.850142
0.714001
0.228001

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.492480
0.492480
0.492480
0.492480
0.492480
0.492480
0.492480
0.492480
0.492480
0.492480
0.394071
0.492480
0.492480
0.298285
0.492480
0.492480
0.492480
0.492480
0.339106
0.339106
0.339106
0.492480
0.492480
0.984960
0.581142
0.481821
13.638374
13.638374
13.638374
0.246240
0.492480
0.492480
0.492480
0.195750
0.384300
0.093150
0.093600
0.093600
8.109000
2.467800
1.037160
1.037160
0.709650
2.074320
51.858049
6.209872
9.077399
3.025799

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.183234
0.193234
0.171520
0.301091
0.290186
0.286520
0.269186
0.202520
0.355020
0.246186
0.043786
0.163591
0.248186
0.033143
0.301091
0.301091
0.301091
0.355020
0.037679
0.037679
0.037679
0.172186
0.301091
0.206468
0.064572
0.053536
3.191626
3.201626
3.191626
0.240188
0.480377
0.349662
0.371020
0.033750
0.042700
0.010350
0.053650
0.010400
0.901000
0.274200
0.115240
0.176240
0.078850
0.607380
45.631951
4.540128
1.722601
0.564201

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

DCI

B03AA07

LACTULOSUM
LACTULOSUM
LACTULOSUM
NYSTATINUM
SULFASALAZINUM
SULFASALAZINUM
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
MESALAZINUM**
ACENOCUMAROLUM
ACENOCUMAROLUM
TICLOPIDINUM1)
TICLOPIDINUM1)
PHYTOMENADIONUM
FERROSI SULFAS
FERROSI SULFAS

B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

B03AB05

COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT

B03AEN1

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM)

B03BB01

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

A06AD11
A06AD11
A06AD11
A07AA02
A07EC01
A07EC01
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
A07EC02
B01AA07
B01AA07
B01AC05
B01AC05
B02BA01
B03AA07

C01AA05
C01AA05
C01AA05
C01AA05
C01BA01
C01BA01
C01BA01
C01BA01
C01BC03
C01BC03
C01BC03
C01BC03
C01BC03
C01BD01
C01BD01
C01BD01
C01BD01

100 C01DA02
101 C01DA02
102 C01DA02
103 C01DA02
104 C01DA02

Denumire Comerciala

LACTULOSE-MIP 650 mg/ml

LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
NISTATINA
SULFASALAZIN EN
SALAZIDIN GR 500 mg
PENTASA 1 g
PENTASA 500mg

forma farm.

concentratie

SIROP
650mg/ml
SIROP
650mg/ml
SOL. ORALA 660 mg/ml
COMPR. FILM. 500.000ui
COMPR. FILM. GASTROREZ. 500mg
COMPR. GASTROREZ. 500mg
COMPR. CU ELIB. PREL. 1g
COMPR. ELIB. PREL. 500mg
SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 250mg
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg
SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg
MESALAZINA SOFARFARM 400 mg COMPR. GASTROREZISTENTE 400mg
MESALAZINA SOFARFARM 800 mg COMPR. GASTROREZISTENTE 800mg
MESALAZINA SOFARFARM 800 mg COMPR. GASTROREZISTENTE 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. 100mg+60mg
ACIFOL 5 mg
COMPR. FILM. 5mg
DIGOXIN SOPHARMA 0,25 mg COMPR.
0,25 mg
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
RYTMONORM
SOL. INJ.
70mg/20ml
CORDARONE 200 mg
COMPR.
200mg
AMIODARONA LPH 200 mg COMPR.
200mg
AMIODARONA ARENA 200 MG COMPR.
200mg
CORDARONE 200 mg
COMPR.
200mg
NITROMINT 2,6 mg
COMPR. ELIB. PREL. 2,6mg
NITROGLICERINA 0,5 mg
COMPR. SUBLING. 0,5mg
NITRODERM (R) TTS 5
SIST. TERAP. TRANSDERM.
25mg
NITROMINT
SPRAY SUBLINGUAL 0,4mg/doza
NITROMINT
SPRAY SUBLINGUAL 0,4mg/doza

Detinator APP

MIP PHARMA GMBH GERMANIA

MIP PHARMA GMBH GERMANIA
ROMPHARM COMPANY SRL

ANTIBIOTICE SA

Ambalaj

Prescriptie

Nr crt.

tara det.
APP

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

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

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

P-6L
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

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

P6L

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

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 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

SOFARFARM S.R.L. ROMANIA

SOFARFARM S.R.L. ROMANIA
SOFARFARM S.R.L. ROMANIA
FERRING GMBH
GERMANIA

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

P6L
P6L
P6L

CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI

P-6L

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

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

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

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
AC HELCOR SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM.
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML

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

ROMANIA
ROMANIA

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

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.

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI DOUA INELE (ROSU SI PORTOCALIU)X 2 ML SOL. INJ.

ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.

ABBOTT GMBH&CO.KG GERMANIA

P-6L

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

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5 - 20 ML

GERMANIA

P-6L

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

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.
CN UNIFARM S.A.
ROMANIA CUTIE X 20 COMPRIMATE
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.
ALIUD PHARMA GMBH & CO.KG

P-6L

CUTIE X 4 BLIST. X 25 COMPR. FILM.

P6L
P-6L
P-6L
P-6L
P-6L
P-6L
P-6L

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

P-RF

PRF
PRF
PRF
P-RF
P-RF
P-RF
P-RF

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

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

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
SANOFI-AVENTIS FRANCE FRANTA CUTIE CU 2 BLIST. PVC/AL X 15 COMPR.
SANOFI-AVENTIS FRANCE

P-RF

LABORMED PHARMA SA ROMANIA

P-RF

EGIS PHARMACEUTICALS P.L.C.

ZENTIVA SA

UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL.

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

P-RF
P-RF

P-6L
P-6L

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

UNGARIA
UNGARIA

CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL P-6L

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

Pagina 2 din 21

P-6L

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

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

16.809999
33.340000
6.730000
0.480000
0.584200
0.585200
1.650889
0.825444
0.412721
0.825444
0.825444
0.660354
1.320712
1.320712
5.886666
5.886666
1.471662
2.943333
20.875714
0.187749
0.350000
0.267267
0.267267
3.340000
0.282000
0.228972
0.636035
8.780000
9.120000
9.120000
9.120000
6.080000
0.307800
0.255666
0.138802
0.138800
1.652000
1.652000
0.641350
0.641350
0.641350
0.639400
0.329400
0.329400
0.329400
0.329400
7.358000
0.291916
0.291916
0.253666
0.291916
0.150882
0.088402
1.557999
12.730000
12.730000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.420001
0.000000
0.000000
0.000000
0.000000
0.000000
1.542444
0.557556
0.176979
0.294956
0.395756
0.150312
0.185788
0.133732
0.320476
0.000000
0.702338
0.656667
0.000000
0.038251
0.000000
1.509233
0.420733
0.000000
0.000000
0.186694
0.107298
0.000000
0.000000
4.920000
6.860000
4.310000
0.000000
0.000000
0.061698
0.000000
0.000000
0.000000
0.000650
0.045650
0.024650
0.000000
0.011100
0.000000
0.194200
0.000000
0.000000
0.177084
0.012750
0.000000
0.177084
0.044284
0.112098
0.000001
0.000000
0.000000

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

15.128999
30.006000
6.057000
0.432000
0.525780
0.526680
1.485800
0.742899
0.371448
0.742899
0.742899
0.594318
1.188640
1.188640
5.297999
5.297999
1.324495
2.648999
18.788142
0.168974
0.315000
0.240540
0.240540
3.006000
0.253800
0.206074
0.572431
7.902000
8.208000
8.208000
8.208000
5.472000
0.277020
0.230099
0.124921
0.124920
1.486800
1.486800
0.577215
0.577215
0.577215
0.575460
0.296460
0.296460
0.296460
0.296460
6.622200
0.262724
0.262724
0.228299
0.262724
0.135793
0.079561
1.402199
11.457000
11.457000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

2.101001
3.334000
0.673000
0.048000
0.058420
0.058520
1.707533
0.640101
0.218252
0.377501
0.478301
0.216348
0.317860
0.265804
0.909143
0.588667
0.849505
0.951001
2.087572
0.057026
0.035000
1.535960
0.447460
0.334000
0.028200
0.209592
0.170902
0.878000
0.912000
5.832000
7.772000
4.918000
0.030780
0.025567
0.075579
0.013880
0.165200
0.165200
0.064785
0.109785
0.088785
0.063940
0.044040
0.032940
0.227140
0.032940
0.735800
0.206276
0.041942
0.025367
0.206276
0.059373
0.120939
0.155801
1.273000
1.273000

cod ATC

DCI

153 C03DA01

ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ALPROSTADILUM***
ALPROSTADILUM***
METHYLDOPUM
CLONIDINUM
CLONIDINUM
CLONIDINUM
HYDROCHLOROTHIAZIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM

154 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

155 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

156 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

157 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM)

158 C04AD03

PENTOXIFYLLINUM
PENTOXIFYLLINUM
PENTOXIFYLLINUM

106 C01DA08
107 C01DA14
108 C01DA14
109 C01DA14
110 C01DA14
111 C01EA01
112 C01EA01
113 C02AB01
114 C02AC01
115 C02AC01
116 C02AC01
117 C03AA03
118 C03BA11
119 C03BA11
120 C03BA11
121 C03BA11
122 C03BA11
123 C03BA11
124 C03BA11
125 C03BA11
126 C03BA11
127 C03BA11
128 C03BA11
129 C03BA11
130 C03BA11
131 C03BA11
132 C03BA11
133 C03BA11
134 C03BA11
135 C03BA11
136 C03BA11
137 C03CA01
138 C03CA01
139 C03CA01
140 C03CA01
141 C03CA01
142 C03CA01
143 C03CA01
144 C03CA01
145 C03DA01
146 C03DA01
147 C03DA01
148 C03DA01
149 C03DA01
150 C03DA01
151 C03DA01
152 C03DA01

159 C04AD03
160 C04AD03

Denumire Comerciala

forma farm.

ISOSORBID DINITRAT 10 mg COMPR.

ISODINIT(R) RETARD
COMPR. ELIB. PREL.
MONO ROM SR 40 mg
CAPS. ELIB. PREL.
OLICARD 40 mg RETARD
CAPS. ELIB. PREL.
MONO ROM SR 60 mg
CAPS. ELIB. PREL.
MONONITRON (R) EP 60 mg COMPR. ELIB. PREL.
PRIDAX 20mcg
CONC. PT. SOL. PERF.
VASAPROSTAN 20
LIOF. PT. SOL. PERF.
DOPEGYT
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.
INDAPAMIDA SOPHARMA 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

INDAPAMID SR ZENTIVA 1,5 mg

COMPR. ELIB. PREL

INDAPAMIDA MYLAN 1,5 mg

TERTENSIF SR 1,5 mg
INDAPAMID LPH 1,5 mg
INDAPAMID MCC 1,5 mg
IDUREN SR 1,5 mg
DIUREMID SR 1,5 mg
INDAPAMIDA TEVA 1,5 mg

COMPR. ELIB. PREL.

INDAPAMIDA SR TORRENT 1,5 mg

COMPR. ELIB. PREL.

COMPR. ELIB. PREL.

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

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

INDAPAMID SR 1,5 mg LAROPHARM

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

COMPR. FILM. ELIB. PREL.

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

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

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
SPIRONOLACTONA ARENA 25 mg CAPS.
SPIRONOLACTONA LPH 25 mg CAPS.
VEROSPIRON
CAPS.
SPIRONOLACTONA ARENA 50 mg CAPS.
SPIRONOLACTONA BIOEEL 25 mg COMPR.
SPIRONOLACTONA TERAPIA 25 mg

ALSPIRON 25 mg
ALSPIRON 50 mg
DIUROCARD 50 mg/20 mg
DIUREX 50
DIOCOR 50 mg/20 mg
DIOCOR 50 mg/20 mg
PENTOXI RETARD 400 mg
PENTOXI RETARD 400 mg
PENTOXIFILINA SR ZENTIVA 400 mg

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

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

Prescriptie

Nr crt.

105 C01DA08

cant.
UT/

Pret de

tara det.
amba referinta / UT
laj
(RON)
concentratie
APP
Detinator APP
Ambalaj
10mg
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3, BLIST. AL/PVC X 20 COMPR. P-6L
60
0.031000
20mg
PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L
60
0.068333
40mg
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P6L
20
0.290159

40mg
60mg
60mg
20mcg
20g
250mg
0,15mg
0,15mg
0,15mg
25mg
1,5mg
1,5mg
2,5mg
1,5mg
2,5mg
1,5 mg
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
40mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
50mg
50mg/20 mg
50mg/20mg
50mg/20mg
50mg/20mg
400mg
400mg
400mg

ABBOTT LABORATORIES GMBH

GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL.

ROMPHARM COMPANY S.R.L.

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

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-6L

ZENTIVA S.A

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

UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLAVIA PHARM S.R.L. ROMANIA

EGIS PHARMACEUTICALS P.L.C.

SINTOFARM SA
ARENA GROUP SA
ARENA GROUP S.A.
ZENTIVA SA

CUTIE X 1 FLAC. X 50 COMPR.

CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLAC. X 50 COMPR.

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

CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L

CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

P-6L

P6L
BULGARIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

SOPHARMA PLC

TERAPIA SA
TERAPIA SA
ZENTIVA S.A.
MYLAN S.A.S.
LES LAB. SERVIER

ROMANIA
ROMANIA
ROMANIA

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

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

P6L

FRANTA
FRANTA

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

P-6L

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

P-6L

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

LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 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. P-6L

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

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

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 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
GLENMARK PHARMACEUTICALS SRL

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

P-6L

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

CUTIE X 2 BLIST. AL/PVC 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

MAGISTRA C&C S.R.L. ROMANIA

SLAVIA PHARM SRL ROMANIA
ZENTIVA SA
ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA
LABORMED PHARMA SA 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
TERAPIA SA
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
AC HELCOR PHARMA SRL ROMANIA
LABORMED PHARMA S.A. ROMANIA
TERAPIA SA
ROMANIA
SANIENCE S.R.L.
ROMANIA
SANIENCE S.R.L.
ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
ZENTIVA AS
SLOVACIA

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

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

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

P-RF

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 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

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 4 BLIST. X 10 COMPR. CU ELIB. PREL. P-6L
CUTIE X 2 BLIST. X 10 COMPR. FILM. ELIB. PREL.

P-6L

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

P-6L

Pagina 3 din 21

20
20
40
5
10
50
50
50
50
25
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
20
30
30
30
20
20
20
20
20
20
30
5
30
50
60
30
30
20
50
20
20
30
20
30
20
40
20
20

0.290159
0.435238
0.435016
42.012500
38.580000
0.554400
0.209031
0.209031
0.209031
0.173200
0.279809
0.279809
0.466349
0.279809
0.466349
0.279809
0.268000
0.279809
0.279809
0.279809
0.279809
0.279809
0.264666
0.279809
0.466349
0.279809
0.264666
0.279809
0.268666
0.156500
0.156500
0.156750
0.156750
0.156750
0.156750
0.156750
1.260000
0.753000
0.220833
0.220833
0.441666
0.441666
0.220833
0.220833
0.215000
0.441666
1.079083
1.079083
1.049333
1.079083
0.432283
0.432283
0.432283

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000000
0.000000
0.302841
0.151841
0.489262
0.509484
10.297500
0.000000
0.000000
0.030969
0.046969
0.046769
0.000000
0.069857
0.042191
0.054984
0.069857
0.048651
0.069857
0.000000
0.258524
0.069857
0.069857
0.069857
0.069857
0.000000
0.069857
0.054984
0.070191
0.000000
0.069857
0.000000
0.000000
0.000000
0.156250
0.000250
0.156250
0.114250
0.000916
0.000000
0.000000
0.112567
0.115500
0.000000
0.120334
0.001667
0.148967
0.000000
0.245334
0.009917
0.130417
0.000000
0.086417
0.149467
0.460717
0.098717

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.027900
0.061499
0.261143
0.261143
0.391714
0.391514
37.811250
34.722000
0.498960
0.188127
0.188127
0.188127
0.155880
0.251828
0.251828
0.419714
0.251828
0.419714
0.251828
0.241200
0.251828
0.251828
0.251828
0.251828
0.251828
0.238199
0.251828
0.419714
0.251828
0.238199
0.251828
0.241799
0.140850
0.140850
0.141075
0.141075
0.141075
0.141075
0.141075
1.134000
0.677700
0.198749
0.198749
0.397499
0.397499
0.198749
0.198749
0.193500
0.397499
0.971174
0.971174
0.944399
0.971174
0.389054
0.389054
0.389054

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.003100
0.006834
0.331857
0.180857
0.532786
0.552986
14.498750
3.858000
0.055440
0.051873
0.067873
0.067673
0.017320
0.097838
0.070172
0.101619
0.097838
0.095286
0.097838
0.026800
0.286505
0.097838
0.097838
0.097838
0.097838
0.026467
0.097838
0.101619
0.098172
0.026467
0.097838
0.026867
0.015650
0.015650
0.171925
0.015925
0.171925
0.129925
0.016591
0.126000
0.075300
0.134651
0.137584
0.044167
0.164501
0.023751
0.171051
0.021500
0.289501
0.117826
0.238326
0.104934
0.194326
0.192696
0.503946
0.141946

cod ATC

162 C04AD03
163 C04AD03
164 C04AD03
165 C04AD03
166 C04AD03
167 C04AD03
168 C07AA05
169 C07AA05
170 C07AA05
171 C07AA05
172 C07AA05
173 C07AA07
174 C07AA07
175 C07AA07
176 C07AA07
177 C07AB02
178 C07AB02
179 C07AB02
180 C07AB02
181 C07AB02
182 C07AB02
183 C07AB02
184 C07AB02
185 C07AB02
186 C07AB02
187 C07AB02
188 C07AB02
189 C07AB02
190 C07AB02
191 C07AB02
192 C07AB02
193 C07AB02
194 C07AB02
195 C07AB02
196 C07AB02
197 C07AB02
198 C07AB02
199 C07AB02
200 C07AB02
201 C07AB02
202 C07AB02
203 C07AB02
204 C07AB02
205 C07AB02
206 C07AB02
207 C07AB02
208 C07AB02
209 C07AB02
210 C07AB02
211 C07AB02
212 C07AB02
213 C07AB02
214 C07AB02
215 C07AB02
216 C07AB03

DCI

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

Denumire Comerciala

forma farm.

concentratie

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
OXIFLUX 400 mg
COMPR. FILM. ELIB. PREL. 400mg
ANGIOPENT 600 mg
COMPR. FILM. ELIB. PREL. 600mg
PROPRANOLOL EEL 10 mg COMPR.
10 mg
PROPRANOLOL 10 mg
COMPR.
10mg
PROPRANOLOL EEL 40 mg COMPR.
40mg
PROPRANOLOL 40 mg
COMPR.
40mg
PROPRANOLOL ARENA 40 mg COMPR.
40mg
SOTALOL AL 160
COMPR.
160mg
DAROB (R) 80 mg
COMPR.
80mg
SOTAGAMMA 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 100 mg
COMPR.
100mg
METOPROLOL TERAPIA 100 mg COMPR.
100mg
METOPROLOL VIM SPECTRUM 100 mg COMPR.
100mg
METOPROLOL ARENA 100 MG COMPR.
100mg
METOPROLOL 100 mg
COMPR.
100mg
METOPROLOL AL 100
COMPR.
100mg
METOPROLOL ZENTIVA 100 mg COMPR.
100mg
EGILOK 25 mg
COMPR.
25mg
METOPROLOL LPH 25 mg COMPR.
25mg
METOPROLOL 25 mg
COMPR.
25mg
METOPROLOL ARENA 25 MG COMPR.
25mg
METOPROLOL LPH 25 mg COMPR.
25mg
METOPROLOL LAROPHARM 50 mg COMPR.
50mg
BETAPROL 50 mg
COMPR.
50mg
EGILOK 50 mg
COMPR.
50mg
METOPROLOL LPH 50 mg COMPR.
50mg
METOPROLOL 50 mg
COMPR.
50mg
METOPROLOL TERAPIA 50 mg COMPR.
50mg
METOPROLOL VIM SPECTRUM 50 mg COMPR.
50mg
METOPROLOL ARENA 50 MG COMPR.
50mg
METOPROLOL 50 mg
COMPR.
50mg
METOPROLOL AL 50
COMPR.
50mg
METOPROLOL ZENTIVA 50 mg COMPR.
50mg
METOSUCCINAT SANDOZ 190 mg COMPR. ELIB. MODIF. 190mg
METOSUCCINAT SANDOZ 47,5 mg COMPR. ELIB. MODIF. 47,5mg
METOSUCCINAT SANDOZ 95 mg COMPR. ELIB. MODIF. 95mg
METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg
METOPROLOL TARTRAT AUROBINDO 100 mg COMPR. FILM. 100mg
METOPROLOL TARTRAT AUROBINDO 50 mg COMPR. FILM. 50mg
BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg
BETALOC (R) ZOK 50 mg
COMPR. FILM. ELIB. PREL. 50mg
METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg
METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg
METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg
ATENOLOL LPH 100 mg
COMPR.
100mg
PENTOXIFILINA SR ZENTIVA 400 mg

COMPR. ELIB. PREL.

Detinator APP

Ambalaj

Prescriptie

Nr crt.

161 C04AD03

tara det.
APP

ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

SLOVACIA
SLOVACIA
SLOVACIA

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 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
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
BIO EEL S.R.L.
ROMANIA
SINTOFARM SA
ROMANIA
BIO EEL SRL
ROMANIA
SINTOFARM SA
ROMANIA
ARENA GROUP SA ROMANIA
ALIUD PHARMA GMBH GERMANIA
AC HELCOR PHARMA SRL

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

P-6L

LABORMED PHARMA S.A.

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL

P-6L

ABBOTT GMBH&CO.KG GERMANIA

WORWAG PHARMA GMBH & CO. KG

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 5 BLIST. AL/PVC X 10 COMPR.

CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVP X 10 COMPR.

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

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

ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

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

LABORMED PHARMA SA

LAROPHARM SRL
MAGISTRA C & C SRL

TERAPIA SA
VIM SPECTRUM SRL

ARENA GROUP SA

ROMANIA
UNGARIA
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 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.

SLAVIA PHARMA S.R.L.

ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

ZENTIVA S.A.
EGIS PHARMACEUTICALS P.L.C.

LABORMED PHARMA SA

MAGISTRA C & C SRL

ARENA GROUP S.A.

LABORMED PHARMA SA

LAROPHARM SRL
AC HELCOR PHARMA SRL
EGIS PHARMACEUTICALS P.L.C.

LABORMED PHARMA SA

MAGISTRA C & C SRL

TERAPIA SA
VIM SPECTRUM SRL

ARENA GROUP S.A.

ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPRIMATE

P6L

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

P-6L

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 3 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6L

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

P-6L

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

P-6L

SLAVIA PHARMA S.R.L.

ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

ZENTIVA S.A.
HEXAL AG
HEXAL AG
HEXAL AG
TERAPIA SA

P-6L

CUTIE X, 1 FLAC. DIN STICLA BRUNA X 20 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

ROMANIA CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPRIMATE P6L

GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L
GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L
GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L

ROMANIA

MALTA
AUROBINDO PHARMA (MALTA) LIMITED MALTA
ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
HEXAL AG
GERMANIA
AUROBINDO PHARMA (MALTA) LIMITED

LABORMED PHARMA SA ROMANIA

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. P6L

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. 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 3 BLIST. AL/PVC X 10 COMPR.

P-6L

Pagina 4 din 21

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

50
50
100
50
20
60
20
50
50
50
50
50
50
20
100
50
30
30
20
30
20
30
30
20
30
20
30
30
20
20
30
30
60
20
30
20
30
30
30
20
30
20
30
30
30
30
30
20
30
30
30
30
30
30
30
30

0.426200
0.648425
0.648425
0.648425
0.318000
0.318166
0.648425
0.025800
0.025800
0.099600
0.099600
0.103200
0.412800
0.206400
0.206400
0.206400
0.077000
0.221400
0.221400
0.221400
0.221400
0.221400
0.221400
0.221400
0.221400
0.221400
0.221400
0.221400
0.055349
0.055349
0.055349
0.055349
0.055349
0.110700
0.110700
0.110700
0.110700
0.110700
0.110700
0.110700
0.110700
0.110700
0.110700
0.110700
0.420660
0.105164
0.210330
0.221400
0.221400
0.110700
0.221400
0.110700
0.420660
0.105164
0.210330
0.365666

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000000
0.053575
0.029875
0.027375
0.000000
0.000000
0.174575
0.041600
0.056200
0.000000
0.000000
0.000000
0.146000
0.311100
0.130100
0.120600
0.000000
0.074933
0.075100
0.024600
0.075100
0.074933
0.074933
0.075100
0.020933
0.069100
0.074933
0.074933
0.043151
0.043151
0.043317
0.043317
0.042984
0.071800
0.071633
0.071800
0.053633
0.071633
0.133300
0.061800
0.071633
0.071800
0.040966
0.071633
0.083340
0.110502
0.148003
0.075100
0.074933
0.070633
0.234600
0.269300
0.083340
0.110502
0.148003
0.000000

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.383580
0.583582
0.583582
0.583582
0.286200
0.286349
0.583582
0.023220
0.023220
0.089640
0.089640
0.092880
0.371520
0.185760
0.185760
0.185760
0.069300
0.199260
0.199260
0.199260
0.199260
0.199260
0.199260
0.199260
0.199260
0.199260
0.199260
0.199260
0.049814
0.049814
0.049814
0.049814
0.049814
0.099630
0.099630
0.099630
0.099630
0.099630
0.099630
0.099630
0.099630
0.099630
0.099630
0.099630
0.378594
0.094647
0.189297
0.199260
0.199260
0.099630
0.199260
0.099630
0.378594
0.094647
0.189297
0.329099

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.042620
0.118418
0.094718
0.092218
0.031800
0.031817
0.239418
0.044180
0.058780
0.009960
0.009960
0.010320
0.187280
0.331740
0.150740
0.141240
0.007700
0.097073
0.097240
0.046740
0.097240
0.097073
0.097073
0.097240
0.043073
0.091240
0.097073
0.097073
0.048686
0.048686
0.048852
0.048852
0.048519
0.082870
0.082703
0.082870
0.064703
0.082703
0.144370
0.072870
0.082703
0.082870
0.052036
0.082703
0.125406
0.121019
0.169036
0.097240
0.097073
0.081703
0.256740
0.280370
0.125406
0.121019
0.169036
0.036567

cod ATC

218 C07AB03
219 C07AB03
220 C07AB03
221 C07AB03
222 C07AB05
223 C07AB07
224 C07AB07
225 C07AB07
226 C07AB07
227 C07AB07
228 C07AB07
229 C07AB07
230 C07AB07
231 C07AB07
232 C07AB07
233 C07AB07
234 C07AB07
235 C07AB07
236 C07AB07
237 C07AB07
238 C07AB07
239 C07AB07
240 C07AB07
241 C07AB07
242 C07AB07
243 C07AB07
244 C07AB07
245 C07AB07
246 C07AB07
247 C07AB07
248 C07AG02
249 C07AG02
250 C07AG02
251 C07AG02
252 C07AG02
253 C07AG02
254 C07AG02
255 C07AG02
256 C07AG02
257 C07AG02
258 C07AG02
259 C07AG02
260 C07AG02
261 C07AG02
262 C07AG02
263 C07AG02
264 C07AG02
265 C07AG02
266 C07AG02
267 C07AG02
268 C07AG02
269 C07AG02
270 C07AG02
271 C07AG02
272 C07AG02

DCI

ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
ATENOLOLUM
BETAXOLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
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

Denumire Comerciala

ATENOLOL LPH 100 mg

ATENOLOL ARENA 100 MG
ATENOLOL LPH 50 mg
ATENOLOL LPH 50 mg
ATENOLOL ARENA 50 MG
LOKREN 20 mg
BISOPROLOL LPH 10mg
BISOBLOCK 10 mg
BISOPROLOL LPH 5mg
BISOBLOCK 5 mg
BOREZ 10 mg
CONCOR 10 mg
BISOGAMMA (R) 10
BISOGAMMA (R) 10
CONCOR COR 10 mg
BISOTENS 10 mg
BISOPROLOL FUMARAT AUROBINDO 10 mg

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

CONCOR COR 5 mg
SOBYC 5 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

CARVEDILOL VIM SPECTRUM 12,5mg

GLADYCOR 12,5 mg
MIOCARVIL 12,5 mg
CARVEDILOL HELCOR 12,2 mg

DILATREND (R) 25 mg
CORYOL 25 mg
TALLITON (R) 25 mg
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 LPH 6,25 mg
CARVEDILOL VIM SPECTRUM 6,25 mg

GLADYCOR 6,25 mg
MIOCARVIL 6,25 mg
CARVEDILOL SANDOZ 6,25 mg

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

COMPR. FILM. 20mg

SANOFI-AVENTIS FRANCE

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

P-6L

COMPR.
COMPR.
COMPR.
COMPR.

LABORMED PHARMA S.A.

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

LABORMED PHARMA S.A.

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE X 3 BLIST. X 10 COMPR.

P-6L

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

CARVEDILOL SANDOZ 12,5 mg COMPR.

DILATREND (R) 12,5 mg

CORYOL 12,5 mg
TALLITON (R) 12,5 mg
CARVEDILOL LPH 12,5 mg

Ambalaj

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

Prescriptie

Nr crt.

217 C07AB03

tara det.
concentratie
APP
Detinator APP
100mg
LABORMED PHARMA SA ROMANIA
100mg
ARENA GROUP SA ROMANIA
50mg
LABORMED PHARMA SA ROMANIA
50mg
LABORMED PHARMA SA ROMANIA
50mg
ARENA GROUP SA ROMANIA

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

10mg
10mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
12,5 mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg

ALKALOID-INT D.O.O. SLOVENIA

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

P6L

MERCK KGAA

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

P-6L

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MERCK KGAA
ANTIBIOTICE S.A.

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

CUTIE X 10 BLIST. X 10 COMPR. FILM.

CUTIE X 3 BLIST. X 10 COMPR. FILM.

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

MERCK KGAA

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

KRKA, D.D., NOVO MESTO SLOVENIA

ALKALOID-INT D.O.O. SLOVENIA

MERCK KGAA
MERCK KGAA

GERMANIA
GERMANIA

KRKA, D.D., NOVO MESTO SLOVENIA

P-6L/S

P-6L
P-6L

P6L
P6L
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM.
P6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L
CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L
CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM.

MERCK KGAA

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

WORWAG PHARMA GMBH & CO. KG

GERMANIA

MERCK KGAA
ANTIBIOTICE S.A.

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

P-6L

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

P-6L

CUTIE X 3 BLIST. X 10 COMPR. FILM.

CUTIE X 4 BLIST. X 25 COMPR. FILM.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

MERCK KGAA

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

EGIS PHARMACEUTICALS P.L.C.

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

P-6L
P-6L

P6L
P6L
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L
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. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L
LABORMED PHARMA SA ROMANIA

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

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.

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
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.

P-6L

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

ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
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
HEXAL AG
GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L
LABORMED PHARMA SA ROMANIA

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.

P-6L

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

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR. P-6L
HEXAL AG
GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L

LABORMED PHARMA SA ROMANIA

Pagina 5 din 21

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

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

0.365000
0.324500
0.204000
0.204000
0.185000
0.332100
0.332100
0.231000
0.166050
0.122333
0.332100
0.332100
0.332100
0.332100
0.332100
0.332100
0.332100
0.332100
0.332100
0.083025
0.083025
0.083025
0.083025
0.166050
0.160333
0.166050
0.166050
0.166050
0.166050
0.166050
0.166050
0.246149
0.246149
0.246149
0.246149
0.246149
0.246149
0.246149
0.246149
0.246149
0.492299
0.355000
0.492299
0.492299
0.492299
0.492299
0.492299
0.317333
0.123074
0.123074
0.123074
0.123074
0.123074
0.123074
0.123074
0.123074

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000000
0.000000
0.000000
0.000000
0.000000
0.023971
0.241566
0.000000
0.086616
0.000000
0.030900
0.550900
0.169100
0.028566
0.753233
0.014566
0.140566
0.753233
0.015233
0.160308
0.291308
0.291308
0.125975
0.348950
0.000000
0.002850
0.223283
0.040283
0.106283
0.223283
0.040283
0.031184
0.588136
0.013136
0.034851
0.216184
0.089851
0.139184
0.216184
0.205851
0.434486
0.000000
0.031034
0.109701
0.031701
0.108701
0.110201
0.000000
0.266568
0.075140
0.061926
0.115259
0.104926
0.061926
0.115259
0.057259

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.328500
0.292050
0.183600
0.183600
0.166500
0.298890
0.298890
0.207900
0.149445
0.110099
0.298890
0.298890
0.298890
0.298890
0.298890
0.298890
0.298890
0.298890
0.298890
0.074722
0.074722
0.074722
0.074722
0.149445
0.144299
0.149445
0.149445
0.149445
0.149445
0.149445
0.149445
0.221534
0.221534
0.221534
0.221534
0.221534
0.221534
0.221534
0.221534
0.221534
0.443069
0.319500
0.443069
0.443069
0.443069
0.443069
0.443069
0.285599
0.110766
0.110766
0.110766
0.110766
0.110766
0.110766
0.110766
0.110766

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.036500
0.032450
0.020400
0.020400
0.018500
0.057181
0.274776
0.023100
0.103221
0.012234
0.064110
0.584110
0.202310
0.061776
0.786443
0.047776
0.173776
0.786443
0.048443
0.168611
0.299611
0.299611
0.134278
0.365555
0.016034
0.019455
0.239888
0.056888
0.122888
0.239888
0.056888
0.055799
0.612751
0.037751
0.059466
0.240799
0.114466
0.163799
0.240799
0.230466
0.483716
0.035500
0.080264
0.158931
0.080931
0.157931
0.159431
0.031734
0.278876
0.087448
0.074234
0.127567
0.117234
0.074234
0.127567
0.069567

cod ATC

274 C07AG02
275 C07AG02
276 C08CA01
277 C08CA01
278 C08CA01
279 C08CA01
280 C08CA01
281 C08CA01
282 C08CA01
283 C08CA01
284 C08CA01
285 C08CA01
286 C08CA01
287 C08CA01
288 C08CA01
289 C08CA01
290 C08CA01
291 C08CA01
292 C08CA01
293 C08CA01
294 C08CA01
295 C08CA01
296 C08CA01
297 C08CA01
298 C08CA01
299 C08CA01
300 C08CA01
301 C08CA01
302 C08CA01
303 C08CA01
304 C08CA01
305 C08CA01
306 C08CA01
307 C08CA01
308 C08CA01
309 C08CA01
310 C08CA01
311 C08CA01
312 C08CA02
313 C08CA02
314 C08CA02
315 C08CA02
316 C08CA02
317 C08CA02
318 C08CA02
319 C08CA02
320 C08CA02
321 C08CA02
322 C08CA02
323 C08CA05
324 C08CA05
325 C08DA01
326 C08DA01
327 C08DA01
328 C08DA01

DCI

CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
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
NIFEDIPINUM
NIFEDIPINUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM

Denumire Comerciala

forma farm.

concentratie

12,5mg
CARVEDILOL AUROBINDO 25mg COMPR. FILM. 25mg
CARVEDILOL AUROBINDO 6,25mg COMPR. FILM. 6,25mg
AMLODIPINA TEVA 10 mg COMPR.
10 mg
AMLOHEXAL 10 mg
COMPR.
10mg
TENOX (R) 10
COMPR.
10mg
AMLODIPINE MEDOCHEMIE 10 mg COMPR.
10mg
ALMACOR 10 mg
COMPR.
10mg
AMLODIPINA LPH 10 mg
COMPR.
10mg
AMLODIPINA TERAPIA 10 mg COMPR.
10mg
AMLODIPINA TERAPIA 10 mg COMPR.
10mg
AMLODIPINA AUROBINDO 10 mg COMPR.
10mg
RECOTENS 10 mg
COMPR.
10mg
AMLODIPIN VIM SPECTRUM 10 mg COMPR.
10mg
AMLODIPINA ACTAVIS 10 mg COMPR.
10mg
AMLODIPINA ZENTIVA 10 mg COMPR.
10mg
NORVASC 10 mg
COMPR.
10mg
AMLODIPINA HELCOR 10 mg COMPR.
10mg
AMLODIPINA ARENA 10 mg COMPR.
10mg
AMLODIPINA VIM SPECTRUM 10 mg COMPR.
10mg
AMLODIPINA VIM SPECTRUM 10 mg COMPR.
10mg
AMLODIPINA TEVA 5 mg
COMPR.
5 mg
AMLOHEXAL 5 mg
COMPR.
5mg
TENOX (R) 5
COMPR.
5mg
AMLODIPINE MEDOCHEMIE 5 mg COMPR.
5mg
ALMACOR 5 mg
COMPR.
5mg
AMLODIPINA LPH 5 mg
COMPR.
5mg
AMLODIPINA TERAPIA 5 mg COMPR.
5mg
AMLODIPINA TERAPIA 5 mg COMPR.
5mg
AMLODIPINA AUROBINDO 5 mg COMPR.
5mg
RECOTENS 5 mg
COMPR.
5mg
AMLODIPIN VIM SPECTRUM 5 mg COMPR.
5mg
AMLODIPINA ACTAVIS 5 mg COMPR.
5mg
AMLODIPINA ZENTIVA 5 mg COMPR.
5mg
NORVASC 5 mg
COMPR.
5mg
AMLODIPINA HELCOR 5 mg COMPR.
5mg
AMLODIPINA ARENA 5 mg COMPR.
5mg
AMLODIPINA VIM SPECTRUM 5 mg COMPR.
5mg
AMLODIPINA VIM SPECTRUM 5 mg COMPR.
5mg
PLENDIL
COMPR. ELIB. PREL. 10mg
PLENDIL
COMPR. ELIB. PREL. 2,5mg
PLENDIL
COMPR. ELIB. PREL. 5mg
SISTAR 10 mg
COMPR. FILM. ELIB. MODIF.
10mg
SISTAR 2,5 mg
COMPR. FILM. ELIB. MODIF.
2,5mg
SISTAR 5 mg
COMPR. FILM. ELIB. MODIF.
5mg
AURONAL 10 mg
COMPR. FILM. ELIB. PREL. 10mg
FELODIPIN SANDOZ 10 mg COMPR. FILM. ELIB. PREL. 10mg
AURONAL 2,5 mg
COMPR. FILM. ELIB. PREL. 2,5mg
AURONAL 5 mg
COMPR. FILM. ELIB. PREL. 5mg
FELODIPIN SANDOZ 5 mg COMPR. FILM. ELIB. PREL. 5mg
ADALAT CR 30
COMPR. ELIB. MODIF. 30mg
NIFEDIPIN RETARD TERAPIA 20 mg COMPR. ELIB. PREL. 20mg
VERAPAMIL ARENA 40 mg CAPS.
40mg
VERAPAMIL ARENA 80 mg CAPS.
80mg
ISOPTIN RR
COMPR. ELIB. PREL. 240mg
CORDAMIL 40 mg
COMPR. FILM. 40mg
CARVEDILOL AUROBINDO 12,5mg COMPR. FILM.

Detinator APP
AUROBINDO PHARMA (MALTA) LIMITED
AUROBINDO PHARMA (MALTA) LIMITED
AUROBINDO PHARMA (MALTA) LIMITED

TEVA PHARMACEUTICALS S.R.L.

MALTA
MALTA
MALTA

Ambalaj

Prescriptie

Nr crt.

273 C07AG02

tara det.
APP

P6L
P6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. P-6L

ICN POLFA RZESZOW S.A.

ACTAVIS GROUP PTC EHF.

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

ZENTIVA K.S.

REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

ROMANIA

ARENA GROUP S.A. ROMANIA

VIM SPECTRUM S.R.L. ROMANIA
VIM SPECTRUM S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

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

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

P6L
P6L
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L

HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L
KRKA D.D.
SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. P-6L
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL A CATE 10 COMPR. P-6L

ICN POLFA RZESZOW S.A.

ACTAVIS GROUP PTC EHF.

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

ZENTIVA K.S.

REPUBLICA CEHA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

ROMANIA

ARENA GROUP S.A. ROMANIA

VIM SPECTRUM S.R.L. ROMANIA
VIM SPECTRUM S.R.L. ROMANIA

ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA

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

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

P6L
P6L
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL.

P-6L

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

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

EGIS PHARMACEUTICALS P.L.C.

ROMANIA
ROMANIA
ROMANIA
UNGARIA

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

P-6L

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

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

P-6L

GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

EGIS PHARMACEUTICALS P.L.C.

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

HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
BAYER PHARMA AG GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF. P-6L
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L
ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L

AC HELCOR SRL

ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.

Pagina 6 din 21

P-6L

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

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

0.246149
0.285714
0.123074
0.123333
0.264299
0.264299
0.264299
0.264299
0.264299
0.264299
0.264299
0.255333
0.264299
0.264299
0.192500
0.264299
0.264299
0.264299
0.264299
0.264299
0.264299
0.125333
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.121500
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.264299
0.066074
0.132149
0.264299
0.066074
0.132149
0.264299
0.264299
0.066074
0.132149
0.132149
0.132149
0.088099
0.099832
0.199666
0.598999
0.099832

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.010993
0.000000
0.056926
0.000000
0.029367
0.029367
0.029367
0.029367
0.029367
0.029367
0.029367
0.000000
0.029367
0.029201
0.000000
0.009034
0.187701
0.029201
0.029367
0.029201
0.029367
0.000000
0.238184
0.097517
0.096851
0.098851
0.238184
0.238184
0.238184
0.049184
0.131184
0.237851
0.000000
0.003851
0.437517
0.237851
0.140517
0.237851
0.238184
1.030367
0.703926
0.712184
0.605367
0.434259
0.416851
0.605367
0.546034
0.434592
0.416851
0.251517
0.409993
0.135901
0.015168
0.000667
0.229001
0.011168

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.221534
0.257142
0.110766
0.110999
0.237869
0.237869
0.237869
0.237869
0.237869
0.237869
0.237869
0.229799
0.237869
0.237869
0.173250
0.237869
0.237869
0.237869
0.237869
0.237869
0.237869
0.112799
0.118934
0.118934
0.118934
0.118934
0.118934
0.118934
0.118934
0.118934
0.118934
0.118934
0.109350
0.118934
0.118934
0.118934
0.118934
0.118934
0.118934
0.237869
0.059466
0.118934
0.237869
0.059466
0.118934
0.237869
0.237869
0.059466
0.118934
0.118934
0.118934
0.079289
0.089848
0.179699
0.539099
0.089848

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.035608
0.028572
0.069234
0.012334
0.055797
0.055797
0.055797
0.055797
0.055797
0.055797
0.055797
0.025534
0.055797
0.055631
0.019250
0.035464
0.214131
0.055631
0.055797
0.055631
0.055797
0.012534
0.251399
0.110732
0.110066
0.112066
0.251399
0.251399
0.251399
0.062399
0.144399
0.251066
0.012150
0.017066
0.450732
0.251066
0.153732
0.251066
0.251399
1.056797
0.710534
0.725399
0.631797
0.440867
0.430066
0.631797
0.572464
0.441200
0.430066
0.264732
0.423208
0.144711
0.025152
0.020634
0.288901
0.021152

cod ATC

330 C08DA01
331 C08DA01
332 C08DA01
333 C08DB01
334 C08DB01
335 C08DB01
336 C08DB01
337 C08DB01
338 C08DB01
339 C08DB01
340 C08DB01
341 C09AA01
342 C09AA01
343 C09AA01
344 C09AA01
345 C09AA01
346 C09AA01
347 C09AA01
348 C09AA01
349 C09AA01
350 C09AA01
351 C09AA01
352 C09AA01
353 C09AA01
354 C09AA01
355 C09AA02
356 C09AA02
357 C09AA02
358 C09AA02
359 C09AA02
360 C09AA02
361 C09AA02
362 C09AA02
363 C09AA02
364 C09AA02
365 C09AA02
366 C09AA02
367 C09AA02
368 C09AA02
369 C09AA02
370 C09AA02
371 C09AA02
372 C09AA02
373 C09AA02
374 C09AA02
375 C09AA02
376 C09AA02
377 C09AA02
378 C09AA02
379 C09AA02
380 C09AA02
381 C09AA02
382 C09AA02
383 C09AA02
384 C09AA02

DCI

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
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

CORDAMIL 80 mg
ISOPTIN (R) 80 mg
VERAPAMIL 40 mg
VERAPAMIL 80 mg

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 LPH 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 LPH 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 VIM SPECTRUM 10 mg

ENALAPRIL LAROPHARM 10 mg

ENALAPRIL TERAPIA 10mg

ENALAPRIL 20 mg
ENALAPRIL LPH 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
ENALAPRIL LAROPHARM 20 mg

ENALAPRIL TERAPIA 20mg

ENALAPRIL 5 mg
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg

LABORMED PHARMA SA
PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

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

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

forma farm. concentratie

Detinator APP
COMPR. FILM. 80mg
AC HELCOR SRL
COMPR. FILM. 80mg
ABBOTT GMBH&CO.KG

DRAJ.
DRAJ.

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

40mg
80mg
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
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg

Prescriptie

Nr crt.

329 C08DA01

tara det.
APP
Ambalaj
ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.
GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.
ROMANIA CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 10 CAPS. ELIB. PREL.
ROMANIA CUTIE CU 3 BLIST. DIN FOLIE DE PVC/PVDC/AL X 7 CAPS. ELIB. PREL.
ROMANIA CUTIE X 2, BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR.
ROMANIA CUTIE X 2 BLIST. DIN AL/ PVC X 10 COMPR.
ROMANIA CUTIE X 6 BLIST. DIN PVC/AL X 10 COMPRIMATE

SANOFI-AVENTIS ROMANIA S.R.L.

SANOFI-AVENTIS ROMANIA S.R.L.

ROMPHARM COMPANY S.R.L.

ROMPHARM COMPANY S.R.L.

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

LABORMED PHARMA SA

ARENA GROUP 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
LABORMED PHARMA SA
LABORMED PHARMA SA

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

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
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

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. P-6L
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC, X 10 COMPR. P-6L
ARENA GROUP SA ROMANIA CUTIE X 10 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
LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
TERAPIA SA
ROMANIA CUTIE X 2 BLISTERE AL/PVC X 10 COMPRIMATE (2 ANI) P6L
MAGISTRA C & C
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
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR.
P-6L

MERCK SHARP & DOHME

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.

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.

MERCK SHARP & DOHME

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

SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L

LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
TERAPIA SA
ROMANIA CUTIE X 2 BLISTERE AL/PVC X 10 COMPRIMATE (2 ANI) P6L
MAGISTRA C & C
ROMANIA 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.

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

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR.
LABORMED PHARMA SA ROMANIA

Pagina 7 din 21

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

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

30
50
50
50
30
21
20
20
50
20
60
30
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
30
20
20
20
28
20
30
50
100
20
20
20
20
20
30
20
28
20
30
50
20
20
20
20
20
28
30
20
20

0.197666
0.199666
0.099832
0.197600
0.781541
0.227619
0.260513
0.260513
0.260513
0.260513
0.260513
0.350333
0.037324
0.074648
0.074648
0.074648
0.074648
0.074648
0.074648
0.074648
0.138000
0.149297
0.149297
0.138000
0.149297
0.136000
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.074648
0.074648
0.074648
0.074648
0.074648
0.074648

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000000
0.104134
0.145368
0.000000
0.411459
0.000000
0.008987
0.018987
0.017087
0.008987
0.019153
0.000000
0.080342
0.067018
0.076352
0.043852
0.043352
0.043352
0.080018
0.043852
0.000000
0.081369
0.044203
0.000000
0.006369
0.000000
0.050203
0.050036
0.049703
0.050203
0.041203
0.157131
0.050203
0.050036
0.050103
0.049903
0.050203
0.049703
0.050203
0.031905
0.031905
0.032071
0.031905
0.210333
0.031905
0.032071
0.032005
0.031905
0.031905
0.031905
0.018352
0.019352
0.069637
0.018685
0.018352
0.018352

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.177899
0.179699
0.089848
0.177840
0.703386
0.204857
0.234461
0.234461
0.234461
0.234461
0.234461
0.315299
0.033591
0.067183
0.067183
0.067183
0.067183
0.067183
0.067183
0.067183
0.124200
0.134367
0.134367
0.124200
0.134367
0.122400
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.067183
0.067183
0.067183
0.067183
0.067183
0.067183

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.019767
0.124101
0.155352
0.019760
0.489614
0.022762
0.035039
0.045039
0.043139
0.035039
0.045205
0.035034
0.084075
0.074483
0.083817
0.051317
0.050817
0.050817
0.087483
0.051317
0.013800
0.096299
0.059133
0.013800
0.021299
0.013600
0.065133
0.064966
0.064633
0.065133
0.056133
0.172061
0.065133
0.064966
0.065033
0.064833
0.065133
0.064633
0.065133
0.061765
0.061765
0.061931
0.061765
0.240193
0.061765
0.061931
0.061865
0.061765
0.061765
0.061765
0.025817
0.026817
0.077102
0.026150
0.025817
0.025817

cod ATC

386 C09AA02
387 C09AA02
388 C09AA02
389 C09AA02
390 C09AA03
391 C09AA03
392 C09AA03
393 C09AA03
394 C09AA03
395 C09AA03
396 C09AA03
397 C09AA03
398 C09AA03
399 C09AA03
400 C09AA03
401 C09AA03
402 C09AA03
403 C09AA03
404 C09AA03
405 C09AA03
406 C09AA03
407 C09AA03
408 C09AA03
409 C09AA03
410 C09AA05
411 C09AA05
412 C09AA05
413 C09AA05
414 C09AA05
415 C09AA05
416 C09AA05
417 C09AA05
418 C09AA05
419 C09AA05
420 C09AA05
421 C09AA05
422 C09AA05
423 C09AA05
424 C09AA05
425 C09AA05
426 C09AA05
427 C09AA05
428 C09AA05
429 C09AA05
430 C09AA05
431 C09AA05
432 C09AA05
433 C09AA05
434 C09AA05
435 C09AA05
436 C09AA05
437 C09AA05
438 C09AA05
439 C09AA06
440 C09AA06

DCI

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
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
QUINAPRILUM
QUINAPRILUM

Denumire Comerciala

ENALAPRIL ARENA 5 mg
ENALAPRIL SLAVIA 5 mg

forma farm.

COMPR.
COMPR.
ENALAPRIL LAROPHARM 5 mg COMPR.
ENALAPRIL TERAPIA 5mg COMPR.
ENAP 1,25 mg/ml
SOL. INJ./PERF.
RANOLIP
COMPR.
LISIREN 10 mg
COMPR.
LISINOPRIL SANDOZ 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.
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.
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.
ZENRA 10
COMPR.
TRITACE 10
COMPR.
RAMIPRIL AUROBINDO 10 mg COMPR.
AMPRIGEN 10 mg
COMPR.
RAMIRAN 10 mg
COMPR.
RAMIRAN 10 mg
COMPR.
VIVACE 2,5 mg
COMPR.
PIRAMIL 2,5 mg
COMPR.
RAMIPRIL-AC 2,5 mg
COMPR.
AMPRIL 2,5 mg
COMPR.
ZENRA 2,5
COMPR.
TRITACE(R) 2,5
COMPR.
AMPRIGEN 2,5 mg
COMPR.
RAMIRAN 2,5 mg
COMPR.
RAMIRAN 2,5 mg
COMPR.
VIVACE 5 mg
COMPR.
PIRAMIL 5 mg
COMPR.
RAMIPRIL-AC 5 mg
COMPR.
AMPRIL 5 mg
COMPR.
ZENRA 5
COMPR.
TRITACE 5
COMPR.
RAMIPRIL AUROBINDO 5 mg COMPR.
AMPRIGEN 5 mg
COMPR.
RAMIRAN 5 mg
COMPR.
RAMIRAN 5 mg
COMPR.
ACCUPRO 10 mg
COMPR. FILM.
ACCUPRO (R) 20
COMPR. FILM.

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

RANBAXY U.K. LIMITED

MAREA BRITANIE

AC HELCOR SRL
HEXAL AG

GERMANIA

MEDOCHEMIE ROMANIA SRL

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA
ROMANIA

RANBAXY U.K. LIMITED

MAREA BRITANIE

ROMANIA

GEDEON RICHTER ROMANIA SA

CUTIE X 3 BLIST. 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 CU BLIST. PVC/AL X 30 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
CUTIE X 3 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE CU BLIST. PVC/AL X 30 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

Prescriptie

Nr crt.

385 C09AA02

tara det.
concentratie
APP
Detinator APP
Ambalaj
5mg
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
5mg
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
5mg
LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR.
5mg
TERAPIA SA
ROMANIA CUTIE X 2 BLISTERE AL/PVC- X 10 COMPRIMATE (2 ANI)

P-6L

P6L
P6L
P6L
PR/PRF

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

AC HELCOR SRL
HEXAL AG

GERMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

ANTIBIOTICE SA

P-6L

ANTIBIOTICE SA

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

P-6L

MEDOCHEMIE ROMANIA SRL

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 3 BLIST. X 10 COMPR.

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE CU BLIST. PVC/AL X 30 COMPR.
CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
CUTIE X 4 BLIST. AL/AL X 7 COMPR.

ROMANIA

GEDEON RICHTER ROMANIA SA

MEDOCHEMIE ROMANIA SRL

ACTAVIS GROUP HF ISLANDA

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

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

ZENTIVA S.A.
SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

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

P-6L
P-6L

MALTA

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

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L
TERAPIA SA
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
TERAPIA SA
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L

AUROBINDO PHARMA (MALTA) LIMITED

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 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

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ZENTIVA S.A.
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

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

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

ZENTIVA S.A.
SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-6L
P-6L

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

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L
TERAPIA SA
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
TERAPIA SA
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
CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L

Pagina 8 din 21

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

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

0.074648
0.074648
0.074648
0.074648
3.204000
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.037324
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.597191
0.074648
0.074648
0.074648
0.074648
0.238214
0.302142
0.302000
0.302000
0.302142
0.464285
0.302142
0.302000
0.302000
0.302000
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.172142
0.248214
0.248000
0.248000
0.239285
0.298595
0.248214
0.248000
0.248000
0.248000
0.099531
0.199063

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.018685
0.015352
0.015352
0.018352
0.000000
0.369036
0.387703
0.120703
0.105036
0.120703
0.264036
0.237131
0.273747
0.500738
0.483905
0.080405
0.080405
0.513405
0.350333
0.129905
0.762142
0.190018
0.118018
0.118352
0.188566
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000345
0.022845
0.019036
0.022703
0.016774
0.115345
0.022703
0.022703
0.022703
0.000000
0.000000
0.000000
0.000000
0.000000
0.083190
0.000000
0.000000
0.000000
0.000000
0.302135
0.377603

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.067183
0.067183
0.067183
0.067183
2.883600
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.033591
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.537471
0.067183
0.067183
0.067183
0.067183
0.214392
0.271927
0.271800
0.271800
0.271927
0.417856
0.271927
0.271800
0.271800
0.271800
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.134367
0.154927
0.223392
0.223200
0.223200
0.215356
0.268735
0.223392
0.223200
0.223200
0.223200
0.089577
0.179156

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.026150
0.022817
0.022817
0.025817
0.320400
0.383966
0.402633
0.135633
0.119966
0.135633
0.278966
0.252061
0.277480
0.530598
0.513765
0.110265
0.110265
0.543265
0.380193
0.159765
0.821862
0.197483
0.125483
0.125817
0.196031
0.023822
0.030215
0.030200
0.030200
0.030215
0.046429
0.030215
0.030200
0.030200
0.030200
0.015275
0.037775
0.033966
0.037633
0.031704
0.130275
0.037633
0.037633
0.037633
0.017215
0.024822
0.024800
0.024800
0.023929
0.113050
0.024822
0.024800
0.024800
0.024800
0.312089
0.397510

DCI

449 C09AA09

QUINAPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM

450 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

451 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

452 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

453 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM)

454 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

455 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

456 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM)

457 C09CA01

LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM

Nr crt.

442 C09AA09
443 C09AA09
444 C09AA09
445 C09AA09
446 C09AA09
447 C09AA09
448 C09AA09

458 C09CA01
459 C09CA01
460 C09CA01
461 C09CA01
462 C09CA01
463 C09CA01
464 C09CA01
465 C09CA01
466 C09CA01
467 C09CA01
468 C09CA01
469 C09CA01
470 C10AA01
471 C10AA01
472 C10AA01
473 C10AA01
474 C10AA01
475 C10AA01
476 C10AA01
477 C10AA01
478 C10AA01
479 C10AA01
480 C10AA01
481 C10AA01
482 C10AA01
483 C10AA01
484 C10AA01
485 C10AA01
486 C10AA01
487 C10AA01
488 C10AA01
489 C10AA01
490 C10AA01
491 C10AA01
492 C10AA01
493 C10AA01
494 C10AA01
495 C10AA01
496 C10AA01

Denumire Comerciala

ACCUPRO (R) 5
MONOPRIL 10 mg
FOSYPRIL 10 mg

forma farm. concentratie

Detinator APP
COMPR. FILM. 5mg
PFIZER EUROPE MA EEIG

COMPR.
COMPR.
FOSINOPRIL AUROBINDO 10 mg COMPR.
MONOPRIL 10 mg
COMPR.
MONOPRIL 20 mg
COMPR.
FOSYPRIL 20 mg
COMPR.
FOSINOPRIL AUROBINDO 20 mg COMPR.
MONOPRIL 20 mg
COMPR.
ENAP HL
COMPR.
ENAP H
COMPR.
VIMAPRIL H
COMPR.
ENAP (R) HL 20 mg/12,5 mg COMPR.
TRITACE 2,5 PLUS
COMPR.
HARTIL HCT 5 mg/25mg
COMPR.
TRITACE 5 PLUS
COMPR.
LODIAL 100mg
COMPR. FILM.
TALOSAN 100 mg
COMPR. FILM.
TALOSAN 100 mg
COMPR. FILM.
LOZAP 100
COMPR. FILM.
LORISTA 100 mg
COMPR. FILM.
LOSARTAN ZENTIVA 100 mg COMPR. FILM.

LODIAL 50mg
TALOSAN 50 mg
TALOSAN 50 mg
LOZAP 50
COZAAR 50 mg
LORISTA 50 mg
LOSARTAN ZENTIVA 50 mg
SIMVASTATINA ARENA 10 mg

SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg
SINTENAL 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg
SIMVASTATINA SUN 10 mg
SIMVACARD 10 mg
SIMVASTATIN AUROBINDO 10 mg

SIMVASTATIN ACTAVIS 10 mg
SIMVASTATIN TERAPIA 10 mg
SIMVASTATINA ARENA 20 mg

SIMVAHEXAL (R) 20 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
SINTENAL 20 mg
VASILIP 20 mg
SIMCOR 20 mg
SIMVASTATIN LPH 20 mg
SIMVASTATINA SUN 20 mg
SIMVACARD 20 mg
SIMVASTATIN AUROBINDO 20 mg

SIMVASTATIN ACTAVIS 20 mg
SIMVASTATIN TERAPIA 20 mg

SIMVAHEXAL (R) 30 mg
SIMVASTATINA ARENA 40 mg

VASILIP (R) 40 mg

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

10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg

MAREA BRITANIE

Ambalaj

Prescriptie

cod ATC

441 C09AA06

tara det.
APP

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

TERAPIA SA

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

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PHARMASWISS CESK REPUBLIKA S.R.O.

REPUBLICA CEHA

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

BRISTOL-MYERS SQUIBB

TERAPIA SA

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

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

BRISTOL MYERS SQUIBB KFT

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

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

PHARMASWISS CESK REPUBLIKA S.R.O.

REPUBLICA CEHA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR.
P-6L
10mg+12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L
10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L

10mg/25mg VIM SPECTRUM SRL ROMANIA

CUTIE X 3 BLIST.OPA-AL-PVC/AL A CATE 10 CAPS. P-6L

20 mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L
2,5mg/12,5mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L
5mg/25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L

5mg/25mg
100 mg
100mg
100mg
100mg
100mg
100mg
50 mg
50mg
50mg
50mg
50mg
50mg
50mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
30mg
40 mg
40mg

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

ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 2 BLIST. DIN PVC/AL X 15 COMPR. FILM. P6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ZENTIVA A.S.

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

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L

ZENTIVA A.S.

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
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L

ZENTIVA A.S.

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

P-6L

MERCK SHARP & DOHME

ROMANIA

P-6L

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

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 2 BLIST. AL/PVC 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

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

CIPLA (UK) LIMITED MAREA BRITANIE

ZENTIVA K.S.
CEHIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

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

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

P6L

TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
GEDEON RICHTER ROMANIA SA

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

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

MERCK SHARP & DOHME

P-6L

KRKA D.D.
ANTIBIOTICE SA

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

P-6L

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

SLOVENIA

P-6L

P-6L

CIPLA (UK) LIMITED MAREA BRITANIE

ZENTIVA K.S.
CEHIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

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

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

P6L

TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM P-6L
Pagina 9 din 21

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

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

0.049765
0.099531
0.099531
0.099531
0.099531
0.199063
0.199063
0.199063
0.199063
0.380925
0.380925
0.380925
0.380925
0.314285
0.374285
0.380925
0.694927
0.694927
0.694927
0.445333
0.517857
0.445333
0.334333
0.334333
0.334333
0.268000
0.347463
0.334642
0.268000
0.125296
0.125296
0.125296
0.125296
0.125296
0.125296
0.125296
0.125296
0.125296
0.125296
0.125296
0.250593
0.250593
0.250593
0.250593
0.250593
0.250593
0.250593
0.250593
0.235000
0.245357
0.246000
0.118666
0.250593
0.375890
0.501187
0.501187

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.142235
0.485826
0.281135
0.281135
0.485826
0.649865
0.352937
0.352937
0.649865
0.046075
0.086075
0.013075
0.031075
0.000000
0.000000
0.194789
0.529739
0.423073
0.423073
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.167179
0.000000
0.000000
0.198989
0.022037
0.078275
0.186370
0.198275
0.198704
0.016846
0.023275
0.022704
0.022037
0.179370
0.182621
0.090073
0.182621
0.415835
0.182407
0.182621
0.182407
0.182407
0.000000
0.000000
0.000000
0.000000
0.182407
0.107443
0.605955
0.450241

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.044788
0.089577
0.089577
0.089577
0.089577
0.179156
0.179156
0.179156
0.179156
0.342832
0.342832
0.342832
0.342832
0.282856
0.336856
0.342832
0.625434
0.625434
0.625434
0.400799
0.466071
0.400799
0.300899
0.300899
0.300899
0.241200
0.312716
0.301177
0.241200
0.112766
0.112766
0.112766
0.112766
0.112766
0.112766
0.112766
0.112766
0.112766
0.112766
0.112766
0.225533
0.225533
0.225533
0.225533
0.225533
0.225533
0.225533
0.225533
0.211500
0.220821
0.221400
0.106799
0.225533
0.338301
0.451068
0.451068

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.147212
0.495780
0.291089
0.291089
0.495780
0.669772
0.372844
0.372844
0.669772
0.084168
0.124168
0.051168
0.069168
0.031429
0.037429
0.232882
0.599232
0.492566
0.492566
0.044534
0.051786
0.044534
0.033434
0.033434
0.033434
0.026800
0.201926
0.033465
0.026800
0.211519
0.034567
0.090805
0.198900
0.210805
0.211234
0.029376
0.035805
0.035234
0.034567
0.191900
0.207681
0.115133
0.207681
0.440895
0.207467
0.207681
0.207467
0.207467
0.023500
0.024536
0.024600
0.011867
0.207467
0.145032
0.656074
0.500360

cod ATC

498 C10AA01
499 C10AA01
500 C10AA01
501 C10AA01
502 C10AA01
503 C10AA01
504 C10AA01
505 C10AA01
506 C10AA01
507 C10AA02
508 C10AA02
509 C10AA03
510 C10AA03
511 C10AB05
512 C10AB05
513 C10AB05
514 C10AB05
515 D01AC02
516 D07AA02
517 D07AC01
518 D07AC01
519 D07AC01
520 G01AF04
521 G01AF04
522 G02AB03
523 G03BA03
524 G03BA03
525 G03BA03
526 G03BA03
527 G03BA03
528 G03CA03
529 G03CA03
530 G04CAN1
531 G04CAN1
532 G04CAN1
533 G04CAN1
534 G04CAN1
535 G04CAN1
536 G04CAN1
537 G04CAN1
538 H02AB04
539 H02AB04
540 H02AB04
541 H02AB07
542 H02AB07
543 H02AB07
544 H02AB07
545 H02AB09
546 H02AB09
547 H02AB09
548 H02AB09
549 H02AB09
550 J01AA02
551 J01AA02
552 J01AA02

SIMVASTATIN ACTAVIS 40 mg
SIMVASTATIN TERAPIA 40 mg

MEDOSTATIN

COMPR.

DCI

Denumire Comerciala

SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM

ZEPLAN (R) 40 mg
SINTENAL 40 mg
SIMVAHEXAL (R) 40 mg
SIMCOR 40 mg
SIMVASTATIN LPH 40 mg
SIMVASTATINA SUN 40 mg
SIMVACARD 40 mg
SIMVASTATIN AUROBINDO 40 mg

LOVASTATINA ARENA 20 mg COMPR.

PRAVATOR 20 mg
PRAVATOR 40 mg
LIPOFIB 160 mg
LIPIVIM
LIPANTHYL SUPRA 160 mg
LIPANTIL NANO 145 mg
MICONAZOL NITRAT 2%
HIDROCORTIZON 1%
EKARZIN 0,5MG/G
BETADERM 1 mg/g
BETADERM 1mg/g
GYNOZOL 200
GYNOZOL 400

COMPR.
COMPR.
CAPS.
CAPS. PULB. MICRONIZATA

COMPR. ELIB. MODIF.

COMPR. FILM.

CREMA
UNGUENT
CREMA
CREMA
UNGUENT
CAPS. VAG.
CAPS. VAG.
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.
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)

COMPR. ELIB. MODIF.

CARDURA XL 4 mg (vezi G04CAN1)

COMPR. ELIB. MODIF.

SOLU - MEDROL ACT-O-VIAL

LIOF. SI SOLV.PT.SOL.INJ

LEMOD SOLU 125 mg

LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg

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

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

COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
HYDROCORTISONE ROUSSEL COMPR.
HYDROCORTISONE SUCCINAT SODIC

HIDROCORTIZON HF 500 mg
HIDROCORTIZON HF 100 mg

LIOF. + SOLV. PT. SOL. INJ.

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

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

SOL. INJ. I.V.

DOXICICLINA ATB 100 mg CAPS.
DOXICICLINA ARENA
CAPS.
DOXICICLINA SANDOZ 100 mg CAPS.
HIDROCORTIZON HEMISUCCINAT

20mg
20mg
20mg
40mg
160mg
200mg
160mg
145mg
2%
1%
0,5mg/g
1mg/g
1mg/g
200mg
400mg
0,2mg/ml
40mg
50mg
50mg
1000mg/4ml
1000mg/4ml
0,6mg/g
50g/24ore
1mg
1mg
2mg
2mg
4mg
4mg
4mg
4mg
250mg/4ml
125mg
500mg
5mg
5mg
5mg
5mg
10mg
100mg
500mg
100mg
25mg/5ml
100 mg
100mg
100mg

MEDOCHEMIE LTD. CIPRU

CUTIE X 1 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.
RANBAXY U.K. LIMITED
RANBAXY U.K. LIMITED

MAREA BRITANIE
MAREA BRITANIE

Prescriptie

Nr crt.

497 C10AA01

tara det.
forma farm. concentratie
APP
Detinator APP
Ambalaj
COMPR. FILM. 40mg
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
COMPR. FILM. 40mg
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
COMPR. FILM. 40mg
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
COMPR. FILM. 40mg
ANTIBIOTICE S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
COMPR. FILM. 40mg
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
COMPR. FILM. 40mg
CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
COMPR. FILM. 40mg
ZENTIVA K.S.
CEHIA
CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM.
COMPR. FILM. 40mg
AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM.
COMPR. FILM. 40mg
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
COMPR. FILM. 40mg
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

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

P6L
P6L
P6L
P-6L
P-6L

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

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

TERAPIA SA

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

VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

P-6L

LAB. FOURNIER SA FRANTA

LABORATOIRES FOURNIER S.A.S. FRANTA
SLAVIA PHARM SRL ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA

P-6L

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

P-6L

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

CUTIE X 1 TUB X 20 G
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 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
P-RF
P-RF

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

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

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

N.V. ORGANON

CUTIE X 6 PLICURI DIN PES-AL-PE X 1 BLIST. AL/PVC X 10 CAPS. MOI P-RF

LAB. BESINS INTERNATIONAL

FERRING GMBH
BAYER PHARMA AG
BAYER PHARMA AG

OLANDA
FRANTA

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

PR/PRF

GERMANIA

CUTIE CU 1 FIOLA DIN STICLA BRUNA, CU CAPACITATEA DE 5 ML A 4 ML SOL. INJ.

S/P-RF

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 6 ML A 4 ML SOL. INJ.

PR/PRF

FRANTA

CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN

P-6L

BAYER PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

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 4 BLIST. AL-PA-PVDC/AL-PVDC X 7 COMPR. ELIB. PREL.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 4 BLIST. AL-PA-PVDC/AL-PVDC X 7 COMPR. ELIB. PREL.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

STADA HEMOFARM S.R.L.

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

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

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

LABORATOIRES BESINS INTERNATIONAL

STADA HEMOFARM S.R.L.

MAGISTRA C&C S.R.L.

ARENA GROUP SA
SINTOFARM SA
GEDEON RICHTER ROMANIA SA

CN UNIFARM
E.I.P.I.CO. MED S.R.L.
STADA HEMOFARM S.R.L.
STADA HEMOFARM S.R.L.

ZENTIVA S.A.
ANTIBIOTICE S.A.
ARENA GROUP SA
SANDOZ SRL

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.

P-RF
S/P-RF
S/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 CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 20 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, CONTINAND PULB. PT. SOL. INJ./PERF. SI 1 FIOLA CU 4 ML SOLV.

PR/PRF

CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 5 ML, INCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DE ALUMINIU, CONTINAND PULB. PT. SOL.INJ./PERF. SI O FIOLA CU 2 ML SOLV.

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.

PRF

Pagina 10 din 21

P-RF
P-RF

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

28
0.501187
30
0.501187
30
0.501187
30
0.501187
30
0.501187
28
0.323571
28
0.337857
30
0.338000
30
0.237333
30
0.501187
10
0.167062
30
0.167062
28
0.250593
28
0.501187
30
0.754650
30
0.881000
30
0.754650
30
0.683901
1
4.636666
1
7.670000
1
7.670000
1
3.512400
1
3.512400
6
1.031666
3
1.976666
5
1.480000
60
0.818333
30
4.574333
30
4.832083
1 434.605000
1 434.350000
1
6.415578
4
7.755000
30
0.148687
30
0.148687
30
0.297374
30
0.297374
30
0.594749
30
0.594749
28
0.594749
28
0.594749
1 16.565000
1
8.282500
1 31.020000
20
0.090333
30
0.090333
30
0.090333
20
0.090333
25
0.506800
1
3.527999
1 11.910000
1
3.527999
5
0.881999
10
0.376250
20
0.363000
10
0.361000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.049170
0.565146
0.125479
0.605146
0.605146
0.000000
0.000000
0.000000
0.000000
0.390813
0.357938
0.727604
0.581549
0.814884
0.034350
0.000000
0.420016
0.486765
2.373334
0.000000
0.000000
2.247600
2.247600
0.000000
0.000000
0.000000
0.000000
0.000000
0.773250
0.765000
0.000000
7.404422
0.000000
0.203646
0.203646
0.293292
0.293292
0.044251
0.044251
0.388465
0.388465
3.915000
0.527500
0.000000
0.046667
0.000000
0.033333
0.043167
0.000000
0.382001
0.000000
3.562001
3.544001
0.039750
0.000000
0.000000

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.451068
0.451068
0.451068
0.451068
0.451068
0.291213
0.304071
0.304200
0.213599
0.451068
0.150355
0.150355
0.225533
0.451068
0.679185
0.792900
0.679185
0.615510
4.172999
6.903000
6.903000
3.161160
3.161160
0.928499
1.778999
1.332000
0.736499
4.116899
4.348874
391.144500
390.915000
5.774020
6.979500
0.133818
0.133818
0.267636
0.267636
0.535274
0.535274
0.535274
0.535274
14.908500
7.454250
27.918000
0.081299
0.081299
0.081299
0.081299
0.456120
3.175199
10.719000
3.175199
0.793799
0.338625
0.326700
0.324900

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.099289
0.615265
0.175598
0.655265
0.655265
0.032358
0.033786
0.033800
0.023734
0.440932
0.374645
0.744311
0.606609
0.865003
0.109815
0.088100
0.495481
0.555156
2.837001
0.767000
0.767000
2.598840
2.598840
0.103167
0.197667
0.148000
0.081834
0.457434
1.256459
44.225500
43.435000
8.045980
0.775500
0.218515
0.218515
0.323030
0.323030
0.103726
0.103726
0.447940
0.447940
5.571500
1.355750
3.102000
0.055701
0.009034
0.042367
0.052201
0.050680
0.734801
1.191000
3.914801
3.632201
0.077375
0.036300
0.036100

cod ATC

554 J01CA04
555 J01CA04
556 J01CA04
557 J01CA04
558 J01CA04
559 J01CA04
560 J01CA04
561 J01CA04
562 J01CA04
563 J01CA04
564 J01CA04
565 J01CA04
566 J01CA04
567 J01CA04
568 J01CA04
569 J01CA04
570 J01CA04
571 J01CA04

DCI

AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM

572 J01CE02 PHENOXYMETHYLPENICILLINUM

573 J01CE02 PHENOXYMETHYLPENICILLINUM
574 J01CE02 PHENOXYMETHYLPENICILLINUM
575 J01CE02 PHENOXYMETHYLPENICILLINUM
576 J01CE08 BENZATHINI BENZYLPENICILLINUM
577 J01CE08 BENZATHINI BENZYLPENICILLINUM
578 J01CF04
579 J01CF04
580 J01CF04
581 J01CF04
582 J01CF04
583 J01CF04
584 J01CF04
585 J01CF04
586 J01CF04
587 J01CF04
588 J01CF04
589 J01CF04
590 J01CF04
591 J01CF04
592 J01CF04

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

forma farm.
Denumire Comerciala
AMOXICILINA ARENA 250 mg CAPS.
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

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

OSPAMOX 1000 mg
COMPR. FILM. 1000mg
OSPAMOX 500 mg
COMPR. FILM. 500mg
AMOXICILINA TERAPIA 1 g COMPR. PT. DISP. ORALA 1g
DUOMOX 1000 mg
COMPR. PT. DISPERSIE ORALA 1000mg
DUOMOX 250 mg
COMPR. PT. DISPERSIE ORALA 250mg
DUOMOX 500 mg
COMPR. PT. DISPERSIE ORALA 500mg
DUOMOX 750 mg
COMPR. PT. DISPERSIE ORALA 750mg
AMOXICILINA SANDOZ 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml
AMOXICILINA SANDOZ 250 mg/ 5 ml PULB. PT. SUSP. ORALA 250mg/5ml
OSPAMOX 250 mg/5 ml
PULB. PT. SUSP. ORALA 250mg/5ml
OSPEN (R) 1000
COMPR. FILM. 1000000ui
OSPEN 1500
COMPR. FILM. 1500000ui
OSPEN (R) 500
COMPR. FILM. 500000ui
OSPEN 400.000 U.I./5 ml
SUSP. ORALA 400.000U.I./5ml
MOLDAMIN 1200000 UI
PULB. PT. SUSP. INJ. 1200000UI
MOLDAMIN 1200000 UI
PULB. PT. SUSP. INJ. 1200000UI
OXACILINA ARENA 250 mg CAPS.
250mg
OXACILINA 250 mg
CAPS.
250mg
OXACILINA SANDOZ 250 mg CAPS.
250mg
OXACILINA 500 mg
CAPS.
500mg
OXACILINA ARENA 500 mg CAPS.
500mg
OXACILINA FORTE 500 mg CAPS.
500mg
OXACILINA SANDOZ 500 mg CAPS.
500mg
OXACILINA ATB 1000 mg
PULB. PT. SOL. INJ./PERF. 1000mg
OXACILINA ATB 1000 mg
PULB. PT. SOL. INJ./PERF. 1000mg
OXACILINA ATB 500 mg
PULB. PT. SOL. INJ./PERF. 500mg
OXACILINA ATB 500 mg
PULB. PT. SOL. INJ./PERF. 500mg
OXACILINA ANTIBIOTICE 500 mg
500mg
OXACILINA ANTIBIOTICE 500 mg
500mg
OXACILINA ANTIBIOTICE 1 g
1g
OXACILINA ANTIBIOTICE 1 g
1g
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.
PULB. PT. SOL. INJ./PERF.I.M./I.V.

593 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN SR 1000 mg/62,5 mg

594 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

COMPR. ELIB. PREL.

602 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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.

603 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 1000 mg

604 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 1000 mg

605 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 625 mg

AMOKSIKLAV QUICKTAB 625 mg

595 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

596 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
597 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
598 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
599 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
600 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
601 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

606 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

607 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM
608 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 156,25mg/5ml
AMOKSIKLAV 2x

P-RF
P-RF
P-RF/S

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

SANDOZ GMBH
SANDOZ GMBH
TERAPIA SA

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

AUSTRIA 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

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

ASTELLAS PHARMA EUROPE BV

ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV

SANDOZ S.R.L.
SANDOZ S.R.L.
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
SANDOZ GMBH
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ARENA GROUP SA
ANTIBIOTICE SA
SANDOZ SRL
ANTIBIOTICE SA
ARENA GROUP SA

ROMANIA
ROMANIA

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
FARMEX COMPANY SRL ROMANIA
SANDOZ SRL
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA
ANTIBIOTICE SA
ROMANIA

1000mg/62,5mg BEECHAM GROUP PLC

1000mg

Prescriptie

Nr crt.

553 J01CA04

tara det.
concentratie
APP
Detinator APP
Ambalaj
250mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
250mg
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
250mg
SANDOZ GMBH
AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS.
250mg
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
500mg
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
500mg
FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
500mg
FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
500mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS.
500mg
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

MAREA BRITANIE

P-RF

P-RF
P-RF
P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA CONTINAND 20 G PULB PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

P-RF

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 20 G PULB. PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE PE CU GRADATII PT. 1,25 ML, 2,5 ML, 5 ML

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

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

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

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

PRF

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

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

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

P-RF

500 mg/125 mg RANBAXY UK LIMITED

MAREA BRITANIE

500/125mg

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

P-RF

MAREA BRITANIE

P-RF

LEK PHARMACEUTICALS D.D.

ANTIBIOTICE S.A.

500mg/125mg BEECHAM GROUP PLC

500mg/125mg AUROBINDO PHARMA LIMITED

CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT

P-RF

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

P-RF

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

P-RF

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.

P-RF

1000mg
1000mg
625mg
625mg

BIOMEDIAL PHARMA S.R.L.

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

P-RF

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

P-RF

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

P-RF

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

P-RF

PULB. PT. SUSP. ORALA

156,25mg/5ml

LEK PHARMACEUTICALS D.D.

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

P-RF

PULB. PT. SUSP. ORALA

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

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

P-RF

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

625mg

LEK PHARMACEUTICALS D.D.

MAREA BRITANIE

CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT

SANDOZ S.R.L.
BIOMEDIAL PHARMA S.R.L.

SANDOZ S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
SLOVENIA

Pagina 11 din 21

P-RF
P-RF

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

20
20
12
20
10
10
20
10
10
12
12
21
20
20
20
20
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
14
14
1
1

0.308000
0.314775
0.314775
0.314775
0.483636
0.483636
0.440500
0.483636
0.483636
0.910000
0.483636
0.959047
0.967273
0.314775
0.483636
0.725455
1.888650
3.777300
3.777300
0.299166
0.457031
0.152343
0.203124
4.970048
4.662700
0.307220
0.307220
0.307220
0.614440
0.614440
0.558500
0.614440
5.303075
4.622300
2.651537
2.651537
2.651537
2.651537
4.622300
5.303075
1.181428
0.962142
0.590714
0.590714
0.590714
0.590714
0.590714
0.962142
1.033749
0.962142
1.033749
1.033749
0.590714
0.590714
5.986607
6.700000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000000
0.045225
0.055225
0.004225
0.123364
0.108364
0.000000
0.106364
0.009364
0.000000
0.008030
0.000000
0.008227
0.115225
0.115864
0.035545
4.061350
1.232700
1.212700
0.000000
0.070469
0.073490
8.716876
0.619952
0.000000
0.061280
0.084280
0.092780
0.163560
0.028560
0.000000
0.115560
0.226925
0.000000
2.448463
1.668063
1.668063
2.448463
0.000000
0.226925
0.461429
0.000000
0.000357
0.000000
0.318571
0.000000
0.000000
0.000000
0.445536
0.000000
0.824108
0.824108
0.634286
0.634286
4.833393
0.000000

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.277200
0.283297
0.283297
0.283297
0.435272
0.435272
0.396450
0.435272
0.435272
0.819000
0.435272
0.863142
0.870545
0.283297
0.435272
0.652909
1.699785
3.399570
3.399570
0.269249
0.411327
0.137108
0.182811
4.473043
4.196430
0.276498
0.276498
0.276498
0.552996
0.552996
0.502650
0.552996
4.772767
4.160070
2.386383
2.386383
2.386383
2.386383
4.160070
4.772767
1.063285
0.865927
0.531642
0.531642
0.531642
0.531642
0.531642
0.865927
0.930374
0.865927
0.930374
0.930374
0.531642
0.531642
5.387946
6.030000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.030800
0.076703
0.086703
0.035703
0.171728
0.156728
0.044050
0.154728
0.057728
0.091000
0.056394
0.095905
0.104955
0.146703
0.164228
0.108091
4.250215
1.610430
1.590430
0.029917
0.116173
0.088725
8.737189
1.116957
0.466270
0.092002
0.115002
0.123502
0.225004
0.090004
0.055850
0.177004
0.757233
0.462230
2.713617
1.933217
1.933217
2.713617
0.462230
0.757233
0.579572
0.096215
0.059429
0.059072
0.377643
0.059072
0.059072
0.096215
0.548911
0.096215
0.927483
0.927483
0.693358
0.693358
5.432054
0.670000

cod ATC

DCI

Denumire Comerciala

forma farm.

concentratie

Detinator APP

Ambalaj

Prescriptie

Nr crt.

tara det.
APP

609 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP. ORALA

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

SLOVENIA

610 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

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

PULB. PT. SUSP. ORALA

400mg/57mg/5ml

MALTA

611 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

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

P-RF

612 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

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

P-RF

613 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57mg/5ml SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

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

P-RF

614 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN (R) ES
AMOKSIKLAV 312,5mg/5ml

PULB. PT. SUSP. ORALA

600 mg/42,9mg/5ml SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

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

P-RF

PULB. PT.SUSP. ORALA

312,5mg/5ml

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

P-RF

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
250mg
250mg
250mg
500mg
500mg
500mg
500mg
750mg
375mg
750mg
375mg
500mg
750mg
125mg/5ml
125mg/5ml
250 mg/5 ml
250 mg/5 ml
250mg/5ml

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.

P-RF

AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA

P-RF

615 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

616 J01DB01
617 J01DB01
618 J01DB01
619 J01DB01
620 J01DB01
621 J01DB01
622 J01DB01
623 J01DB01
624 J01DB01
625 J01DB01
626 J01DB01
627 J01DB01
628 J01DB01
629 J01DB01
630 J01DB01
631 J01DB05
632 J01DB05
633 J01DB05
634 J01DB05
635 J01DB05
636 J01DB05
637 J01DC02
638 J01DC02
639 J01DC02
640 J01DC02
641 J01DC02
642 J01DC02
643 J01DC02
644 J01DC02
645 J01DC02
646 J01DC02
647 J01DC04
648 J01DC04
649 J01DC04
650 J01DC04
651 J01DC04
652 J01DC04
653 J01DC04
654 J01DC04
655 J01DC04
656 J01DC04
657 J01DC04
658 J01DC04
659 J01DC04
660 J01DC04
661 J01DC04
662 J01DC04
663 J01DC04
664 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
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM

CEFALEXINA ARENA 250 mg CAPS.

CEFALEXINA ATB 250 mg

OSPEXIN (R) 250 mg

CAPS.
CAPS.
CEFALEXIN SANDOZ 250 mg CAPSULE CAPS.
CEFALEXINA ATB 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 ATB 250 mg
CEFUROXIMA ATB 250 mg
CEFUROXIMA AUROBINDO 250 mg

CEFUROXIMA ATB 500 mg

CEFUROXIMA ATB 500 mg
CEFUROXIMA AUROBINDO 500 mg

ZINNAT (R) 125 mg

ZINNAT (R) 250 mg
ZINNAT (R) 500 mg
ZINNAT
CEFACLOR ARENA 250 mg
CLORACEF (R) 250
CEFACLOR TERAPIA 250 mg

CLORACEF (R) FORTE 500

CEFACLOR ARENA 500 mg
CEFACLOR TERAPIA 500 mg

CECLOR MR 500 mg
CECLOR MR 750 mg

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

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

CEFACLOR TERAPIA MR 375

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

COMPR. FILM. ELIB. MODIF.

CECLOR (R) 125 mg/5 ml

GRAN. PT. SUSP. ORALA

CEFACLOR TERAPIA 125mg/5ml

CEFACLOR TERAPIA 250mg/5ml
CEFACLOR TERAPIA 250mg/5ml

CECLOR (R) 250 mg/5 ml

COMPR. ELIB. PREL.

COMPR. ELIB. PREL.

COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. MODIF.

GRAN. PT. SUSP. ORALA

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

AUROBINDO PHARMA (MALTA) LIMITED

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE
CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA + 1 SERINGA DE POLISTIREN CU GRADATII LA INTERVALE DE 0,5 ML

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

P-RF
P-RF
P-RF
P-RF
P-RF
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.

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 CU 1 FLAC. DIN STICLA BRUNA CONTINAND GRANULE PT. 50 ML SUSP. ORALA + 1 MASURA DOZATOARE

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

PRF

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

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

AUROBINDO PHARMA ROMANIA S.R.L.

P-RF

P-RF

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

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

P-RF

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

P-RF

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

ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS.
TERAPIA SA
ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.
DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 CAPS.
TERAPIA SA
ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS.
ACTAVIS GROUP HF ISLANDA CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL.
ACTAVIS GROUP HF ISLANDA CUTIE CU 1 BLIST. PVC-ACLAR/AL X 10 COMPR. CU ELIB. PREL.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF.
ACTAVIS GROUP HF ISLANDA
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 75 ML SUSP. ORALA
TERAPIA SA
ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN. PT. 100 ML SUSP. ORALA
ACTAVIS GROUP HF ISLANDA
CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE

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

Pagina 12 din 21

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

PRF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

1
1
1
1
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
10
16
15
16
10
15
10
10
10
10
10
10
10
1
1
1
1
1

13.410000
6.700000
6.705000
6.705000
13.410000
28.735714
11.973214
0.467549
0.467549
0.467549
0.467549
0.935099
0.934000
0.935099
1.365000
0.935099
5.307500
5.307500
5.307500
10.615000
9.820000
9.820000
0.467549
0.935099
0.935099
1.870199
5.307500
10.615000
0.982800
0.982800
0.982800
1.863000
1.863000
1.863000
1.076700
0.982800
1.965600
10.767000
0.491400
0.491400
0.491400
0.982800
0.982800
0.982800
0.982800
1.474200
0.737100
1.474200
0.737100
0.982800
1.474200
8.075250
8.075250
16.150500
17.950000
16.150500

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000000
0.000000
3.615000
3.615000
7.220000
6.844286
7.026786
0.150451
0.155951
0.149951
0.153451
0.155901
0.000000
0.103901
0.000000
0.092401
1.122500
1.842500
1.842500
0.265000
0.000000
0.000000
1.456451
0.460901
0.415901
0.842801
7.192500
0.955000
0.109200
0.109200
0.109200
0.000000
0.000000
0.000000
0.054300
0.698200
0.900400
9.373000
1.081600
0.896100
0.463933
0.782200
1.911200
0.783200
1.733200
2.238800
2.557900
1.020800
2.811900
0.783200
1.020800
5.854750
0.984750
1.799500
0.000000
11.459500

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

12.069000
6.030000
6.034500
6.034500
12.069000
25.862142
10.775892
0.420794
0.420794
0.420794
0.420794
0.841589
0.840600
0.841589
1.228500
0.841589
4.776750
4.776750
4.776750
9.553500
8.838000
8.838000
0.420794
0.841589
0.841589
1.683179
4.776750
9.553500
0.884520
0.884520
0.884520
1.676700
1.676700
1.676700
0.969030
0.884520
1.769040
9.690300
0.442260
0.442260
0.442260
0.884520
0.884520
0.884520
0.884520
1.326780
0.663390
1.326780
0.663390
0.884520
1.326780
7.267725
7.267725
14.535450
16.155000
14.535450

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

1.341000
0.670000
4.285500
4.285500
8.561000
9.717858
8.224108
0.197206
0.202706
0.196706
0.200206
0.249411
0.093400
0.197411
0.136500
0.185911
1.653250
2.373250
2.373250
1.326500
0.982000
0.982000
1.503206
0.554411
0.509411
1.029821
7.723250
2.016500
0.207480
0.207480
0.207480
0.186300
0.186300
0.186300
0.161970
0.796480
1.096960
10.449700
1.130740
0.945240
0.513073
0.880480
2.009480
0.881480
1.831480
2.386220
2.631610
1.168220
2.885610
0.881480
1.168220
6.662275
1.792275
3.414550
1.795000
13.074550

cod ATC

666 J01DC04
667 J01DC04
668 J01DC04
669 J01DD08
670 J01DD08
671 J01DD08
672 J01DD08

DCI

CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM

673 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

674 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
675 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
676 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
677 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
678 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
679 J01FA01
680 J01FA01
681 J01FA01
682 J01FA01
683 J01FA09
684 J01FA09
685 J01FA09
686 J01FA09
687 J01FA09
688 J01FA09
689 J01FA09
690 J01FA09
691 J01FA09
692 J01FA09
693 J01FA09
694 J01FA09
695 J01FA09
696 J01FA09
697 J01FA09
698 J01FA09
699 J01FA09
700 J01FA09
701 J01FA09
702 J01FA09
703 J01FA09
704 J01FA09
705 J01FA09
706 J01FA09
707 J01MA01
708 J01MA01
709 J01MA02
710 J01MA02
711 J01MA02
712 J01MA02
713 J01MA02
714 J01MA02
715 J01MA02
716 J01MA02
717 J01MA02
718 J01MA02
719 J01MA02
720 J01MA02

ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
OFLOXACINUM
OFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire Comerciala

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.
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA
PULB. PT. SUSP. ORALA

CAPS.
CAPS.

Prescriptie

Nr crt.

665 J01DC04

COMPR. FILM. 400mg

COMPR. FILM. 400mg

INN-FARM D.O.O.
INN-FARM D.O.O.
400mg/80mg ZENTIVA S.A.

SLOVENIA
SLOVENIA

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

PRF

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

PRF

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

400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
400mg/80mg BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML
SUSP. ORALA 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE
COMPR.
200mg
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
COMPR.
200mg
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR.
200mg
SANDOZ S.R.L.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ERITROMICINA ATB 200 mg COMPR.
200mg
ANTIBIOTICE SA
ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

P-RF

CLAXIRIT 500 mg
KLACID SR
KLACID (R)
KLERIMED (R) 250
KLABAX 250 mg
FROMILID 250
LEKOKLAR 250 mg
CLARITROMICINA AUROBINDO 250 mg

KLERIMED (R) 500

KLABAX 500 mg
FROMILID 500
ROCLARIN 500 mg
CLAR 500
LEKOKLAR 500 mg
CLARITROMICINA AUROBINDO 500 mg

FROMILID (R) UNO

KLACID (R)
KLACID (R)
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
KLABAX 250 mg/5 ml
KLABAX 250 mg/5 ml
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
CIFRAN
CIPROFLOXACINA ARENA 250 mg
CIPROFLOXACINA ARENA 250 mg

CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg

COMPR.
COMPR.
COMPR.
COMPR.

COMPR. CU ELIB. PREL.

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. 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

PULB. 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.

cant.
UT/

Pret de

tara det.
amba referinta / UT
laj
(RON)
concentratie
APP
Detinator APP
Ambalaj
125mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE P-RF
1
8.075250
125mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
1
6.460200
250mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF
1 16.150500
250mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF
1 12.920400
100mg
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF
10
1.915987
200mg
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
P-RF
10
3.609000

500mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
125mg/5ml
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
500mg
200mg
200mg
100mg
100mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg

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

PRF

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PRF

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

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

P-RF

ABBOTT S.R.L.
ITALIA
CUTIE X 1 BLIST. X 14 COMPR. FILM.
MEDOCHEMIE LTD. CIPRU
CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

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.

P-RF
P-RF

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

MALTA
MEDOCHEMIE LTD. CIPRU
TERAPIA SA
ROMANIA

AUROBINDO PHARMA (MALTA) LIMITED

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

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

ANTIBIOTICE S.A.
GLENMARK PHARMACEUTICALS S.R.O.

SANDOZ S.R.L.

P-RF

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

P-RF

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

REPUBLICA CEHA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF

MALTA

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

KRKA D.D.
ABBOTT S.R.L.
ABBOTT S.R.L.
SANDOZ SRL
TERAPIA SA
TERAPIA SA
TERAPIA SA
SANDOZ S.R.L.

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

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. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

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

P-RF

ABBOTT LABORATORIES LTD.

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

S/P-RF

RANBAXY UK LIMITED

MAREA BRITANIE

AUROBINDO PHARMA (MALTA) LIMITED

ITALIA
ITALIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

PRF

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.

RANBAXY UK LIMITED

MAREA BRITANIE

P-RF
P-RF

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

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

Pagina 13 din 21

P-RF
P-RF

5
10
20
20
20
20
1
1
20
20
20
20
7
5
14
14
14
14
14
14
14
14
14
20
20
14
14
7
1
1
1
1
1
1
1
1
10
10
10
20
10
10
10
10
10
10
20
10
10
10

7.663950
7.663950
0.360750
0.348000
0.360750
0.360750
4.710000
4.205531
0.367500
0.388478
0.388478
0.388478
1.942391
1.942391
0.971195
0.971195
0.971195
0.971195
0.842142
0.756428
1.911428
1.942391
1.921428
1.849000
1.942391
1.911428
1.642142
1.942391
23.854500
14.312700
12.820000
12.820000
47.709000
28.625400
28.625400
39.540000
1.179000
1.226700
0.245340
0.245340
0.613350
0.613350
0.613350
0.613350
0.613350
0.613350
0.613350
1.183000
0.920000
1.226700

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.984750
2.599800
1.789500
3.609600
0.321013
0.000000
2.356050
1.852050
0.039750
0.000000
0.004250
0.039750
0.000000
5.654469
0.000000
0.109022
0.033522
0.109022
0.491894
1.805609
0.975947
0.200947
0.115947
0.264519
0.000000
0.000000
0.000000
0.096894
0.000000
0.000000
0.413609
0.000000
0.000000
0.491894
6.125500
5.407300
0.000000
0.000000
5.301000
4.244600
1.234600
0.000000
0.000000
0.850300
3.625660
3.158660
0.069650
0.093650
0.069650
0.095650
0.106650
0.067650
0.024650
0.000000
0.000000
0.095300

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

7.267725
5.814180
14.535450
11.628360
1.724388
3.248100
6.897555
6.897555
0.324675
0.313200
0.324675
0.324675
4.239000
3.784977
0.330750
0.349630
0.349630
0.349630
1.748151
1.748151
0.874075
0.874075
0.874075
0.874075
0.757927
0.680785
1.720285
1.748151
1.729285
1.664100
1.748151
1.720285
1.477927
1.748151
21.469050
12.881430
11.538000
11.538000
42.938100
25.762860
25.762860
35.586000
1.061100
1.104030
0.220806
0.220806
0.552015
0.552015
0.552015
0.552015
0.552015
0.552015
0.552015
1.064700
0.828000
1.104030

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

1.792275
3.245820
3.404550
4.901640
0.512612
0.360900
3.122445
2.618445
0.075825
0.034800
0.040325
0.075825
0.471000
6.075023
0.036750
0.147870
0.072370
0.147870
0.686134
1.999849
1.073067
0.298067
0.213067
0.361639
0.084215
0.075643
0.191143
0.291134
0.192143
0.184900
0.607849
0.191143
0.164215
0.686134
8.510950
6.838570
1.282000
1.282000
10.071900
7.107140
4.097140
3.954000
0.117900
0.972970
3.650194
3.183194
0.130985
0.154985
0.130985
0.156985
0.167985
0.128985
0.085985
0.118300
0.092000
0.217970

cod ATC

722 J01MA02
723 J01MA02
724 J01MA02
725 J01MA02
726 J01MA02
727 J01MA02
728 J01MA02
729 J01MA02
730 J01MA03
731 J01MA06
732 J01MA06
733 J01MA06
734 J01MB02
735 J01XD01
736 J01XD01
737 J01XD01
738 J01XD01
739 J01XD01
740 J01XD01
741 J01XD01
742 J01XD01
743 J01XD01
744 J01XD01
745 J01XD01
746 J02AC01
747 J02AC01
748 J02AC01
749 J02AC01
750 J02AC01
751 J02AC01
752 J02AC01
753 J02AC01
754 J02AC01
755 J02AC01
756 J02AC01
757 J02AC01
758 J02AC01
759 J02AC01
760 J02AC01
761 J02AC01
762 J02AC01
763 J02AC01
764 J02AC01
765 J02AC01
766 J02AC01
767 J02AC01
768 J02AC01
769 J02AC01
770 J02AC01
771 J02AC01
772 J02AC01
773 J02AC01
774 J02AC01
775 J02AC01
776 J02AC01

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
PEFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
ACIDUM NALIDIXICUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
CIPROFLOXACINA ARENA 500 mg COMPR. FILM.
CIPRINOL 750 mg
COMPR. FILM.
CIPROFLOXACINA ARENA 750 mg COMPR. FILM.
Denumire Comerciala

CUMINOL 500 mg
CIFRAN
CIPRO QUIN (R)

CIPROBAY XR 1000 mg
COMPR. FILM. ELIB. PREL.
CIPROBAY XR 500 mg
COMPR. FILM. ELIB. PREL.
PEFLOXACIN LAROPHARM COMPR. FILM.
NORFLOXACINA LPH 400 mg COMPR. FILM.

NOLICIN 400 mg
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

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

FLUCONAZOL AUROBINDO 50 mg

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

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

METRONIDAZOL BRAUN 5mg/ml

METRONIDAZOL BRAUN 5mg/ml
METRONIDAZOL BRAUN 5mg/ml

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

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

FLUCONAZOL ACTAVIS 150 mg

FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg
FLUCONAZOL AUROBINDO 150 mg

FLUCONAZOL ZENTIVA 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 ARENA 50 MG

FLUCONAZOL LPH 50 mg

concentratie

500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
500 mg
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
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
10mg/ml

GEDEON RICHTER ROMANIA SA

RANBAXY UK LIMITED

MAREA BRITANIE

Detinator APP

Prescriptie

Nr crt.

721 J01MA02

tara det.
APP
Ambalaj
ROMANIA 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

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

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

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

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

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

P-RF

ZENTIVA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML
INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML
INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML
INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML

P-RF

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

P-RF
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 7 CAPS.

P-RF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

TERAPIA SA
SANDOZ SRL

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

GERMANIA

ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
LABORATOARELE PROF.DR.MORAIT S.R.L.
ROMANIA
ARENA GROUP SA ROMANIA
TEVA PHARMACEUTICALS S.R.L.

ACTAVIS GROUP PTC EHF.

LABORMED PHARMA S.A.

ROMPHARM COMPANY S.R.L.
AUROBINDO PHARMA (MALTA) LIMITED

ZENTIVA K.S.
ZENTIVA K.S.

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.

P-RF

P-RF

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

PRF

REPUBLICA CEHA

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

P-RF

REPUBLICA CEHA

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

P-RF

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

VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.

TEVA PHARMACEUTICALS S.R.L.

PFIZER EUROPE MA EEIG

P-RF

MAREA BRITANIE

TERAPIA SA
SANDOZ SRL

ROMANIA
ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE ROMANIA SRL ROMANIA
ARENA GROUP SA ROMANIA
LABORMED PHARMA S.A. ROMANIA
AUROBINDO PHARMA (MALTA) LIMITED

MALTA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PRF
PRF
PRF

P-RF
P-RF
P-RF

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

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

P-RF

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

P-RF

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

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

P-RF
P-RF
P-RF

PRF

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

CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA

Pagina 14 din 21

PRF

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

10
10
10
10
20
10
10
7
3
10
20
20
20
30
30
30
20
20
12
1
12
1
10
10
20
4
16
7
7
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
7
7
7
7
7
7
7
7
7
7
7
1

1.226700
0.911000
1.226700
0.957000
0.852000
1.031000
1.840050
2.453400
1.226700
1.226700
0.804000
0.792000
0.804000
1.013000
0.238666
0.238666
0.301762
0.301762
8.667500
8.953750
8.499166
8.953750
4.476875
4.476875
4.476875
3.078000
2.178750
3.078000
3.078000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
4.617000
5.834285
1.539000
1.539000
1.539000
1.527142
1.539000
1.539000
1.539000
1.539000
1.539000
1.539000
10.773000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.144300
0.000000
0.144300
0.000000
0.000000
0.000000
2.030950
10.100885
8.326633
1.664300
0.012000
0.000000
0.076000
0.000000
0.000000
0.000000
0.065738
0.065738
0.000000
0.496250
0.000000
0.286250
0.530125
0.530125
0.278625
3.324500
0.000000
1.593428
0.342000
2.543000
6.413000
2.543000
2.543000
1.703000
2.543000
2.543000
1.963000
2.543000
2.543000
2.543000
2.543000
1.623000
2.543000
2.543000
0.000000
1.241000
2.738142
1.241000
0.000000
0.426714
1.239571
0.853857
1.241000
1.241000
0.171000
18.797000

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

1.104030
0.819900
1.104030
0.861300
0.766800
0.927900
1.656045
2.208060
1.104030
1.104030
0.723600
0.712800
0.723600
0.911700
0.214799
0.214799
0.271585
0.271585
7.800750
8.058375
7.649249
8.058375
4.029187
4.029187
4.029187
2.770200
1.960875
2.770200
2.770200
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
4.155300
5.250856
1.385100
1.385100
1.385100
1.374427
1.385100
1.385100
1.385100
1.385100
1.385100
1.385100
9.695700

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.266970
0.091100
0.266970
0.095700
0.085200
0.103100
2.214955
10.346225
8.449303
1.786970
0.092400
0.079200
0.156400
0.101300
0.023867
0.023867
0.095915
0.095915
0.866750
1.391625
0.849917
1.181625
0.977813
0.977813
0.726313
3.632300
0.217875
1.901228
0.649800
3.004700
6.874700
3.004700
3.004700
2.164700
3.004700
3.004700
2.424700
3.004700
3.004700
3.004700
3.004700
2.084700
3.004700
3.004700
0.583429
1.394900
2.892042
1.394900
0.152715
0.580614
1.393471
1.007757
1.394900
1.394900
0.324900
19.874300

cod ATC

778 J05AB01
779 J05AB01
780 J05AB01
781 J05AB01
782 J05AB01
783 J05AB01
784 J05AB01
785 J05AB01
786 J05AB01
787 J05AB01
788 J05AB01
789 M01AB01
790 M01AB01
791 M01AB01
792 M01AB01
793 M01AB01
794 M01AB01
795 M01AB05
796 M01AB05
797 M01AB05
798 M01AB05
799 M01AB05
800 M01AB05
801 M01AB05
802 M01AB05
803 M01AB05
804 M01AB05
805 M01AB05
806 M01AB05
807 M01AB05
808 M01AB05
809 M01AB05
810 M01AB05
811 M01AB05
812 M01AB05
813 M01AB05
814 M01AB05
815 M01AB05
816 M01AB05
817 M01AB05
818 M01AB05

DCI

FLUCONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
INDOMETACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

Denumire Comerciala

SOL. PERF.
CAPS.
CAPS.
CAPS.
CAPS.
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR LAROPHARM 200 mg COMPR.
ACICLOVIR-RICHTER 200 mg COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
PULB. PT. SOL. INJ./PERF.
INDOMETACIN LAROPHARM 25 mg CAPS.
INDOMETACIN ARENA 25 MG CAPS.
INDOMETACIN ARENA 50 MG CAPS.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
DICLOREUM 150 mg
CAPS. ELIB. PREL.
DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL.

DICLOTARD 100 mg
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
VOLTAREN (R) 50
DICLOFENAC 50 mg
DICLOFENAC HELCOR 50 mg

VOLTAREN RAPID (R)

DICLOFENAC ARENA 25 mg
DICLOFENAC ARENA 50 mg
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
TRATUL (R)
DICLOFENAC 75 mg
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg
DICLOFENAC SINTOFARM 12,5 mg
DICLOFENAC SINTOFARM 12,5 mg

VOLTAREN (R)
KETOROL
KETOROLACUM TROMETHAMIN KETANOV 10 mg
KETOROLACUM TROMETHAMIN KETANOV
KETOROLACUM TROMETHAMIN KETOROL

819 M01AB15 KETOROLACUM TROMETHAMIN

820 M01AB15
821 M01AB15
822 M01AB15

823 M01AB15 KETOROLACUM TROMETHAMIN

KETOROLAC TROMETAMOL ROMPHARM 30 mg/ml

824 M01AB15 KETOROLACUM TROMETHAMIN

KETOROLAC TROMETAMOL ROMPHARM 30 mg/ml

825 M01AB16
826 M01AB16
827 M01AC02
828 M01AC02
829 M01AC02
830 M01AC02
831 M01AC06
832 M01AC06

ACECLOFENACUM
ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM

forma farm.

DIFLAZON 2mg/ml
ACICLOVIR 200 mg
ACICLOVIR ARENA 200 mg
ACICLOVIR FARMEX 200 mg
ACICLOVIR ARENA 400 mg

AFLAMIL 100mg
ACE-TAB 100 mg
TENOXICAM LPH 20 mg
TENOXICAM ARENA 20 mg
NEO - ENDUSIX (R)
NEO - ENDUSIX (R)
MOVALIS (R) 15 mg
MOVALIS (R) 15 mg

COMPR. CU ELIB. PREL.

COMPR. ELIB. MODIF.

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

DRAJ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.
DRAJ. GASTROREZ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM.
COMPR. FILM.

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

CAPS.
COMPR.
COMPR. FILM.
LIOF. + SOLV. PT. SOL. INJ.

COMPR.
COMPR.

concentratie

2mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
250mg
25mg
25mg
50mg
50mg
50mg
50mg
150mg
75mg
100mg
75mg
100mg
100mg
50mg
50mg
50mg
50mg
25mg
50mg
50mg
25mg/ml
30mg/ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
12,5 mg
12,5 mg
50mg
10mg
10mg
30mg/ml
30mg/ml
30mg/ml
30mg/ml
100mg
100mg
20mg
20mg
20mg
20mg
15mg
15mg

Detinator APP

Ambalaj

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

Prescriptie

Nr crt.

777 J02AC01

tara det.
APP

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
LAROPHARM S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
EGIS PHARMACEUTICALS P.L.C. UNGARIA

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

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

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

PRF

EGIS PHARMACEUTICALS P.L.C.

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

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

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

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
CEHIA

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

P-6L

CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL.

P-6L

ROMANIA

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

P-6L

PHARMASWISS CESKA REPUBLIKA S.R.O.

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
P-6L
P-6L

CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-6L

CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L

GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L

NOVARTIS PHARMA GMBH GERMANIA

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

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

STADA HEMOFARM S.R.L.

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

ROMANIA
ROMANIA
ROMANIA

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ.

P-6L

ARENA GROUP SA ROMANIA

ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ.

P-6L

CUTIE X 1 BLIST. AL/PVC X 30 DRAJ GASTROREZ.

P-6L

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF

GEROT PHARMAZEUTIKA GES.M.B.H.

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
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
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L
SINTOFARM SA
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
P-6L
MAGISTRA C & C
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L
SINTOFARM S.A.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 3 SUPOZITOARE P6L
SINTOFARM S.A.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE DIN PVC-PE X 5 SUPOZITOARE P6L
NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.

ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
ROMPHARM COMPANY S.R.L. ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
LABORMED PHARMA S.A. 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

P-6L

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 CU 5 FIOLE DIN STICLA BRUNA, PREVAZUTE CU INEL DE RUPERE X 1 ML SOL. INJ.

PRF

CUTIE CU 10 FIOLE DIN STICLA BRUNA, PREVAZUTE CU INEL DE RUPERE X 1 ML SOL. INJ.

PRF

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

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM.
P6L
P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

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.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

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

P-6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

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

P-6L

ANFARM HELLAS S.A. PHARMACEUTICALS

Pagina 15 din 21

P-6L
P-6L
P-RF

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

1
20
20
20
10
20
20
20
20
20
10
5
20
30
20
6
10
10
20
30
20
10
10
20
20
20
20
10
30
20
30
5
5
5
5
6
5
10
10
6
10
10
20
20
10
10
5
10
20
20
20
20
10
1
20
10

22.050000
0.804149
0.804149
0.804149
1.608299
0.804149
0.804149
0.716500
0.804149
0.804149
1.608299
47.124000
0.063112
0.063112
0.126225
0.326250
0.326250
0.326250
0.378675
0.189337
0.252450
0.163000
0.252450
0.252450
0.126225
0.117000
0.117000
0.126225
0.063112
0.117000
0.117000
0.984600
1.094000
0.984600
0.842000
0.570000
0.652500
0.570000
0.572000
0.081562
0.081562
0.326250
0.084149
0.084149
1.312800
1.312800
1.312800
1.312800
0.126225
0.126225
0.324000
0.324000
0.324000
1.965500
0.324000
0.324000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

25.400000
0.244351
0.306851
0.266851
0.411701
0.085851
0.089351
0.000000
0.089351
0.089351
1.149701
0.000000
0.020888
0.010888
0.057275
0.387083
0.360750
0.357750
2.095825
0.391663
0.102050
0.000000
0.292550
0.102050
0.054275
0.000000
0.000000
0.116775
0.134554
0.000000
0.000000
0.697400
0.000000
0.109400
0.000000
0.000000
0.225500
0.000000
0.000000
0.525104
0.519438
0.633750
0.265851
0.441851
1.254200
0.721200
0.721200
0.721200
0.609275
0.352275
0.248500
0.408000
0.334000
3.674500
0.230000
0.231000

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

19.845000
0.723734
0.723734
0.723734
1.447469
0.723734
0.723734
0.644850
0.723734
0.723734
1.447469
42.411600
0.056800
0.056800
0.113602
0.293625
0.293625
0.293625
0.340807
0.170403
0.227205
0.146700
0.227205
0.227205
0.113602
0.105300
0.105300
0.113602
0.056800
0.105300
0.105300
0.886140
0.984600
0.886140
0.757800
0.513000
0.587250
0.513000
0.514800
0.073405
0.073405
0.293625
0.075734
0.075734
1.181520
1.181520
1.181520
1.181520
0.113602
0.113602
0.291600
0.291600
0.291600
1.768950
0.291600
0.291600

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

27.605000
0.324766
0.387266
0.347266
0.572531
0.166266
0.169766
0.071650
0.169766
0.169766
1.310531
4.712400
0.027200
0.017200
0.069898
0.419708
0.393375
0.390375
2.133693
0.410597
0.127295
0.016300
0.317795
0.127295
0.066898
0.011700
0.011700
0.129398
0.140866
0.011700
0.011700
0.795860
0.109400
0.207860
0.084200
0.057000
0.290750
0.057000
0.057200
0.533261
0.527595
0.666375
0.274266
0.450266
1.385480
0.852480
0.852480
0.852480
0.621898
0.364898
0.280900
0.440400
0.366400
3.871050
0.262400
0.263400

cod ATC

834 M01AC06
835 M01AC06
836 M01AC06
837 M01AC06
838 M01AC06
839 M01AC06
840 M01AC06
841 M01AC06
842 M01AC06
843 M01AC06
844 M01AC06
845 M01AC06
846 M01AC06
847 M01AC06
848 M01AC06
849 M01AC06
850 M01AC06
851 M01AE03
852 M01AE03
853 M01AE03
854 M01AE03
855 M01AE03
856 M01AE03
857 M01AE03
858 M01AE03
859 M01AE03
860 M01AE03
861 M01AE03
862 M01AE03
863 M04AA01
864 M04AA01
865 M04AC01
866 N02AX02
867 N02AX02
868 N02AX02
869 N02AX02
870 N02AX02
871 N02AX02
872 N02AX02
873 N02AX02
874 N02AX02
875 N02AX02
876 N02AX02
877 N02AX02
878 N02AX02
879 N02AX02
880 N02AX02
881 N02AX02
882 N02AX02
883 N02AX02
884 N02AX02
885 N02AX02
886 N02AX02
887 N02AX02
888 N02AX02

DCI

MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
KETOPROFENUM
ALLOPURINOLUM*
ALLOPURINOLUM*
COLCHICINUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM

Denumire Comerciala

forma farm.

MELOXICAM LPH 15 mg
COMPR.
MELOXICAM SANDOZ 15 mg COMPR.
MELOXICAM MCC 15 mg
COMPR.
MELOXICAM VIM SPECTRUM 15 mg COMPR.
Meloxicam Zentiva 15 mg comprimate COMPR.
MELOXICAM LPH 15 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MOVALIS (R) 7,5 mg
COMPR.
MELOXICAM LPH 7,5 mg
COMPR.
MELOXICAM SANDOZ 7,5 mg COMPR.
MELOXICAM MCC 7,5 mg
COMPR.
MELOXICAM VIM SPECTRUM 7,5 mg COMPR.
MELOXICAM LPH 7,5 mg
COMPR.
MELOXICAM ROMPHARM 15 mg/1,5 ml SOL INJ.
MELOXICAM ROMPHARM 15 mg/1,5 ml SOL INJ.
MELOX 15 mg/1,5 ml
SOL. INJ.
MOVALIS 15mg/1,5ml
SOL. INJ.
MELOXICAM 15 mg
SUPOZ.

15mg
15mg
15mg
15mg
15mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg/1,5ml
10mg/ml
15mg/1,5ml
15mg
KETOPROFEN SR TERAPIA 100 MG CAPS. ELIB. PREL. 100mg
KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg
KETOPROFEN SR TERAPIA 200 MG CAPS. ELIB. PREL. 200mg
KETONAL RETARD
COMPR. ELIB. PREL. 150mg
PROFENID (R) 100 mg
COMPR. FILM. 100mg
KETOPROXIN 100 mg
COMPR. FILM. 100mg
KETOPROXIN 50 mg
COMPR. FILM. 50mg
KETOPROFEN ROMPHARM 100 mg/2ml SOL. INJ.
100 mg/2ml
KETOPROFEN ROMPHARM 100 mg/2ml SOL. INJ.
100 mg/2ml
KETONAL 100 mg/ 2 ml
SOL. INJ.
100mg/2ml
KETOPROFEN TERAPIA 100MG/2ML SOL. INJ./CONC. SOL. PERF. 100mg/2ml
KETOMAG
SUPOZ.
100mg
MILURIT 100 mg
COMPR.
100mg
MILURIT 300 mg
COMPR.
300mg
COLCHICINA
COMPR.
1mg
TRAMADOL
CAPS.
50mg
K-ALMA (R)
CAPS.
50mg
TRAMADOL ARENA
CAPS.
50mg
TRAMACALM
CAPS.
50mg
TRAMADOL ZENTIVA 50 mg CAPS.
50mg
TRAMAG 50
COMPR.
50mg
TRAMADOL EEL
COMPR.
50mg
TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg
TRAMADOL SR ZENTIVA 100 mg COMPR. ELIB. PREL. 100mg
MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg
MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg
MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg
MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg
TRADOLAN RETARD 150 mg COMPR. ELIB. PREL. 150mg
TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL. 150mg
MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg
MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg
MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg
MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg
TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg
MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg
MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg
MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg

HEXAL AG

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

Prescriptie

Nr crt.

833 M01AC06

tara det.
concentratie
APP
Detinator APP
Ambalaj
15mg
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

P-6L
P-6L

MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6L

ZENTIVA AS

CEHIA

P-6L

LABORMED PHARMA S.A.

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

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

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

P-6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

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

P-6L

LABORMED PHARMA SA ROMANIA

HEXAL AG

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

CUTIE X 2 BLIST. X 10 COMPR.

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

P-6L

P-6L
P-6L

MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIAT. AL/PVC X 10 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P6L
ROMPHARM COMPANY S.R.L. ROMANIA
PRF
ROMPHARM COMPANY S.R.L. ROMANIA
PRF
CUTIE CU 3 FIOLE DIN STICLA INCOLORA, PREVAZUTE CU INEL DE RUPERE, CU CAPACITATEA DE 2 ML CARE CONTIN 1,5 ML SOL. INJ.

CUTIE CU 5 FIOLE DIN STICLA INCOLORA, PREVAZUTE CU INEL DE RUPERE, CU CAPACITATEA DE 2 ML CARE CONTIN 1,5 ML SOL. INJ.

MEDOCHEMIE LTD. CIPRU

CUTIE CU 1 BLIST. DIN PVC A 5 FIOLE TRANSPARENTE DIN STICLA CU CAPACITATEA DE 2 ML, CONTINAND 1,5 ML

PRF

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.
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 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

LAB. AVENTIS

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.

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

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
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ PRF
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE A CATE 2ML SOL. INJ PRF
AC HELCOR PHARMA SRL

LEK PHARMACEUTICALS D.D.

SLOVENIA CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF.

TERAPIA SA
MAGISTRA C & C

ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA

EGIS PHARMACEUTICALS P.L.C.

EGIS PHARMACEUTICALS P.L.C.

BIOFARM SA
KRKA D.D.
SLOVENIA
ANTIBIOTICE SA
ROMANIA
ARENA GROUP S.A. ROMANIA
A.C. HELCOR PHARMA S.R.L.

ROMANIA

ZENTIVA A.S.
MAGISTRA C & C
BIO EEL SRL

SLOVACIA

ROMANIA
ROMANIA

CUTIE X 5 FIOLE X 2 ML

P-RF
P-RF

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF

ZENTIVA AS
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
LANNACHER HEILMITTEL GES.M.B.H.

ZENTIVA AS
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

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

P-RF

CIPRU
CIPRU
CIPRU
CIPRU
AUSTRIA

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

PRF

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

PRF

CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

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

PRF

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

PRF

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

CIPRU
CIPRU
CIPRU
CIPRU
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

P-RF

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

PRF

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

PRF

CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

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

PRF

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

PRF

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

PRF

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

PRF

CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

Pagina 16 din 21

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

20
20
20
20
20
30
10
20
20
20
20
20
30
3
5
5
5
6
10
20
10
20
30
20
20
5
10
10
5
10
50
30
40
20
20
20
10
20
20
20
30
30
10
30
10
30
30
30
10
30
10
30
30
10
30
10

0.324000
0.324000
0.324000
0.324000
0.324000
0.324000
0.162000
0.162000
0.162000
0.162000
0.162000
0.162000
0.162000
1.963333
1.964000
1.965500
1.965500
0.759249
0.297000
0.712800
0.644000
0.712800
0.431333
0.280500
0.237599
1.138000
1.136000
0.971000
1.138000
0.678000
0.151450
0.435000
0.149500
0.263832
0.263832
0.263832
0.263832
0.263832
0.263832
0.263832
0.527666
0.527666
0.527000
0.527666
0.527000
0.527666
0.791500
0.791500
0.791500
0.791333
0.791500
0.791333
1.055333
1.055000
1.055333
1.055000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.036000
0.036000
0.036000
0.036000
0.026500
0.036000
0.285000
0.285000
0.128500
0.128500
0.128500
0.128500
0.128333
0.000000
0.000000
0.000500
1.058500
0.877417
0.000000
0.133700
0.000000
0.066700
0.000000
0.000000
0.119901
0.002000
0.000000
0.000000
0.858000
0.000000
0.019350
0.000000
0.000000
0.035668
0.134668
0.203168
0.121168
0.020668
0.134668
0.119668
0.126000
0.102667
0.000000
0.000334
0.000000
0.000334
0.326500
0.112833
0.000500
0.000000
0.000500
0.000000
0.115333
0.000000
0.000000
0.000000

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.291600
0.291600
0.291600
0.291600
0.291600
0.291600
0.145800
0.145800
0.145800
0.145800
0.145800
0.145800
0.145800
1.766999
1.767600
1.768950
1.768950
0.683324
0.267300
0.641520
0.579600
0.641520
0.388199
0.252450
0.213839
1.024200
1.022400
0.873900
1.024200
0.610200
0.136305
0.391500
0.134550
0.237448
0.237448
0.237448
0.237448
0.237448
0.237448
0.237448
0.474899
0.474899
0.474300
0.474899
0.474300
0.474899
0.712350
0.712350
0.712350
0.712199
0.712350
0.712199
0.949799
0.949500
0.949799
0.949500

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.068400
0.068400
0.068400
0.068400
0.058900
0.068400
0.301200
0.301200
0.144700
0.144700
0.144700
0.144700
0.144533
0.196334
0.196400
0.197050
1.255050
0.953342
0.029700
0.204980
0.064400
0.137980
0.043134
0.028050
0.143661
0.115800
0.113600
0.097100
0.971800
0.067800
0.034495
0.043500
0.014950
0.062052
0.161052
0.229552
0.147552
0.047052
0.161052
0.146052
0.178767
0.155434
0.052700
0.053101
0.052700
0.053101
0.405650
0.191983
0.079650
0.079134
0.079650
0.079134
0.220867
0.105500
0.105534
0.105500

cod ATC

890 N02AX02
891 N02AX02
892 N02AX02
893 N02AX02
894 N02AX02
895 N02AX02
896 N02AX02
897 N02AX02
898 N02AX02
899 N02AX02
900 N02CC01
901 N02CC01
902 N02CC01
903 N02CC01
904 N02CC01
905 N02CC01
906 N03AF01
907 N03AF01
908 N03AF01
909 N03AF01
910 N03AF01
911 N03AF01
912 N03AF01
913 N03AF01
914 N03AF01
915 N03AF01
916 N03AF01
917 N03AF01
918 N03AF01
919 N03AF01
920 N03AF01
921 N03AF01
922 N03AF01
923 N03AF01
924 N03AF01
925 N03AF01
926 N03AX12
927 N03AX12
928 N03AX12
929 N03AX12
930 N03AX12
931 N03AX12
932 N03AX12
933 N03AX12
934 N03AX12
935 N03AX12
936 N03AX12
937 N03AX12
938 N03AX12
939 N03AX12
940 N03AX12
941 N03AX12
942 N03AX12
943 N03AX12
944 N03AX12

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
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
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM

Denumire Comerciala

MABRON RETARD 200 mg

TRADOLAN 50 mg
TRAMADOL RETARD 150 mg
TRAMADOL RETARD 200 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
XIBIMER 50 mg
SUMACTA 50 mg
TEGRETOL (R) 200
CARBAMAZEPINA LPH (R) 200 mg

CARBAMAZEPINA LPH 200 mg

CARBAVIM
CARBEPSIL 200mg
CARBAMAZEPIN
CARBAMAZEPIN EEL
CARBAMAZEPINA ARENA 200 mg
CARBAMAZEPINA SLAVIA 200 mg
CARBAMAZEPINA TERAPIA 200 mg

CARBEPSIL 400mg
CARBAMAZEPINA ARENA 400 mg

TIMONIL RETARD 150 mg

TIMONIL RETARD 300 mg
TIMONIL RETARD 600 mg
NEUROTOP (R) RETARD 300 mg
NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
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
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

forma farm.
COMPR. ELIB. PREL.

COMPR. FILM.
COMPR. FILM. ELIB. PREL.
COMPR. FILM. ELIB. PREL.
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. CU ELIB. PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA

COMPR. CU ELIBERARE PRELUNGITA

COMPR. ELIB. PREL.

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

SUSP. ORALA

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

200mg
50mg
150mg
200mg
50mg
50mg
100mg
100mg
50mg/ml
50mg/ml
100mg
100mg
50mg
100mg
100mg
50mg
50mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
150mg
300mg
600mg
300mg
600mg
200mg
400mg
100mg/5ml
100 mg
100mg
100mg
100mg
100mg
100mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
400 mg
400mg
400mg
400mg
400mg

Detinator APP

Ambalaj

Prescriptie

Nr crt.

889 N02AX02

tara det.
APP

MEDOCHEMIE LTD. CIPRU

CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.
LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

PRF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P-RF

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.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
KRKA D.D.
KRKA D.D.
KRKA D.D.

PRF

REPUBLICA SLOVACA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

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.

ISLANDA CUTIE CU 2 BLIST. PVC/AL X 3 COMPR. FILM.

PRF

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 2 BLIST. PVC/AL X 3 COMPR. FILM.

PRF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE X 6 BLISTERE PVC-PVDC/AL X 10 COMPRIMATE

LABORMED PHARMA SA ROMANIA

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.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

VIM SPECTRUM SRL ROMANIA

AC HELCOR PHARMA SRL ROMANIA
SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
ARENA GROUP SA ROMANIA
SLAVIA PHARM SRL ROMANIA
TERAPIA S.A.
ROMANIA CUTIE CU 5 BLIST. PVC/AL 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/S

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

PRF
P-6L
P-6L

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

P6L
P6L
P6L

GEROT PHARMAZEUTIKA GMBH

AUSTRIA
AUSTRIA

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

P-6L

GEROT PHARMAZEUTIKA GMBH

CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

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

P-6L

DESITIN ARZNEIMITTEL GMBH

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

EGIS PHARMACEUTICALS P.L.C.

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

ARENA GROUP S.A. ROMANIA

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L

P6L
CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

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

PLIVA LJUBLJANA D.O.O. SLOVENIA

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

P-6L
P-6L

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L

EGIS PHARMACEUTICALS P.L.C.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ARENA GROUP S.A. ROMANIA

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L

P6L
CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS. P6L

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

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

PLIVA LJUBLJANA D.O.O. SLOVENIA

EGIS PHARMACEUTICALS P.L.C.

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

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

Pagina 17 din 21

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

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

30
30
30
30
10
10
5
100
5
5
5
2
2
6
6
6
6
50
60
50
50
50
20
20
20
50
50
50
20
50
50
50
50
50
50
30
1
50
100
60
50
100
60
50
100
50
100
60
50
100
60
50
100
50
100
60

1.055333
0.263832
0.791500
1.055333
0.263832
0.263832
1.580422
1.396100
0.790208
1.580422
1.158000
8.246250
4.123125
8.246250
7.645000
4.123125
1.315000
0.141800
0.141800
0.141800
0.141800
0.141800
0.140000
0.141800
0.141800
0.141800
0.141800
0.283600
0.283600
0.106349
0.212699
0.425399
0.212699
0.425399
0.141800
0.283600
23.360000
0.149200
0.164279
0.164279
0.164279
0.164279
0.164279
0.447800
0.492840
0.492840
0.492840
0.492840
0.447400
0.433000
0.492840
0.597600
0.657121
0.657121
0.657121
0.657121

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000000
0.066501
0.493833
0.640667
0.134168
0.134168
0.295578
0.000000
0.233792
1.137578
0.000000
8.653750
4.391875
1.803750
0.000000
1.408541
0.000000
0.076400
0.000033
0.000000
0.000000
0.000000
0.000000
0.000200
0.000200
0.000000
0.000000
0.108600
0.108400
0.197451
0.199901
0.306201
0.143301
0.260601
0.205600
0.320400
0.000000
0.000000
0.029821
0.412221
0.303521
0.288421
0.243054
0.000000
0.263260
0.853760
0.026860
0.082660
0.000000
0.000000
0.404493
0.000000
0.535979
0.851879
0.035379
0.372212

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.949799
0.237448
0.712350
0.949799
0.237448
0.237448
1.422379
1.256490
0.711187
1.422379
1.042200
7.421625
3.710812
7.421625
6.880500
3.710812
1.183500
0.127620
0.127620
0.127620
0.127620
0.127620
0.126000
0.127620
0.127620
0.127620
0.127620
0.255240
0.255240
0.095714
0.191429
0.382859
0.191429
0.382859
0.127620
0.255240
21.024000
0.134280
0.147851
0.147851
0.147851
0.147851
0.147851
0.403020
0.443556
0.443556
0.443556
0.443556
0.402660
0.389700
0.443556
0.537840
0.591408
0.591408
0.591408
0.591408

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.105534
0.092885
0.572983
0.746201
0.160552
0.160552
0.453621
0.139610
0.312813
1.295621
0.115800
9.478375
4.804188
2.628375
0.764500
1.820854
0.131500
0.090580
0.014213
0.014180
0.014180
0.014180
0.014000
0.014380
0.014380
0.014180
0.014180
0.136960
0.136760
0.208086
0.221171
0.348741
0.164571
0.303141
0.219780
0.348760
2.336000
0.014920
0.046249
0.428649
0.319949
0.304849
0.259482
0.044780
0.312544
0.903044
0.076144
0.131944
0.044740
0.043300
0.453777
0.059760
0.601692
0.917592
0.101092
0.437925

cod ATC

946 N03AX12
947 N03AX12
948 N03AX12
949 N03AX12
950 N03AX12
951 N05AD01
952 N05AD01
953 N05AD01
954 N05AD01
955 N05AD01
956 N05AD01
957 N05AD01
958 N05AD01
959 N05BA01
960 N05BA01
961 N05BA01
962 N05BA01
963 N05BA01
964 N05BA01
965 N05BA01
966 N05BA03
967 N05BA03
968 N05BA03
969 N05BA03
970 N05BA03
971 N05BA06
972 N05BA08
973 N05BA08
974 N05BA08
975 N05BA08
976 N05BA08
977 N05BA08
978 N05BA12
979 N05BA12
980 N05BA12
981 N05BA12
982 N05BA12
983 N05BA12
984 N05BA12
985 N05BA12
986 N05BA12
987 N05BA12
988 N05BA12
989 N05BA12
990 N05BA12
991 N05BA12
992 N05BA12
993 N05BA12
994 N05BA12
995 N05BA12
996 N05BA12
997 N05BA12
998 N05BA12
999 N05BA12
1,000

N05BA12

DCI

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*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*

forma farm.
Denumire Comerciala
GABAPENTINA PFIZER 400 mg CAPS.
GABAPENTINA PFIZER 400 mg CAPS.
GABAPENTIN ARENA 400 mg CAPS.
GABARAN 600 mg
COMPR. FILM.
GRIMODIN 600 mg
COMPR. FILM.
GABARAN 800 mg
COMPR. FILM.

concentratie

400mg
400mg
400mg
600mg
600mg
800mg
HALOPERIDOL LAROPHARM 0,5 mg COMPR.
0,5mg
HALOPERIDOL ARENA 1 mg COMPR.
1mg
HALOPERIDOL ARENA 2 mg COMPR.
2mg
HALDOL
COMPR.
5mg
HALOPERIDOL ROMPHARM 2 mg/ml PIC. ORALE, SOL. 2 mg/ml
HALOPERIDOL 2 mg/ml
PIC. ORALE-SOL. 2mg/ml
HALOPERIDOL DECANOAT SOL. INJ.
50mg/ml
HALOPERIDOL RICHTER 5 mg/ml SOL. INJ.
5mg/ml
DIAZEPAM RICHTER 10 mg COMPR.
10mg
DIAZEPAM
COMPR.
10mg
DIAZEPAM LAROPHARM 10 mg COMPR.
10mg
DIAZEPAM 10 mg
SOL. INJ.
10mg/2ml
DIAZEPAM 5 mg/ml
SOL. INJ.
10mg/2ml
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg SOL. RECTALA 10mg/2,5ml
DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg SOL. RECTALA 5mg/2,5ml
MEDAZEPAM ARENA 10mg COMPR.
10 mg
MEDAZEPAM ARENA 10mg COMPR.
10 mg
MEDAZEPAM 10 mg
COMPR.
10mg
MEDAZEPAM LPH 10 mg
COMPR.
10mg
MEDAZEPAM LPH 10 mg
COMPR.
10mg
ANXIAR (R) 1 mg
COMPR.
1 mg
BROMAZEPAM LPH 1,5 mg COMPR.
1,5mg
BROMAZEPAM LPH 1,5 mg COMPR.
1,5mg
BROMAZEPAM LPH 3 mg
COMPR.
3mg
BROMAZEPAM SLAVIA 3 mg COMPR.
3mg
BROMAZEPAM ARENA 3 mg COMPR.
3mg
BROMAZEPAM LPH 3 mg
COMPR.
3mg
XANAX 0,25 mg
COMPR.
0,25mg
ALPRAZOLAM LPH (R) 0,25 mg COMPR.
0,25mg
ALPRAZOLAM LPH (R) 0,25 mg COMPR.
0,25mg
PRAZOLEX (R) 0,25 mg
COMPR.
0,25mg
FRONTIN 0,25 mg
COMPR.
0,25mg
ALPRAZOLAM ATB 0,25 mg COMPR.
0,25mg
ALPRAZOLAM ATB 0,25 mg COMPR.
0,25mg
ALPRAZOLAM ATB 0,25 mg COMPR.
0,25mg
XANAX 0,5 mg
COMPR.
0,5mg
ALPRAZOLAM LPH (R) 0,5 mg COMPR.
0,5mg
ALPRAZOLAM LPH (R) 0,5 mg COMPR.
0,5mg
FRONTIN 0,5 mg
COMPR.
0,5mg
PRAZOLEX (R) 0,5 mg
COMPR.
0,5mg
ALPRAZOLAM ATB 0,5 mg COMPR.
0,5mg
ALPRAZOLAM ATB 0,5 mg COMPR.
0,5mg
ALPRAZOLAM ATB 0,5 mg COMPR.
0,5mg
XANAX 1 mg
COMPR.
1mg
ALPRAZOLAM LPH (R) 1 mg COMPR.
1mg
ALPRAZOLAM LPH (R) 1 mg COMPR.
1mg
PRAZOLEX (R) 1 mg
COMPR.
1mg
FRONTIN 1mg
COMPR.
1mg
ALPRAZOLAM ATB 1 mg
COMPR.
1mg
ALPRAZOLAM ATB 1 mg
COMPR.
1mg

Detinator APP

Prescriptie

Nr crt.

945 N03AX12

tara det.
APP

Ambalaj
CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L
CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

50
100
ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L
60
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
30
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF
30
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.
PRF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE X 2 ML
S/P-RF
5
TERAPIA SA
ROMANIA CUTIE X 5 FIOLE X 2 ML
S/P-RF
5
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF
5
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF
5
ARENA GROUP SA ROMANIA CUTIE X 2 BLISTERE PVC/AL X 10 COMPRIMATE P-RF
20
ARENA GROUP SA ROMANIA CUTIE X 5 BLISTERE PVC/AL X 10 COMPRIMATE P-RF
50
LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR.
P-RF
20
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-RF/S
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF
50
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. PRF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF
10
ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. P-RF
10
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. PRF
30
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF
10
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF
20
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF
10
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF
20
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-RF
30
LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-RF
20
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF
30
EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR.
P-RF
30
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. PRF
10
ANTIBIOTICE S.A.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF
20
PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

Pagina 18 din 21

0.596200
0.577100
0.657121
0.985682
0.985682
1.314243
0.093037
0.186074
0.372149
0.299600
3.721497
3.721497
8.452000
1.066859
0.103000
0.138666
0.108000
2.392000
2.392000
5.178000
4.530000
0.127000
0.116400
0.131875
0.128000
0.128000
0.105500
0.039562
0.039562
0.079125
0.079125
0.079125
0.079125
0.065937
0.065937
0.065937
0.065937
0.065937
0.065937
0.065937
0.065937
0.131875
0.131875
0.131875
0.131875
0.131875
0.131875
0.131875
0.131875
0.263750
0.263333
0.263500
0.263750
0.263750
0.263000
0.263750

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000000
0.000000
0.464545
1.194318
0.882151
2.290757
0.074963
0.080926
0.001184
0.000000
1.668503
3.178503
0.000000
1.139141
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.026125
0.000000
0.000000
0.033500
0.071438
0.071438
0.028875
0.020875
0.028875
0.028875
0.126729
0.059063
0.058729
0.059396
0.059396
0.059063
0.059563
0.059396
0.174791
0.066791
0.067125
0.067458
0.067458
0.068125
0.068625
0.067458
0.141916
0.000000
0.000000
0.000250
0.000250
0.000000
0.000750

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.536580
0.519390
0.591408
0.887113
0.887113
1.182818
0.083733
0.167466
0.334934
0.269640
3.349347
3.349347
7.606800
0.960173
0.092700
0.124799
0.097200
2.152800
2.152800
4.660200
4.077000
0.114300
0.104760
0.118687
0.115200
0.115200
0.094950
0.035605
0.035605
0.071212
0.071212
0.071212
0.071212
0.059343
0.059343
0.059343
0.059343
0.059343
0.059343
0.059343
0.059343
0.118687
0.118687
0.118687
0.118687
0.118687
0.118687
0.118687
0.118687
0.237375
0.236999
0.237150
0.237375
0.237375
0.236700
0.237375

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.059620
0.057710
0.530258
1.292887
0.980720
2.422182
0.084267
0.099534
0.038399
0.029960
2.040653
3.550653
0.845200
1.245827
0.010300
0.013867
0.010800
0.239200
0.239200
0.517800
0.453000
0.012700
0.011640
0.039313
0.012800
0.012800
0.044050
0.075395
0.075395
0.036788
0.028788
0.036788
0.036788
0.133323
0.065657
0.065323
0.065990
0.065990
0.065657
0.066157
0.065990
0.187979
0.079979
0.080313
0.080646
0.080646
0.081313
0.081813
0.080646
0.168291
0.026334
0.026350
0.026625
0.026625
0.026300
0.027125

cod ATC
N05BA12

1,002

N05CD02

1,003

N05CD02

1,004

N05CD02

1,005

N05CD02

1,006

N05CD02

1,007

N05CD02

1,008

N05CF01

1,009

N05CF02

1,010

N05CF02

1,011

N05CF02

1,012

N05CF02

1,013

N05CF02

1,014

N05CF02

1,015

N05CF02

1,016

N06AA04

1,017

N06AA04

1,018

N06AA09

1,019

N06AA12

1,020

N06AB03

1,021

N06AB03

1,022

N06AB03

1,023

N06AB03

1,024

N06AB03

1,025

N06AB04

1,026

N06AB04

1,027

N06AB05

1,028

N06AB05

1,029

N06AB05

1,030

N06AB05

1,031

N06AB05

1,032

N06AB06

1,033

N06AB06

1,034

N06AB06

1,035

N06AB06

1,036

N06AB06

1,037

N06AB06

1,038

N06AB06

1,039

N06AB06

1,040

N06AB06

1,041

N06AB06

1,042

N06AB06

1,043

N06AB06

1,044

N06AB06

1,045

N06AB06

1,046

N06AB06

1,047

N06AB08

1,048

N06AB08

1,049

N06AX11

1,050

N06AX11

1,051

N06AX11

1,052

N06AX11

1,053

N06AX11

1,054

N06AX11

1,055

N06AX11

1,056

N06AX11

DCI

ALPRAZOLAMUM*
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
NITRAZEPAMUM
ZOPICLONUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
ZOLPIDEMUM*
CLOMIPRAMINUM*
CLOMIPRAMINUM*
AMITRIPTYLINUM*
DOXEPINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
FLUOXETINUM*
CITALOPRAMUM**
CITALOPRAMUM**
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
PAROXETINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*

Denumire Comerciala

ALPRAZOLAM ATB 1 mg
NITRAZEPAM LPH (R) 2,5 mg

NITRAZEPAM LPH 2,5 mg

NITRAZEPAM LPH (R) 5 mg
NITRAZEPAM 5 mg
NITRAZEPAM - RICHTER 5 mg

NITRAZEPAM LPH 5 mg
IMOVANE 7,5 mg
SANVAL (R) 10 mg
SANVAL (R) 10 mg
ZOLPIDEM ATB 10 MG
STILNOX 10 mg
STILNOX 10 mg

forma farm.

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

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
ZOLPIDEM AUROBINDO 10 mg COMPR. FILM.
STILNOX 10 mg
COMPR. FILM.

ANAFRANIL (R) 10 mg
ANAFRANIL (R) 25 mg

DRAJ.
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
LINISAN 20 mg
ARKETIS
PAROXETINA ATB 20 mg
SEROXAT 20 mg
PAXETIN 20 mg
PALUXETIL 40 mg
SERLIFT 100 mg
ASENTRA (R)
SETALOFT 100 mg
ZOLOFT 100 mg
ADJUVIN 100 mg
STIMULOTON 100 mg

DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. DISP.
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.
SERTRALINA ARENA 100 mg COMPR. FILM.
SERLIFT 50 mg
COMPR. FILM.
ASENTRA (R)
COMPR. FILM.
SETALOFT 50 mg
COMPR. FILM.
ZOLOFT 50 mg
COMPR. FILM.
ADJUVIN 50 mg
COMPR. FILM.
STIMULOTON 50 mg
COMPR. FILM.
SERTRALINA ARENA 50 mg COMPR. FILM.

ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
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. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

MIRTAZAPINA AUROBINDO 15 mg

COMPR. ORODISPERSABILE

MIRZATEN Q-TAB 30 mg

COMPR. ORODISPERSABILE

concentratie

1mg
2,5mg
2.5mg
5mg
5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
25mg
25mg
25mg
20mg
20mg
20mg
20mg
20mg
10mg
20mg
20mg
20 mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg
50mg
30mg
15mg
30mg
30mg
30mg
45mg
15mg
30mg

Ambalaj

Prescriptie

Nr crt.

1,001

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

PRF

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

P-RF

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.

P-RF

P-RF

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.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA CUTIE X 1 BLIST. PVC/AL X 20 COMPR. FILM.

Detinator APP

ANTIBIOTICE S.A.
LABORMED PHARMA SA
LABORMED PHARMA SA
LABORMED PHARMA SA
GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

LABORMED PHARMA SA

SANOFI AVENTIS
LEK PHARMACEUTICALS D.D.
LEK PHARMACEUTICALS D.D.

ANTIBIOTICE S.A.
SANOFI - AVENTIS ROMANIA S.R.L.

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

NOVARTIS PHARMA GMBH GERMANIA

NOVARTIS PHARMA GMBH GERMANIA

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

P-RF
P-RF

P-RF
P-RF

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

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

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

P-RF
P-RF
P-RF

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

TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ.
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ELI LILLY SA
SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP.

P-RF

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

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

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

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.
TERAPIA SA
KRKA D.D.

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

CUTIE, CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X BLISTERE DIN AL/PVC X 28 COMPRIMATE FILMATE

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

PRF

GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA

SMITHKLINE BEECHAM

MAREA BRITANIE

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

P-RF

PRF
P-RF

P-RF

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

ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-RF

KRKA D.D.

SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X BLIST. DIN AL/PVC X 28 COMPR. FILM.

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

PRF

EGIS PHARMACEUTICALS P.L.C.

ARENA GROUP SA
PFIZER EUROPE MA EEIG

MAREA BRITANIE

ABBOTT HEALTHCARE PRODUCTS B.V.

ABBOTT HEALTHCARE PRODUCTS B.V.

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.
OLANDA

NV ORGANON
ARENA GROUP S.A. ROMANIA
KRKA D.D.
SLOVENIA
ACTAVIS GROUP HF. ISLANDA
ZENTIVA KS
CEHIA
ARENA GROUP S.A. ROMANIA
MAREA BRITANIE

KRKA D.D. NOVO MESTO SLOVENIA

P-RF

CUTIE, CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF

UNGARIA CUTIE X 3 BLIST. X 10 COMPR. FILM.

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

EGIS PHARMACEUTICALS P.L.C.

P-RF

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

CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP.

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

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE

P-RF

Pagina 19 din 21

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

30
20
30
20
20
20
30
20
10
20
10
10
20
10
20
30
30
50
30
14
28
30
20
28
30
30
30
30
30
30
30
28
28
28
28
30
28
30
28
28
28
28
30
30
30
1
30
30
30
30
30
30
30
30
30
30

0.263750
0.051374
0.051374
0.081500
0.102749
0.102749
0.081666
0.363000
0.225000
0.224000
0.225000
0.225000
0.225000
0.225000
0.225000
0.145412
0.363532
0.311600
0.363532
0.585803
0.585803
0.422333
0.585803
0.585803
0.246000
0.585803
0.519666
0.585803
0.585803
0.519666
1.171606
1.171606
1.076428
0.719642
1.171606
1.171606
1.171606
1.171606
0.585803
0.438571
0.355000
0.585803
0.585803
0.533666
0.585803
14.059283
0.585803
0.292901
0.490166
0.245083
0.481666
0.490166
0.481333
0.735249
0.245083
0.490166

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.000250
0.019626
0.019959
0.000000
0.022251
0.022251
0.000000
0.000000
0.000000
0.000000
0.000000
0.120000
0.120000
0.000000
0.120000
0.099588
0.097134
0.000000
0.396134
0.219911
0.202054
0.000000
0.198697
0.729197
0.000000
0.782197
0.000000
0.031197
0.362863
0.000000
0.054060
0.110894
0.000000
0.000000
0.801608
0.091394
0.110894
0.110727
0.138482
0.000000
0.000000
0.607054
0.108197
0.000000
0.115197
37.530717
0.530863
0.265432
1.695167
0.606583
0.000000
0.327500
0.000000
1.388417
0.605583
0.004834

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.237375
0.046236
0.046236
0.073350
0.092474
0.092474
0.073499
0.326700
0.202500
0.201600
0.202500
0.202500
0.202500
0.202500
0.202500
0.130870
0.327178
0.280440
0.327178
0.527222
0.527222
0.380099
0.527222
0.527222
0.221400
0.527222
0.467699
0.527222
0.527222
0.467699
1.054445
1.054445
0.968785
0.647677
1.054445
1.054445
1.054445
1.054445
0.527222
0.394713
0.319500
0.527222
0.527222
0.480299
0.527222
12.653354
0.527222
0.263610
0.441149
0.220574
0.433499
0.441149
0.433199
0.661724
0.220574
0.441149

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.026625
0.024764
0.025097
0.008150
0.032526
0.032526
0.008167
0.036300
0.022500
0.022400
0.022500
0.142500
0.142500
0.022500
0.142500
0.114130
0.133488
0.031160
0.432488
0.278492
0.260635
0.042234
0.257278
0.787778
0.024600
0.840778
0.051967
0.089778
0.421444
0.051967
0.171221
0.228055
0.107643
0.071965
0.918769
0.208555
0.228055
0.227888
0.197063
0.043858
0.035500
0.665635
0.166778
0.053367
0.173778
38.936646
0.589444
0.294723
1.744184
0.631092
0.048167
0.376517
0.048134
1.461942
0.630092
0.053851

cod ATC
N06AX11

1,058

N06AX11

1,059

N06AX11

1,060

N06AX16

1,061

N06AX16

1,062

N06AX16

1,063

N06AX16

1,064

N06AX16

1,065

N06AX16

1,066

N06AX16

1,067

N06AX16

1,068

N06AX16

1,069

N06AX16

1,070

N06AX16

1,071

N06AX16

1,072

N06AX16

1,073

N06AX16

1,074

N06AX16

1,075

N06AX16

1,076

N06AX16

1,077

N06AX16

1,078

N06AX16

1,079

N06AX16

1,080

N06AX16

1,081

N06AX16

1,082

N06AX16

1,083

N06AX16

1,084

N06AX16

1,085

N06AX16

1,086

N06AX16

1,087

N07AA01

1,088

N07AA01

1,089

P01AB02

1,090

P01AB02

1,091

P01AB02

1,092

P01AB02

1,093

P02CA03

1,094

P02CA03

1,095

P02CA03

1,096

P02CA03

1,097

P02CA03

1,098

P02CA03

1,099

P02CE01

1,100

P02CE01

1,101

P02CE01

1,102

P02CE01

1,103

R01AD01

1,104

R03AC02

1,105

R03AC02

1,106

R03AC02

1,107

R03BA01

1,108

R03BA02

1,109

R03BA02

1,110

R03BA02

1,111

R03BA02

1,112

R03BA02

DCI

MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
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*

Denumire Comerciala

forma farm.

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

ANTIBIOTICE S.A.

ROMANIA

CUTIE X 5 BLIST. AL/AL X 6 COMPR. ORODISPERSABILE

P-RF

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC/AL-POLIESTER-HARTIE X 30 COMPR. ORODISPERSABILE

P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL.

PRF

COMPR.
COMPR.
COMPR.
COMPR.
SPRAY NAZ.,SUSP.

100mcg/doza

CHIESI FARMACEUTICI SPA

ITALIA

CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE

P-RF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL.

P-6L

MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA

P-6L

CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SPASER JET" CU CAPAC

P-RF

ZULIN 30 mg

COMPR. ORODISPERSABILE

MIRTAZAPINA AUROBINDO 45 mg

COMPR. ORODISPERSABILE

EFECTIN EP 150 mg
ELIFY EP 150 mg
IVRYX 150mg
VELAXIN 150 mg
ALVENTA 150mg

CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 150 mg

VENLAFAXINA ARENA EP 150 mg
VENLAFAXINA TERAPIA 150 mg
VENLAFAXINA TERAPIA 150 mg

CAPS. ELIB. PREL.

FOBILESS 37,5 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 37,5 mg CAPS. ELIB. PREL.

EFECTIN EP 75 mg
ELIFY EP 75 mg
IVRYX 75mg
IVRYX 75mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA ACTAVIS 75 mg

CAPS. ELIB. PREL.

VENLAFAXINA ARENA EP 75 mg

CAPS. ELIB. PREL.

CAPS. ELIB. PREL.

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

VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL.

VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL.
VENLAFAXINA ARENA 37,5 mg COMPR.

VENLAFAXINA ARENA 50 mg COMPR.

VENLAFAXINA ARENA 75 mg COMPR.

ARGOFAN 150 SR
ARGOFAN 75 SR
NEOSTIGMINA LPH 15 mg
NEOSTIGMINA LPH 15 mg

COMPR. ELIB. PREL.

TINIZOL (R) 500 mg (J01XD02)

TIPROGYN 500 (vezi J01XD02)
TINIZOL (R) 500 mg (J01XD02)
TIPROGYN 500 (vezi J01XD02)

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

ALBENDAZOL VIM SPECTRUM 200 mg

COMPR.
COMPR.

COMPR. ELIB. PREL.

COMPR.
COMPR.

COMPR. FILM.

COMPR.FILM

SUSP. ORALA
VERMIGAL NOVO 400 mg/10 ml SUSP. ORALA

VENTOLIN 100 INHALER CFC-FREE

ASTHALIN INHALER
CLENIL (R) JET 250 mcg
FRENOLYN 200
FRENOLYN 200
PULMICORT TURBUHALER 200 mcg/doza

FRENOLYN 400
BUDIAIR 200 mcg

Ambalaj

AUROBINDO PHARMA LIMITED

COMPR. ORODISPERSABILE

DECARIS 150 mg
LEVAMISOL ARENA 150 mg
DECARIS 50 mg
LEVAMISOL ARENA 50 mg
RINOCLENIL 100
VENTOLIN (R)

Detinator APP

30mg
30mg
45mg
150 mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
75 mg
75 mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
50mg
75mg
150mg
75mg
15mg
15mg
500mg
500mg
500mg
500mg
200mg
400mg
200mg
200 mg
0,4g/10ml
400mg/10ml
150mg
150mg
50mg
50mg

MIRTAZAPINA AUROBINDO 30 mg

ESKAZOLE
DUADOR 200 mg
ALBENDAZOL LPH 200 mg
ZENTEL 0,4 g/10 ml

concentratie

Prescriptie

Nr crt.

1,057

tara det.
APP

SOL. INHAL. 5mg/ml

SUSP. INHAL. PRESURIZATA
SUSP. INHAL. PRESURIZATA
SOL. INHALAT PRESURIZATA

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
SOL. DE INHALAT PRESURIZATA

MEDOCHEMIE LTD. CIPRU

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

NEOLA PHARMA S.R.L. ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL.
ACTAVIS GROUP PTC EHF.

ISLANDA

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF

P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF

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

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

P-RF

PFIZER EUROPE MA EEIG

CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL.

PRF

MAREA BRITANIE

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

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.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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.
LANNACHER HEILMITTEL GES.M.B.H.

ACTAVIS GROUP PTC EHF.

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.
ZENTIVA A.S.

AUSTRIA
ISLANDA

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF

P-RF

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF

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
SLOVACIA
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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
VIM SPECTRUM SRL ROMANIA

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

CUTIE CU BLIST. PVC/AL X 60 COMPR. P-6L
CUTIE X 1 BLIST. X 4 COMPR. FILM.
P-RF
CUTIE X 1 BLIST. X 4 COMPR.FILM.
P6L
CUTIE X 1 BLIST. X 4 COMPR. FILM.
P-RF
CUTIE X 1 BLIST. X 4 COMPR.FILM.
P6L
CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF

GLAXO SMITHKLINE EXPORT LTD. MAREA BRITANIE

LABORMED PHARMA SA ROMANIA

LABORMED PHARMA SA ROMANIA

ZENTIVA S.A.
AC HELCOR SRL
ZENTIVA S.A.
AC HELCOR SRL

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 CU 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA

PRF

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

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

100mcg/doza GLAXOWELLCOME UK LTD.

100mcg/doza CIPLA (UK) LIMITED
250mcg/doza CHIESI FARMACEUTICI SPA
200 mcg/doza MEDOCHEMIE ROMANIA SRL
200 mcg/doza MEDOCHEMIE ROMANIA SRL
200mcg/doza ASTRAZENECA AB
400 mcg/doza MEDOCHEMIE ROMANIA SRL
200 mcg/doza CHIESI FARMACEUTICI SPA

ITALIA

P-RF

P-RF
P-RF
P-RF

ROMANIA CUTIE X 1 PUNGA, X 1 INHALATOR X 100 DOZE

ROMANIA CUTIE CU 1 PUNGA DIN POLISTIREN/AL/PE CONTINAND 1 INHALATOR TIP MIAT-HALER X 200 DOZE

P-RF

SUEDIA

CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL.

P-RF

ROMANIA

CUTIE CU 1 PUNGA DIN POLISTIREN/AL/PE CONTINAND 1 INHALATOR TIP MIAT-HALER X 100 DOZE

P-RF

ITALIA

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA

P-RF

Pagina 20 din 21

P-RF

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

30
0.490166
30
0.485333
30
0.735249
28
1.153452
30
0.998333
28
0.860714
28
1.153452
30
0.554666
28
0.856428
30
1.153452
30
1.153452
30
1.153452
30
0.288363
30
0.288363
28
0.576726
30
0.576726
28
0.576726
28
0.576726
28
0.576726
30
0.326000
30
0.576726
28
0.576726
30
0.576726
30
0.576726
30
0.576726
30
0.288363
30
0.384484
30
0.576726
30
0.665000
30
0.391000
20
0.694624
60
0.688833
4
0.603524
4
0.603524
4
0.603524
4
0.603524
2
3.107291
12
6.198333
2
3.107291
2
3.107291
1
3.951000
1
3.870000
1
3.540000
1
3.540000
2
1.179988
2
1.179988
1 42.718000
1
1.616400
1
8.082000
1
7.070000
1 101.960000
1 26.670000
1 66.167500
1 33.083750
1 66.167500
1 63.460000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

0.385500
0.000000
0.522751
0.859405
0.000000
0.000000
0.155119
0.000000
0.000000
0.155214
0.155214
0.155214
0.307970
0.543303
0.741488
0.172607
0.086488
0.086488
0.308274
0.000000
0.085940
0.079702
0.302607
0.308607
0.308607
0.543303
0.462849
0.302607
0.000000
0.000000
0.017376
0.000000
0.356476
0.316476
0.356476
0.316476
0.002709
0.000000
0.207709
0.212709
1.999000
0.000000
0.000000
0.000000
0.385012
0.385012
5.802000
6.183600
2.808000
0.000000
0.000000
0.000000
11.652500
6.626250
21.192500
0.000000

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

0.441149
0.436799
0.661724
1.038106
0.898499
0.774642
1.038106
0.499199
0.770785
1.038106
1.038106
1.038106
0.259526
0.259526
0.519053
0.519053
0.519053
0.519053
0.519053
0.293400
0.519053
0.519053
0.519053
0.519053
0.519053
0.259526
0.346035
0.519053
0.598500
0.351900
0.625161
0.619949
0.543171
0.543171
0.543171
0.543171
2.796561
5.578499
2.796561
2.796561
3.555900
3.483000
3.186000
3.186000
1.061989
1.061989
38.446200
1.454760
7.273800
6.363000
91.764000
24.003000
59.550750
29.775375
59.550750
57.114000

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

0.434517
0.048534
0.596276
0.974751
0.099834
0.086072
0.270465
0.055467
0.085643
0.270560
0.270560
0.270560
0.336807
0.572140
0.799161
0.230280
0.144161
0.144161
0.365947
0.032600
0.143613
0.137375
0.360280
0.366280
0.366280
0.572140
0.501298
0.360280
0.066500
0.039100
0.086839
0.068884
0.416829
0.376829
0.416829
0.376829
0.313439
0.619834
0.518439
0.523439
2.394100
0.387000
0.354000
0.354000
0.503011
0.503011
10.073800
6.345240
3.616200
0.707000
10.196000
2.667000
18.269250
9.934625
27.809250
6.346000

cod ATC
R03BA02

1,114

R03BB01

1,115

R03CC02

1,116

R03CC02

1,117

R03DA04

1,118

R03DA04

1,119

R03DX05

1,120

R03DX05

1,121

R05DA04

1,122

R05DA04

1,123

R05DA04

1,124

R05DA04

1,125

R05DA04

1,126

R05DA04

1,127

R06AB04

1,128

R06AE07

1,129

R06AE07

1,130

R06AE07

1,131

R06AX17

1,132

R06AX17

1,133

R06AX17

1,134

R06AX17

1,135

R06AX17

1,136

R06AX17

1,137

S01BC03

1,138

S01BC03

1,139

S01BC03

BUDESONIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
OMALIZUMABUM**
OMALIZUMABUM**
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CHLORPHENAMINUM
CETIRIZINUM
CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

1,140

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

1,141

S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM)

Denumire Comerciala

BUDIAIR 200 mcg JET

forma farm.
SOL. DE INHALAT PRESURIZATA

concentratie
200mcg/doza

20mcg/doza
SALBUTAMOL EIPICO 2mg/5ml SIROP
2mg/5ml
VENTOLIN (R)
SOL. INJ.
0,5mg/ml
TEOTARD (R) 200 mg
CAPS. ELIB. PREL. 200mg
TEOTARD (R) 350 mg
CAPS. ELIB. PREL. 350mg
XOLAIR 150 mg
SOL INJ.
150mg
XOLAIR 75 mg
SOL INJ.
75mg
FOSFAT DE CODEINA 15 mg COMPR.
15mg
CODEINA FOSFORICA
COMPR.
15mg
FARMACOD
COMPR.
15mg
CODEINA FOSFAT
COMPR.
15mg
CODEINA FOSFAT LPH 15 mg COMPR.
15mg
CODEINA FOSFAT MCC 15 mg COMPR.
15mg
CLORFENIRAMIN
COMPR.
4mg
CELERG
COMPR. FILM. 10 mg
LETIZEN (R) 10 mg
COMPR. FILM. 10mg
ZYRTEC 10 mg/ml
PICATURI ORALE, SOL. 10mg/ml
H - KETOTIFEN
COMPR.
1mg
KETOTIFEN
COMPR.
1mg
KETOTIFEN LAROPHARM 1 mg COMPR.
1mg
KETOTIFEN LPH 1 mg
COMPR.
1mg
KETOTIFEN LPH 1 mg
COMPR.
1mg
KETOF 1 mg/5 ml
SIROP
1mg/5ml
DICLOFENAC ROMPHARM PIC. OFT.-SOL. 1mg/ml
UNICLOPHEN (R) 0,1%
PICATURI OFT.-SOL. 0,1%
VOLTAREN OPHTHA CD
PICATURI OFT.-SOL. 0,1%
BETABIOPTAL
PICATURI OFT.SUSP. 0,2g+0,5g/100ml
BETABIOPTAL
UNG. OFT. 0,2g+0,5g/100g
IPRAVENT INHALER 20mcg/doza

SUSP. INHAL. PRESURIZATA

Detinator APP

Ambalaj

Prescriptie

DCI

Nr crt.

1,113

tara det.
APP

CHIESI FARMACEUTICI SPA

ITALIA

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION

P-RF

CIPLA (UK) LIMITED

MAREA BRITANIE

CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA

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.

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL.

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA

PR/PRF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU 1 SERINGA PREUMPLUTA X 0.5ML SOLUTIE INJECTABILA

PR/PRF

SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL

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.

AC HELCOR PHARMA SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

KRKA D.D.

SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM.

LABORMED PHARMA SA

MAGISTRA C & C SRL

LABORMED PHARMA SA

UCB PHARMA GMBH GERMANIA

AC HELCOR SRL
ROMANIA
MAGISTRA C&C S.R.L. ROMANIA
LAROPHARM SRL ROMANIA
LABORMED PHARMA SA ROMANIA
LABORMED PHARMA SA ROMANIA

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

CUTIE CU 1 FLAC. DIN STICLA BRUNA + PICURATOR DIN PEJD X 20 ML PIC. ORALE, SOL.

P-6L

P6L

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

HEXAL AG

GERMANIA

CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE

P-6L

ROMPHARM COMPANY SRL

ROMANIA

FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL.

P-6L

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

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

UNIMED PHARMA LTD. SLOVACIA

LABORATOIRES THEA FRANTA

THEA FARMA S.P.A. ITALIA

THEA FARMA S.P.A. ITALIA

cant.
UT/
Pret de
amba referinta / UT
laj
(RON)

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 21 din 21

1 66.167500
1 13.080000
1
3.050000
5
0.740000
40
0.243500
40
0.362500
1 1,536.080000
1 789.875000
30
0.167500
25
0.167500
20
0.151000
20
0.167500
20
0.165500
20
0.167500
20
0.120000
20
0.504900
20
0.504900
1 10.098000
20
0.175250
20
0.175250
20
0.175250
20
0.172000
30
0.172000
1 11.860000
1
8.678750
1 11.650000
1
8.678750
1 13.940000
1 14.459999

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

8.122500
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
65.505000
0.032833
0.037700
0.000000
0.006000
0.000000
0.022000
0.000000
0.593100
0.045100
3.062000
0.007250
0.003250
0.003250
0.000000
0.000000
0.000000
0.951250
0.000000
6.141250
0.000000
1.560001

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

59.550750
11.772000
2.745000
0.666000
0.219150
0.326250
1,382.472000
710.887500
0.150750
0.150750
0.135900
0.150750
0.148950
0.150750
0.108000
0.454410
0.454410
9.088200
0.157725
0.157725
0.157725
0.154800
0.154800
10.674000
7.810875
10.485000
7.810875
12.546000
13.013999

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

14.739250
1.308000
0.305000
0.074000
0.024350
0.036250
153.608000
144.492500
0.049583
0.054450
0.015100
0.022750
0.016550
0.038750
0.012000
0.643590
0.095590
4.071800
0.024775
0.020775
0.020775
0.017200
0.017200
1.186000
1.819125
1.165000
7.009125
1.394000
3.006001

ANEXA 2b

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM

Nr. crt

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61

cod ATC
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC02
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A02BC05
A03AB06
A06AD15
A06AD15
A07AA11
A07AA11
A07AA11
A07EA06
A07EA06
A07XA04
A07XA04
A07XA04
A08AB01
A08AB01
A11CC03
A11CC03

DCI

PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
PANTOPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
OTILONIUM BROMIDUM
MACROGOLUM*2)
MACROGOLUM*2)
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**#
BUDESONIDUM**#
RACECADOTRILUM
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM

Denumire Comerciala

CONTROLOC 20 mg
CONTROLOC 40mg
SELTRAZ 40 mg
ZENCOPAN 20 mg
PANTEXEL 20 mg
NOLPAZA 20 mg
AZATOL 20 mg
PANTOPRAZOL TERAPIA 20 mg
PANTOPRAZOL TORRENT 20 mg
PANTOPRAZOL AUROBINDO 20 mg
CONTROLOC 20 mg
ZENCOPAN 40 mg
PANTEXEL 40 mg
NOLPAZA 40mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL ATB 40 mg
AZATOL 40 mg
PANTOPRAZOL TORRENT 40 mg
PANTOPRAZOL AUROBINDO 40 mg
CONTROLOC 40mg
GESOFLUX 20 mg
GESOFLUX 40 mg
NOLPAZA 40 mg
CONTROLOC 40mg
CONTROLOC 40mg
EMANERA 20 mg
HELIDES 20 mg
EMANERA 40 mg
HELIDES 40 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg
ESOMEPRAZOL TORRENT 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 TORRENT 40 mg
PRAGASTROL 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg
NEXIUM 10 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL POLPHARMA 40 mg
SPASMOMEN (R)
OLOPEG
OLOPEG
NORMIX 200 mg
NORMIX 200 mg
NORMIX 200mg/10ml
BUDENOFALK
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

forma farm.

concentratie

20mg
COMPR. FILM. GASTROREZ. 40mg
COMPR. FILM. GASTROREZ. 40mg
COMPR. GASTROREZ. 20 mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 40 mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
20mg
40mg
PULB. PT. SOL. INJ. 40mg
PULB. PT. SOL. INJ. 40mg
PULB. PT. SOL. INJ. 40mg
CAPS. GASTROREZ. 20mg
CAPS. GASTROREZ. 20mg
CAPS. GASTROREZ. 40mg
CAPS. GASTROREZ. 40mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 20mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
COMPR. GASTROREZ. 40mg
20mg
40mg
10mg
PULB. PT. SOL. INJ./PERF. 40mg
PULB. PT. SOL. PERF./INJ. 40mg
COMPR. FILM. 40mg
COMPR. FILM. GASTROREZ.

COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE
GRAN. GASTROREZ. PT. SUSP.ORALA

CONC. PT. SOL. ORALA

FARA CONCENTRATIE

CONC. PT. SOL. ORALA

FARA CONCENTRATIE

COMPR. FILM. 200mg

COMPR. FILM. 200mg
GRAN. PT. SUSP. ORALA

CAPS. GASTROREZ.

SPUMA RECTALA

CAPS.
PULB. PT. SOL. ORALA
PULB. PT. SOL. ORALA

CAPS.
CAPS.
CAPS. MOI
CAPS. MOI

Detinator APP

NYCOMED GMBH
NYCOMED GMBH

Tara det.
APP

Ambalaj

Prescriptie

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 IANUARIE 2016

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

GERMANIA

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6L

DR. REDDY'S LABORATORIES

P-6L

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

KRKA D.D., NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.

P-6L

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P6L

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

P6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P6L

MALTA

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. GASTROREZ.

P6L

NEOLA PHARMA SRL ROMANIA

TERAPIA S.A.
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
AUROBINDO PHARMA (MALTA) LIMITED

TAKEDA GMBH
ZENTIVA K.S.

GERMANIA

CUTIE DE CARTON CU BLIST. DIN AL/AL CU RANFORSARE DIN CARTON X 30 COMPR. GASTROREZ.

REPUBLICA CEHA

CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ

P-6L

KRKA D.D., NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 15 COMPR. GASTR.

P-6L

ROMANIA
ROMANIA
ROMANIA
NEOLA PHARMA SRL ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

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

CUTIE CU 3 BLIST. AL/AL X 10 COMPR. GASTROREZ.

P6L

CUTIE CU BLIST. PVC-PCTFE-PVDC/AL X 28 COMPR. GASTROREZ.

P6L

CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. GASTROREZ.

P6L

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. GASTROREZ.

P6L

CUTIE DE CARTON CU BLIST. DIN AL/AL CU RANFORSARE DIN CARTON X 30 COMPR. GASTROREZ.

P6L

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

P6L

TERAPIA S.A.
TERAPIA S.A.
ANTIBIOTICE SA

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

TAKEDA GMBH
GERMANIA
G.L. PHARMA GMBH AUSTRIA
G.L. PHARMA GMBH AUSTRIA

P6L

CUTIE CU BLIST. AL/AL X 30 COMPR. GASTROREZISTENTE

P6L

KRKA D.D., NOVO MESTO

SLOVENIA

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

P-RF

NYCOMED GMBH
TAKEDA GMBH

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

S/P-RF

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPSA DIN AL SI DOP DIN CAUCIUC A 40 MG CU PULB. PT. SOL. INJ.

PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

ZENTIVA K.S.

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

P-6L

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6L

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

P-6L

REPUBLICA CEHA

KRKA, D.D., NOVO MESTO SLOVENIA

ZENTIVA K.S.
REPUBLICA CEHA
ASTRAZENECA AB SUEDIA
SANDOZ SRL
ROMANIA

CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ.

P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 56 COMPR. GASTROREZ. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 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.

ASTRAZENECA AB SUEDIA
SANDOZ SRL
ROMANIA

CUTIE CU BLIST. AL/AL X 14 COMPR. GASTROREZ.

P6L
P6L

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

P-6L

CUTIE CU BLIST. AL/AL X14 COMPR. GASTROREZ.

P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 56 COMPR. GASTROREZ. P6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 90 COMPR. GASTROREZ. P6L

ALVOGEN IPCO S.A.R.L

LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ.

P6L

TERAPIA S.A.
TERAPIA S.A.
ASTRAZENECA AB
SANDOZ S.R.L.

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L

CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA

P-6L

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

PRF

SUEDIA

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA
POLONIA

A. MENARINI IND. FARM. RIUNITE SRL

ITALIA

ALFA WASSERMANN SPA

200mg/10ml ALFA WASSERMANN SPA

3mg
DR. FALK PHARMA GMBH
2mg/doza
DR. FALK PHARMA GMBH
100mg
LABORATOIRES FOURNIER S.A.S.
10mg
LABORATOIRES FOURNIER S.A.S.
30mg
LAB. FOURNIER SA
120mg
ROCHE REGISTRATION LTD.
120mg
ROCHE REGISTRATION LTD.
0,25mcg
TEVA PHARMACEUTICALS S.R.L.
0,25g
SANDOZ S.R.L.

P6L

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

CNP PHARMA GMBH GERMANIA

CNP PHARMA GMBH GERMANIA
ALFA WASSERMANN SPA

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

PRF

CUTIE CU 1 FLAC. DIN PET X 200 ML CONC. PT. SOL. ORALA, INSOTIT DE UN RECIPIENT DOZATOR GRADAT

PRF

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

P-RF

ITALIA
ITALIA
ITALIA

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

P-RF

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

P-RF

GERMANIA

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

P-RF

GERMANIA

CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL

P-RF

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

FRANTA CUTIE X 16 PLICURI X 1 G
FRANTA CUTIE X 16 PLICURI X 3 G

P-RF
P-RF
P-RF

MAREA BRITANIE

CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC)

P-RF

MAREA BRITANIE

CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC)

P-RF

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

Pagina 1 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

30
0.508333
30
0.935666
28
0.608214
28
0.236785
28
0.330714
30
0.273666
28
0.330714
30
0.330666
30
0.330666
30
0.212666
30
0.508333
28
0.430714
28
0.608214
30
0.576666
10
0.609000
30
0.608000
30
0.608000
28
0.608214
30
0.608000
30
0.387666
30
0.935666
30
0.177333
30
0.246000
1
8.810000
1 13.560000
1 13.560000
28
0.644285
28
0.480000
28
1.038571
28
0.878928
14
0.729599
14
0.555000
56
0.554642
90
0.536777
14
0.472142
30
0.720000
14
1.459199
14
1.057857
56
0.835000
90
0.793000
30
1.156000
14
0.729599
14
1.384285
28
2.539642
10 20.061000
10 20.060000
30
1.103333
1 33.340000
1 13.949499
12
2.519583
36
2.413333
1 15.117513
100
3.516900
1 303.800000
20
2.076500
16
2.307000
16
2.307000
21
2.029672
84
1.677500
50
0.543166
30
0.543166

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.788258
0.000000
0.000000
0.000000
0.000000
0.000000
0.671515
0.000000
0.000000
0.000000
0.000000
0.208258
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
1.840501
0.106250
0.000000
4.692487
0.000000
0.000000
0.000000
0.353000
0.230500
1.056518
0.000000
0.045834
0.222500

0.254166
0.467833
0.304107
0.118392
0.165357
0.136833
0.165357
0.165333
0.165333
0.106333
0.254166
0.215357
0.304107
0.288333
0.304500
0.304000
0.304000
0.304107
0.304000
0.193833
0.467833
0.088666
0.123000
4.405000
6.780000
6.780000
0.322142
0.240000
0.519285
0.439464
0.364799
0.277500
0.277321
0.268388
0.236071
0.360000
0.729599
0.528928
0.417500
0.396500
0.578000
0.364799
0.692142
1.269821
10.030500
10.030000
0.551666
16.670000
6.974749
1.259791
1.206666
7.558756
1.758450
151.900000
1.038250
1.153500
1.153500
1.014836
0.838750
0.271583
0.271583

0.254167
0.467833
0.304107
0.118393
0.165357
0.136833
0.165357
0.165333
0.165333
0.106333
0.254167
0.215357
0.304107
0.288333
0.304500
0.304000
0.304000
0.304107
0.304000
0.193833
0.467833
0.088667
0.123000
4.405000
6.780000
6.780000
0.322143
0.240000
0.519286
0.439464
1.153058
0.277500
0.277321
0.268389
0.236071
0.360000
1.401115
0.528929
0.417500
0.396500
0.578000
0.573058
0.692143
1.269821
10.030500
10.030000
0.551667
16.670000
8.815251
1.366042
1.206667
12.251244
1.758450
151.900000
1.038250
1.506500
1.384000
2.071354
0.838750
0.317417
0.494083

0.457499
0.842099
0.547392
0.213106
0.297642
0.246299
0.297642
0.297599
0.297599
0.191399
0.457499
0.387642
0.547392
0.518999
0.548100
0.547200
0.547200
0.547392
0.547200
0.348899
0.842099
0.159599
0.221400
7.929000
12.204000
12.204000
0.579856
0.432000
0.934713
0.791035
0.656639
0.499500
0.499177
0.483099
0.424927
0.648000
1.313279
0.952071
0.751500
0.713700
1.040400
0.656639
1.245856
2.285677
18.054900
18.054000
0.992999
30.006000
12.554549
2.267624
2.171999
13.605761
3.165210
273.420000
1.868850
2.076300
2.076300
1.826704
1.509750
0.488849
0.488849

0.050834
0.093567
0.060822
0.023679
0.033072
0.027367
0.033072
0.033067
0.033067
0.021267
0.050834
0.043072
0.060822
0.057667
0.060900
0.060800
0.060800
0.060822
0.060800
0.038767
0.093567
0.017734
0.024600
0.881000
1.356000
1.356000
0.064429
0.048000
0.103858
0.087893
0.861218
0.055500
0.055465
0.053678
0.047215
0.072000
0.817435
0.105786
0.083500
0.079300
0.115600
0.281218
0.138429
0.253965
2.006100
2.006000
0.110334
3.334000
3.235451
0.358209
0.241334
6.204239
0.351690
30.380000
0.207650
0.583700
0.461200
1.259486
0.167750
0.100151
0.276817

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
A11CC03
A11CC03

DCI

ALFACALCIDOLUM
ALFACALCIDOLUM

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#

114 B01AC18

DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
SULODEXIDUM**
SULODEXIDUM**
SULODEXIDUM**
SULODEXIDUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
TRIFLUSALUM
TRIFLUSALUM

115 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)**

116 B01AE07

DABIGATRANUM ETEXILATUM**
DABIGATRANUM ETEXILATUM**
RIVAROXABANUM**
RIVAROXABANUM**
APIXABANUM**
FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#

B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB11
B01AB11
B01AB11
B01AB11
B01AC04
B01AC04
B01AC04
B01AC04

100 B01AC04
101 B01AC04
102 B01AC04
103 B01AC04
104 B01AC04
105 B01AC04
106 B01AC04
107 B01AC04
108 B01AC04
109 B01AC04
110 B01AC04
111 B01AC04
112 B01AC04
113 B01AC18

117 B01AE07
118 B01AF01
119 B01AF01
120 B01AF02
121 B01AX05
122 B01AX05
123 B01AX05
124 B01AX05

125 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA

126 C01EB17
127 C01EB17
128 C02AC05
129 C02AC05

IVABRADINUM**
IVABRADINUM**
MOXONIDINUM
MOXONIDINUM

Denumire Comerciala

ALPHA D3 0,50 mcg

ALFACALCIDOL SANDOZ 0,5 mcg
THIOSSEN 600 (vezi N07XN03)
THIOCTACID 600T (vezi N07XN03)
FRAGMIN 10000 UI/0,4 ml
FRAGMIN 12500 UI/0,5 ml
FRAGMIN15000 UI/0,6 ml
FRAGMIN 18000 UI/0,72 ml
FRAGMIN 2500 UI/0,2 ml
FRAGMIN 5000 UI/0,2 ml
FRAGMIN 7500 UI/0,3 ml
CLEXANE 2000ui anti-Xa/0,2ml
CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml

INNOHEP 10000 UI ANTI-XA/ml

INNOHEP 20000 UI ANTI-Xa/ml
INNOHEP 10000 UI ANTI-XA/ml
INNOHEP 10000 UI ANTI-XA/ml
INNOHEP 20000 UI ANTI-Xa/ml
INNOHEP 20000 UI ANTI-Xa/ml
INNOHEP 20000 UI ANTI-Xa/ml
VESSEL DUE F
COREFLUX 250 ULS
COREFLUX 600 ULS/2 ml
VESSEL DUE F
PLAVIX 300mg
PLAVIX 300mg
ZYLLT
PLAVIX 75mg
CLOPIDOGREL MYLAN 75mg
TROGRAN 75 mg
PLAVOCORIN 75 mg
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
CLOPIDOGREL TERAPIA 75 mg
DEPLATT 75 mg
TROMBEX 75 mg
TROMBEX 75 mg
CLOPIDOGREL AUROBINDO 75 mg
PLAVIX 75mg
PLATROX 300 mg
AFLEN (R)
AGGRENOX 200mg/25mg
PRADAXA 110mg
PRADAXA 110mg
XARELTO 10mg
XARELTO 10mg
ELIQUIS
ARIXTRA 2,5mg/0,5ml
ARIXTRA 2,5mg/0,5ml
ARIXTRA 7,5mg/0,6ml
ARIXTRA 7,5mg/0,6ml
VENOFER (R)
CORLENTOR 5mg
CORLENTOR 7,5mg
MOXOGAMMA 0,2 mg
PHYSIOTENS 0,2

forma farm.

concentratie

CAPS. MOI
CAPS. MOI

0,50mcg
0,5g
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.
2850 ui AFXa/0,3ml
SOL. INJ.
2850 ui AFXa/0,3ml
SOL. INJ.
3800 ui AFXa/0,4ml
SOL. INJ.
3800 ui AFXa/0,4ml
SOL. INJ.
5700 ui AFXa/0,6ml
SOL. INJ.
5700 ui AFXa/0,6ml
SOL. INJ.
7600 ui AFXa/0,8ml
SOL. INJ.
7600 ui AFXa/0,8ml
SOL. INJ. IN FLACOANE

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

CAPS. MOI
CAPS. MOI
SOL INJ.
SOL. INJ.

CAPS.
CAPS.

250ULS
250ULS
600ULS/2ml
600ULS/2ml
300mg
300mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
300 mg
300mg

CAPS. ELIB. MODIF.

25mg/200mg

CAPS.
CAPS.

110mg
110mg
10mg
10mg
2,5mg
2,5mg/0,5ml
2,5mg/0,5ml
7,5mg/0,6ml
7,5mg/0,6ml
20mg/ml
5mg
7,5mg
0,2mg
0,2mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ./PERF.

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

Detinator APP
TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

Prescriptie

Nr. crt

Tara det.
APP
Ambalaj
ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

AAA - PHARMA GMBH GERMANIA

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

P-6L

CUTIE X 5 FIOLE X 24 ML SOL.INJ.

S/P-RF

MEDA PHARMA GMBH & CO KG

GERMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 5 BLISTERE INDIVIDUALE CONTINND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,4 ML SOLUTIE INJECTABILA

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 5 BLISTERE INDIVIDUALE CONTINND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,5 ML SOLUTIE INJECTABILA

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 5 BLISTERE INDIVIDUALE CONTINND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,6 ML SOLUTIE INJECTABILA

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 5 BLISTERE INDIVIDUALE CONTINND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,72 ML SOLUTIE INJECTABILA

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP X 0,2 ML SOLUTIE INJECTABILA

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 10 BLISTERE INDIVIDUALE CONTINND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA

S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 10 BLISTERE INDIVIDUALE CONTINND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,3 ML SOLUTIE INJECTABILA

S/P-RF

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LABORATOIRE AVENTIS

FRANTA
FRANTA
FRANTA
FRANTA

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR/PRF

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR/PRF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR/PRF

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.

PR/PRF

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

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

DANEMARCA

ALFA WASSERMANN SPA

ITALIA

SANIENCE S.R.L.
SANIENCE S.R.L.

ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. MOI PRF

ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. PRF

ALFA WASSERMANN SPA

ITALIA
FRANTA
FRANTA

SANOFI PHARMA - BRISTOL MYERS SQUIBB

SANOFI CLIR SNC

DANEMARCA
DANEMARCA
DANEMARCA
DANEMARCA
DANEMARCA
DANEMARCA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE

PR/PRF

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE VERDE INCHIS

PR/PRF

CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE

PR/PRF

CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU

PR/PRF

CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ROSU

PR/PRF

CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC GALBEN

PR/PRF

CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU

PR/PRF

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 X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF

FRANTA
FRANTA

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

P-RF

MYLAN S.A.S.

CUTIE CU BLIST. DIN OPA/AL/PVC-AL X 28 COMPR.FILM.

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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.

SANOFI PHARMA - BRISTOL MYERS SQUIBB

ROMANIA
ROMANIA
DR. REDDY'S LABORATORIES ROMANIA
TERAPIA S.A.
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

P-RF

LABORMED PHARMA S.A.

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

P-RF

GEDEON RICHTER ROMANIA SA

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

P-RF

ZENTIVA K.S.
ZENTIVA K.S.

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF

SANOFI CLIR SNC

CEHIA
CEHIA
MALTA
FRANTA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

GALENICA S.A.

GRECIA CUTIE X 5 BLIST. X 10 CAPS.

P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII +DESICAN

P-6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 3 BLIST. (AL/AL) X 10 CAPS. (30X1 BLISTER PERFORAT UNIDOZA )

P-RF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 6 BLIST. (AL/AL) X 10 CAPS. (60X1 BLISTER PERFORAT UNIDOZA )

P-RF

AUROBINDO PHARMA (MALTA) LIMITED

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

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

PRF

CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF

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

PRF

BAYER PHARMA AG GERMANIA CUTIE X BLIST PP/AL X 10 COMPR. FILM.

BAYER PHARMA AG GERMANIA CUTIE X BLIST PP/AL X 30 COMPR. FILM.

P-RF

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

CUTIE CU BLIST. PERFORATE DINPVC/PVDC/AL A 60 X 1 COMPR. FILM.

PRF

CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA X 0,5ML SOLUTIE INJECTABILA PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA DE CULOARE ALBASTRA

P-RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CULOARE ALBASTRA

P-RF

CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA X 0,6ML SOLUTIE INJECTABILA PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA DE CULOARE PURPURIE

P-RF

GLAXO GROUP LTD.

MAREA BRITANIE

ASPEN PHARMA TRADING LIMITED

IRLANDA

GLAXO GROUP LTD.

MAREA BRITANIE

IRLANDA
VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML
LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)
LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR)

ASPEN PHARMA TRADING LIMITED

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CULOARE PURPURIE

P-RF

P-RF
S/P-RF

P-6L
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.

Pagina 2 din 17

P-6L

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

30
30
30
5
5
5
5
5
10
10
10
10
10
10
6
10
10
10
10
10
10
10
10
10
10
10
10
2
2
2
50
50
10
10
30
30
28
28
28
28
28
28
28
30
30
30
30
30
90
28
28
50
50
60
30
60
10
30
60
10
10
10
10
5
56
56
30
28

1.086333
1.086333
1.592000
24.924000
18.430000
23.398000
27.346000
33.530000
5.280730
10.561460
13.673000
5.280730
10.561460
14.988000
19.778333
5.280730
5.280730
7.040971
7.040971
10.561460
10.561460
14.081943
14.081943
30.175597
60.351199
5.280730
6.789508
7.543897
21.122920
27.158040
1.540449
1.365800
5.413000
6.037000
4.276281
4.276281
0.460714
1.069070
0.545714
1.069070
0.618928
0.422142
1.069070
0.688666
1.069070
1.069070
0.919333
0.581000
0.562000
0.593928
1.069070
0.534535
0.534535
0.880833
5.664666
5.664666
11.170250
11.020000
5.510000
19.409000
19.409000
58.227000
48.522499
31.080000
2.633544
3.856071
0.483666
0.836125

0.000000
0.047333
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.918270
0.889540
0.000000
1.146270
1.098540
0.000000
0.000000
1.164270
1.164270
1.456029
1.456029
2.623540
2.623540
1.936057
1.936057
22.635403
52.533801
7.047270
9.064492
29.446103
29.297080
32.616960
0.523951
0.000000
0.000000
1.872000
5.066052
5.066052
0.000000
0.578787
0.000000
0.037715
0.000000
0.000000
0.037715
0.000000
0.037263
0.037263
0.000000
0.000000
0.000000
0.000000
0.578787
0.163065
0.538465
0.000000
0.000000
0.000000
0.450750
0.000000
0.000000
0.000000
0.000000
0.293000
9.997501
0.000000
1.358956
0.000000
0.000000
0.243517

0.543166
0.543166
0.796000
12.462000
9.215000
11.699000
13.673000
16.765000
2.640365
5.280730
6.836500
2.640365
5.280730
7.494000
9.889166
2.640365
2.640365
3.520485
3.520485
5.280730
5.280730
7.040971
7.040971
15.087798
30.175599
2.640365
3.394754
3.771948
10.561460
13.579020
0.770224
0.682900
2.706500
3.018500
2.138140
2.138140
0.230357
0.534535
0.272857
0.534535
0.309464
0.211071
0.534535
0.344333
0.534535
0.534535
0.459666
0.290500
0.281000
0.296964
0.534535
0.267267
0.267267
0.440416
2.832333
2.832333
5.585125
5.510000
2.755000
9.704500
9.704500
29.113500
24.261249
15.540000
1.316772
1.928035
0.241833
0.418062

0.543167
0.590500
0.796000
12.462000
9.215000
11.699000
13.673000
16.765000
3.558635
6.170270
6.836500
3.786635
6.379270
7.494000
9.889167
3.804635
3.804635
4.976515
4.976515
7.904270
7.904270
8.977029
8.977029
37.723202
82.709401
9.687635
12.459246
33.218052
39.858540
46.195980
1.294176
0.682900
2.706500
4.890500
7.204193
7.204193
0.230357
1.113322
0.272857
0.572250
0.309464
0.211071
0.572250
0.344333
0.571798
0.571798
0.459667
0.290500
0.281000
0.296964
1.113322
0.430333
0.805733
0.440417
2.832333
2.832333
6.035875
5.510000
2.755000
9.704500
9.704500
29.406500
34.258751
15.540000
2.675728
1.928036
0.241833
0.661580

0.977699
0.977699
1.432800
22.431600
16.587000
21.058200
24.611400
30.177000
4.752657
9.505314
12.305700
4.752657
9.505314
13.489200
17.800499
4.752657
4.752657
6.336873
6.336873
9.505314
9.505314
12.673748
12.673748
27.158037
54.316079
4.752657
6.110557
6.789507
19.010628
24.442236
1.386404
1.229220
4.871700
5.433300
3.848652
3.848652
0.414642
0.962163
0.491142
0.962163
0.557035
0.379927
0.962163
0.619799
0.962163
0.962163
0.827399
0.522900
0.505800
0.534535
0.962163
0.481081
0.481081
0.792749
5.098199
5.098199
10.053225
9.918000
4.959000
17.468100
17.468100
52.404300
43.670249
27.972000
2.370189
3.470463
0.435299
0.752512

0.108634
0.155967
0.159200
2.492400
1.843000
2.339800
2.734600
3.353000
1.446343
1.945686
1.367300
1.674343
2.154686
1.498800
1.977834
1.692343
1.692343
2.160127
2.160127
3.679686
3.679686
3.344252
3.344252
25.652963
58.568921
7.575343
9.743443
30.200493
31.409372
35.332764
0.677996
0.136580
0.541300
2.475700
5.493681
5.493681
0.046072
0.685694
0.054572
0.144622
0.061893
0.042215
0.144622
0.068867
0.144170
0.144170
0.091934
0.058100
0.056200
0.059393
0.685694
0.216519
0.591919
0.088084
0.566467
0.566467
1.567775
1.102000
0.551000
1.940900
1.940900
6.115700
14.849751
3.108000
1.622311
0.385608
0.048367
0.327130

DCI

150 C07AB12

MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
EPLERENONUM*#
EPLERENONUM*#
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM

151 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

152 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

153 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

154 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM)

155 C08CA09

LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM

131 C02AC05
132 C02AC05
133 C02AC05
134 C02AC05
135 C02AC05
136 C02AC05
137 C02AC05
138 C02AC06
139 C03DA04
140 C03DA04
141 C07AB12
142 C07AB12
143 C07AB12
144 C07AB12
145 C07AB12
146 C07AB12
147 C07AB12
148 C07AB12
149 C07AB12

156 C08CA13
157 C08CA13
158 C08CA13
159 C08CA13
160 C08CA13
161 C08CA13
162 C08CA13
163 C08CA13
164 C08CA13
165 C08CA13
166 C08CA13
167 C08CA13
168 C08CA13
169 C09AA04
170 C09AA04
171 C09AA04
172 C09AA04
173 C09AA04
174 C09AA04
175 C09AA04
176 C09AA04
177 C09AA04
178 C09AA04
179 C09AA04
180 C09AA04
181 C09AA04
182 C09AA04
183 C09AA04
184 C09AA04
185 C09AA04
186 C09AA04
187 C09AA04
188 C09AA04
189 C09AA04
190 C09AA07
191 C09AA07
192 C09AA10
193 C09AA10
194 C09AA10
195 C09AA15
196 C09AA15

197 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

Denumire Comerciala

MOXONIDINA MYLAN 0,2 mg

PHYSIOTENS 0,2 mg
MOXOGAMMA 0,3 mg
MOXONIDINA MYLAN 0,3 mg
MOXOGAMMA 0,4 mg
PHYSIOTENS 0,4
MOXONIDINA MYLAN 0,4 mg
PHYSIOTENS 0,4 mg
TENAXUM
INSPRA 25 mg
INSPRA 50 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
LODOZ 2,5mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 5mg/6,25mg
LODOZ 5mg/6,25mg
LACIPIL 4 mg
LERCANIDIPIN ACTAVIS 10 mg
LERIDIP
LERPIN 10 mg
LERPIN 10 mg
KAPIDIN10 mg
PEGFEL 10 mg
LERCANIDIPIN ACTAVIS 10 mg
LERCANIDIPINA ZENTIVA 10 mg
LERCANIDIPIN ACTAVIS 20 mg
LERIDIP 20
LERPIN 20 mg
PEGFEL 20 mg
LERCANIDIPIN ACTAVIS 20 mg
PRENESSA 2 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
STOPRESS 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
ERNYOM 4 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
STOPRESS 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PRENESSA 8 mg
ERNYOM 8 mg
PRESTARIUM 10 mg
PERINDOPRIL TOSILAT TEVA 10 mg
PRESTARIUM 5 mg
PERINDOPRIL TOSILAT TEVA 5 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

forma farm.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

0,2mg
0,2mg
0,3mg
0,3mg
0,4mg
0,4mg
0,4mg
0,4mg
COMPR.
1mg
COMPR. FILM. 25mg
COMPR. FILM. 50mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg

Detinator APP

Ambalaj

Prescriptie

cod ATC

130 C02AC05

Nr. crt

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

P6L

Tara det.
APP

GENERICS (UK) LTD

MAREA BRITANIE

ABBOTT LABORATORIES GMBH

GERMANIA CUTIE CU 1 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

ABBOTT LABORATORIES GMBH

GERMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L

LES LABORATOIRES SERVIER

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

P-6L

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

BERLIN CHEMIE AG MENARINI GROUP

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

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

P6L

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.
ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P-6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L
GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

2,5mg/6,25mg MERCK KGAA

2,5mg/6,25mg MERCK KGAA

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

MERCK KGAA
MERCK KGAA

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

GLAXO OPERATIONS UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR.FILM. P-6L

COMPR. FILM.
COMPR. FILM.

5mg/6,25mg
5mg/6,25mg
4mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
2mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
10 mg
10mg
5mg
5mg
20mg
5mg
0,5mg
2mg
4mg
30mg
7,5mg

COMPR.

2 mg/0,625 mg

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

COMPR.
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.
CAPS.

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

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

P-6L

P-6L

P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-6L
TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 98 COMPR. FILM. P-6L

ZENTIVA K.S.

REPUBLICA CEHA

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

DR. REDDY'S LABORATORIES

ROMANIA

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

ACTAVIS GROUP PTC EHF.

P-6L

ISLANDA

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

P-6L

ZENTIVA K.S.

REPUBLICA CEHA

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

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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

P-6L

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES

ROMANIA

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

ACTAVIS GROUP PTC EHF.

ISLANDA
POLONIA

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

P-6L

CUTIE CU 1 BLIST. DIN PVC-PE-PVDC/AL X 30 COMPR.

P-6L

KRKA POLSKA SP. Z.O.O.

ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST. PVC/VMCH-AL X 30 COMPR. P-6L

GEDEON RICHTER ROMANIA SA 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
KRKA POLSKA SP. Z.O.O. POLONIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR. P-6L
GLENMARK PHARMACEUTICALS S.R.O.
REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR.
P-6L
VIM SPECTRUM S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 PUNGA DIN AL X 1 BLIST PVC/VMCH-AL X 30 COMPR.
P-6L
GEDEON RICHTER ROMANIA SA 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
VIM SPECTRUM S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
TEVA PHARMACEUTICALS S.R.L.

LES LABORATOIRES SERVIER

FRANTA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L

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

LES LABORATOIRES SERVIER

FRANTA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L

GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L

NOVARTIS PHARMA GMBH

NOVARTIS PHARMA GMBH

ABBOTT GMBH&CO.KG GERMANIA

ABBOTT GMBH&CO.KG GERMANIA
ABBOTT GMBH&CO.KG GERMANIA

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

CUTIE X 2 BLIST. X 10 CAPS.

CUTIE X 2 BLIST. X 14 CAPS.
CUTIE X 2 BLIST. X 14 CAPS.

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

TERAPIA S.A.

ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR. P6L

Pagina 3 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

28
28
30
28
30
28
28
28
30
30
30
28
30
30
30
28
30
30
28
28
30
30
30
30
30
14
30
60
50
98
30
28
30
30
30
60
50
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
28
20
28
28
28
28
30

0.383571
0.836125
0.697000
0.575000
0.772000
1.602857
0.928928
1.602857
1.003000
3.016791
4.889000
0.647142
0.363000
0.420666
0.420666
0.420357
0.229000
0.229000
0.420357
0.420357
0.420666
0.722000
0.722000
0.722000
0.722000
0.264299
0.264299
0.264299
0.264299
0.264299
0.264299
0.264299
0.264299
0.264299
0.528598
0.528598
0.528598
0.528598
0.528598
0.149297
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.597191
0.597191
0.597191
0.597191
0.597191
0.597191
0.597191
0.597191
0.746489
0.746489
0.373244
0.373244
0.796255
0.199063
0.074648
0.298595
0.597191
0.298595
0.074648
0.543333

0.000000
0.243517
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
1.716875
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.397129
0.165034
0.374867
0.167101
0.153252
0.165034
0.164986
0.165034
0.165034
0.113402
0.515402
0.157402
0.172473
0.113402
0.223703
0.341405
0.079071
0.216071
0.596071
0.596071
0.189405
0.096405
0.215071
0.219809
0.093142
0.313475
1.101809
1.101809
0.027475
0.212809
0.162809
0.948511
0.118511
0.616422
0.270422
1.322316
0.584151
0.309852
0.314262
0.579951
1.249976
0.654994
0.000000

0.191785
0.418062
0.348500
0.287500
0.386000
0.801428
0.464464
0.801428
0.501500
1.508395
2.444500
0.323571
0.181500
0.210333
0.210333
0.210178
0.114500
0.114500
0.210178
0.210178
0.210333
0.361000
0.361000
0.361000
0.361000
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.132149
0.264299
0.264299
0.264299
0.264299
0.264299
0.074648
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.149297
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.298595
0.373244
0.373244
0.186622
0.186622
0.398127
0.099531
0.037324
0.149297
0.298595
0.149297
0.037324
0.271666

0.191786
0.661580
0.348500
0.287500
0.386000
0.801429
0.464464
0.801429
0.501500
3.225271
2.444500
0.323571
0.181500
0.210333
0.210333
0.210179
0.114500
0.114500
0.210179
0.210179
0.210333
0.361000
0.361000
0.361000
0.361000
0.529279
0.297184
0.507017
0.299251
0.285402
0.297184
0.297136
0.297184
0.297184
0.377701
0.779701
0.421701
0.436772
0.377701
0.298352
0.490703
0.228369
0.365369
0.745369
0.745369
0.338703
0.245703
0.364369
0.518405
0.391738
0.612071
1.400405
1.400405
0.326071
0.511405
0.461405
1.321756
0.491756
0.803044
0.457044
1.720444
0.683683
0.347176
0.463560
0.878547
1.399274
0.692318
0.271667

0.345213
0.752512
0.627300
0.517500
0.694800
1.442571
0.836035
1.442571
0.902700
2.715111
4.400100
0.582427
0.326700
0.378599
0.378599
0.378321
0.206100
0.206100
0.378321
0.378321
0.378599
0.649800
0.649800
0.649800
0.649800
0.237869
0.237869
0.237869
0.237869
0.237869
0.237869
0.237869
0.237869
0.237869
0.475738
0.475738
0.475738
0.475738
0.475738
0.134367
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.268735
0.537471
0.537471
0.537471
0.537471
0.537471
0.537471
0.537471
0.537471
0.671840
0.671840
0.335919
0.335919
0.716629
0.179156
0.067183
0.268735
0.537471
0.268735
0.067183
0.488999

0.038358
0.327130
0.069700
0.057500
0.077200
0.160286
0.092893
0.160286
0.100300
2.018555
0.488900
0.064715
0.036300
0.042067
0.042067
0.042036
0.022900
0.022900
0.042036
0.042036
0.042067
0.072200
0.072200
0.072200
0.072200
0.423559
0.191464
0.401297
0.193531
0.179682
0.191464
0.191416
0.191464
0.191464
0.166262
0.568262
0.210262
0.225333
0.166262
0.238633
0.371265
0.108931
0.245931
0.625931
0.625931
0.219265
0.126265
0.244931
0.279529
0.152862
0.373195
1.161529
1.161529
0.087195
0.272529
0.222529
1.023160
0.193160
0.653747
0.307747
1.401942
0.604058
0.317317
0.344122
0.639671
1.279836
0.662459
0.054334

cod ATC

DCI

198 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

199 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
200 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
201 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
202 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
203 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
204 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
205 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
206 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
207 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)
208 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

Denumire Comerciala

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

209 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 2,5 mg/0,625 mg

210 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM)

NOLIPREL ARG FORTE 5mg/1,25mg

211 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 5 mg/1,25 mg

212 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)
213 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM)
214 C09BB02 COMBINATII (NITRENDIPINUM+ENALAPRILUM)
215 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM)
216 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM)
217 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM)
218 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM)
219 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM)
220 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM)
221 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM)
222 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM)
223 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
224 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
225 C09BB10 COMBINATII (VERAPAMILUM+TRANDOLAPRILUM)
226 C09BX01

COMBINATII (PERINDOPRILUM+AMLODIPINUM+INDAPAMIDUM)

227 C09BX01

COMBINATII (PERINDOPRILUM+AMLODIPINUM+INDAPAMIDUM)

228 C09BX01

COMBINATII (PERINDOPRILUM+AMLODIPINUM+INDAPAMIDUM)

229 C09BX01

COMBINATII (PERINDOPRILUM+AMLODIPINUM+INDAPAMIDUM)

230 C09BX01

COMBINATII (PERINDOPRILUM+INDAPAMIDUM+AMLODIPINUM)

231 C09BX01

COMBINATII (PERINDOPRILUM+INDAPAMIDUM+AMLODIPINUM)

232 C09BX01

COMBINATII (PERINDOPRILUM+INDAPAMIDUM+AMLODIPINUM)

233 C09BX01

COMBINATII (PERINDOPRILUM+INDAPAMIDUM+AMLODIPINUM)

234 C09CA03

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

235 C09CA03
236 C09CA03
237 C09CA03
238 C09CA03
239 C09CA03
240 C09CA03
241 C09CA03
242 C09CA03
243 C09CA03
244 C09CA03
245 C09CA03
246 C09CA03
247 C09CA03
248 C09CA03
249 C09CA03
250 C09CA03
251 C09CA03
252 C09CA03
253 C09CA03
254 C09CA03
255 C09CA03
256 C09CA03
257 C09CA03
258 C09CA04
259 C09CA04
260 C09CA04
261 C09CA04
262 C09CA04
263 C09CA04
264 C09CA04
265 C09CA04

ACCUZIDE
ACCUZIDE FORTE
ENEAS
BEATIL 4 mg/ 10 mg
AMLESSA 4 mg/10 mg
AMLESSA 4 mg/5 mg
BEATIL 4 mg/ 5 mg
AMLESSA 8 mg/10 mg
BEATIL 8 mg/ 10 mg
AMLESSA 8 mg/5 mg
BEATIL 8 mg/ 5 mg
TARKA 240 mg/2 mg
TARKA 240 mg/4 mg
TARKA
CO-AMLESSA 4mg/10mg/1,25mg
CO-AMLESSA 4 mg/5mg/1,25 mg
CO-AMLESSA 8 mg/10 mg/2,5 mg
CO-AMLESSA 8 mg/5 mg/2,5 mg
TRIPLIXAM
TRIPLIXAM
TRIPLIXAM
TRIPLIXAM
WENZELL 160 mg
WENZELL 160 mg
DIOVAN 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
VALSARTAN TORRENT 160 mg
VALSARTAN ZENTIVA 160 mg
VAPRESS 160 mg
VAPRESS 160 mg
VALSACOR 320 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
WENZELL 80 mg
WENZELL 80 mg
DIOVAN 80 mg
VALSACOR 80 mg
AVASSAN 80 mg
VALSARTAN TORRENT 80 mg
VALSARTAN ZENTIVA 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 TERAPIA 150 mg
IRBESARTAN SANDOZ 150 mg
IRPRESTAN 150 mg
IFIRMASTA 150 mg

forma farm.

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

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

Tara det.
concentratie
APP
Detinator APP
Ambalaj
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. POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR.
2mg/0,625mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR.
4 mg/1,25 mg TERAPIA S.A.
ROMANIA CUTIE CU BLIST. AL/AL A CATE 30 COMPR.

10mg/2,5mg LES LAB. SERVIER FRANTA

FRANTA

2,5mg/0,625mg LES LABORATOIRES SERVIER

P6L
P6L

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

ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L

2,5mg/0,625mg

TEVA PHARMACEUTICALS S.R.L.

5mg/1,25mg
5mg/1,25mg

LES LABORATOIRES SERVIER

FRANTA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 1 FLAC. DIN PP X 30 COMPR. FILM. P6L

10mg/12,5mg PFIZER EUROPE MA EEIG

20mg/12,5mg PFIZER EUROPE MA EEIG

20mg+10mg GALENICA S.A.

4mg/10 mg GEDEON RICHTER ROMNIA S.A.
4mg/10mg KRKA D.D., NOVO MESTO
4mg/5mg
KRKA D.D., NOVO MESTO
4mg/5mg
GEDEON RICHTER ROMANIA SA
8mg/10mg KRKA D.D., NOVO MESTO
8mg/10mg GEDEON RICHTER ROMANIA SA
8mg/5mg
KRKA D.D., NOVO MESTO
8mg/5mg
GEDEON RICHTER ROMANIA SA
240mg/2mg ABBOTT GMBH & CO.KG
240mg/4mg ABBOTT GMBH & CO.KG
180mg/2mg ABBOTT GMBH&CO.KG
4mg/10mg/1,25mg KRKA, D.D., NOVO MESTO

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

10mg/2,5mg/10mg LES LABORATOIRES SERVIER

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

P6L
P-6L

4 mg/1,25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L
4mg/1, 25mg SANDOZ S.R.L.
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

COMPR.
COMPR.
COMPR.
COMPR.

SOL. ORALA
COMPR.
COMPR.

Prescriptie

Nr. crt

CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L

MAREA BRITANIE

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

MAREA BRITANIE

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

GRECIA

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

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

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

P6L
P6L

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

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

P6L

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

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

P6L

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

P6L

GERMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF.

GERMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. CU ELIB. MODIF.

P6L

GERMANIA

CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL.

P-6L

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

P6L

4mg/5mg/1,25mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P6L

8mg/10mg/2,5mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P6L

8mg/5mg/2,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P6L

10mg/2,5mg/5mg

LES LABORATOIRES SERVIER

5mg/1,25mg/10mg LES LABORATOIRES SERVIER

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE CU 1 FLAC. PP CU CAPAC DIN PEJD X 30 COMPR. FILM.

P6L

CUTIE CU 1 FLAC. PP CU CAPAC DIN PEJD X 30 COMPR. FILM.

P6L

CUTIE CU 1 FLAC. PP CU CAPAC DIN PEJD X 30 COMPR. FILM.

P6L

CUTIE CU 1 FLAC. PP CU CAPAC DIN PEJD X 30 COMPR. FILM.

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

NOVARTIS PHARMA GMBH

GERMANIA

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

P-6L

5mg/1,25mg/5mg

LES LABORATOIRES SERVIER

160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
320mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
150mg
300mg
150 mg
150mg
150mg
150mg
150mg
150mg

ROMASTRU TRADING S.R.L.

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.

ROMANIA

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

P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 98 COMPR. FILM. P6L

ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

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.

P6L

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

P6L

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

P6L

TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

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

P6L

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

P6L

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

P6L

ROMANIA
ROMANIA

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

P-6L

ROMASTRU TRADING S.R.L.

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 X28COMPR. FILM.

P6L

NOVARTIS PHARMA GMBH

ROMASTRU TRADING S.R.L.

GERMANIA

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L

TERAPIA S.A.

ROMANIA

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

P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 98 COMPR. FILM. P6L

ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
NOVARTIS PHARMA GMBH

GERMANIA

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.

P6L

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

CUTIE X 1 FLACON DIN STICLA BRUNA X 160ML SOLUTIE ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PENTRU FLACON + 1 SERINGA DOZATOARE A 5ML + 1 MASURA DOZATOARE A 30ML )

P6L
P-6L

SANOFI PHARMA - BRISTOL MYERS SQUIBB

MALTA
MALTA
GRECIA
FRANTA

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

P-6L

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/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.

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 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

Pagina 4 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
28
28
30
30
30
30
30
30
30
30
28
30
28
28
28
98
28
28
28
30
28
28
28
28
28
30
28
28
28
98
28
28
28
1
28
28
28
28
28
28
30
28

0.559333
0.372333
0.559333
0.761850
0.758000
0.703000
0.694000
0.761850
0.761850
0.761850
0.761850
0.339333
0.761850
0.679666
0.536666
0.761850
2.927000
0.731000
0.732000
0.475103
0.475103
0.950207
0.950207
0.686260
0.686260
1.941963
1.941963
1.829285
0.967000
0.738326
1.252666
1.091706
1.485121
1.100174
1.127506
0.742560
1.070357
1.070333
1.389855
0.534285
1.070357
0.462244
0.561785
0.772142
0.772142
1.129333
0.347463
0.347463
0.347463
0.347463
0.694927
0.694927
0.694927
0.437857
0.694927
0.292755
0.522857
0.385714
0.385714
4.169566
0.368571
0.516071
0.368571
0.694927
0.694927
0.616785
0.299333
0.537500

0.000000
0.000000
0.000000
0.075483
0.000000
0.000000
0.000000
0.033150
0.236483
1.013483
0.567150
0.000000
0.406150
0.000000
0.000000
0.221150
0.000000
0.000000
0.000000
0.189897
0.135563
0.233126
0.143793
0.432740
0.239740
0.112679
0.751608
0.000000
0.000000
0.151674
0.000000
0.050627
0.659212
0.938159
0.301827
0.570773
0.000000
0.000000
0.204073
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
2.220751
1.232179
0.065751
0.065751
0.107930
0.107739
0.500073
0.000000
0.107930
0.000000
0.000000
0.000000
0.000000
37.250434
0.000000
0.000000
0.000000
0.510787
0.088644
0.000000
0.000000
0.000000

0.279666
0.186166
0.279666
0.380925
0.379000
0.351500
0.347000
0.380925
0.380925
0.380925
0.380925
0.169666
0.380925
0.339833
0.268333
0.380925
1.463500
0.365500
0.366000
0.237551
0.237551
0.475103
0.475103
0.343130
0.343130
0.970981
0.970981
0.914642
0.483500
0.369163
0.626333
0.545853
0.742560
0.550087
0.563753
0.371280
0.535178
0.535166
0.694927
0.267142
0.535178
0.231122
0.280892
0.386071
0.386071
0.564666
0.173731
0.173731
0.173731
0.173731
0.347463
0.347463
0.347463
0.218928
0.347463
0.146377
0.261428
0.192857
0.192857
2.084783
0.184285
0.258035
0.184285
0.347463
0.347463
0.308392
0.149666
0.268750

0.279667
0.186167
0.279667
0.456408
0.379000
0.351500
0.347000
0.414075
0.617408
1.394408
0.948075
0.169667
0.787075
0.339833
0.268333
0.602075
1.463500
0.365500
0.366000
0.427449
0.373115
0.708230
0.618897
0.775870
0.582870
1.083661
1.722590
0.914643
0.483500
0.520837
0.626333
0.596480
1.401773
1.488246
0.865580
0.942053
0.535179
0.535167
0.899001
0.267143
0.535179
0.231122
0.280893
0.386071
0.386071
0.564667
2.394483
1.405911
0.239483
0.239483
0.455394
0.455203
0.847537
0.218929
0.455394
0.146378
0.261429
0.192857
0.192857
39.335217
0.184286
0.258036
0.184286
0.858251
0.436108
0.308393
0.149667
0.268750

0.503399
0.335099
0.503399
0.685665
0.682200
0.632700
0.624600
0.685665
0.685665
0.685665
0.685665
0.305399
0.685665
0.611699
0.482999
0.685665
2.634300
0.657900
0.658800
0.427592
0.427592
0.855186
0.855186
0.617634
0.617634
1.747766
1.747766
1.646356
0.870300
0.664493
1.127399
0.982535
1.336608
0.990156
1.014755
0.668304
0.963321
0.963299
1.250869
0.480856
0.963321
0.416019
0.505606
0.694927
0.694927
1.016399
0.312716
0.312716
0.312716
0.312716
0.625434
0.625434
0.625434
0.394071
0.625434
0.263479
0.470571
0.347142
0.347142
3.752609
0.331713
0.464463
0.331713
0.625434
0.625434
0.555106
0.269399
0.483750

0.055934
0.037234
0.055934
0.151668
0.075800
0.070300
0.069400
0.109335
0.312668
1.089668
0.643335
0.033934
0.482335
0.067967
0.053667
0.297335
0.292700
0.073100
0.073200
0.237408
0.183074
0.328147
0.238814
0.501366
0.308366
0.306876
0.945805
0.182929
0.096700
0.225507
0.125267
0.159798
0.807725
1.048177
0.414578
0.645029
0.107036
0.107034
0.343059
0.053429
0.107036
0.046225
0.056179
0.077215
0.077215
0.112934
2.255498
1.266926
0.100498
0.100498
0.177423
0.177232
0.569566
0.043786
0.177423
0.029276
0.052286
0.038572
0.038572
37.667391
0.036858
0.051608
0.036858
0.580280
0.158137
0.061679
0.029934
0.053750

cod ATC

266 C09CA04
267 C09CA04
268 C09CA04
269 C09CA04
270 C09CA04
271 C09CA04
272 C09CA04
273 C09CA04
274 C09CA04
275 C09CA04
276 C09CA04
277 C09CA04
278 C09CA04
279 C09CA04
280 C09CA04
281 C09CA04
282 C09CA04
283 C09CA04
284 C09CA06
285 C09CA06
286 C09CA06
287 C09CA06
288 C09CA06
289 C09CA06
290 C09CA06
291 C09CA06
292 C09CA06
293 C09CA06
294 C09CA06
295 C09CA06
296 C09CA06
297 C09CA06
298 C09CA06
299 C09CA06
300 C09CA06
301 C09CA06
302 C09CA06
303 C09CA06
304 C09CA06
305 C09CA06
306 C09CA06
307 C09CA06
308 C09CA06
309 C09CA06
310 C09CA06
311 C09CA06
312 C09CA06
313 C09CA07
314 C09CA07
315 C09CA07
316 C09CA07
317 C09CA07
318 C09CA07
319 C09CA07
320 C09CA07
321 C09CA07
322 C09CA07
323 C09CA07
324 C09CA07
325 C09CA07
326 C09CA07
327 C09CA07
328 C09CA07
329 C09CA07
330 C09CA07
331 C09CA07
332 C09CA07
333 C09CA07

DCI

IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
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
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

Denumire Comerciala

IRBESARTAN TEVA 150 mg

ATOKKEN 150 mg
IRBESARTAN ZENTIVA 150mg
IRBESARTAN HF 150 mg
APROVEL 150mg
ATOKKEN 150 mg
IRBESARTAN TEVA 300 mg
IRBESARTAN GALENICA 300 mg
APROVEL 300mg
IRBESARTAN TERAPIA 300 mg
IRBESARTAN SANDOZ 300 mg
IFIRMASTA 300mg
ATOKKEN 300 mg
IRBESARTAN ZENTIVA 300mg
IRBESARTAN HF 300 mg
APROVEL 300mg
ATOKKEN 300 mg
ATOKKEN 75 mg
ATACAND
TANDESAR 16 mg
CANDESARTAN SANDOZ 16 mg
KARBIS 16 mg
CANDESARTAN TORRENT 16 mg
ATACAND 16mg
CANZENO 16mg
CANDESARTAN LABORMED 16 mg
CANDESARTAN AUROBINDO 16 mg
CADEXYL 16 mg
CANDESARTAN CILEXETIL MCC 16 mg
ATACAND 32 mg
KARBIS 32 mg
CANDESARTAN TORRENT 32 mg
ATACAND 32 mg
CANZENO 32mg
CADEXYL 32 mg
CANDESARTAN CILEXETIL MCC 32 mg
ATACAND
TANDESAR 8 mg
CANDESARTAN SANDOZ 8 mg
KARBIS 8 mg
CANDESARTAN TORRENT 8 mg
ATACAND 8mg
CANZENO 8mg
CANDESARTAN LABORMED 8 mg
CANDESARTAN AUROBINDO 8 mg
CADEXYL 8 mg
CANDESARTAN CILEXETIL MCC 8 mg
TELMISARTAN ACTAVIS 40mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN TEVA 40 mg
TELMISARTAN RANBAXY 40 mg
TELMISARTAN TORRENT 40 mg
TELMISARTAN ACTAVIS 80mg
MICARDIS 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMISARTAN TEVA 80 mg
TELMISARTAN RANBAXY 80 mg
TELMISARTAN TORRENT 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

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

concentratie

150mg
150mg
150mg
150mg
150mg
150mg
300 mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
40 mg
40mg
40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
80mg
80mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg

Detinator APP

Tara det.
APP

TEVA PHARMA B.V. OLANDA

Ambalaj

Prescriptie

Nr. crt

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

P-6L

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

GALENICA S.A.
GRECIA
SANOFI PHARMA - BRISTOL MYERS SQUIBB
FRANTA
TERAPIA S.A.
ROMANIA
SANDOZ S.R.L.
ROMANIA

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

P-6L

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 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
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

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

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

P6L

ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L

P-6L
P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P6L

ASTRAZENECA AB SUEDIA
ZENTIVA K.S.
REPUBLICA CEHA

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR.

P-6L

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

P6L

LABORMED PHARMA S.A.

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

P6L

NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

MAGISTRA C&C S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

ASTRAZENECA AB SUEDIA

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

P-6L

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

ASTRAZENECA AB SUEDIA
ZENTIVA K.S.
REPUBLICA CEHA

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR.

P-6L

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

P6L

NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

MAGISTRA C&C S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P-6L

P-6L
P-6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

P6L

ASTRAZENECA AB SUEDIA
ZENTIVA K.S.
REPUBLICA CEHA

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR.

P-6L

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

P6L

LABORMED PHARMA S.A.

ROMANIA

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

P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

P6L

NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

MAGISTRA C&C S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
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. OPA-AL-PVC/AL X 30 COMPR.

P-6L

CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1

P6L

RANBAXY (U.K.) LIMITED

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P6L

MAREA BRITANIE

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 56 COMPR.

P6L

ACTAVIS GROUP PTC EHF.

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 28COMPR. ( BLIST. 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. OPA-AL-PVC/AL X 30 COMPR.

P-6L

CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1

P6L

RANBAXY (U.K.) LIMITED

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

P6L

MAREA BRITANIE

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 56 COMPR.

P6L

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

GEDEON RICHTER ROMANIA SA

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

UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

EGIS PHARMACEUTICALS P.L.C.

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

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

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L

Pagina 5 din 17

P6L

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

28
28
28
30
28
28
28
28
28
28
28
28
28
28
30
28
28
28
28
28
28
30
30
28
30
28
30
28
30
28
30
30
28
30
28
30
28
28
28
30
30
28
30
28
30
28
30
28
28
30
30
28
56
28
28
28
30
30
28
56
28
30
28
30
28
30
28
30

0.597500
0.694927
0.567500
0.694927
0.694927
0.694927
0.812142
0.576785
1.389855
1.075357
0.802500
0.863571
1.075357
0.887142
1.036000
1.389855
1.075357
0.347463
1.389855
1.062500
0.998928
1.062000
0.700000
1.389855
0.866000
1.062142
1.012333
1.062500
1.062000
2.229285
1.449000
0.603000
2.229285
0.963000
1.357857
1.449000
0.694927
0.531071
0.531071
0.531000
0.531000
0.694927
0.531000
0.531071
0.531000
0.531071
0.531000
0.546428
0.593214
0.594666
0.694927
0.694927
0.694927
0.914642
1.389855
0.861785
0.788000
0.976333
0.976785
0.939464
0.593214
0.694927
0.547500
0.694927
0.914642
0.976333
0.892500
0.976333

0.000000
0.088644
0.000000
0.065073
0.510787
0.088644
0.000000
0.000000
0.210859
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.210859
0.000000
0.508965
0.191930
0.000000
0.000000
0.000000
0.000000
0.191930
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.122215
0.000000
0.000000
0.000000
0.000000
0.122215
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.107739
0.766858
0.115251
0.000000
0.064073
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.397406
0.000000
0.714073
0.000000
0.000000
0.000000
0.000000

0.298750
0.347463
0.283750
0.347463
0.347463
0.347463
0.406071
0.288392
0.694927
0.537678
0.401250
0.431785
0.537678
0.443571
0.518000
0.694927
0.537678
0.173731
0.694927
0.531250
0.499464
0.531000
0.350000
0.694927
0.433000
0.531071
0.506166
0.531250
0.531000
1.114642
0.724500
0.301500
1.114642
0.481500
0.678928
0.724500
0.347463
0.265535
0.265535
0.265500
0.265500
0.347463
0.265500
0.265535
0.265500
0.265535
0.265500
0.273214
0.296607
0.297333
0.347463
0.347463
0.347463
0.457321
0.694927
0.430892
0.394000
0.488166
0.488392
0.469732
0.296607
0.347463
0.273750
0.347463
0.457321
0.488166
0.446250
0.488166

0.298750
0.436108
0.283750
0.412537
0.858251
0.436108
0.406071
0.288393
0.905787
0.537679
0.401250
0.431786
0.537679
0.443571
0.518000
0.905787
0.537679
0.682697
0.886858
0.531250
0.499464
0.531000
0.350000
0.886858
0.433000
0.531071
0.506167
0.531250
0.531000
1.114643
0.724500
0.301500
1.114643
0.481500
0.678929
0.724500
0.469679
0.265536
0.265536
0.265500
0.265500
0.469679
0.265500
0.265536
0.265500
0.265536
0.265500
0.273214
0.296607
0.297333
0.455203
1.114322
0.462715
0.457321
0.759001
0.430893
0.394000
0.488167
0.488393
0.469732
0.296607
0.744870
0.273750
1.061537
0.457321
0.488167
0.446250
0.488167

0.537750
0.625434
0.510750
0.625434
0.625434
0.625434
0.730927
0.519106
1.250869
0.967821
0.722250
0.777213
0.967821
0.798427
0.932400
1.250869
0.967821
0.312716
1.250869
0.956250
0.899035
0.955800
0.630000
1.250869
0.779400
0.955927
0.911099
0.956250
0.955800
2.006356
1.304100
0.542700
2.006356
0.866700
1.222071
1.304100
0.625434
0.477963
0.477963
0.477900
0.477900
0.625434
0.477900
0.477963
0.477900
0.477963
0.477900
0.491785
0.533892
0.535199
0.625434
0.625434
0.625434
0.823177
1.250869
0.775606
0.709200
0.878699
0.879106
0.845517
0.533892
0.625434
0.492750
0.625434
0.823177
0.878699
0.803250
0.878699

0.059750
0.158137
0.056750
0.134566
0.580280
0.158137
0.081215
0.057679
0.349845
0.107536
0.080250
0.086358
0.107536
0.088715
0.103600
0.349845
0.107536
0.543712
0.330916
0.106250
0.099893
0.106200
0.070000
0.330916
0.086600
0.106215
0.101234
0.106250
0.106200
0.222929
0.144900
0.060300
0.222929
0.096300
0.135786
0.144900
0.191708
0.053108
0.053108
0.053100
0.053100
0.191708
0.053100
0.053108
0.053100
0.053108
0.053100
0.054643
0.059322
0.059467
0.177232
0.836351
0.184744
0.091465
0.203059
0.086179
0.078800
0.097634
0.097679
0.093947
0.059322
0.466899
0.054750
0.783566
0.091465
0.097634
0.089250
0.097634

cod ATC

DCI

334 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)

335 C09DA01 COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM)
336 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)
337 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

Denumire Comerciala

LORISTA HL 100 mg/12,5 mg

LORISTA H
CO - VALSACOR 160 mg/12,5 mg
CO - VALSACOR 160 mg/25 mg

338 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 160 mg/12,5 mg

339 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)
340 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)
341 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM)

CO - VALSACOR 320 mg/12,5 mg

CO - VALSACOR 320 mg/25 mg
CO - VALSACOR 80 mg/12,5 mg

342 C09DA03 COMBINATII (VALSARTANUM+HYDROCHLOROTHIAZIDUM) VALSARTAN HIDROCLOROTIAZIDA TORRENT 80 mg/12,5 mg

Tara det.
forma farm. concentratie
APP
Detinator APP
COMPR.FILM 100mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA
COMPR.FILM 50mg+ 12,50mg KRKA D.D. NOVO MESTO SLOVENIA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg

COMPR.
COMPR.

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 150mg/12,5mg

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 300mg/12,5mg

347 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 150 mg/12,5 mg

348 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg

349 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 150 mg/12,5 mg

350 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

351 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

352 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 150mg/12,5mg
CONVERIDE 150 mg/12,5 mg
CONVERIDE 150 mg/12,5 mg

353 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN/ HYDROCHLOROTHIAZIDE TEVA 300 mg/12,5 mg

354 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/12,5 mg

355 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/12,5 mg

356 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

357 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

358 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

359 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

COAPROVEL 300mg/12,5mg
CONVERIDE 300 mg/12,5 mg
CONVERIDE 300 mg/12,5 mg
COAPROVEL 300mg/25mg

360 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg

361 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

IRBESARTAN HIDROCLOROTIAZIDA RANBAXY 300 mg/25 mg

362 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

363 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

364 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

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

343 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM)

344 C09DA04
345 C09DA04
346 C09DA04

COAPROVEL 300mg/25mg
CONVERIDE 300 mg/25 mg
CONVERIDE 300 mg/25 mg

365 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT) CANDESARTAN HIDROCLOROTIAZIDA TORRENT 16 mg/12,5 mg

370 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

371 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

372 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

373 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

374 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

375 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

376 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

CANZENO HCT 16mg/12,5mg

KARBICOMBI 8 mg/12,5 mg
KARBICOMBI 8 mg/12,5 mg
CANZENO HCT 8mg/12,5mg
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
TANYDON HCT 80 mg/12,5 mg

377 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA EGIS 80 mg/12,5 mg

378 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

379 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TEZEO HCT 80 mg/12,5 mg

TELMARK PLUS 80mg/12,5mg

380 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg

381 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/12,5 mg

382 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

383 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

384 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TANYDON HCT 80 mg/25 mg

TEZEO HCT 80 mg/25 mg
TELMARK PLUS 80mg/25mg

385 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg

386 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM)

TELMISARTAN/HIDROCLOROTIAZIDA TERAPIA 80 mg/25 mg

366 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT)

367 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT)
368 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT)
369 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT)

387 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)

388 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
389 C09DB01 COMBINATII ( VALSARTANUM+AMLODIPINUM)
390 C09DB02 COMBINATII(OLMESARTAN MEDOXOMIL+ AMLODIPINA)
391 C09DB02 COMBINATII(OLMESARTAN MEDOXOMIL+ AMLODIPINA)
392 C09DB02 COMBINATII(OLMESARTAN MEDOXOMIL+ AMLODIPINA)
393 C09DX01 COMBINATII (AMLODIPINA+VALSARTAN+HCT)
394 C09DX01 COMBINATII (AMLODIPINA+VALSARTAN+HCT)
395 C09DX01 COMBINATII (AMLODIPINA+VALSARTAN+HCT)
396 C09DX01 COMBINATII (AMLODIPINA+VALSARTAN+HCT)
397 C10AA04
398 C10AA04
399 C10AA04
400 C10AA05
401 C10AA05

FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/80mg
SEVIKAR 20 mg/5 mg
SEVIKAR 40 mg/10 mg
SEVIKAR 40 mg/5 mg
EXFORGE HCT
EXFORGE HCT
EXFORGE HCT
EXFORGE HCT
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
TORVALIPIN 10 mg
SORTIS 10 mg

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

CAPS.
CAPS.

160 mg/12,5 mg KRKA ,D.D., NOVO MESTO SLOVENIA

Ambalaj

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

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

P-6L

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

P6L

160 mg/25 mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.
160mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
320 mg/12,5 mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.
320 mg/25 mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.
80 mg/12,5 mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC - PE - PVDC/AL X 30 COMPR. FILM.
80mg/12,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
150mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
300mg/12,5mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.
150mg/12,5mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU BLIST. PVC/PVDC/AL X 28 COMPR. FILM.
300mg/12,5mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM.
150mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.
150mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
150mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.
150mg/12,5mg SANOFI CLIR SNC
FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
150mg/12,5mg MEDOCHEMIE LTD CIPRU
CUTIE CU BLIST. OPACE PVC-PVDC/AL X 28 COMPR. FILM.
150mg/12,5mg MEDOCHEMIE LTD CIPRU
CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 COMPR. FILM.
300 mg/12,5mg TEVA PHARMA B.V. OLANDA CUTIE X BLIST. AL/AL X 28 COMPR. FILM.
300mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM.
300mg/12,5mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM.
300mg/12,5mg SANOFI CLIR SNC
FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.
300mg/12,5mg MEDOCHEMIE LTD CIPRU
CUTIE CU BLIST. OPACE PVC-PVDC/AL X 28 COMPR. FILM.
300mg/12,5mg MEDOCHEMIE LTD CIPRU
CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 COMPR. FILM.

300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg
300mg/25mg
16mg/12,5mg
16mg/12,5mg

Prescriptie

Nr. crt

P6L
P6L
P6L
P6L
P6L
P6L
P-6L
P-6L
P-6L
P-6L
P-6L

P6L
P6L
P-6L

P6L
P6L
P-6L

P6L
P6L
P-6L

P6L
P6L

SANOFI PHARMA - BRISTOL MYERS SQUIBB

FRANTA

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

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

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

P6L

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

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

P6L

SANOFI CLIR SNC FRANTA

MEDOCHEMIE LTD CIPRU
MEDOCHEMIE LTD CIPRU

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

P6L

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

P6L

TORRENT PHARMA S.R.L. ROMANIA

CUTIE CU BLIST. AL/AL X 56 COMPR. P6L

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

ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.
8mg/12,5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIT. PVC-PVDC/AL X 30 COMPR.
8mg/12,5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.
8mg/12,5mg ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.
80 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE
80 mg/12,5mg KRKA D.D.
SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE
80 mg/25mg KRKA D.D.
SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE
80 mg/25mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE
80/12,5mg
GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC)
80/25mg
GERMANIA CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL)
BOEHRINGER INGELHEIM INTERNATIONAL GMBH
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

80mg/12,5mg GEDEON RICHTER ROMANIA SA

80mg/12,5mg EGIS PHARMACEUTICALS P.L.C.
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.

P6L
P6L
P6L
P6L
PRF
PRF
PRF
PRF
P-6L
P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

UNGARIA CUTIE CU BLIST. AL/AL X 28 COMPR. P6L
P6L

REPUBLICA CEHA

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

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

80mg/25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR.

80mg/25mg ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.
80mg/25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-AL-OPA/AL X 30 COMPRIMATE
80mg/25mg TERAPIA S.A.
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.
80mg/25mg TERAPIA S.A.
ROMANIA CUTIE CU BLIST. AL/AL X 28X1 COMPR.

P-6L

10mg/160mg

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC )

P-6L

CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC )

P-6L

CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC )

P-6L

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. OPA-AL-PVC/AL X 28 COMPR. FILM.

P6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE

5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE
20mg/5mg TERAPIA S.A.
ROMANIA
40mg/10mg TERAPIA S.A.
ROMANIA
40mg/5mg TERAPIA S.A.
ROMANIA

P6L
P6L
P6L
P6L

10mg/160mg/12,5 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU BLIST. DIN PVC/PVDC X 28 COMPR.FILM. PRF

10mg/160mg/25 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU BLIST. DIN PVC/PVDC X 28 COMPR.FILM. PRF

5mg/160mg/12,5 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU BLIST. DIN PVC/PVDC X 28 COMPR.FILM. PRF

5mg/160mg/25 mg NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU BLIST. DIN PVC/PVDC X 28 COMPR.FILM. PRF

20mg
40mg
COMPR. ELIB. PREL. 80mg
COMPR. FILM. 10 mg
COMPR. FILM. 10mg

NOVARTIS PHARMA GMBH

GERMANIA
GERMANIA

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

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

P-6L

NOVARTIS PHARMA GMBH

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE CU BLIST. AL/AL X 28 (4X7) COMPR. ELIB. PREL.

P-6L

ACTAVIS GROUP PTC EHF.

ISLANDA

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.

P-6L

Pagina 6 din 17

P-6L

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

28
28
30
30
28
30
30
30
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
56
30
30
30
30
28
30
30
28
28
28
30
28
30
30
28
28
30
30
30
28
28
56
56
56
28
28
28
28
28
28
28
28
28
28
30
30

0.618571
0.455000
0.693963
0.693963
0.693963
0.693963
0.693963
0.489000
0.693963
0.693963
0.693963
0.610714
0.693963
0.659642
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.641250
0.693963
0.441333
0.441333
0.441333
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.690333
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
0.693963
3.194642
3.003750
1.669285
1.669285
3.338570
3.004713
3.125344
3.339410
3.039719
3.167500
0.250593
0.501186
0.967500
0.129333
0.375890

0.000000
0.000000
0.168037
0.028703
2.366037
0.408370
0.413037
0.000000
1.943537
0.492465
0.756037
0.000000
0.279965
0.000000
0.077108
0.077108
0.492465
0.077108
0.077108
0.279965
0.279965
0.279965
0.756037
0.279965
0.279965
0.758179
0.281751
0.281751
0.758179
0.281037
0.281037
0.000000
0.041037
0.000000
0.000000
0.000000
0.400679
0.314370
0.314370
0.403894
0.941037
0.941037
0.314370
0.395679
0.000000
0.402703
0.404251
0.404251
0.314370
0.403037
0.404703
0.404251
0.404251
0.000000
0.000000
1.524643
1.770357
0.431787
0.434929
0.243584
0.029518
0.127781
0.000000
0.341549
0.469528
0.000000
0.000000
0.711443

0.309285
0.227500
0.346981
0.346981
0.346981
0.346981
0.346981
0.244500
0.346981
0.346981
0.346981
0.305357
0.346981
0.329821
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.320625
0.346981
0.220666
0.220666
0.220666
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.345166
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
0.346981
1.597321
1.501875
0.834642
0.834642
1.669285
1.502356
1.562672
1.669705
1.519859
1.583750
0.125296
0.250593
0.483750
0.064666
0.187945

0.309286
0.227500
0.515019
0.375685
2.713019
0.755352
0.760019
0.244500
2.290519
0.839447
1.103019
0.305357
0.626947
0.329821
0.424090
0.424090
0.839447
0.424090
0.424090
0.626947
0.626947
0.626947
1.103019
0.626947
0.626947
1.105161
0.628733
0.628733
1.105161
0.628019
0.628019
0.320625
0.388019
0.220667
0.220667
0.220667
0.747661
0.661352
0.661352
0.750876
1.288019
1.288019
0.661352
0.742661
0.345167
0.749685
0.751233
0.751233
0.661352
0.750019
0.751685
0.751233
0.751233
1.597321
1.501875
2.359286
2.605000
2.101072
1.937286
1.806256
1.699223
1.647641
1.583750
0.466846
0.720121
0.483750
0.064667
0.899388

0.556713
0.409500
0.624566
0.624566
0.624566
0.624566
0.624566
0.440100
0.624566
0.624566
0.624566
0.549642
0.624566
0.593677
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.577125
0.624566
0.397199
0.397199
0.397199
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.621299
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
0.624566
2.875177
2.703375
1.502356
1.502356
3.004713
2.704241
2.812809
3.005469
2.735747
2.850750
0.225533
0.451067
0.870750
0.116399
0.338301

0.061858
0.045500
0.237434
0.098100
2.435434
0.477767
0.482434
0.048900
2.012934
0.561862
0.825434
0.061072
0.349362
0.065965
0.146505
0.146505
0.561862
0.146505
0.146505
0.349362
0.349362
0.349362
0.825434
0.349362
0.349362
0.827576
0.351148
0.351148
0.827576
0.350434
0.350434
0.064125
0.110434
0.044134
0.044134
0.044134
0.470076
0.383767
0.383767
0.473291
1.010434
1.010434
0.383767
0.465076
0.069034
0.472100
0.473648
0.473648
0.383767
0.472434
0.474100
0.473648
0.473648
0.319465
0.300375
1.691572
1.937286
0.765644
0.735401
0.556119
0.363459
0.431753
0.316750
0.366609
0.519647
0.096750
0.012934
0.749032

cod ATC

402 C10AA05
403 C10AA05
404 C10AA05
405 C10AA05
406 C10AA05
407 C10AA05
408 C10AA05
409 C10AA05
410 C10AA05
411 C10AA05
412 C10AA05
413 C10AA05
414 C10AA05
415 C10AA05
416 C10AA05
417 C10AA05
418 C10AA05
419 C10AA05
420 C10AA05
421 C10AA05
422 C10AA05
423 C10AA05
424 C10AA05
425 C10AA05
426 C10AA05
427 C10AA05
428 C10AA05
429 C10AA05
430 C10AA05
431 C10AA05
432 C10AA05
433 C10AA05
434 C10AA05
435 C10AA05
436 C10AA05
437 C10AA05
438 C10AA05
439 C10AA05
440 C10AA05
441 C10AA05
442 C10AA07
443 C10AA07
444 C10AA07
445 C10AA07
446 C10AA07
447 C10AA07
448 C10AA07
449 C10AA07
450 C10AA07
451 C10AA07
452 C10AA07
453 C10AA07
454 C10AA07
455 C10AA07
456 C10AA07
457 C10AA07
458 C10AA07
459 C10AA07
460 C10AA07
461 C10AA07
462 C10AA07
463 C10AA07
464 C10AA07
465 C10AA07
466 C10AA07
467 C10AA07
468 C10AA07
469 C10AA07

DCI

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
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

Denumire Comerciala

ATORIS 10 mg
GLETOR 10 mg
ASCORD 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
ATORVASTATIN RANBAXY 10 mg
STAVRA 10 mg
ATORVASTATINA TORRENT 10 mg
ATORVASTATINA AUROBINDO 10 mg
TORVALIPIN 20 mg
SORTIS 20 mg
ATORIS 20 mg
GLETOR 20 mg
ASCORD 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
ATORVASTATIN RANBAXY 20 mg
STAVRA 20 mg
ATORVASTATINA TORRENT 20 mg
ATORVASTATINA AUROBINDO 20 mg
ATORIS 30 mg
TORVALIPIN 40 mg
SORTIS 40 mg
ATORIS 40 mg
ATORIS 40 mg
GLETOR 40 mg
ASCORD 40 mg
TORVAZIN 40 mg
ATORVASTATIN RANBAXY 40 mg
STAVRA 40 mg
ATORVASTATINA TORRENT 40 mg
ATORVASTATINA AUROBINDO 40 mg
ATORIS 60 mg
SORTIS 80 mg
ASCORD 80 mg
ATORIS 80 mg
ATORVASTATIN RANBAXY 80 mg
STAVRA 80 mg
ATORVASTATINA TORRENT 80 mg
ATORVASTATINA AUROBINDO 80 mg
ROSUVASTATINA RATIOPHARM 10 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA TEVA 10 mg
ROXARDIO 10 mg
ROSWERA 10 mg
ROSTAT 10 mg
TINTAROS 10 mg
ROSUVASTATINA TERAPIA 10 mg
ROSUVASTATINA TERAPIA 10 mg
ROSUVASTATINA AUROBINDO 10 mg
ROVASTAMED 10mg
STARCREST 10 mg
ROZUCOR 10 mg
ROSUVASTATINA ATB 10 mg
ROSUVASTATINA RATIOPHARM 20 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROSUVASTATINA TEVA 20 mg
ROXARDIO 20 mg
ROSWERA 20 mg
ROSTAT 20 mg
TINTAROS 20 mg
ROSUVASTATINA LABORMED 20 mg
ROSUVASTATINA TERAPIA 20 mg
ROSUVASTATINA TERAPIA 20 mg
ROSUVASTATINA AUROBINDO 20 mg
ROVASTAMED 20mg

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

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
30mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
60mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
10 mg
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

Detinator APP

Tara det.
APP

Ambalaj

Prescriptie

Nr. crt

KRKA D.D. NOVO MESTO SLOVENIA

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

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

TERAPIA SA

ROMANIA
UNGARIA
ROMANIA

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

DR. REDDY'S LABORATORIES

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

EGIS PHARMACEUTICALS P.L.C.

P-6L

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

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

P6L

ALKALOID-INT D.O.O. SLOVENIA

TORRENT PHARMA S.R.L. ROMANIA

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

P6L

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

P6L

ACTAVIS GROUP PTC EHF.

MALTA
ISLANDA

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. FILM.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

AUROBINDO PHARMA (MALTA) LIMITED

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

P6L

CUTIE X 3 BLIST. X 10 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

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

DR. REDDY'S LABORATORIES

ROMANIA
UNGARIA
ROMANIA

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

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

P6L

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

P6L

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

P6L

EGIS PHARMACEUTICALS P.L.C.

ALKALOID-INT D.O.O. SLOVENIA

TORRENT PHARMA S.R.L. ROMANIA

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

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. 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

ACTAVIS GROUP PTC EHF.

ISLANDA

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.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA

P6L

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

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

EGIS PHARMACEUTICALS P.L.C.

ROMANIA
UNGARIA

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

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

P6L

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

P6L

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

P6L
P6L

ALKALOID-INT D.O.O. SLOVENIA

TORRENT PHARMA S.R.L. ROMANIA

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. 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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6L

TERAPIA SA

ROMANIA

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

KRKA D.D., NOVO MESTO

SLOVENIA

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

P6L

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

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

P6L

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

P6L

ALKALOID-INT D.O.O. SLOVENIA

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
AUROBINDO PHARMA (MALTA) LIMITED

MALTA

RATIOPHARM GMBH GERMANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

ZENTIVA K.S.

REPUBLICA CEHA

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

ROMANIA
ROMANIA

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

P6L

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

P-6L

CUTIE X 2 BLIST. X 14 COMPR. FILM.

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

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

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

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

P6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L

GEDEON RICHTER ROMANIA SA

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

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

ROMANIA
ROMANIA
RATIOPHARM GMBH GERMANIA

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

P6L

CUTIE CU BLIST. DIN OPA-AL-PVC/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

TORRENT PHARMA SRL

ANTIBIOTICE S.A.

TEVA PHARMACEUTICALS S.R.L.

SANDOZ S.R.L.

ROMANIA
ROMANIA

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

P6L

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.

P6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

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.

Pagina 7 din 17

P6L

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

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

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0.113500
0.990443
0.250667
0.202167
0.541776
0.167000
0.541776
0.133500
0.541776
0.541776
0.139167
0.304000
0.265500
0.943934
0.551429
0.323500
0.257333
0.551333
0.551333
0.526500
0.551333
0.551333
0.239333
0.500833
0.838571
0.545167
0.508667
0.545167
0.545167
0.545167
0.384000
0.355500
2.950538
0.457110
0.288833
0.155536
0.314667
0.378110
0.340357
0.865895
0.865895
0.829776
0.355536
0.344464
1.189776
0.471443
0.547000
4.113220
0.453833
0.453833
0.310714
0.465333
0.554667
0.453750
0.332321
1.032862
1.032862
1.033220
0.546964

0.329099
0.338301
0.338301
0.338301
0.338301
0.200099
0.338301
0.338301
0.212699
0.204300
0.676602
0.451199
0.363899
0.676602
0.300600
0.676602
0.240300
0.676602
0.676602
0.250499
0.547200
0.477900
1.353204
0.992571
0.582300
0.463199
0.992399
0.992399
0.947700
0.992399
0.992399
0.430799
0.901499
1.509427
0.981299
0.915599
0.981299
0.981299
0.981299
0.691200
0.639900
0.676602
0.676602
0.519899
0.279963
0.566399
0.676602
0.612642
0.676602
0.676602
0.676602
0.639963
0.620035
0.676602
0.676602
0.984600
1.353204
0.816899
0.816899
0.559285
0.837599
0.998399
0.816750
0.598177
1.353204
1.353204
1.353204
0.984535

0.036567
0.168032
0.368365
0.311032
0.368365
0.022234
0.368365
0.368365
0.023634
0.022700
0.689731
0.050134
0.040434
0.241064
0.033400
0.241064
0.026700
0.241064
0.241064
0.027834
0.060800
0.053100
0.342510
0.110286
0.064700
0.051467
0.110267
0.110267
0.105300
0.110267
0.110267
0.047867
0.100167
0.167715
0.109034
0.101734
0.109034
0.109034
0.109034
0.076800
0.071100
2.649826
0.156398
0.057767
0.031108
0.062934
0.077398
0.068072
0.565183
0.565183
0.529064
0.071108
0.068893
0.889064
0.170731
0.109400
3.511796
0.090767
0.090767
0.062143
0.093067
0.110934
0.090750
0.066465
0.431438
0.431438
0.431796
0.109393

cod ATC

470 C10AA07
471 C10AA07
472 C10AA07
473 C10AA07
474 C10AA07
475 C10AA07
476 C10AA07
477 C10AA07
478 C10AA07
479 C10AA07
480 C10AA07
481 C10AA07
482 C10AA07
483 C10AA07
484 C10AA07
485 C10AA07
486 C10AA07
487 C10AA07
488 C10AA07
489 C10AA07
490 C10AA07
491 C10AA07
492 C10AA07
493 C10AA07
494 C10AA07
495 C10AA07
496 C10AB02
497 C10AB02
498 C10AB02
499 C10AX09
500 C10AX09

DCI

ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM
BEZAFIBRATUM
BEZAFIBRATUM
EZETIMIBUM
EZETIMIBUM

501 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)

502 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
503 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
504 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
505 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
506 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
507 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
508 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
509 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
510 C10BX03 COMBINATII (ATORVASTATINUM+AMLODIPINUM)
511 D01BA02
512 D01BA02
513 D01BA02
514 D01BA02
515 D01BA02
516 D01BA02
517 D01BA02

TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM
TERBINAFINUM

518 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*

519 D05AX52 COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)*
520 D05BB02
521 D06AX01
522 D06AX01
523 D06BA01
524 D06BB04
525 D06BB04
526 D06BB10
527 D07AB02
528 D07AB02
529 D07AB02
530 D07AB02
531 D07AC13
532 D07AC13
533 D07AC13
534 D07AC13
535 D07AC14
536 D07AC14
537 D07AC14

ACITRETINUM**
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
SULFADIAZINUM
PODOPHYLLOTOXINUM*
PODOPHYLLOTOXINUM*
IMIQUIMODUM*
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM

MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT

Denumire Comerciala

STARCREST 20 mg
ROZUCOR 20 mg
ROSUVASTATINA ATB 20 mg
ROSUCARD 40 mg
ROSWERA 40 mg
ROSTAT 40 mg
TINTAROS 40 mg
ROSUVASTATINA TERAPIA 40 mg
ROSUVASTATINA TERAPIA 40 mg
ROSUVASTATINA AUROBINDO 40 mg
ROVASTAMED 40mg
STARCREST 40 mg
ROZUCOR 40 mg
ROSUVASTATINA ATB 40 mg
CRESTOR 5 mg
ROXARDIO 5 mg
ROSWERA 5 mg
ROSTAT 5 mg
TINTAROS 5 mg
ROSUVASTATINA TERAPIA 5 mg
ROSUVASTATINA TERAPIA 5 mg
ROSUVASTATINA AUROBINDO 5 mg
ROVASTAMED 5mg
STARCREST 5 mg
ROZUCOR 5 mg
ROSUVASTATINA ATB 5 mg
BEZAFIBRAT SLAVIA 200 mg
BEZAFIBRAT ARENA 200 mg
BEZAFIBRAT FARMEX 200 mg
EZETROL (R)
COLTOWAN 10 mg
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 5mg/10mg
ATORDAPIN 10mg/5mg
DUPLECOR 20 mg/10 mg
DUPLECOR 20 mg/5 mg
LAMISIL (R)
TERBINARAN
TERBINARAN
TERBINAFINE 250 mg
TERBINAFINA SLAVIA 250mg
TERBISIL 250 mg
TERBINAFINA ARENA 250 mg
DAIVOBET 50 micrograme/0,5 mg/g
DAIVOBET 50 micrograme/0,5mg/g
NEOTIGASON 10 mg
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
FLAMMAZINE
WARTEC 1,5 mg/g
CONDYLINE
ALDARA 5%
LOCOID (R) crema 0,1%
LOCOID (R) LIPOCREAM 0,1%
LOCOID CRELO (R) 0,1%
LOCOID (R)
ELOCOM
MOMETAZONA ATB 1 mg/g
ELOCOM
MOMETAZONA ATB 1 mg/g
ADVANTAN 1mg/g crema
ADVANTAN 1mg/g crema
ADVANTAN 1mg/g crema

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.
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.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
CREMA

concentratie

20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
200mg
200mg
200mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/10mg
10mg/10mg
10mg/5mg
10mg/5mg
10mg/5mg
10mg/5mg
20mg/10mg
20mg/5mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
50micrograme/0,5mg/g

Detinator APP

Ambalaj

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P-6L

TORRENT PHARMA SRL

ANTIBIOTICE S.A.
ZENTIVA K.S.

ROMANIA
ROMANIA

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

P6L

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

P6L

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL 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

ACTAVIS GROUP PTC EHF.

ISLANDA

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

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

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

P6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/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 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

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

P6L

ANTIBIOTICE S.A.

ROMANIA
ROMANIA

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

P6L

ASTRAZENECA UK LTD.

MAREA BRITANIE

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

SANDOZ S.R.L.

ROMANIA

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

TORRENT PHARMA SRL

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

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

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

P6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

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

ANTIBIOTICE S.A.
ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC/AL X 10 COMPR. P-6L
FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.

P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF

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

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.

P6L

MERCK SHARP & DOHME

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
ACTAVIS GROUP PTC EHF.

ISLANDA

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

P6L

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.

P6L

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA, D.D., NOVO MESTO SLOVENIA

GEDEON RICHTER ROMANIA SA
GEDEON RICHTER ROMANIA SA

NOVARTIS PHARMA GMBH

RANBAXY UK LIMITED
RANBAXY UK LIMITED

ROMANIA
ROMANIA

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

P6L

CUTIE X BLISTERE OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE

P6L

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P6L

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P6L

GERMANIA

CUTIE X 1 BLIST. X 14 COMPR.

P-RF

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

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.

P-RF

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

P-RF

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

LEO PHARMA A/S DANEMARCA CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 15 G GEL

P-RF

GEDEON RICHTER ROMANIA SA

P-RF

PRF

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 PHARMA A/S

LEO PHARMA A/S
CN UNIFARM

DANEMARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

50micrograme/0,5mg/g LEO PHARMACEUTICAL PRODUCTS

10mg
20mg/g
20mg/g
1%
1,5 mg/g
5mg/ml
5%
0,1%
0,1%
EMULSIE CUT. 0.1%
SOL. CUT.
0,1%
CREMA
1mg/g
CREMA
1mg/g
UNGUENT 1mg/g
UNGUENT 1mg/g
CREMA
1mg/g
CREMA
1mg/g
CREMA
1mg/g

Tara det.
APP

Prescriptie

Nr. crt

GLAXOSMITHKLINE (GSK) SRL

ASTELLAS PHARMA EUROPE BV

MEDA AB
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV
ASTELLAS PHARMA EUROPE BV

MERCK SHARP & DOHME

DANEMARCA

P-RF

ROMANIA BORCAN X 500 G CREMA

ROMANIA CUTIE X 1 TUB X 5 G CREMA

PRF

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

P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE

ANTIBIOTICE SA

P-RF

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

ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L

MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G
P-RF
ANTIBIOTICE SA
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG. P6L
INTENDIS GMBH
GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF
BAYER PHARMA AG GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF
BAYER PHARMA AG GERMANIA CUTIE CU 1 TUB DIN AL X 50 G CREMA P-RF

Pagina 8 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

28
0.689642
30
1.503561
30
1.001666
30
1.748666
30
1.522333
30
1.096000
28
1.746785
28
2.784285
28
2.784285
30
2.499000
28
1.640357
28
1.335000
30
2.620000
30
2.498000
28
0.375890
28
0.375890
30
0.327333
30
0.375890
28
0.375890
28
0.375890
28
0.375890
30
0.375890
28
0.375890
28
0.375890
30
0.375890
30
0.375890
20
0.381500
20
0.383500
20
0.370000
28
4.156410
30
3.728666
30
0.571332
30
0.571332
30
0.571332
30
0.571332
30
0.571332
30
0.548666
30
0.548666
30
0.548666
30
0.571332
30
0.571332
14
1.267321
30
1.267321
28
1.267321
28
0.712142
14
1.267321
28
1.267321
28
1.185357
1 53.860000
1 53.945000
30
1.581666
1 11.170000
1 11.170000
1 100.400000
1 44.916785
1 78.810000
12 21.387500
1 11.799999
1 11.799999
1 11.799999
1 11.230000
1
3.530000
1
3.530000
1
3.530000
1
3.530000
1 21.195000
1 21.195000
1 35.325000

0.000000
0.509439
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
2.260181
0.827681
0.000000
0.396443
0.007681
1.428395
1.428395
0.651776
0.650538
0.312681
1.040776
0.394443
0.000000
0.000000
0.000000
1.283232
0.000000
0.465001
0.102668
0.102668
0.068001
0.272668
0.000000
0.000000
0.000000
0.587668
0.327334
1.170536
0.317345
0.317679
0.000000
0.081964
0.317679
0.000000
0.000000
0.255000
0.000000
0.000000
0.000000
0.000000
33.423215
0.000000
0.000000
0.220001
0.190001
1.000001
0.000000
1.910000
0.000000
1.910000
0.000000
3.875000
3.875000
0.595000

0.344821
0.751780
0.500833
0.874333
0.761166
0.548000
0.873392
1.392142
1.392142
1.249500
0.820178
0.667500
1.310000
1.249000
0.187945
0.187945
0.163666
0.187945
0.187945
0.187945
0.187945
0.187945
0.187945
0.187945
0.187945
0.187945
0.190750
0.191750
0.185000
2.078205
1.864333
0.285666
0.285666
0.285666
0.285666
0.285666
0.274333
0.274333
0.274333
0.285666
0.285666
0.633660
0.633660
0.633660
0.356071
0.633660
0.633660
0.592678
26.930000
26.972500
0.790833
5.585000
5.585000
50.200000
22.458392
39.405000
10.693750
5.899999
5.899999
5.899999
5.615000
1.765000
1.765000
1.765000
1.765000
10.597500
10.597500
17.662500

0.344821
1.261220
0.500833
0.874333
0.761167
0.548000
0.873393
1.392143
1.392143
1.249500
0.820179
0.667500
1.310000
1.249000
2.448126
1.015626
0.163667
0.584388
0.195626
1.616340
1.616340
0.839721
0.838483
0.500626
1.228721
0.582388
0.190750
0.191750
0.185000
3.361437
1.864333
0.750667
0.388334
0.388334
0.353667
0.558334
0.274333
0.274333
0.274333
0.873334
0.613000
1.804197
0.951006
0.951340
0.356071
0.715625
0.951340
0.592679
26.930000
27.227500
0.790833
5.585000
5.585000
50.200000
55.881608
39.405000
10.693750
6.120001
6.090001
6.900001
5.615000
3.675000
1.765000
3.675000
1.765000
14.472500
14.472500
18.257500

0.620677
1.353204
0.901499
1.573799
1.370099
0.986400
1.572106
2.505856
2.505856
2.249100
1.476321
1.201500
2.358000
2.248200
0.338301
0.338301
0.294599
0.338301
0.338301
0.338301
0.338301
0.338301
0.338301
0.338301
0.338301
0.338301
0.343350
0.345150
0.333000
3.740769
3.355799
0.514198
0.514198
0.514198
0.514198
0.514198
0.493799
0.493799
0.493799
0.514198
0.514198
1.140588
1.140588
1.140588
0.640927
1.140588
1.140588
1.066821
48.474000
48.550500
1.423499
10.053000
10.053000
90.360000
40.425106
70.929000
19.248750
10.619999
10.619999
10.619999
10.107000
3.177000
3.177000
3.177000
3.177000
19.075500
19.075500
31.792500

0.068965
0.659796
0.100167
0.174867
0.152234
0.109600
0.174679
0.278429
0.278429
0.249900
0.164036
0.133500
0.262000
0.249800
2.297770
0.865270
0.032734
0.434032
0.045270
1.465984
1.465984
0.689365
0.688127
0.350270
1.078365
0.432032
0.038150
0.038350
0.037000
1.698873
0.372867
0.522135
0.159802
0.159802
0.125135
0.329802
0.054867
0.054867
0.054867
0.644802
0.384468
1.297269
0.444078
0.444412
0.071215
0.208697
0.444412
0.118536
5.386000
5.649500
0.158167
1.117000
1.117000
10.040000
37.914894
7.881000
2.138750
1.400001
1.370001
2.180001
1.123000
2.263000
0.353000
2.263000
0.353000
5.994500
5.994500
4.127500

cod ATC

538 D07AC14
539 D07AC14
540 D07AC14
541 D07AC14
542 D07AC14
543 D07AC17
544 D07AC17
545 D07AD01
546 D07AD01
547 D07AD01
548 D07AD01
549 D07CA01
550 D07CC01
551 D07XC03
552 D07XC03
553 D10AD54
554 D10AD54
555 D10AX03
556 D10AX03
557 D10AX03
558 D10AX03
559 D10BA01
560 D10BA01
561 D10BA01
562 G01AA51
563 G01AA51
564 G01AA51
565 G01AF12
566 G01AF12
567 G01AF12
568 G01AF15
569 G01AF20
570 G01AF20
571 G01AF20
572 G01AF20
573 G01AF20
574 G01AF20
575 G01AF20
576 G01AF20
577 G01AF20
578 G02BA03
579 G02BA03
580 G02CB03
581 G02CB03
582 G03CA09
583 G03CA09
584 G03CX01
585 G03DA04
586 G03DA04
587 G03DA04
588 G03DA04
589 G03DA04
590 G03DA04
591 G03DA04
592 G03DA04
593 G03DA04
594 G03DB01
595 G03DC03
596 G03FA17
597 G03FB01
598 G03FB08
599 G03FB08
600 G03GA05
601 G03GA05
602 G03GA05
603 G03GA05
604 G03GA05
605 G03GA05

DCI

Denumire Comerciala

ADVANTAN MILK 1mg/g

ADVANTAN MILK 1mg/g
ADVANTAN 1mg/g unguent
ADVANTAN 1 mg/g unguent
ADVANTAN 1 mg/g unguent
FLUTICASONUM PROPIONAT
CUTIVATE
FLUTICASONUM PROPIONAT
CUTIVATE
CLOBETASOLUM*
DERMOVATE 0,5 mg/g
CLOBETASOLUM*
DERMOVATE (R)
CLOBETASOLUM*
DERMOVATE 0,5 mg/g
CLOBETASOLUM*
CLOBETAZOL ATB 0,5 mg/g
COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H
COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram
COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC 1mg+5mg/gram
COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC 1mg+5mg/gram
COMBINATII (ISOTRETINOINUM + ERITROMICINUM) ISOTREXIN GEL
COMBINATII (ISOTRETINOINUM + ERITROMICINUM) ISOTREXIN GEL
ACIDUM AZELAICUM
SKINOREN
ACIDUM AZELAICUM
SKINOREN
ACIDUM AZELAICUM
SKINOREN 150mg/g
ACIDUM AZELAICUM
SKINOREN 150mg/g
ISOTRETINOINUM**
ROACCUTANE 10 mg
ISOTRETINOINUM**
SOTRET 10 mg
ISOTRETINOINUM**
SOTRET 20 mg
COMBINATII
MACMIROR COMPLEX
COMBINATII
POLYGYNAX
COMBINATII
MACMIROR COMPLEX
FENTICONAZOLUM
LOMEXIN 1000 mg
FENTICONAZOLUM
LOMEXIN 600 mg
FENTICONAZOLUM
LOMEXIN CREMA VAGINALA
BUTOCONAZOLUM
GYNOFORT 2%
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLODIN
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLON
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLON
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLON
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
ZIFEX DUO 500 mg/200 mg
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
ZIFEX DUO 500 mg/200 mg
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
ZIFEX DUO 500 mg/200 mg
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
ZIFEX DUO 500 mg/200 mg
COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM)
MECLON
LEVONORGESTRELUM***#
DONASERT 20 micrograme/24 ore
LEVONORGESTRELUM***#
MIRENA 20 micrograme/24 ore
CABERGOLINUM*
DOSTINEX
CABERGOLINUM*
DOSTINEX
PROMESTRIENUM*
COLPOTROPHINE 10 mg
PROMESTRIENUM*
COLPOTROPHINE 10mg/g
TIBOLONUM**
LIVIAL (R) 2,5 mg
PROGESTERONUM*
UTROGESTAN (R) 100 mg
PROGESTERONUM*
AREFAM 100 mg
PROGESTERONUM*
AREFAM 100 mg
PROGESTERONUM*
UTROGESTAN (R) 200 mg
PROGESTERONUM*
AREFAM 200 mg
PROGESTERONUM*
AREFAM 200 mg
PROGESTERONUM*
PROGESTOGEL 10 mg/g
PROGESTERONUM*
MASTOPROFEN 10 mg/g
PROGESTERONUM*
CRINONE 80 mg/g
DYDROGESTERONUM*
DUPHASTON 10 mg
LYNESTRENOLUM*
ORGAMETRIL 5 mg
COMBINATII**
ANGELIQ
COMBINATII**
CYCLO-PROGYNOVA
ESTRADIOL + DIDROGESTERON** FEMOSTON 2/10, comprimate filmate
ESTRADIOL + DIDROGESTERON** FEMOSTON 2/10, comprimate filmate
FOLLITROPINUM ALFA****#
GONAL - f 75 UI (5,5 g)
FOLLITROPINUM ALFA****#
BEMFOLA 150 UI/0,25 ml
FOLLITROPINUM ALFA****#
BEMFOLA 225 UI/0,375 ml
FOLLITROPINUM ALFA****#
BEMFOLA 300 UI/0,50 ml
FOLLITROPINUM ALFA****#
BEMFOLA 450 UI/0,75 ml
FOLLITROPINUM ALFA****#
BEMFOLA 75 UI/0,125 ml
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT
METHYLPREDNISOLONUM ACEPONAT

forma farm.
EMULSIE CUT.
EMULSIE CUT.

UNGUENT
UNGUENT
UNGUENT
CREMA
UNGUENT
CREMA
SOL. CUT.
UNGUENT
UNGUENT
CREMA
CREMA
UNGUENT
UNGUENT
GEL
GEL
CREMA
CREMA
GEL
GEL
CAPS. MOI
CAPS. MOI
CAPS. MOI

concentratie

Detinator APP

Tara det.
APP

Ambalaj

Prescriptie

Nr. crt

1mg/g
1mg/g
1mg/g
1mg/g
1mg/g
0,05%
0,005%
0,5mg/g
0,05%
0,5mg/g
0,5mg/g

INTENDIS GMBH
BAYER PHARMA AG
INTENDIS GMBH
BAYER PHARMA AG
BAYER PHARMA AG

GERMANIA

CUTIE X 1 TUB X 50 G

P-RF

GERMANIA

CUTIE CU 1 TUB DE AL VERNISAT CU UN STRAT INTERIOR DIN PE X 50 G EMULSIE CUTANATA

PRF

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

GLAXO WELLCOME UK LIMITED

MAREA BRITANIE

GLAXO WELLCOME UK LTD.

GLAXO WELLCOME UK LTD.
GLAXO WELLCOME UK LTD.

0,05%/0,2%

STIEFEL LABORATORIES LTD.

GERMANIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT

P-RF

GERMANIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT

P-RF

GERMANIA CUTIE CU 1 TUB DIN AL X 50 G UNGUENT

P-RF

CUTIE X 1 TUB DIN AL X 15 G CREMA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

MAREA BRITANIE

CUTIE CU 1 TUB AL X 25 G CREMA

P-RF

MAREA BRITANIE

CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF

MAREA BRITANIE

CUTIE CU 1 TUB AL X 25 G UNGUENT

P-RF

P-RF

ANTIBIOTICE SA
LEO PHARMA A/S
LEO PHARMA A/S

ROMANIA CUTIE CU 1 TUB DIN AL X 25 G UNGUENT PRF

20mg/g+10mg/g
DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
20mg/1mg pe gram
DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF
1mg+50mg/gram MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G
P-RF
1mg+50mg/gram MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 45 G
P-RF
0.5mg/g+20mg/g GLAXOSMITHKLINE (GSK) SRL

200mg/g
200mg/g
150mg/g
150mg/g
10mg
10mg
20mg

INTENDIS GMBH
BAYER PHARMA AG
INTENDIS GMBH
BAYER PHARMA AG

CUTIE X 1 TUB DIN AL X 30 G GEL

P-RF

ROMANIA CUTIE X 1 TUB DIN AL X 30 G GEL

GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA
GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA

P-RF

MAREA BRITANIE

GERMANIA
GERMANIA

ROCHE ROMANIA SRL ROMANIA

TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA

CUTIE X 1 TUB AL X 50 G GEL

CUTIE X 1 TUB AL X 50 G GEL

P-RF
P-RF
P-RF
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

CAPS. MOI VAG. 500mg/200000UI

LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG.

P-RF

CAPS. MOI VAG.

FRANTA

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

POLICHEM SA
LAB. INNOTECH INT.
CREMA VAG. 10g/400000UI POLICHEM SA
CAPS. MOI VAG. 1000mg
RECORDATI SPA
CAPS. MOI VAG. 600mg
RECORDATI SPA
CREMA VAG. 2%
RECORDATI SPA
CREMA VAG. 20mg/g
GEDEON RICHTER ROMANIA SA
COMPR. VAG. 500mg/200mg ARENA GROUP S.A.
CREMA
FARA CONCENTRATIE
ALFA WASSERMANN SPA
FARA CONCENTRATIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 2 CAPS. VAG. MOI P-RF

ROMANIA
ROMANIA

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 CU 1 FOLIE TERMOSUDATA DIN PVC-PE X 7 OVULE

PRF

CUTIE CU 1 FOLIE TERMOSUDATA DIN PVC X 7 OVULE

PRF

CUTIE CU 2 FOLII TERMOSUDATE DIN PVC-PE X 7 OVULE

PRF

CUTIE CU 2 FOLII TERMOSUDATE DIN PVC X 7 OVULE

PRF

CREMA VAG.

FARA CONCENTRATIE

ALFA WASSERMAN SPA

OVULE
OVULE
OVULE
OVULE
OVULE

500mg/100mg
500mg/200mg
500mg/200mg
500mg/200mg
500mg/200mg

ALFA WASSERMAN SPA

ITALIA
ITALIA
ITALIA

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

SOL. VAGINALA

FARA CONCENTRATIE

ALFA WASSERMAN SPA

ITALIA

CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE

P-RF

SISTEM CU CEDARE INTRAUTERINA

20micrograme/24ore

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU 1 PUNGA TERMOSUDATA CARE CONTINE UN SISTEM CU ELIBERARE INTRAUTERINA SI UN DISPOZITIV DE INSERTIE

PRF

SISTEM CU CEDARE INTRAUTERINA

20micrograme/24ore

CUTIE CU UN BLISTER CE CONTINE UN SISTEM PENTRU ADMINISTRARE INTRAUTERINA SI UN INSERTOR

P-RF

COMPR.
0,5mg
COMPR.
0,5mg
CAPS. VAG. 10mg
CREMA VAG. 10mg/g
COMPR.
2,5mg
CAPS. MOI 100mg
CAPS. MOI 100mg
CAPS. MOI 100mg
CAPS. MOI 200mg
CAPS. MOI 200mg
CAPS. MOI 200mg
GEL
10mg/g
GEL
10mg/g
GEL VAGINAL 80mg/g
COMPR. FILM. 10mg
COMPR.
5mg
COMPR. FILM. 1mg+2mg
DRAJ.
FARA CONCENTRATIE
COMPR. FILM. 2 mg/10 mg
COMPR. FILM. 2 mg/10 mg
PULB. + SOLV. PT. SOL. INJ. 75UI
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

BAYER OY

FINLANDA

PFIZER EUROPE MA EEG

MAREA BRITANIE

PFIZER EUROPE MA EEG

MAREA BRITANIE

LABORATOIRE THERAMEX

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

MONACO CUTIE CU 1 TUB DIN AL X 15 G CREMA VAGINALA

PRF

OLANDA CUTIE X 1 BLIST. X 28 COMPR.

FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI

P-RF

LAB. BESINS INTERNATIONAL

MEDICO UNO PHARMA KFT.

UNGARIA

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

PHARMASWISS CESK REPUBLIKA S.R.O.

REPUBLICA CEHA

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

LABORATOIRE THERAMEX

ORGANON NV

CUTIE X 1 FLAC. X 2 COMPR.

CUTIE X 1 FLAC. X 8 COMPR.

P-RF
P-RF

PRF
P-6L

LAB. BESINS INTERNATIONAL

FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI

MEDICO UNO PHARMA KFT.

UNGARIA

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

PHARMASWISS CESK REPUBLIKA S.R.O.

REPUBLICA CEHA

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

P-6L

PRF

ANTIBIOTICE SA
ROMANIA CUTIE CU 1 TUB DIN AL X 40 G GEL P6L
MERCK ROMANIA SRL ROMANIA
P6L
CUTIE CU 6 APLICATOARE DOZA UNICA DIN PE, CONTINND GEL VAGINAL, PREVAZUTE CU VRF CARE SE DESFACE PRIN RASUCIRE, AMBALATE SEPARAT NTR-O FOLIE DIN HRTIE/AL/RASINA IONOMERICA

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
BGP PRODUCTS B.V. OLANDA
P-RF
ABBOTT HEALTHCARE PRODUCTS B.V.

CUTIE X 1 BLISTER TIP CALENDAR X 28 COMPRIMATE FILMATE (14 COMPR. FILM. ROSII-CARAMIZII + 14 COMPR. FILM. GALBENE)

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GALBENE)

MERCK SERONO EUROPE LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 1 ML SOLV.

P-RF/R

150UI/0,25ml FINOX BIOTECH AG

LIECHTENSTEIN.

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1 AC PT. INJECTARE

PR/PRF

225UI/0,375ml FINOX BIOTECH AG

LIECHTENSTEIN.

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1 AC PT. INJECTARE

PR/PRF

LIECHTENSTEIN.

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1 AC PT. INJECTARE

PR/PRF

LIECHTENSTEIN.

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1 AC PT. INJECTARE

PR/PRF

LIECHTENSTEIN.

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1 AC PT. INJECTARE

PR/PRF

300UI/0,50ml FINOX BIOTECH AG

450UI/0,75ml FINOX BIOTECH AG
75UI/0,125ml FINOX BIOTECH AG

Pagina 9 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
30
30
30
12
12
1
2
1
1
1
10
1
1
10
7
7
14
14
5
1
1
2
8
10
1
28
30
30
30
14
30
30
1
1
6
20
30
28
21
28
28
1
1
1
1
1
1

33.540000
33.540000
21.195000
21.195000
35.325000
10.080000
10.080000
5.860000
5.410000
5.860000
5.860000
21.030000
15.445000
16.387500
48.760000
37.580000
37.580000
30.710000
30.710000
38.387500
38.387500
1.070583
1.066666
2.141166
1.860416
1.860416
34.650000
17.380091
10.428054
27.112942
1.738009
1.386642
9.980000
13.340000
1.386642
1.386642
1.386642
1.386642
1.386642
1.386642
306.750000
343.540000
5.505249
5.505249
0.967250
14.390000
1.586071
0.565333
0.549000
0.549000
1.130666
1.130666
1.130666
16.162500
7.120000
12.005000
1.113000
0.258333
2.062500
0.383809
0.690118
0.690118
103.550000
207.100000
310.650000
414.200000
584.410000
103.550000

0.000000
0.000000
3.875000
3.875000
0.595000
0.000000
0.000000
6.610000
0.000000
3.380000
0.150000
0.000000
6.815000
0.402500
0.000000
0.000000
0.000000
0.000000
0.000000
10.062500
10.062500
0.518083
0.000000
0.007834
1.360417
0.705417
0.000000
9.184909
4.621946
8.997058
32.241991
0.171358
0.000000
0.000000
2.448358
0.154786
0.154786
0.154072
0.154072
3.177358
0.000000
110.370000
5.289751
4.407251
0.023750
0.000000
0.000000
0.279667
0.000000
0.000000
0.822905
0.098000
0.098000
5.767500
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.306310
0.306310
28.980000
4.400000
6.610000
0.000000
0.000000
8.790000

16.770000
16.770000
10.597500
10.597500
17.662500
5.040000
5.040000
2.930000
2.705000
2.930000
2.930000
10.515000
7.722500
8.193750
24.380000
18.790000
18.790000
15.355000
15.355000
19.193750
19.193750
0.535291
0.533333
1.070583
0.930208
0.930208
17.325000
8.690045
5.214027
13.556471
0.869004
0.693321
4.990000
6.670000
0.693321
0.693321
0.693321
0.693321
0.693321
0.693321
153.375000
171.770000
2.752624
2.752624
0.483625
7.195000
0.793035
0.282666
0.274500
0.274500
0.565333
0.565333
0.565333
8.081250
3.560000
6.002500
0.556500
0.129166
1.031250
0.191904
0.345059
0.345059
51.775000
103.550000
155.325000
207.100000
292.205000
51.775000

16.770000
16.770000
14.472500
14.472500
18.257500
5.040000
5.040000
9.540000
2.705000
6.310000
3.080000
10.515000
14.537500
8.596250
24.380000
18.790000
18.790000
15.355000
15.355000
29.256250
29.256250
1.053375
0.533333
1.078417
2.290625
1.635625
17.325000
17.874955
9.835973
22.553529
33.110996
0.864679
4.990000
6.670000
3.141679
0.848107
0.848107
0.847393
0.847393
3.870679
153.375000
282.140000
8.042376
7.159876
0.507375
7.195000
0.793036
0.562334
0.274500
0.274500
1.388238
0.663333
0.663333
13.848750
3.560000
6.002500
0.556500
0.129167
1.031250
0.191905
0.651369
0.651369
80.755000
107.950000
161.935000
207.100000
292.205000
60.565000

30.186000
30.186000
19.075500
19.075500
31.792500
9.072000
9.072000
5.274000
4.869000
5.274000
5.274000
18.927000
13.900500
14.748750
43.884000
33.822000
33.822000
27.639000
27.639000
34.548750
34.548750
0.963524
0.959999
1.927049
1.674374
1.674374
31.185000
15.642081
9.385248
24.401647
1.564208
1.247977
8.982000
12.006000
1.247977
1.247977
1.247977
1.247977
1.247977
1.247977
276.075000
309.186000
4.954724
4.954724
0.870525
12.951000
1.427463
0.508799
0.494100
0.494100
1.017599
1.017599
1.017599
14.546250
6.408000
10.804500
1.001700
0.232499
1.856250
0.345428
0.621106
0.621106
93.195000
186.390000
279.585000
372.780000
525.969000
93.195000

3.354000
3.354000
5.994500
5.994500
4.127500
1.008000
1.008000
7.196000
0.541000
3.966000
0.736000
2.103000
8.359500
2.041250
4.876000
3.758000
3.758000
3.071000
3.071000
13.901250
13.901250
0.625142
0.106667
0.221951
1.546459
0.891459
3.465000
10.922919
5.664752
11.708353
32.415792
0.310023
0.998000
1.334000
2.587023
0.293451
0.293451
0.292737
0.292737
3.316023
30.675000
144.724000
5.840276
4.957776
0.120475
1.439000
0.158608
0.336201
0.054900
0.054900
0.935972
0.211067
0.211067
7.383750
0.712000
1.200500
0.111300
0.025834
0.206250
0.038381
0.375322
0.375322
39.335000
25.110000
37.675000
41.420000
58.441000
19.145000

cod ATC

606 G03GA05
607 G03GA05
608 G03GA05
609 G03GA06
610 G03GA06
611 G03GA06
612 G03GA06
613 G03GA07
614 G03GB02
615 G03XC01
616 G04BD04
617 G04BD07
618 G04BD07
619 G04BD08
620 G04BD08
621 G04BD08
622 G04BD08
623 G04BD08
624 G04BD08
625 G04BD08
626 G04BD09
627 G04BD09
628 G04CA01
629 G04CA01
630 G04CA01
631 G04CA01
632 G04CA02
633 G04CA02
634 G04CA02
635 G04CA02
636 G04CA02
637 G04CA02
638 G04CB01
639 G04CB01
640 G04CB02
641 H01AC01
642 H01AC01
643 H01AC01
644 H01AC01
645 H01AC01
646 H01AC01
647 H01CC01
648 H01CC01
649 H01CC02
650 H02AA02
651 H02AB01
652 H03BB02
653 H03BB02
654 H03BB02
655 J01CR01
656 J01CR04
657 J01CR04
658 J01FA02
659 J01FA02
660 J01FA02
661 J01FA10
662 J01FA10
663 J01FA10
664 J01FA10
665 J01FA10
666 J01FA10
667 J01FA10
668 J01FA10
669 J01FA10
670 J01FA10
671 J01FA10
672 J01FA10
673 J01FA10

DCI

Denumire Comerciala

FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
DUTASTERIDUM*
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
GANIRELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
SPIRAMYCINUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

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 300UI/0,36 ml
PUREGON 300UI/0,36 ml
PUREGON 900UI/1,08 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
CLOSTILBEGYT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
UROFLOW 1
UROFLOW 2
ZEVESIN 10 mg
VESICARE 10 mg
SOLIFENACIN ACTAVIS 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
ASOLFENA 5 mg
SOLIFENACIN ACTAVIS 5 mg
INKONTAN 15 mg
INKONTAN 30 mg
ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TAMSULOSIN AUROBINDO 400 micrograme

TAMSULOSIN TEVA 400 g

OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
FINASTERIDA ARENA 5 mg
AVODART 0,5 mg
GENOTROPIN 16 UI/ml (5,3 mg/ml)
ZOMACTON
NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
NORDITROPIN SIMPLEXx 10 mg/1,5ml
ORGALUTRAN 0.25mg/0,5ml
ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
ASTONIN H
DIPROPHOS
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
AMPIPLUS 1000 mg/500 mg
UNASYN
UNASYN
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
ROVAMYCINE 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg

forma farm.
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

concentratie

Detinator APP

Tara det.
APP

Ambalaj

Prescriptie

Nr. crt

300UI/0,5ml

MERCK SERONO EUROPE LIMITED

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 8 ACE PT. ADM.

P-RF/R

450UI/0,75ml

MERCK SERONO EUROPE LIMITED

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 12 ACE PT. ADM. SUBCUTANATA

P-RF/R

900UI/1,5ml

MERCK SERONO EUROPE LIMITED

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 20 ACE PT. ADM. SUBCUTANATA

P-RF/R

300UI/0,36ml N. V. ORGANON
OLANDA CUTIE X 1 CARTUS + 6 ACE
300UI/0,36ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 CARTUS + 6 ACE
900UI/1,08ml N. V. ORGANON
OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE
900UI/1,08ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 CARTUS SOL. INJ. + 9 ACE

PR/PRF
PR/PRF
PR/PRF
PR/PRF

75UI
50mg

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.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

COMPR. FILM. 60mg

DAIICHI SANKYO EUROPE GMBH

GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)

P-RF

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR.

ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
ZENTIVA K.S.
REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
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.
ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
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

PULB+SOLV.PT.SOL.INJ

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

CAPS. ELIB. MODIF.

CAPS. ELIB. MODIF.

CAPS. ELIB. PREL.

5mg
1mg
2mg
10 mg
10mg
10mg
5 mg
5mg
5mg
5mg
15mg
30mg
10mg
10mg
10mg
5mg
0,4mg
0,4mg
0,4mg

CAPS. ELIB. PREL. 400micrograme

400 g
COMPR. FILM. ELIB. PREL. 0,4mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
CAPS. MOI 0,5mg
COMPR. CU ELIB. PRELUNGITA

PULB. + SOLV. PT. SOL. INJ.

PULB. + SOLV. PT. SOL. INJ.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ. IN CARTUS

SOL. INJ.
SOL. INJ.

COMPR. FILM.
AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM.
AZITROMICINA TERAPIA 250 mg
COMPR. FILM.
AZITROMICINA TERAPIA 250 mg
COMPR. FILM.
AZIBIOT 250 mg
COMPR. FILM.
SUMAMED 500 mg
COMPR. FILM.
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM.
AZIBIOT 500 mg
COMPR. FILM.
AZITROMICINA TERAPIA 500 mg
COMPR. FILM.
AZITROMICINA TERAPIA 500 mg
COMPR. FILM.
AZITROX (R) 500
COMPR. FILM.

SANOFI-AVENTIS ROMANIA S.R.L.

SANOFI-AVENTIS ROMANIA S.R.L.
GEDEON RICHTER ROMANIA SA

P6L

SLOVENIA

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

ISLANDA
AUSTRIA
AUSTRIA

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

P6L

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

P-6L

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

P-6L

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-6L

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

P-6L

P6L

CUTIE CU 1 BLIST. PVC/AL CU 30 COMPR. ELIB. PREL.

P-6L

CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL.

P-6L

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

P-6L

ZENTIVA KS
RANBAXY UK LTD.

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

P6L

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. CU ELIB. PRELUNG.

P6L

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL.

P-6L

MERCK SHARP & DOHME

ROMANIA

CUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L

ARENA GROUP S.A. ROMANIA

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

P-6L

CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI

P-6L
P-RF

4mg (12ui)
10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.

PR/PRF

DANEMARCA CUTIE X 1 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

0,25mg/0,5ml MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT

P-RF/R

GLAXOSMITHKLINE (GSK) SRL

FERRING GMBH
IPSEN PHARMA
SANDOZ GMBH
SANDOZ GMBH
NOVO NORDISK A/S
0,25mg/0,5ml N. V. ORGANON

1000mg/500mg

CAPS.
CAPS.

TERAPIA SA
SANOFI-AVENTIS ROMANIA S.R.L.

P6L
P-6L

CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

COMPR. FILM. 375mg

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

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

P6L
P-6L

MAREA BRITANIE

PULB. PT. SOL. INJ./PERF.

PULB. PT. SUSP. ORALA

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

P6L

16UI/ml (5,3mg/ml) PFIZER EUROPE MA EEIG

SUSP. INJ. I.M.

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

COMPR.

ACTAVIS GROUP PTC EHF.

P6L

ROMANIA

0,25mg
0,1mg
7mg/ml
10mg
20mg
5mg

PULB+SOLV. PT. SOL. INJ.

KRKA, TOVARNA ZDRAVIL, D.D. NOVO MESTO

P-RF/R

250mg/5ml
1,5 M ui
3M ui
3MilU.I.
250mg
250mg
125mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg

FRANTA CUTIE X 1 CARTUS X 2 ML. SOL. INJ.

AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ.

P-RF/R
P-RF/R
P-RF/R

SERONO EUROPE LTD.

MAREA BRITANIE

MERCK KGAA

GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR.

P-RF

MERCK SHARP & DOHME

ROMANIA CUTIE X 5 FIOLE X 1 ML

P-RF

MERCK KGAA
MERCK KGAA
MERCK KGAA
ANTIBIOTICE S.A.

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

P-6L

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

P-6L

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA

LAB. AVENTIS
LAB. AVENTIS

CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF

LABORATOIRES AVENTIS

FRANTA
FRANTA
FRANTA

BALKANPHARMA RAZGRAD AD

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

CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII + 7 ACE PT. INJECTII SUBCUTANATE + 14 TAMPOANE IMBIBATE IN ALCOOL

P-RF

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L

ROMANIA

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

PR, PRF

P-RF

CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF

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

PRF
P-RF

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

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.

P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

P-RF

PLIVA LJUBLIJANA D.O.O.

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

P-RF
P-RF

KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR.FILM. PRF

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

SANDOZ S.R.L.

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

TERAPIA SA
TERAPIA SA
ZENTIVA K.S.

ROMANIA
ROMANIA

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

CEHIA

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

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

Pagina 10 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

1
1
1
1
1
1
1
1
10
28
60
28
28
30
30
30
30
30
30
30
30
30
30
30
30
28
30
30
30
30
30
30
28
28
30
1
1
1
1
1
1
1
1
7
50
5
50
50
100
50
12
1
16
10
10
6
6
6
6
6
6
6
3
3
3
3
3
3

414.200000
621.300000
1,242.600000

403.900000
403.900000
1,242.102960
1,242.102960

131.710000
1.770000
2.345357
0.357500
0.380189
0.760379
3.041516
3.041516
3.041516
1.520758
1.520758
1.520758
1.520758
0.570284
1.140568
0.706666
1.087333
1.087333
0.582142
0.916666
0.726333
0.496666
0.909666
0.565333
1.189499
0.983124
0.876071
3.160666
423.587000
317.690250
794.225625
384.340000
712.690000
794.225625
127.422857
127.422857
111.215714
0.403000
5.366000
0.312165
0.529400
0.156082
15.073600
2.861666
23.499996
0.638750
1.294926
1.294926
3.237318
3.237318
1.618657
3.237318
3.237318
3.237318
3.237318
6.474636
4.063333
5.316666
5.576666
5.576666
5.576666

91.450000
114.480000
141.820000
0.000000
0.000000
38.157040
38.157040
0.000000
0.000000
0.000000
0.000000
0.435882
0.098192
0.173484
1.648817
0.173484
1.370908
3.054575
1.370908
1.369242
0.747716
0.983098
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.323501
0.321161
0.000000
0.000000
40.873000
130.819750
157.414375
0.000000
0.000000
365.654375
16.207143
16.207143
0.000000
0.000000
0.000000
0.116835
0.000000
0.164118
0.000000
0.000000
1.820004
0.000000
1.318074
1.318074
0.054348
1.829348
2.528009
0.054348
0.054348
0.054348
0.054348
2.108697
0.000000
0.000000
0.000000
0.000000
0.000000

207.100000
310.650000
621.300000
201.950000
201.950000
621.051480
621.051480
65.855000
0.885000
1.172678
0.178750
0.190094
0.380189
1.520758
1.520758
1.520758
0.760379
0.760379
0.760379
0.760379
0.285142
0.570284
0.353333
0.543666
0.543666
0.291071
0.458333
0.363166
0.248333
0.454833
0.282666
0.594749
0.491562
0.438035
1.580333
211.793500
158.845125
397.112812
192.170000
356.345000
397.112812
63.711428
63.711428
55.607857
0.201500
2.683000
0.156082
0.264700
0.078041
7.536800
1.430833
11.749998
0.319375
0.647463
0.647463
1.618659
1.618659
0.809328
1.618659
1.618659
1.618659
1.618659
3.237318
2.031666
2.658333
2.788333
2.788333
2.788333

298.550000
425.130000
763.120000
201.950000
201.950000
659.208520
659.208520
65.855000
0.885000
1.172679
0.178750
0.625977
0.478382
1.694242
3.169575
1.694242
2.131287
3.814954
2.131287
2.129621
1.032858
1.553382
0.353333
0.543667
0.543667
0.291071
0.458333
0.363167
0.248333
0.454833
0.282667
0.918251
0.812723
0.438036
1.580333
252.666500
289.664875
554.527188
192.170000
356.345000
762.767188
79.918572
79.918572
55.607857
0.201500
2.683000
0.272918
0.264700
0.242159
7.536800
1.430833
13.570002
0.319375
1.965537
1.965537
1.673007
3.448007
3.337338
1.673007
1.673007
1.673007
1.673007
5.346015
2.031667
2.658333
2.788333
2.788333
2.788333

372.780000
559.170000
1,118.340000
363.510000
363.510000
1,117.892664
1,117.892664
118.539000
1.593000
2.110821
0.321750
0.342170
0.684341
2.737364
2.737364
2.737364
1.368682
1.368682
1.368682
1.368682
0.513255
1.026511
0.635999
0.978599
0.978599
0.523927
0.824999
0.653699
0.446999
0.818699
0.508799
1.070549
0.884811
0.788463
2.844599
381.228300
285.921225
714.803062
345.906000
641.421000
714.803062
114.680571
114.680571
100.094142
0.362700
4.829400
0.280948
0.476460
0.140473
13.566240
2.575499
21.149996
0.574875
1.165433
1.165433
2.913586
2.913586
1.456791
2.913586
2.913586
2.913586
2.913586
5.827172
3.656999
4.784999
5.018999
5.018999
5.018999

132.870000
176.610000
266.080000
40.390000
40.390000
162.367336
162.367336
13.171000
0.177000
0.234536
0.035750
0.473901
0.174230
0.477636
1.952969
0.477636
1.522984
3.206651
1.522984
1.521318
0.804745
1.097155
0.070667
0.108734
0.108734
0.058215
0.091667
0.072634
0.049667
0.090967
0.056534
0.442451
0.419474
0.087608
0.316067
83.231700
162.588775
236.836938
38.434000
71.269000
445.076938
28.949429
28.949429
11.121572
0.040300
0.536600
0.148052
0.052940
0.179727
1.507360
0.286167
4.170004
0.063875
1.447567
1.447567
0.378080
2.153080
2.689875
0.378080
0.378080
0.378080
0.378080
2.756161
0.406334
0.531667
0.557667
0.557667
0.557667

cod ATC

674 J01FA10
675 J01FA10
676 J01FA10
677 J01FA10
678 J01FA10
679 J01FA10
680 J01FA10
681 J01FA10
682 J01FA10
683 J01FA10
684 J01FF01
685 J01FF01
686 J01FF01
687 J01FF01
688 J01FF01
689 J01FF01
690 J01MA12
691 J01MA12
692 J01MA12
693 J01MA12
694 J01MA12
695 J01MA12
696 J01MA12
697 J01MA12
698 J01MA12
699 J01MA14
700 J01MA14
701 J01MA14
702 J01MA14
703 J01MA14
704 J02AC02
705 J02AC02
706 J02AC02
707 J02AC02
708 J02AC02
709 J02AC02
710 J05AB11
711 J05AB11
712 J05AB15
713 L01AA01
714 L02AE03
715 L02AE04
716 L02AE04
717 L02AE04
718 L02AE04
719 L04AX01
720 L04AX01
721 M01AC05
722 M01AC05
723 M01AC05
724 M01AC05
725 M01AE17
726 M01AE17
727 M01AE17
728 M01AE17
729 M01AE17

DCI

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
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
GOSERELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
AZATHIOPRINUM*
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
DEXKETOPROFENUM
DEXKETOPROFENUM
DEXKETOPROFENUM

730 M01AE52 COMBINATII (NAPROXEN + ESOMEPRAZOL)

731 M01AE52 COMBINATII (NAPROXEN + ESOMEPRAZOL)
732 M01AH01
733 M01AH01
734 M01AH01
735 M01AH01
736 M01AH01
737 M01AH01
738 M01AH01
739 M01AH01
740 M01AH01
741 M01AH01

CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM

Denumire Comerciala

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
LEVOFLOXACINA ACTAVIS 250 mg
TAVANIC 250 mg
LEVOTOR 250 mg
LEVALOX 250 mg
FLERADAY 500 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
LEVALOX 500 mg
AVELOX 400 mg
MOXIFLOXACINA AUROBINDO 400 mg
MOFINACIN 400 mg
MOFIL 400 mg
MOFLAXA 400 mg
ORUNGAL
ITRACONAZOL 100 mg
OMICRAL 100 mg
MICOGAL 100 mg
ITRACONAZOL ARENA 100 mg
OMICRAL 100 mg
VALTREX 500 mg
VALACICLOVIR ARENA 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN
IMURAN
XEFO RAPID 8 mg
XEFO RAPID 8 mg
XEFO 8 mg/ 2 ml
XEFO 8 mg/ 2 ml
TADOR 25 mg

forma farm.
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.

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

COMPR.
DRAJ.
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. FILM.
COMPR. FILM.
COMPR. FILM.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM.
DEXKETOPROFEN TROMETAMOL SANDOZ 25mg COMPR. FILM.

TADOR INJECT
DEXKETOPROFEN ROMPHARM 50 mg/2 ml
DEXKETOPROFEN ROMPHARM 50 mg/2 ml

VIMOVO 500 mg/20 mg

VIMOVO 500 mg/20 mg
CELEBREX 100 mg
ALGOXIB 100 mg
ACLEXA 100 mg
CELECOXIB ACTAVIS 100 mg
CELETOR 100 mg
CALIDEM 100 mg
CELECOXIB TERAPIA 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ALGOXIB 200 mg

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

concentratie

Detinator APP

Tara det.
APP

500mg
500mg
600mg
600mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
150mg
300mg
300mg
300mg
600mg
600mg
250mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
400mg
400mg
400mg
400mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
500 mg
500mg
125mg
50mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
50mg
50mg
8mg
8mg
8mg/2ml
8mg/2ml
25mg
25mg
50mg/2ml
50mg/2ml
50mg/2ml

ACTAVIS GROUP PTC EHF.

ISLANDA

ARENA GROUP S.A.

TERAPIA SA
TERAPIA SA
ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

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

SLOVENIA
SLOVENIA
PLIVA LJUBLIJANA D.O.O. SLOVENIA
PLIVA LJUBLIJANA D.O.O.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

MIP PHARMA GMBH

MIP PHARMA GMBH
MIP PHARMA GMBH
MIP PHARMA GMBH

GERMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

GERMANIA
GERMANIA
GERMANIA

TERAPIA S.A.

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
KRKA, D.D., NOVO MESTO SLOVENIA
DR. REDDY'S LABORATORIES

ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

TERAPIA S.A.

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
KRKA, D.D., NOVO MESTO SLOVENIA

BAYER PHARMA AG GERMANIA

MALTA

AUROBINDO PHARMA (MALTA) LIMITED

ALVOGEN IPCO S.A.R.L

LUXEMBURG

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA, D.D., NOVO MESTO SLOVENIA

BELGIA
SLAVIA PHARM SRL ROMANIA

JANSSEN PHARMACEUTICA N.V.

ROMPHARM COMPANY SRL

ROMANIA
ROMANIA

ARENA GROUP S.A. ROMANIA

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

ARENA GROUP S.A. ROMANIA

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA

BAXTER ONCOLOGY GMBH

GERMANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA
FERRING GMBH

FRANTA
FRANTA
FRANTA
GERMANIA

ASPEN EUROPE GMBH GERMANIA

IRLANDA
AUSTRIA
AUSTRIA
NYCOMED AUSTRIA GMBH AUSTRIA
TAKEDA AUSTRIA GMBH AUSTRIA

ASPEN PHARMA TRADING LIMITED

NYCOMED AUSTRIA GMBH

TAKEDA AUSTRIA GMBH

BERLIN CHEMIE AG (MENARINI GROUP)

GERMANIA

SANDOZ S.R.L.

ROMANIA

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXEMBOURG

COMPR. ELIB. MODIF.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg

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

COMPR. ELIB. MODIF.

ROMPHARM COMPANY S.R.L.

ROMPHARM COMPANY S.R.L.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

REPUBLICA CEHA

KRKA, D.D., NOVO MESTO SLOVENIA

ACTAVIS GROUP PTC EHF.

ISLANDA

TORRENT PHARMA SRL

TERAPIA SA

ROMANIA
UNGARIA
ROMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ZENTIVA K.S.

REPUBLICA CEHA

EGIS PHARMACEUTICALS P.L.C.

3
5.130000
3
5.576666
3
7.769566
3
7.769566
1 14.470000
1 12.722396
1 19.290000
P-RF
1 19.083600
P-RF
1 38.167200
P-RF
1 47.709000
CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF
16
0.497046
CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF
16
0.994093
CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF
16
0.883750
CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF
30
0.884000
CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF
16
1.988187
CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF
30
1.988187
CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF
7
1.555714
CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF
7
2.453400
CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
7
1.555714
CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF
7
2.453400
CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF
7
4.427142
CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF
7
3.280000
CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF
7
4.906800
CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF
7
3.228571
CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF
7
4.274285
CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF
5
4.906800
CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF
5
4.906800
CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM PRF
5
4.906800
CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF
5
4.906800
CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINND 5 COMPRIMATE FILMATE
PRF
5
4.906800
CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF
15
3.194000
CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF
15
2.144666
CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF
15
2.144666
CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF
15
2.144666
CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF
15
2.144666
CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF
15
2.144666
CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.
PRF
10
4.661000
CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM.
PRF
10
3.131000
CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF
7 48.002857
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF
50
0.542400
CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF
1 298.459994
CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF
7 13.681428
S/P-RF
1 886.880000
S/P-RF
1 371.770000
CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF
28
2.097156
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100
0.614116
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100
0.614116
CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L
10
0.431999
CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L
10
0.431999
PRF
10
1.310332
PRF
10
1.310332
CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L
10
0.475199
CUTIE BLIST. DIN PVC-PVDC/AL X 20 COMPRIMATE FILMATE P6L
20
0.475199
CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF.
P-RF
5
2.276000
PRF
5
2.276000
PRF
10
2.276000
PRF
30
1.611749
PRF
60
1.584666
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF
30
0.586583
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. PRF
30
0.584000
CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF
30
0.584000
CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF
30
0.584000
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. PRF
30
0.584000
CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF
30
0.584000
CUTIE CU BLIST. PVC/ACLAR-AL X 30 CAPS. PRF
30
0.584000
CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF
10
1.173166
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF
30
1.173166
CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. PRF
30
1.173166

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

PLIVA LJUBLIJANA D.O.O.

MEDICO UNO PHARMACEUTICAL SRL

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

CUTIE X 1 FLACON DIN PE CU PULBERE PENTRU 15ML SUSPENSIE ORALA RECONSTITUITA + FLACON CU SOLVENT X 7.5ML SOLVENT + 1 SERINGA PENTRU ADMINISTRAREA ORALA + O LINGURITA DOZATOARE

ROMANIA
ROMANIA
500 mg/20 mg ASTRA ZENECA AB SUEDIA
500 mg/20 mg ASTRA ZENECA AB SUEDIA

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

Prescriptie

Nr. crt

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

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

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

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU 1 SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU O SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE

CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV

CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV. PT. SOL. INJ.

CUTIE CU 5 FIOLE DIN STICLA BRUNA (UN SUPORT A 5 FIOLE), PREVAZUTE CU INEL DE RUPERE, CONTINAND 2 ML DE SOL. INJ./CONC. PT. SOL. PERF.

CUTIE CU 10 FIOLE DIN STICLA BRUNA (DOUA SUPORTURI A CATE 5 FIOLE), PREVAZUTE CU INEL DE RUPERE, CONTINAND 2 ML DE SOL. INJ./CONC. PT. SOL. PERF.

CUTIE CU 1 FLAC. PEID CU CAPAC PP PREVAZUT CU SIST. SECURIZAT PT. COPII SI DESICANT SILICAGEL X 30 COMPR. ELIB. MODIF.

CUTIE CU 1 FLAC. PEID CU CAPAC PP PREVAZUT CU SIST. SECURIZAT PT. COPII SI DESICANT SILICAGEL X 60 COMPR. ELIB. MODIF.

Pagina 11 din 17

PRF

0.000000
0.000000
7.657100
7.657100
0.000000
6.617604
0.000000
3.176400
1.512800
12.651000
0.290454
0.365907
0.000000
0.000000
0.660563
0.747146
0.000000
1.398028
0.000000
0.050885
0.000000
0.000000
1.684628
0.000000
0.000000
6.177200
2.299200
2.299200
2.299200
2.299200
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
4.700006
0.000000
0.000000
0.000000
20.075701
0.088184
0.088184
0.540001
0.540001
7.789668
7.789668
0.396801
0.091801
1.788000
0.364000
0.365000
0.081251
0.000000
0.311750
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.972834
0.640167
0.005167

2.565000
2.788333
3.884783
3.884783
7.235000
6.361198
9.645000
9.541800
19.083600
23.854500
0.248523
0.497046
0.441875
0.442000
0.994093
0.994093
0.777857
1.226700
0.777857
1.226700
2.213571
1.640000
2.453400
1.614285
2.137142
2.453400
2.453400
2.453400
2.453400
2.453400
1.597000
1.072333
1.072333
1.072333
1.072333
1.072333
2.330500
1.565500
24.001428
0.271200
149.229997
6.840714
443.440000
185.885000
1.048578
0.307058
0.307058
0.215999
0.215999
0.655166
0.655166
0.237599
0.237599
1.138000
1.138000
1.138000
0.805874
0.792333
0.293291
0.292000
0.292000
0.292000
0.292000
0.292000
0.292000
0.586583
0.586583
0.586583

2.565000
2.788333
11.541883
11.541883
7.235000
12.978802
9.645000
12.718200
20.596400
36.505500
0.538977
0.862954
0.441875
0.442000
1.654657
1.741240
0.777857
2.624728
0.777857
1.277585
2.213571
1.640000
4.138028
1.614286
2.137143
8.630600
4.752600
4.752600
4.752600
4.752600
1.597000
1.072333
1.072333
1.072333
1.072333
1.072333
2.330500
1.565500
24.001429
0.271200
153.930003
6.840714
443.440000
185.885000
21.124279
0.395242
0.395242
0.756001
0.756001
8.444834
8.444834
0.634401
0.329401
2.926000
1.502000
1.503000
0.887126
0.792333
0.605042
0.292000
0.292000
0.292000
0.292000
0.292000
0.292000
1.559417
1.226750
0.591750

4.617000
5.018999
6.992609
6.992609
13.023000
11.450156
17.361000
17.175240
34.350480
42.938100
0.447341
0.894683
0.795375
0.795600
1.789368
1.789368
1.400142
2.208060
1.400142
2.208060
3.984427
2.952000
4.416120
2.905713
3.846856
4.416120
4.416120
4.416120
4.416120
4.416120
2.874600
1.930199
1.930199
1.930199
1.930199
1.930199
4.194900
2.817900
43.202571
0.488160
268.613994
12.313285
798.192000
334.593000
1.887440
0.552704
0.552704
0.388799
0.388799
1.179298
1.179298
0.427679
0.427679
2.048400
2.048400
2.048400
1.450574
1.426199
0.527924
0.525600
0.525600
0.525600
0.525600
0.525600
0.525600
1.055849
1.055849
1.055849

0.513000
0.557667
8.434057
8.434057
1.447000
7.889844
1.929000
5.084760
5.329520
17.421900
0.340159
0.465317
0.088375
0.088400
0.859382
0.945965
0.155572
1.643368
0.155572
0.296225
0.442715
0.328000
2.175308
0.322858
0.427429
6.667880
2.789880
2.789880
2.789880
2.789880
0.319400
0.214467
0.214467
0.214467
0.214467
0.214467
0.466100
0.313100
4.800286
0.054240
34.546006
1.368143
88.688000
37.177000
20.285417
0.149596
0.149596
0.583201
0.583201
7.920702
7.920702
0.444321
0.139321
2.015600
0.591600
0.592600
0.242426
0.158467
0.370409
0.058400
0.058400
0.058400
0.058400
0.058400
0.058400
1.090151
0.757484
0.122484

cod ATC

DCI

769 M05BA07

CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*

770 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

771 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

772 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

773 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)*

774 N02AA05

OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*

742 M01AH01
743 M01AH01
744 M01AH01
745 M01AH01
746 M01AH01
747 M01AH01
748 M01AH05
749 M01AH05
750 M01AH05
751 M01AH05
752 M01AH05
753 M01AH05
754 M01AH05
755 M03BX01
756 M03BX01
757 M05BA04
758 M05BA04
759 M05BA04
760 M05BA04
761 M05BA04
762 M05BA04
763 M05BA04
764 M05BA07
765 M05BA07
766 M05BA07
767 M05BA07
768 M05BA07

775 N02AA05
776 N02AA05
777 N02AA05
778 N02AA05
779 N02AA05
780 N02AA05
781 N02AA05
782 N02AA05
783 N02AA05
784 N02AA05
785 N02AA05
786 N02AA05
787 N02AA05
788 N02AA05
789 N02AA05
790 N02AA05
791 N02AA05
792 N02AA08
793 N02AA08
794 N02AA08

795 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM

796 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
797 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
798 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
799 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
800 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
801 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
802 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
803 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
804 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
805 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
806 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
807 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
808 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)
809 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM)

Denumire Comerciala

ACLEXA 200 mg
CELECOXIB ACTAVIS 200 mg
CELETOR 200 mg
CALIDEM 200 mg
CALIDEM 200 mg
CELECOXIB TERAPIA 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 30 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
LIORESAL (R)
LIORESAL (R)
TEVANAT 70 mg
ACID ALENDRONIC AUROBINDO 70 mg
FOSAMAX 70 mg
ALENDRONAT SANDOZ 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
LORINE 35mg
OSODENS 35 mg
RISEDRONAT SODIC ZENTIVA 35mg
RISEDRONAT AUROBINDO 35 mg
ACTONEL SAPTAMANAL 35 mg
ACTONEL 75 mg
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
DA-BONE 70 mg/5600 UI
OXYCONTIN 10 mg
OXYCONTIN 20 mg
OXYCONTIN 40 mg
OXYCONTIN 80 mg
RELTEBON 10 mg
RELTEBON 20 mg

forma farm.

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

Tara det.
APP

KRKA, D.D., NOVO MESTO SLOVENIA

PRF

ACTAVIS GROUP PTC EHF.

PRF

Detinator APP

TEVA PHARMACEUTICALS S.R.L.

Ambalaj
CUTIE CU BLIST. PVC/AL X 30 CAPS.
ISLANDA CUTIE CU BLIST. PVC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS.
UNGARIA CUTIE CU BLIST. PVC/AL X 10 CAPS.
UNGARIA CUTIE CU BLIST. PVC/AL X 30 CAPS.
ROMANIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 CAPS.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL, X 14 COMPR. FILM.
ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM.
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM.
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

200mg
200mg
200mg
200mg
200mg
200mg
120mg
120mg
30mg
60mg
60mg
90mg
90mg
10mg
25mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
35mg
35mg
35mg
35mg
35mg
75mg

COMPR.
COMPR.
COMPR.
COMPR.

70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE

70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE
70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE
70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA

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

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

COMPR. CU ELIB. MODIF.

COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.

COMPR. CU ELIB. PREL.

COMPR. CU ELIB. PREL.

CLORHIDRAT DE OXICODONA TORRENT 20 mg

COMPR. CU ELIB. PREL.

RELTEBON 40 mg

COMPR. CU ELIB. PREL.

CLORHIDRAT DE OXICODONA TORRENT 40 mg

COMPR. CU ELIB. PREL.

RELTEBON 80 mg

COMPR. CU ELIB. PREL.

CLORHIDRAT DE OXICODONA TORRENT 80 mg

COMPR. CU ELIB. PREL.

OXIDOLOR 10 mg
OXIDOLOR 20 mg
OXIDOLOR 40 mg
OXICODONA SANDOZ 40 mg
OXICODONA SANDOZ 60 mg
OXIDOLOR 80 mg
OXICODONA SANDOZ 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
ZALDIAR (R)
TRAUMOBOL 37,5mg/325mg
TRAUMOBOL 37,5mg/325mg
ZALDIAR
ZALDIAR
ZALDIAR
ZALDIAR
DORETA 37,5mg/325mg
DORETA 37,5mg/325mg
PADOLTEN 37,5 mg/325 mg
PADOLTEN 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
DORETA 75 mg/650 mg
DORETA 75 mg/650 mg
PALGOTAL 75 mg/650 mg

concentratie

Prescriptie

Nr. crt

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.

10 mg
20 mg
40 mg
80mg
10mg
20mg
20mg
40mg
40mg
80mg
80mg
10mg
20mg
40mg
40mg
60mg
80mg
80mg
120mg
60mg
90mg

COMPR. FILM. 37,5mg+325mg

CAPS.
37,5mg/325mg
CAPS.
37,5mg/325mg
COMPR. FILM. 37,5mg+325mg
COMPR. FILM. 37,5mg+325mg
COMPR. FILM. 37,5mg+325mg
COMPR. FILM. 37,5mg+325mg
COMPR. FILM. 37,5mg/325mg
COMPR. FILM. 37,5mg/325mg
COMPR. FILM. 37,5mg/325mg
COMPR. FILM. 37,5mg/325mg
COMPR. FILM. 37,5mg/325mg
COMPR. FILM. 75 mg/650 mg
COMPR. FILM. 75 mg/650 mg
COMPR. FILM. 75mg/650mg

TORRENT PHARMA SRL

EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
NOVARTIS PHARMA GMBH
NOVARTIS PHARMA GMBH

CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR.

PRF
PRF
PRF
PRF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF
P-RF

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

P6L

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
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L

MERCK SHARP & DOHME

ZENTIVA KS
AUROBINDO PHARMA (MALTA) LIMITED

ACTAVIS GROUP PTC EHF.

ACTAVIS GROUP PTC EHF.

REPUBLICA CEHA

MALTA
ISLANDA
ISLANDA

CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE

P-6L

CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM.

P6L

CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM.

P-6L

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

P6L

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR

P6L

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

ACTAVIS GROUP PTC EHF.

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
ISLANDA
ISLANDA

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

TORRENT PHARMA SRL

ROMANIA

CUTIE CU BLIST. PVC/PVDC/AL/PET/HARTIE X 60 COMPR. CU ELIB. PREL.

PR, PS

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

TORRENT PHARMA SRL

ROMANIA

CUTIE CU BLIST. PVC/PVDC/AL/PET/HARTIE X 60 COMPR. CU ELIB. PREL.

PR, PS

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

PR, PS

TORRENT PHARMA SRL

ROMANIA

CUTIE CU BLIST. PVC/PVDC/AL/PET/HARTIE X 60 COMPR. CU 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.

P-TS

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

P-TS

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
ACTAVIS GROUP PTC EHF.

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA
AUSTRIA
AUSTRIA

SANDOZ S.R.L.
SANDOZ S.R.L.

ROMANIA
ROMANIA

LANNACHER HEILMITTEL GES.M.B.H.

LANNACHER HEILMITTEL GES.M.B.H.

LANNACHER HEILMITTEL GES.M.B.H.

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.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. ELIB. PREL.

PS
PS

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.

MUNDIPHARMA GES.M.B.H

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 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
PS

GRUNENTHAL GMBH GERMANIA

ROMPHARM COMPANY SRL ROMANIA
ROMPHARM COMPANY SRL ROMANIA

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

STADA ARZNEIMITTEL AG GERMANIA

CUTIE CU 1 BLIST.DIN HRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM.

P-RF

STADA ARZNEIMITTEL AG GERMANIA

CUTIE CU 2 BLIST.DIN HRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM.

P-RF

STADA ARZNEIMITTEL AG GERMANIA

CUTIE CU 3 BLIST.DIN HRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM.

P-RF

STADA ARZNEIMITTEL AG GERMANIA

CUTIE CU 5 BLIST.DIN HRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM.

P-RF

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-RF
S.C.TEVA PHARMACEUTICALS S.R.L.
S.C.TEVA PHARMACEUTICALS S.R.L.
PHARMACEUTICAL WORKS POLPHARMA SA

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

ROMANIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM.
POLONIA CUTIE CU BLIST. PVC/AL X 20 COMPR. FILM.

P-RF
P-RF
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

ZENTIVA, K.S.

REPUBLICA CEHA

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

Pagina 12 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

30
30
30
10
30
30
7
14
28
14
14
14
14
50
50
4
4
2
2
12
2
4
4
4
4
4
4
2
4
2
4
4
60
60
60
60
60
60
60
60
60
60
60
60
60
60
20
20
60
20
56
56
56
10
30
15
10
20
30
50
10
20
10
20
20
10
20
30

1.173166
1.173166
1.173166
1.173166
1.173166
1.173166
2.346333
2.346333
0.586583
1.173166
1.173166
1.759749
1.759749
0.333959
0.666000
2.705000
2.487500
6.572249
4.890000
6.572249
6.572249
6.572249
6.572249
6.572249
3.712500
3.712500
6.572249
14.083392
6.572249
6.572249
6.572249
6.572249
0.437249
0.874498
1.748999
3.497999
0.437249
0.874498
0.874498
1.748999
1.748999
3.303666
3.304000
0.437249
0.874498
1.748999
1.748999
2.623501
3.303666
3.497999
1.366660
0.543750
1.024995
0.272875
0.272875
0.272875
0.272875
0.272875
0.272875
0.272875
0.272875
0.272500
0.272875
0.272875
0.272875
0.545000
0.545500
0.537333

0.005167
0.005167
0.005167
0.220834
0.005167
0.005167
2.212238
2.065095
2.234488
2.023262
2.023262
1.757393
1.757393
0.079241
0.000000
0.000000
0.000000
7.047751
0.000000
1.563584
2.277751
1.995251
0.650251
0.650251
0.000000
0.000000
4.177751
19.111608
11.917751
11.102751
10.515251
0.730251
0.608584
0.971835
1.086334
1.584834
0.242417
0.325668
0.325668
0.194334
0.194334
0.000000
0.000000
0.242417
0.325668
0.194334
0.297001
4.606499
0.000000
0.048501
0.792447
0.000000
0.437147
0.534125
0.240791
0.253125
0.534125
0.533625
0.517125
0.387325
0.000125
0.000000
0.252125
0.251625
0.251625
0.000000
0.000000
0.000000

0.586583
0.586583
0.586583
0.586583
0.586583
0.586583
1.173166
1.173166
0.293291
0.586583
0.586583
0.879874
0.879874
0.166979
0.333000
1.352500
1.243750
3.286124
2.445000
3.286124
3.286124
3.286124
3.286124
3.286124
1.856250
1.856250
3.286124
7.041696
3.286124
3.286124
3.286124
3.286124
0.218624
0.437249
0.874499
1.748999
0.218624
0.437249
0.437249
0.874499
0.874499
1.651833
1.652000
0.218624
0.437249
0.874499
0.874499
1.311750
1.651833
1.748999
0.683330
0.271875
0.512497
0.136437
0.136437
0.136437
0.136437
0.136437
0.136437
0.136437
0.136437
0.136250
0.136437
0.136437
0.136437
0.272500
0.272750
0.268666

0.591750
0.591750
0.591750
0.807417
0.591750
0.591750
3.385405
3.238262
2.527780
2.609845
2.609845
2.637268
2.637268
0.246221
0.333000
1.352500
1.243750
10.333876
2.445000
4.849709
5.563876
5.281376
3.936376
3.936376
1.856250
1.856250
7.463876
26.153304
15.203876
14.388876
13.801376
4.016376
0.827209
1.409084
1.960834
3.333834
0.461042
0.762917
0.762917
1.068834
1.068834
1.651833
1.652000
0.461042
0.762917
1.068834
1.171501
5.918250
1.651833
1.797501
1.475777
0.271875
0.949645
0.670563
0.377229
0.389563
0.670563
0.670063
0.653563
0.523763
0.136563
0.136250
0.388563
0.388063
0.388063
0.272500
0.272750
0.268667

1.055849
1.055849
1.055849
1.055849
1.055849
1.055849
2.111699
2.111699
0.527924
1.055849
1.055849
1.583774
1.583774
0.300563
0.599400
2.434500
2.238750
5.915024
4.401000
5.915024
5.915024
5.915024
5.915024
5.915024
3.341250
3.341250
5.915024
12.675052
5.915024
5.915024
5.915024
5.915024
0.393524
0.787048
1.574099
3.148199
0.393524
0.787048
0.787048
1.574099
1.574099
2.973299
2.973600
0.393524
0.787048
1.574099
1.574099
2.361150
2.973299
3.148199
1.229994
0.489375
0.922495
0.245587
0.245587
0.245587
0.245587
0.245587
0.245587
0.245587
0.245587
0.245250
0.245587
0.245587
0.245587
0.490500
0.490950
0.483599

0.122484
0.122484
0.122484
0.338151
0.122484
0.122484
2.446872
2.299729
2.293147
2.140579
2.140579
1.933368
1.933368
0.112637
0.066600
0.270500
0.248750
7.704976
0.489000
2.220809
2.934976
2.652476
1.307476
1.307476
0.371250
0.371250
4.834976
20.519948
12.574976
11.759976
11.172476
1.387476
0.652309
1.059285
1.261234
1.934634
0.286142
0.413118
0.413118
0.369234
0.369234
0.330367
0.330400
0.286142
0.413118
0.369234
0.471901
4.868850
0.330367
0.398301
0.929113
0.054375
0.539647
0.561413
0.268079
0.280413
0.561413
0.560913
0.544413
0.414613
0.027413
0.027250
0.279413
0.278913
0.278913
0.054500
0.054550
0.053734

cod ATC

810 N03AX16
811 N03AX16
812 N03AX16
813 N03AX16
814 N03AX16
815 N03AX16
816 N04BC05
817 N04BC05
818 N04BC05
819 N04BC05
820 N04BC05
821 N04BC05
822 N04BC05
823 N04BC05
824 N04BC05
825 N04BC05
826 N04BC05
827 N04BC05
828 N04BC05
829 N04BC05
830 N04BC05
831 N04BC05
832 N04BC05
833 N04BC05
834 N04BC05
835 N04BC05
836 N04BC05
837 N04BC05
838 N04BC05
839 N04BC05
840 N04BC05
841 N04BC05
842 N04BC05
843 N04BC05
844 N04BC05
845 N04BC05
846 N04BC05
847 N04BC05
848 N04BC05
849 N04BC05
850 N04BC05
851 N04BC05
852 N04BC08
853 N05AL03
854 N05BE01
855 N05BE01
856 N06AB10
857 N06AB10
858 N06AB10
859 N06AB10
860 N06AB10
861 N06AB10
862 N06AB10
863 N06AB10
864 N06AB10
865 N06AB10
866 N06AB10
867 N06AB10
868 N06AB10
869 N06AB10
870 N06AB10
871 N06AB10
872 N06AB10
873 N06AB10
874 N06AB10
875 N06AB10
876 N06AB10
877 N06AB10

DCI

PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
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*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**
TIAPRIDUM
BUSPIRONUM
BUSPIRONUM
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**

Denumire Comerciala

LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
PRAMIPEXOLE ACCORD 0,088 mg
OPRYMEA 0,088mg
PRAMIPEXOLE ACCORD 0,18 mg
PRAMIPEXOLE ACCORD 0,18 mg
PRAMIPEXOL ZENTIVA 0,18 mg
OPRYMEA 0,18mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOL AUROBINDO 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOL AUROBINDO 0,7 mg
PRAMIPEXOL ZENTIVA 0,7 mg
OPRYMEA 0,7mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOLE ACCORD 0,7mg
PRAMIPEXOL TORRENT 0,7 mg
PRAMIPEXOL STADA 0,7 mg
PRAMIPEXOLE ACCORD 0,7mg
MIGLASEN 0,7 mg
MIRAPEXIN 0,26 mg
OPRYMEA 0,26mg
CALMOLAN 0,26 mg
MIRAPEXIN 0,52 mg
OPRYMEA 0,52mg
CALMOLAN 0,52 mg
MIRAPEXIN 1,05 mg
OPRYMEA 1,05mg
OPRYMEA 1,57mg
OPRYMEA 2,10mg
MIRAPEXIN 2,1 mg
CALMOLAN 2,1 mg
OPRYMEA 2,62 mg
MIRAPEXIN 3,15 mg
OPRYMEA 3,15 mg
PRONORAN 50 mg
TIAPRIDAL (R) 100 mg
SPITOMIN 10 mg
SPITOMIN 5 mg
DEPRESINAL 10 mg
CIPRALEX 10 mg
ESCITIL 10 mg
ESCITALOPRAM-TEVA 10 mg
LENUXIN 10 mg
ESLOREX 10 mg
SERODEPS 10mg
ESTAN 10 mg
ESTAN 10 mg
ESCITALOPRAM ACTAVIS 10 mg
ELICEA 10 mg
ESCITALOPRAM AUROBINDO 10 mg
ESCITALOPRAM ATB 10 mg
ESCITALOPRAM TORRENT 10 mg
ESCITALOPRAM-TEVA 15 mg
ELICEA 15 mg
ESCITALOPRAM-TEVA 20 mg
SERODEPS 20mg
ESCITALOPRAM TORRENT 20 mg
ESCITALOPRAM ACTAVIS 20 mg
ELICEA 20 mg
ELICEA Q-TAB 10 mg

forma farm.

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

concentratie

150mg
150mg
300mg
300mg
75mg
75mg
0,088 mg
0,088mg
0,18 mg
0,18 mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,26mg
0,26mg
0,52mg
0,52mg
0,52mg
1,05mg
1,05mg
1,57mg
2,10mg
2,1mg
2,1mg
2,62mg
3,15mg
3,15mg
50mg
100mg
10mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
20mg
20mg
20mg
20mg
20mg
10mg

Detinator APP

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
ACCORD HEALTHCARE LIMITED

Tara det.
APP
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

KRKA D.D.

SLOVENIA

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

ZENTIVA, K.S.
REPUBLICA CEHA
KRKA D.D.
SLOVENIA
MEDOCHEMIE LTD. CIPRU
GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

TORRENT PHARMA S.R.L. ROMANIA

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

NEOLA PHARMA S.R.L. ROMANIA

MALTA
ZENTIVA, K.S.
REPUBLICA CEHA
KRKA D.D.
SLOVENIA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

TORRENT PHARMA S.R.L. ROMANIA

STADA ARZNEIMITTEL AG GERMANIA
ACCORD HEALTHCARE LIMITED

MAREA BRITANIE

NEOLA PHARMA S.R.L. ROMANIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

KRKA D.D.
SLOVENIA
G.L. PHARMA GMBH AUSTRIA
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

KRKA D.D.
SLOVENIA
G.L. PHARMA GMBH AUSTRIA
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

KRKA D.D.
KRKA D.D.
KRKA D.D.

SLOVENIA
SLOVENIA
SLOVENIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

G.L. PHARMA GMBH AUSTRIA

KRKA, D.D., NOVO MESTO SLOVENIA
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

KRKA, D.D., NOVO MESTO SLOVENIA

LES LABORATOIRES SERVIER
SANOFI-SYNTHELABO FRANCE
EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

FRANTA
FRANTA
UNGARIA
UNGARIA

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

H. LUNDBECK A/S

DANEMARCA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA
ROMANIA
ROMANIA

TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER ROMANIA SA

ZENTIVA K.S.
TERAPIA SA
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ACTAVIS GROUP PTC EHF.

CEHIA
ROMANIA

CIPRU
CIPRU
ISLANDA

KRKA, D.D., NOVO MESTO SLOVENIA

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA

TORRENT PHARMA SRL

TEVA PHARMACEUTICALS S.R.L.

KRKA, D.D., NOVO MESTO SLOVENIA

TORRENT PHARMA SRL

ROMANIA
ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

TEVA PHARMACEUTICALS S.R.L.

TERAPIA SA

KRKA, D.D., NOVO MESTO SLOVENIA

KRKA, D.D., NOVO MESTO SLOVENIA

Ambalaj

Prescriptie

Nr. crt

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

14
56
P-RF
56
P-RF
14
P-RF
14
P-RF
56
CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF
30
CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF
30
CUTIE CU 10 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF 100
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF
30
CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF
30
CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
30
CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF
30
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
30
CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF
30
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF
30
CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF
30
CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
30
CUTIE X 3 BLIST. OPA-AL -PVC/AL X 10 COMPR. P-RF
30
CUTIE CU 10 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF 100
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
30
CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR.
P-RF
10
P-RF
30
CUTIE CU BLIST. AL/OPA-AL-PVC X 10 COMPR. ELIB. PREL.
PRF
10
CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.
P-RF
30
P-RF
30
CUTIE CU BLIST. AL/OPA-AL-PVC X 30 COMPR. ELIB. PREL.
PRF
30
CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.
P-RF
30
P-RF
30
P-RF
30
P-RF
30
CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.
P-RF
30
CUTIE CU BLIST. AL/OPA-AL-PVC X 30 COMPR. ELIB. PREL.
PRF
30
CUTIE X BLIST. OPA-AL/DESICANT/PE/AL X 30 COMPR. ELIB. PREL.
PRF
30
CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR.
P-RF
30
CUTIE X BLIST. OPA-AL/DESICANT/PE/AL X 30 COMPR. ELIB. PREL.
PRF
30
CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF
60
CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF
60
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF
30
CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF
28
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
28
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF
28
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM.
P-RF
28
CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF
14
CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM.
PRF
28
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM.
P-RF
28
CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM.
PRF
28
CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE PRF
28
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)

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

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
CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

Pagina 13 din 17

P-RF
P-RF

2.957051
2.957051
5.731785
5.914103
1.478525
1.478525
0.087075
0.087075
0.178109
0.178109
0.178109
0.178109
0.178109
0.178109
0.178109
0.178109
0.178109
0.692649
0.692649
0.692649
0.692649
0.692649
0.692649
0.692649
0.692649
0.692649
0.692649
0.257269
0.257269
0.257269
0.514539
0.514539
0.514539
1.038974
1.038974
1.553513
2.077948
2.077948
2.077948
2.592487
3.116922
3.116922
0.618436
0.402000
0.246333
0.129916
0.778666
1.171606
0.848928
0.776000
0.848928
0.780666
0.780357
0.848571
0.848928
0.778214
0.780666
0.778214
0.765000
0.848928
1.130333
1.369000
1.370000
1.359642
2.268571
1.399642
1.406000
0.780357

1.423663
0.939199
0.000000
0.130897
1.154332
0.935403
0.436258
0.442925
0.144557
0.144391
0.208557
0.248557
0.473224
0.144557
0.412557
0.345224
0.335891
1.196684
1.416351
1.335351
1.341684
1.564017
1.196684
1.745351
1.334684
1.008751
1.755017
1.261731
0.378731
0.378731
1.638794
0.885127
0.885127
3.063026
1.086026
3.495820
2.644385
5.187052
2.644385
5.834179
8.833078
4.650411
0.316897
0.000000
0.000000
0.020250
0.000000
0.092679
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

1.478525
1.478525
2.865892
2.957051
0.739262
0.739262
0.043537
0.043537
0.089054
0.089054
0.089054
0.089054
0.089054
0.089054
0.089054
0.089054
0.089054
0.346324
0.346324
0.346324
0.346324
0.346324
0.346324
0.346324
0.346324
0.346324
0.346324
0.128634
0.128634
0.128634
0.257269
0.257269
0.257269
0.519487
0.519487
0.776756
1.038974
1.038974
1.038974
1.296243
1.558461
1.558461
0.309218
0.201000
0.123166
0.064958
0.389333
0.585803
0.424464
0.388000
0.424464
0.390333
0.390178
0.424285
0.424464
0.389107
0.390333
0.389107
0.382500
0.424464
0.565166
0.684500
0.685000
0.679821
1.134285
0.699821
0.703000
0.390178

2.902189
2.417725
2.865893
3.087949
1.893595
1.674666
0.479796
0.486463
0.233612
0.233446
0.297612
0.337612
0.562279
0.233612
0.501612
0.434279
0.424946
1.543009
1.762676
1.681676
1.688009
1.910342
1.543009
2.091676
1.681009
1.355076
2.101342
1.390366
0.507366
0.507366
1.896064
1.142397
1.142397
3.582513
1.605513
4.272577
3.683359
6.226026
3.683359
7.130423
10.391539
6.208872
0.626115
0.201000
0.123167
0.085208
0.389333
0.678482
0.424464
0.388000
0.424464
0.390333
0.390179
0.424286
0.424464
0.389107
0.390333
0.389107
0.382500
0.424464
0.565167
0.684500
0.685000
0.679821
1.134286
0.699821
0.703000
0.390179

2.661345
2.661345
5.158606
5.322692
1.330672
1.330672
0.078367
0.078367
0.160298
0.160298
0.160298
0.160298
0.160298
0.160298
0.160298
0.160298
0.160298
0.623384
0.623384
0.623384
0.623384
0.623384
0.623384
0.623384
0.623384
0.623384
0.623384
0.231542
0.231542
0.231542
0.463085
0.463085
0.463085
0.935076
0.935076
1.398161
1.870153
1.870153
1.870153
2.333238
2.805229
2.805229
0.556592
0.361800
0.221699
0.116924
0.700799
1.054445
0.764035
0.698400
0.764035
0.702599
0.702321
0.763713
0.764035
0.700392
0.702599
0.700392
0.688500
0.764035
1.017299
1.232100
1.233000
1.223677
2.041713
1.259677
1.265400
0.702321

1.719369
1.234905
0.573179
0.722308
1.302185
1.083256
0.444966
0.451633
0.162368
0.162202
0.226368
0.266368
0.491035
0.162368
0.430368
0.363035
0.353702
1.265949
1.485616
1.404616
1.410949
1.633282
1.265949
1.814616
1.403949
1.078016
1.824282
1.287458
0.404458
0.404458
1.690248
0.936581
0.936581
3.166924
1.189924
3.651172
2.852180
5.394847
2.852180
6.093428
9.144771
4.962104
0.378741
0.040200
0.024634
0.033242
0.077867
0.209840
0.084893
0.077600
0.084893
0.078067
0.078036
0.084858
0.084893
0.077822
0.078067
0.077822
0.076500
0.084893
0.113034
0.136900
0.137000
0.135965
0.226858
0.139965
0.140600
0.078036

cod ATC

878 N06AB10
879 N06AB10
880 N06AB10
881 N06AB10
882 N06AB10
883 N06AB10
884 N06AB10
885 N06AX05
886 N06AX05
887 N06AX05
888 N06AX05
889 N06AX05
890 N06AX05
891 N06AX12
892 N06AX14
893 N06AX14
894 N06AX14
895 N06AX14
896 N06AX14
897 N06AX21
898 N06AX21
899 N06AX21
900 N06AX21
901 N06AX21
902 N06AX21
903 N06AX21
904 N06AX21
905 N06AX21
906 N06AX21
907 N06AX21
908 N06BX16
909 N06BX18
910 N06BX18
911 N06BX18
912 N07CA01
913 N07CA01
914 N07CA01
915 N07CA01
916 N07CA01
917 N07CA01
918 N07CA01
919 N07CA01
920 N07CA01
921 N07CA01
922 N07CA01
923 N07CA01
924 N07CA01
925 N07CA01
926 N07CA01
927 N07CA01
928 N07CA01
929 N07CA01
930 N07CA01
931 N07CA01
932 N07CA01
933 N07CA01
934 N07CA01
935 N07CA01
936 N07CA01
937 N07CA01

DCI

ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

938 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM)

939 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
940 N07XN03 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**#
941 N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**
942 N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**
943 N07XXN3 HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA**
944 P01BA02
945 P01BA02

HYDROXYCHLOROQUINUM
HYDROXYCHLOROQUINUM

Denumire Comerciala

ELICEA Q-TAB 10 mg
ESCITALOPRAM TEVA 10 mg
ELICEA Q-TAB 15 mg
ELICEA Q-TAB 15 mg
ELICEA Q-TAB 20 mg
ELICEA Q-TAB 20 mg
ESCITALOPRAM TEVA 20 mg
TRITTICO AC 150 mg
TRITTICO AC 150 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)
CYMBALTA 30mg
DULSEVIA 30 mg
ZATINEX 30 mg
ZATINEX 30 mg
DULOXETINA DR. REDDY'S 30 mg
CYMBALTA 60mg
DULSEVIA 60 mg
ZATINEX 60 mg
ZATINEX 60 mg
DULOXETINA DR. REDDY'S 60 mg
DULOXETINE ZENTIVA 60 mg
PRAMISTAR
VINPOCETINA VIM SPECTRUM 5 mg
CAVINTON(R) FORTE
CAVINTON(R)
VERTIMED 16 mg
BETAHISTINA LPH 16 mg
BETAHISTINA DICLORHIDRAT AUROBINDO 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
VESTIBO 24 mg
MARBETA 24 mg
BETAHISTIN MCC 24 mg
BETAHISTINA DICLORHIDRAT AUROBINDO 24 mg

MARBETA 24 mg
BETASERC 24 mg
BETAHISTIN MCC 8 mg
BETASERC 8 mg
BETAHISTINA LPH 8 mg
BETAHISTIN MCC 8 mg
MARBETA 8 mg
BETAHISTINA LPH 8 mg
BETAHISTINA DICLORHIDRAT AUROBINDO 8 mg

MARBETA 8 mg
ACUVER 8 mg/doza
ACUVER 8 mg/doza
ARLEVERT
THIOCTACID (R) 600 HR (vezi A16AX01)
THIOCTACID (R) 600 HR (vezi A16AX01)
CEREBROLYSIN 215,2 mg/ml
CEREBROLYSIN 215,2 mg/ml
CEREBROLYSIN 215,2 mg/ml
PLAQUENIL
PLAQUENIL 200 mg

forma farm.
COMPR. ORODISPERSABILE
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. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. MODIF.

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

DRAJ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.
CAPS. GASTROREZ.

COMPR. FILM.

CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. ORALA
SOL. ORALA
COMPR.

concentratie

10mg
10mg
15mg
15mg
20mg
20mg
20mg
150mg
150mg
150mg
150mg
75mg
75mg
150mg
12,5 mg
12,5 mg
12,5mg
12,5mg
12,5mg
30mg
30mg
30mg
30mg
30mg
60mg
60mg
60mg
60mg
60mg
60mg
600mg
5mg
10mg
5mg
16mg
16mg
16mg
24 mg
24 mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza
FARA CONCENTRATIE

Detinator APP

Ambalaj

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE

PRF

ROMANIA

CUTIE CU BLIST. HARTIE-PET-AL/PVC-AL-OPA X 30 COMPR. ORODISPERSABILE

PRF

KRKA, D.D., NOVO MESTO SLOVENIA

TEVA PHARMACEUTICALS S.R.L.

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

CUTIE CU BLIST. HARTIE-PET-AL/PVC-AL-OPA X 30 COMPR. ORODISPERSABILE

PRF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ANGELINI FRANCESCO SPA

ITALIA
ITALIA
ITALIA
ITALIA
ITALIA
ITALIA

ANGELINI FRANCESCO SPA

ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA
GLAXOSMITHKLINE (GSK) SRL

ARENA GROUP S.A.

ARENA GROUP S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
LES LAB. SERVIER IND.
ELI LILLY NEDERLAND BV

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

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 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF
CUTIE X 2 BLIST. AL/PVCX 10 COMPR. ELIB. PREL.

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA

ELI LILLY NEDERLAND BV

OLANDA

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.

FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ.

OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

KRKA, D.D., NOVO MESTO SLOVENIA

PRF
P-RF
P-RF

CUTIE CU BLIST. OPA-AL[PEID-PE-DESICANT-PEID-AL-PE X 30 CAPS. GASTROREZ.

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. GASTROREZ.

PRF

CUTIE CU BLIST. PVC-PVDC/AL X 28 CAPS. GASTROREZ.

PRF

CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 CAPS. GASTROREZ.

PRF

CUTIE, X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

P-RF

CUTIE CU BLIST. OPA-AL[PEID-PE-DESICANT-PEID-AL-PE X 30 CAPS. GASTROREZ.

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. GASTROREZ.

PRF

CUTIE CU BLIST. PVC-PVDC/AL X 28 CAPS. GASTROREZ.

PRF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 CAPS. GASTROREZ.

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC/PCTFE/AL X 28 CAPS. GASTROREZ.

PRF

F.I.R.M.A. S.P.A. (MENARINI GROUP)

ITALIA

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

P-6L

KRKA, D.D., NOVO MESTO SLOVENIA

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X PVC/AL X10 CAPS. P6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L

MEDOCHEMIE LTD. CIPRU

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

P6L

ROMANIA

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

P-6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR.

P6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. DIN PVC-PVDC/AL X 60 COMPR. P6L

LABORMED PHARMA S.A.

LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L

MAGISTRA C&C SRL ROMANIA

MAGISTRA C&C SRL ROMANIA
ABBOTT HEALTHCARE PRODUCTS B.V.
OLANDA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ACTAVIS GROUP PTC EHF. ISLANDA
MEDREG S.R.O.
REPUBLICA CEHA
MAGISTRA C&C SRL ROMANIA
AUROBINDO PHARMA (MALTA) LIMITED
MALTA

CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

P-6L

CUTIE CU 5 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

P-6L

CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR.

P-6L

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

P6L

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

P6L

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

P6L

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

P6L

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

P-6L

CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR.

P6L
P6L

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 20 COMPR.

P6L

CUTIE CU 3 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

P-6L

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.

P-6L

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

P-6L

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

P-6L

MAGISTRA C&C SRL ROMANIA

OLANDA

ABBOTT HEALTHCARE PRODUCTS B.V.

LABORMED PHARMA S.A.

ROMANIA

MAGISTRA C&C SRL ROMANIA

MEDREG S.R.O.
REPUBLICA CEHA

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

P6L

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6L

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

P6L

CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA

P-6L

CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA

P-6L

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

AUSTRIA
AUSTRIA

HENNIG ARZNEIMITTEL GMBH & CO.KG

GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR.

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.

EVER NEURO PHARMA GMBH

AUSTRIA
AUSTRIA
AUSTRIA

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

COMPR. FILM. 600mg

COMPR. FILM. 600mg
SOL. INJ./CONC. PT. SOL. PERF.
SOL. INJ./CONC. PT. SOL. PERF.

215,2mg/ml
215,2mg/ml
215,2mg/ml
COMPR. FILM. 200mg
COMPR. FILM. 200mg

EVER NEURO PHARMA GMBH

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

Tara det.
APP

Prescriptie

Nr. crt

EVER NEURO PHARMA GMBH

P-RF

P-6L

CUTIE CU 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML SOL. INJ./CONC. PT. SOL. PERF.

PR/PRF

CUTIE CU 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML SOL. INJ./CONC. PT. SOL. PERF.

PR/PRF

CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ./CONC. PT. SOL. PERF.

PR/PRF

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM.

SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 4 BLISTERE DIN PVC/AL X 15 COMPR. FILM.

SANOFI - AVENTIS ROMANIA S.R.L.

Pagina 14 din 17

P-6L
P-6L

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

28
30
28
28
28
28
30
20
60
60
20
30
30
30
30
90
30
30
30
28
30
28
28
28
28
30
28
28
28
28
20
50
30
50
30
30
60
60
60
20
50
20
30
60
30
60
60
60
60
60
30
100
30
100
100
90
100
100
1
1
48
30
100
5
5
10
60
60

0.780357
0.933666
1.369285
1.351071
1.576785
1.576785
1.369000
1.137124
1.094833
1.094833
1.137124
0.568562
0.568562
1.950333
0.460333
0.445222
0.460333
0.460333
0.460333
1.529196
1.529196
1.529196
1.529196
1.529196
3.058392
2.929333
3.044642
3.044642
3.058392
3.058392
3.661500
0.163400
0.362232
0.181116
0.317360
0.317360
0.276000
0.432500
0.476041
0.476000
0.476041
0.476041
0.437000
0.437333
0.424333
0.476041
0.476041
0.354166
0.476041
0.476041
0.158680
0.158680
0.158680
0.158680
0.158680
0.158680
0.158680
0.158680
11.901037
23.802075
1.586666
1.899050
1.899050
25.828000
15.321000
3.064200
0.542833
0.542833

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.126876
0.000000
0.000000
0.126876
0.076104
0.076104
0.000000
0.000000
0.000000
0.000000
0.000000
0.247333
1.410804
0.482804
0.409375
0.409375
0.482589
1.504465
0.000000
0.000000
0.000000
0.013750
0.013750
0.000000
0.000000
0.035434
0.070084
0.041640
0.264973
0.000000
0.000000
0.000125
0.000000
0.000159
0.256459
0.000000
0.000000
0.000000
0.000125
0.000125
0.000000
0.000125
0.232959
0.031320
0.133420
0.030986
0.031120
0.031120
0.031208
0.021020
0.031120
17.048963
16.477925
0.000000
0.468616
0.307050
0.000000
2.407000
1.004800
0.000000
0.000000

0.390178
0.466833
0.684642
0.675535
0.788392
0.788392
0.684500
0.568562
0.547416
0.547416
0.568562
0.284281
0.284281
0.975166
0.230166
0.222611
0.230166
0.230166
0.230166
0.764598
0.764598
0.764598
0.764598
0.764598
1.529196
1.464666
1.522321
1.522321
1.529196
1.529196
1.830750
0.081700
0.181116
0.090558
0.158680
0.158680
0.138000
0.216250
0.238020
0.238000
0.238020
0.238020
0.218500
0.218666
0.212166
0.238020
0.238020
0.177083
0.238020
0.238020
0.079340
0.079340
0.079340
0.079340
0.079340
0.079340
0.079340
0.079340
5.950518
11.901037
0.793333
0.949525
0.949525
12.914000
7.660500
1.532100
0.271416
0.271416

0.390179
0.466833
0.684643
0.675536
0.788393
0.788393
0.684500
0.695438
0.547417
0.547417
0.695438
0.360385
0.360385
0.975167
0.230167
0.222611
0.230167
0.230167
0.477500
2.175402
1.247402
1.173973
1.173973
1.247187
3.033661
1.464667
1.522321
1.522321
1.542946
1.542946
1.830750
0.081700
0.216550
0.160642
0.200320
0.423653
0.138000
0.216250
0.238146
0.238000
0.238180
0.494480
0.218500
0.218667
0.212167
0.238146
0.238146
0.177083
0.238146
0.470980
0.110660
0.212760
0.110326
0.110460
0.110460
0.110548
0.100360
0.110460
22.999482
28.378963
0.793333
1.418141
1.256575
12.914000
10.067500
2.536900
0.271417
0.271417

0.702321
0.840299
1.232356
1.215963
1.419106
1.419106
1.232100
1.023411
0.985349
0.985349
1.023411
0.511705
0.511705
1.755299
0.414299
0.400699
0.414299
0.414299
0.414299
1.376276
1.376276
1.376276
1.376276
1.376276
2.752552
2.636399
2.740177
2.740177
2.752552
2.752552
3.295350
0.147060
0.326008
0.163004
0.285624
0.285624
0.248400
0.389250
0.428436
0.428400
0.428436
0.428436
0.393300
0.393599
0.381899
0.428436
0.428436
0.318749
0.428436
0.428436
0.142812
0.142812
0.142812
0.142812
0.142812
0.142812
0.142812
0.142812
10.710933
21.421867
1.427999
1.709145
1.709145
23.245200
13.788900
2.757780
0.488549
0.488549

0.078036
0.093367
0.136929
0.135108
0.157679
0.157679
0.136900
0.240589
0.109484
0.109484
0.240589
0.132961
0.132961
0.195034
0.046034
0.044523
0.046034
0.046034
0.293367
1.563724
0.635724
0.562295
0.562295
0.635509
1.810305
0.292934
0.304465
0.304465
0.319590
0.319590
0.366150
0.016340
0.071658
0.088196
0.073376
0.296709
0.027600
0.043250
0.047730
0.047600
0.047764
0.304064
0.043700
0.043734
0.042434
0.047730
0.047730
0.035417
0.047730
0.280564
0.047188
0.149288
0.046854
0.046988
0.046988
0.047076
0.036888
0.046988
18.239067
18.858133
0.158667
0.658521
0.496955
2.582800
3.939100
1.311220
0.054284
0.054284

cod ATC

946 R01AD05
947 R01AD08
948 R01AD09
949 R01AD09
950 R01AD09
951 R01AD09
952 R03AC04
953 R03AC18
954 R03AC18
955 R03AK03
956 R03AK06
957 R03AK06
958 R03AK06
959 R03AK06
960 R03AK06
961 R03AK06
962 R03AK06
963 R03AK06
964 R03AK06
965 R03AK06

DCI

BUDESONIDUM*
FLUTICASONUM*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
MOMETASONUM*
FENOTEROLUM
INDACATEROLUM**
INDACATEROLUM**

Denumire Comerciala

forma farm.

concentratie

RHINOCORT AQUA 32 micrograme/doza

FLIXONASE 0,05g/100g

SPRAY NAZAL SUSP. 32micrograme/doza

SPRAY NAZAL SUSP.

0,05g/100g

MOMETAZONA FUROAT CIPLA 50 micrograme/doza

SPRAY NAZ., SUSP.

KALMENTE 50 micrograme/doza

SPRAY NAZ., SUSP.

MOMETAZONA FUROAT SANDOZ 50 micrograme/doza

SPRAY NAZ.,SUSP.

50micrograme/doza

NASONEX 50mcg/doza
BEROTEC N - 100 mcg
ONBREZ BREEZHALER 150 g
ONBREZ BREEZHALER 300 g
COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500

SPRAY NAZAL SUSP.

SOL. DE INHALAT PRESURIZATA

Tara det.
APP

Ambalaj
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SPRAY NAZAL, SUSP. ECHIVALENT CU 120 DOZE, PREVAZUT CU POMPA DOZATOARE, APLICATOR SI CAPAC DE PROTECTIE

PRF

GLAXOWELLCOME UK LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE

P-RF

50micrograme/doza

CIPLA (EU) LIMITED

MAREA BRITANIE

CUTIE CU UN FLAC. DIN PEID, PREVAZUT CU POMPA DOZATOARE MANUALA DIN PP CARE CONTINE 18 G SUSPENSIE, ECHIVALENT CU 140 DOZE

PRF

50micrograme/doza

ALVOGEN IPCO S.AR.L.

LUXEMBURG

CUTIE CU 1 FLAC. PEID PREVAZUT CU POMPA DOZATOARE SI APLICATOR NAZAL CARE CONTINE SPRAY NAZAL, SUSP. PT. 140 PULVERIZARI

PRF

SANDOZ S.R.L.

ROMANIA
50mcg/doza MERCK SHARP & DOHME ROMANIA
100mcg/doza BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA

CAPS. CU PULB.INHAL.

150 g
300 g

AEROSOL SOL. INHAL.

0,020mg+0,050mg

CAPS. CU PULB.INHAL.

Detinator APP

ASTRAZENECA AB SUEDIA

Prescriptie

Nr. crt

CUTIE CU 1 FLAC. PEID PREVAZUT CU O POMPA PULVERIZATOARE NAZALA DIN PE/PP CARE CONTINE 18 G SUSP. NAZALA CORESPUNZATOR LA 140 DOZE MASURATE

CUTIE X 1 FLACON DIN PE PREVAZUT CU POMPA DOZATOARE, DISPOZITIV DE ACTIONARE DIN PP SI CAPAC, CU UN VOLUM DE 23,5 ML SUSPENSIE PT. 140 PULVERIZARI SPRAY NAZAL, SUSPENSIE

PRF
P-RF

CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA

P-6L

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIECU BLIST. DIN PA/AL/PVC X 30 CAPSULE (3 BIST X10)+ UN INHALATOR

PRF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE CU BLIST. DIN PA/AL/PVC X 30 CAPSULE (1 BLIST. X10)+ UN INHALATOR

PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA

P-6L

CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

CUTIE X 1, DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL.

P-6L

PULB. INHAL. 50mg/100mg GLAXO WELLCOME UK LIMITED MAREA BRITANIE

PULB. INHAL. 50mg/250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE
PULB. INHAL. 50mg/500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50 micrograme/100 micrograme PULB. INHAL. 50micrograme/100micrograme GLAXO WELLCOME UK LIMITED MAREA BRITANIE
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50 micrograme/250 micrograme PULB. INHAL. 50micrograme/250micrograme GLAXOWELLCOME UK LTD. MAREA BRITANIE
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50 micrograme/500 micrograme PULB. INHAL. 50micrograme/500micrograme GLAXOWELLCOME UK LTD. MAREA BRITANIE
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/125mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/50mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE
SALMETEROLUM+FLUTICASONUM* SERROFLO 25 micrograme/125 micrograme/doza SUSP. INHAL. PRESURIZATA
CIPLA EUROPE NV BELGIA
SALMETEROLUM+FLUTICASONUM* SERROFLO 25 micrograme/250 micrograme/doza SUSP. INHAL. PRESURIZATA
CIPLA EUROPE NV BELGIA

CUTIE CU 1 DISPOZITIV DE INHALAT DIN PLASTIC PREVAZUT CU INDICATOR CE ARATA NR. DOZELOR RAMASE X 60 DOZE PULB. DE INHAL.

CUTIE CU 1 DISPOZITIV DE INHALAT DIN PLASTIC PREVAZUT CU INDICATOR CE ARATA NR. DOZELOR RAMASE X 60 DOZE PULB. DE INHAL.

CUTIE CU 1 DISPOZITIV DE INHALAT DIN PLASTIC PREVAZUT CU INDICATOR CE ARATA NR. DOZELOR RAMASE X 60 DOZE PULB. DE INHAL.

P6L
P6L
P6L

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6L

25micrograme/125micrograme/doz

CUTIE CU UN FLACON DIN AL PREVAZUT CU O VALVA DE MASURA SI DOZATOR DIN PLASTIC, CU INDICATOR PENTRU DOZA, INTRODUS NTR-O PUNGA CU SAC DE SILICAGEL A 120 DE DOZE SUSPENSIE DE INHALAT PRESURIZATA

25micrograme/250micrograme/doz

CUTIE CU UN FLACON DIN AL PREVAZUT CU O VALVA DE MASURA SI DOZATOR DIN PLASTIC, CU INDICATOR PENTRU DOZA, INTRODUS NTR-O PUNGA CU SAC DE SILICAGEL A 120 DE DOZE SUSPENSIE DE INHALAT PRESURIZATA

PRF
PRF

969 R03AK08 COMBINATII (BECLOMETASONUM+FORMOTEROLUM)

FOSTER 100/6 micrograme pe doza

SOL. DE INHALAT PRESURIZATA

100/6micrograme pe doza

ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA
ASTRAZENECA AB SUEDIA
CHIESI PHARMACEUTICALS GMBH AUSTRIA

970 R03AL04 COMBINATII (INDACATEROLUM+GLICOPIRONIUM)

ULTIBRO BREEZHALER 85 micrograme/43 micrograme

CAPS. CU PULB. DE INHAL.

85micrograme/43micrograme

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 30 BLISTERE PERFORATE PA-AL-PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 1 CAPSULA CU PULBERE DE INHALAT + 1 INHALATOR

PR/PRF

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
SEEBRI BREEZHALER
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN 24mg/ml
ASTHATOR 10 mg
SINGULAIR (R)
MONTELUKAST TEVA 10 mg
MONTELUKAST TEVA 10 mg
MONTELUKAST ACTAVIS 10 mg
MONKASTA 10 mg
ASTMASAN 10 mg
STANGEN 10 mg
SOLOK 10 mg
MONART 10 mg
MONTELUKAST AUROBINDO 10 mg
MONTELUKAST ABBOTT 10 mg
ASTHATOR 4 mg
SINGULAIR
MONTELUKAST TEVA 4 mg
MONTELUKAST TEVA 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
SINGULAIR 4 mg

PULB. INHAL. 100mcg/doza

PULB. INHAL. 250mcg/doza
PULB. INHAL. 500mcg/doza
SUSP. INHAL. PRESURIZATA
125mcg/doza

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

966 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 160 micrograme/4,5 micrograme/inhalatie PULB. DE INHAL.

160micrograme/4,5micrograme/in

967 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 320 micrograme/9 micrograme/inhalatie

PULB. DE INHAL.

320micrograme/9micrograme/inha

968 R03AK07 COMBINATII (BUDESONIDUM + FORMOTEROLUM)* SYMBICORT TURBUHALER 80 micrograme/4,5 micrograme/inhalatie

PULB. DE INHAL.

80micrograme/4,5micrograme/inh

971 R03BA05
972 R03BA05
973 R03BA05
974 R03BA05
975 R03BA05
976 R03BA05
977 R03BA05
978 R03BA07
979 R03BA07
980 R03BA08
981 R03BA08
982 R03BB04
983 R03BB04
984 R03BB06
985 R03DA05
986 R03DA05
987 R03DA05
988 R03DA05
989 R03DA05
990 R03DC03
991 R03DC03
992 R03DC03
993 R03DC03
994 R03DC03
995 R03DC03
996 R03DC03
997 R03DC03
998 R03DC03
999 R03DC03
1,000

R03DC03

1,001

R03DC03

1,002

R03DC03

1,003

R03DC03

1,004

R03DC03

1,005

R03DC03

1,006

R03DC03

1,007

R03DC03

1,008

R03DC03

1,009

R03DC03

1,010

R03DC03

1,011

R03DC03

1,012

R03DC03

1,013

R03DC03

FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
TIOTROPIUM*
GLICOPIRONIUM BROMIDUM**
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

P6L

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

P6L

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

CUTIE CU 1 FLAC. PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE, INTRODUS IN DISPOZITIVUL DE ADMINISTRARE DIN PE CU CAPAC PROTECTOR DIN PLASTIC A 180 DOZE SOL. DE INHALAT

P6L
PRF

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA

P-RF

SUSP. INHAL. PRESURIZATA

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE

P-RF

SUSP. INHAL. PRIN NEBULIZATOR

CUTIE CU 2 FOLII SIGILATE POLIESTER/AL/ PEJD A CATE 5 FIOLE DIN PEJD X 2,5ML CONTINAND CATE 2ML SUSP

PRF

SUSP. INHAL. PRIN NEBULIZATOR

CUTIE CU 2 FOLII SIGILATE POLIESTER/AL/ PEJD A CATE 5 FIOLE DIN PEJD X 2,5ML CONTINAND CATE 2ML SUSP

PRF

50mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

0,5mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE
2mg/2ml
GLAXO WELLCOME UK LIMITED MAREA BRITANIE
PULB. INHAL. 200g/doza MERCK SHARP & DOHME ROMANIA
PULB. INHAL. 400g/doza MERCK SHARP & DOHME ROMANIA
160g/doza NYCOMED GMBH
GERMANIA
80g/doza NYCOMED GMBH
GERMANIA

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

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

SOL. DE INHALAT PRESURIZATA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

SOL. DE INHALAT PRESURIZATA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-RF

CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER

PRF

CUTIE CU 1 AMBALAJ UNIC CU UN INHALATOR RESPIMAT SI UN CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MEDICINALE) SOL. PT. INHALAT

PRF

CUTIE CU BLIST. PERFORATE PA-AL-PVC/AL CE CONTINE 30 X 1 CAPSULA CU PULBERE PENTRU INHALAT INSOTITE DE UN INHALATOR

PRF

18micrograme
SOL. DE INHALAT 2,5micrograme
CAPS. CU PULB. INHAL.
44 micrograme
CAPS. CU PULB. INHAL.

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

100mg
100mg
100mg
200mg
24mg/ml
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA
MERCK SHARP & DOHME ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

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

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

CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ.

S/P-RF

P-RF
P-RF
P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. P6L

CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. 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. OPA-AL-PVC/AL X 30 COMPR. FILM.

P6L

SLOVENIA

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. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM.

P6L

TERAPIA S.A.

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

P6L

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. PEID X 28 COMPR. FILM. P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

P6L

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

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

P6L

ACTAVIS GROUP PTC EHF.

ISLANDA

KRKA D.D., NOVO MESTO

SANDOZ S.R.L.
DR. REDDY'S LABORATORIES

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L

ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST.

ACTAVIS GROUP PTC EHF.

ISLANDA

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

P6L

KRKA D.D., NOVO MESTO

SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST.

P6L

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE

P6L

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST.

P6L

TERAPIA S.A.

CUTIE CU BLIST. PAPVC/AL X 28 COMPR. MAST.

P6L

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST.

P6L

MERCK SHARP & DOHME

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

P6L

MERCK SHARP & DOHME

TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

P-RF

CUTIE CU BLIST. DIN AL/AL X 28 COMPR. MAST. P6L

CUTIE CU BLIST. DIN AL/AL X 30 COMPR. MAST. P6L

Pagina 15 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

1
1
1
1
1
1
1
30
30
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
30
1
1
1
1
1
10
10
1
1
1
1
30
1
30
20
50
40
20
5
28
28
28
30
30
28
28
28
28
28
28
28
28
28
28
30
30
28
28
28
28
28
28
28

26.220000
28.340000
22.707500
22.700000
22.707500
22.707500
16.660000
2.685625
4.297000
33.540000
36.422000
91.055000
182.110000
36.422000
91.055000
182.110000
91.055000
36.422000
90.970000
116.890000
74.496666
148.993333
74.496666
216.080000
8.954333
24.317999
60.795000
118.180000
30.397500
24.317999
0.810599
3.242399
33.613750
62.550000
89.330000
51.371249
5.127666
153.829999
4.986000
0.172934
0.140800
0.172934
0.345870
2.452000
0.913189
0.913189
0.720714
0.721000
0.826333
0.913189
0.913189
0.913189
0.913189
0.913189
0.913189
0.913189
0.528214
0.528214
0.527857
0.527333
0.434000
0.528214
0.528214
0.528214
0.528214
0.528214
0.528214
0.528214

0.000000
0.000000
0.002500
0.000000
0.002500
11.092500
0.000000
1.611375
0.000000
0.000000
70.538000
44.995000
0.000000
70.538000
44.995000
0.000000
44.075000
70.958000
0.000000
0.000000
16.763334
14.796667
0.823334
0.000000
0.000000
10.812001
6.285000
0.000000
3.612500
10.902001
1.995401
4.963601
7.016250
0.000000
0.000000
20.118751
0.236334
4.250001
0.000000
0.015066
0.000000
0.007316
0.054630
0.000000
0.803239
1.639668
0.000000
0.000000
0.000000
0.086096
0.275382
0.803239
0.803239
0.803239
0.028953
0.803239
1.060000
1.833571
0.000000
0.000000
0.000000
0.220357
1.059286
1.058928
1.040000
1.040000
1.060000
1.833571

13.110000
14.170000
11.353750
11.350000
11.353750
11.353750
8.330000
1.342812
2.148500
16.770000
18.211000
45.527500
91.055000
18.211000
45.527500
91.055000
45.527500
18.211000
45.485000
58.445000
37.248333
74.496666
37.248333
108.040000
4.477166
12.158999
30.397500
59.090000
15.198750
12.158999
0.405299
1.621199
16.806875
31.275000
44.665000
25.685624
2.563833
76.914999
2.493000
0.086467
0.070400
0.086467
0.172935
1.226000
0.456594
0.456594
0.360357
0.360500
0.413166
0.456594
0.456594
0.456594
0.456594
0.456594
0.456594
0.456594
0.264107
0.264107
0.263928
0.263666
0.217000
0.264107
0.264107
0.264107
0.264107
0.264107
0.264107
0.264107

13.110000
14.170000
11.356250
11.350000
11.356250
22.446250
8.330000
2.954188
2.148500
16.770000
88.749000
90.522500
91.055000
88.749000
90.522500
91.055000
89.602500
89.169000
45.485000
58.445000
54.011667
89.293334
38.071667
108.040000
4.477167
22.971001
36.682500
59.090000
18.811250
23.061001
2.400701
6.584801
23.823125
31.275000
44.665000
45.804376
2.800167
81.165001
2.493000
0.101533
0.070400
0.093783
0.227565
1.226000
1.259834
2.096263
0.360357
0.360500
0.413167
0.542691
0.731977
1.259834
1.259834
1.259834
0.485548
1.259834
1.324107
2.097678
0.263929
0.263667
0.217000
0.484464
1.323393
1.323035
1.304107
1.304107
1.324107
2.097678

23.598000
25.506000
20.436750
20.430000
20.436750
20.436750
14.994000
2.417062
3.867300
30.186000
32.779800
81.949500
163.899000
32.779800
81.949500
163.899000
81.949500
32.779800
81.873000
105.201000
67.046999
134.093999
67.046999
194.472000
8.058899
21.886199
54.715500
106.362000
27.357750
21.886199
0.729539
2.918159
30.252375
56.295000
80.397000
46.234124
4.614899
138.446999
4.487400
0.155640
0.126720
0.155640
0.311283
2.206800
0.821870
0.821870
0.648642
0.648900
0.743699
0.821870
0.821870
0.821870
0.821870
0.821870
0.821870
0.821870
0.475392
0.475392
0.475071
0.474599
0.390600
0.475392
0.475392
0.475392
0.475392
0.475392
0.475392
0.475392

2.622000
2.834000
2.273250
2.270000
2.273250
13.363250
1.666000
1.879938
0.429700
3.354000
74.180200
54.100500
18.211000
74.180200
54.100500
18.211000
53.180500
74.600200
9.097000
11.689000
24.213001
29.696001
8.273001
21.608000
0.895434
13.243801
12.364500
11.818000
6.652250
13.333801
2.076461
5.287841
10.377625
6.255000
8.933000
25.255876
0.749101
19.633001
0.498600
0.032360
0.014080
0.024610
0.089217
0.245200
0.894558
1.730987
0.072072
0.072100
0.082634
0.177415
0.366701
0.894558
0.894558
0.894558
0.120272
0.894558
1.112822
1.886393
0.052786
0.052734
0.043400
0.273179
1.112108
1.111750
1.092822
1.092822
1.112822
1.886393

cod ATC

DCI

MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
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

1,014

R03DC03

1,015

R03DC03

1,016

R03DC03

1,017

R03DC03

1,018

R03DC03

1,019

R03DC03

1,020

R03DC03

1,021

R03DC03

1,022

R03DC03

1,023

R03DC03

1,024

R03DC03

1,025

R03DC03

1,026

R03DC03

1,027

R03DC03

1,028

R03DC03

1,029

R03DC03

1,030

R03DC03

1,031

R03DX03

1,032

R03DX03

1,033

R05DA09

1,034

R05DA09

1,035

R05DA09

1,036

R05DA09

1,037

R05DA09

1,038

R05DA09

1,039

R05DA09

1,040

R06AE09

1,041

R06AE09

1,042

R06AE09

1,043

R06AE09

1,044

R06AE09

1,045

R06AE09

1,046

R06AE09

1,047

R06AX27

1,048

R06AX27

1,049

R06AX27

1,050

R06AX27

1,051

R06AX27

1,052

R06AX27

1,053

R06AX27

1,054

R06AX27

1,055

R06AX27

1,056

R06AX27

1,057

R06AX27

1,058

R06AX27

1,059

R06AX27

1,060

R06AX27

1,061

R06AX27

1,062

R06AX27

1,063

S01AA11

1,064

S01AA12

1,065

S01AA12

1,066

S01AA12

1,067

S01AA12

1,068

S01AA23

1,069

S01AA23

1,070

S01AA23

1,071

S01AX11

1,072

S01AX11

1,073

S01BA01

1,074

S01BA01

1,075

S01BA01

1,076

S01BA06

1,077

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1,078

S01CA01 COMBINATII ( NETILMICINUM + DEXAMETHASONUM)

1,079

S01CA01 COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM)

1,080

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,081

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

Denumire Comerciala

forma farm.

concentratie

MONTELUKAST ABBOTT 4 mg
ASTMASAN 4 mg
ASTHATOR 5 mg
SINGULAIR (R)
MONTELUKAST TEVA 5 mg
MONTELUKAST TEVA 5 mg
MONTELUKAST ACTAVIS 5 mg
MONKASTA 5 mg
MONTELUKAST ALVOGEN 5 mg
STANGEN 5 mg
SOLOK 5 mg
MONART 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
TUSSIN FORTE 20 mg
ROFEDEX
HUMISEC pentru adulti 20mg/15 ml
HUMISEC pentru copii 5mg/5ml
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR
ROBITUSSIN ANTITUSSICUM
XYZAL (R)
LEVOCETIRIZINA SANDOZ 5 mg
CETIZAL 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
ZENARO 5 mg
XYZAL
ZENARO 0,5 mg/ml
DYNID 5 mg
DESLORATADINA ACTAVIS
DESLORATADINA ACTAVIS
DESLORATADINA SANDOZ 5 mg
DASSELTA
DESLORATADINA TERAPIA 5 mg
LORDESTIN 5 mg
AERIUS 5mg
AERIUS 5mg
AERIUS 2,5mg
AERIUS 5mg
DESLORATADINA SANDOZ 0.5 mg/ml
DESLORATADINA ALVOGEN 0,5 mg/ml
DYNID 0,5 mg/ml
AERIUS 0,5mg/ml
LORDESTIN 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 1 mg/ml
NETILDEX
NETILDEX
SPERSADEX COMP
DEXATOBROM 3 mg+1 mg/ml
TOBRADEX ( R )

COMPR. MAST.

PIC. OFT./AURIC./NAZALE SOL.

4mg
4mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
4mg
4mg
80mg
2mg/ml
20mg
15mg/5ml
20mg/15 ml
5mg/5ml
6,5mg/5ml
3,75mg/5ml
7,5mg/5ml
5mg
5mg
5mg
5mg
5mg
5mg/ml
0,5mg/ml
5mg
5 mg
5 mg
5 mg
5mg
5mg
5mg
5mg
5mg
2,5mg
5mg
0,5 mg/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%
1 mg/ml

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
COMPR.
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
PIC. ORALE, SOL.

SIROP
COMPR.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

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
ABBOTT LABORATORIES LTD.

Tara det.
APP
MAREA BRITANIE

SANDOZ SRL

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 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.

P6L
P6L
P6L
P6L
P6L
P6L

ISLANDA

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

P6L

KRKA D.D., NOVO MESTO

SLOVENIA

CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST.

P6L

ALVOGEN IPCO S.A.R.L

LUXEMBURG CUTIE CU BLIST. PA-ALL-PVC/AL X 28 COMPR. MASTICABILE

P6L

DR. REDDY'S LABORATORIES

CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST.

P6L

TERAPIA S.A.

ROMANIA
ROMANIA

CUTIE CU BLIST. PA/PVC/AL X 28 COMPR. MAST.

P6L

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. PEID X 28 COMPR. MAST. P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST.

P6L

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

P6L

ACTAVIS GROUP PTC EHF.

SANDOZ SRL
SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. MAST. P6L

ROMANIA CUTIE CU 28 PLICURI PET/AL/PE CONTINAND GRANULE P6L
MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L
LES LABORATOIRES SERVIER

LES LAB. SERVIER IND.

GLAXOSMITHKLINE (GSK) SRL

BIOFARM SA
LAB. URGO SA
LAB. URGO SA
ROPHARMA S.A.
PFIZER CORPORATION AUSTRIA GMBH
PFIZER CORPORATION AUSTRIA GMBH

FRANTA
FRANTA

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

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

ROMANIA CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE P-RF

FRANTA
FRANTA
ROMANIA

AUSTRIA
AUSTRIA

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-RF

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 15ML

P-RF

CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML

P-RF

CUTIE X 1 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

U.C.B. GMBH
SANDOZ S.R.L.

GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM.

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

ROMANIA

P-6L

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

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-PVC/AL X 20 COMPR. FILM.

P6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR

P-6L

UCB PHARMA GMBH GERMANIA

ZENTIVA, K.S.

REPUBLICA CEHA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

ACTAVIS GROUP PTC EHF.

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

CUTIE X 1 FLACON DIN STICLA BRUNA CU CAPAC DIN PP PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 200ML SIROP + 1 LINGURITA DOZATOARE DE 5ML

P6L

P6L

CUTIE CU BLIST. AL/AL X 30 COMPR. P6L

PRF
PRF

CUTIE CU BLIST. NON UNIDOZA OPA-AL-PVC/AL X 30 COMPR.FILM.

P6L

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE

PRF

TERAPIA SA

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

P6L

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA

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

P6L

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

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE X 30 COMPR. ORODISPERSABILE (PVC/OPA/AL)

P-RF

SANDOZ S.R.L.

ROMANIA

ALVOGEN IPCO S.A.R.L

LUXEMBURG

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

MERCK SHARP&DOHME LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 125 ML X 120 ML, SOL. ORALA + LINGURITA DOZATOARE DE 2,5 ML SI 5 ML SAU CU SERINGA DOZATOARE DE 5 ML, MARCATA LA FIECARE 0,5ML

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOARE ( SERINGA DOZATOARE ARE GRADATII DE 2,5 ML SI 5 ML; LINGURITA DOZATOARE ARE CAPACITATEA DE 2,5 ML SI 5 ML

CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

ROMANIA
E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML
ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL

GEDEON RICHTER ROMANIA SA

CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU O LINGURITA DOZATOARE GRADATA LA 2,5 ML SI 5 ML X 120 ML SOL.

S.I.F.I. SPA
S.I.F.I. SPA
S.I.F.I. SPA

BELGIA
BELGIA
BELGIA
ITALIA
ITALIA
ITALIA

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

ALCON COUVREUR NV
ALCON COUVREUR NV
ALCON COUVREUR NV

P6L
P6L
P6L
P-RF

P6L
P-RF
P-RF

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

CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF

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

GERMANIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL.

P-RF

GERMANIA

CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G

P-RF

ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE

P-RF

ROMPHARM COMPANY SRL

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE

P-RF

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 CU 1 FLAC. PEJD, PREVAZUT CU APLICATOR PT. PICURARE DIN PEJD A 10 ML PIC. OFT., AURICULARE, NAZALE SOL.

ROMPHARM COMPANY SRL

S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA
LABORATOIRES THEA FRANTA

PIC. OFT.,SOL.

4,55 mg/1,32 mg/ml

PIC. OFT.SOL. UNIDOZA

4,55 mg/1,32 mg/ml

PICATURI OFT.-SOL.

5mg/ml+1mg/ml

PIC. OFT. SUSP.

3mg+1mg/ml ROMPHARM COMPANY S.R.L. ROMANIA

3mg+1mg/ml ALCON COUVREUR NV BELGIA

PICATURI OFT.-SUSP.

Ambalaj
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST.

Prescriptie

Nr. crt

P6L

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.

P-RF

CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF

CUTIE CU 1 FLAC. PEJD A 5 ML + PICURATOR

P-RF

CUTIE X 1 FLACON PICURATOR PEJD X 5 ML

P-RF

Pagina 16 din 17

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

28
28
28
28
28
30
30
28
28
28
28
28
28
28
28
28
28
30
1
20
1
1
1
1
1
1
30
10
10
10
20
1
1
30
10
30
30
30
30
30
10
30
30
30
1
1
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
1
20
1
1
1

0.528214
0.528214
0.660267
0.660267
0.542500
0.542333
0.483666
0.660267
0.660267
0.660267
0.660267
0.660267
0.660267
0.660267
0.560357
0.528214
0.528214
0.952666
20.370000
0.352000
5.470000
4.850066
8.460000
2.725883
6.042000
2.734999
0.863333
0.561000
0.561000
0.362000
0.561000
20.196000
20.196000
0.356666
0.322000
0.322666
0.350333
0.356666
0.356666
0.356666
0.356666
0.356666
0.178333
0.356666
10.627500
10.620000
10.627500
10.627500
10.627500
4.710000
4.080000
4.080000
4.080000
3.060000
14.710000
1.297769
21.629497
10.895000
14.680000
10.120000
5.382500
5.382500
4.670000
8.160750
0.489645
8.160750
5.050000
7.770000

1.059286
0.000000
1.056161
1.892590
0.000000
0.000000
0.000000
0.120090
1.056161
1.056161
1.056161
1.056161
1.056161
1.056161
0.000000
1.060000
1.833571
0.000000
0.000000
0.000000
0.000000
5.969934
0.000000
5.444117
2.898000
6.205001
0.000000
0.000000
0.000000
0.000000
0.000000
5.534000
3.644000
0.165667
0.000000
0.000000
0.000000
0.006334
0.196334
0.182667
0.490334
0.494334
0.809333
0.631000
0.002500
0.000000
0.002500
5.722500
0.002500
0.000000
0.000000
3.810000
15.810000
5.580000
0.000000
0.703564
12.080503
3.325000
0.000000
0.000000
0.107500
3.057500
0.000000
24.409250
2.171855
4.799250
0.000000
0.000000

0.264107
0.264107
0.330133
0.330133
0.271250
0.271166
0.241833
0.330133
0.330133
0.330133
0.330133
0.330133
0.330133
0.330133
0.280178
0.264107
0.264107
0.476333
10.185000
0.176000
2.735000
2.425033
4.230000
1.362941
3.021000
1.367499
0.431666
0.280500
0.280500
0.181000
0.280500
10.098000
10.098000
0.178333
0.161000
0.161333
0.175166
0.178333
0.178333
0.178333
0.178333
0.178333
0.089166
0.178333
5.313750
5.310000
5.313750
5.313750
5.313750
2.355000
2.040000
2.040000
2.040000
1.530000
7.355000
0.648884
10.814748
5.447500
7.340000
5.060000
2.691250
2.691250
2.335000
4.080375
0.244822
4.080375
2.525000
3.885000

1.323393
0.264107
1.386295
2.222724
0.271250
0.271167
0.241833
0.450224
1.386295
1.386295
1.386295
1.386295
1.386295
1.386295
0.280179
1.324107
2.097678
0.476333
10.185000
0.176000
2.735000
8.394967
4.230000
6.807059
5.919000
7.572501
0.431667
0.280500
0.280500
0.181000
0.280500
15.632000
13.742000
0.344000
0.161000
0.161333
0.175167
0.184667
0.374667
0.361000
0.668667
0.672667
0.898500
0.809333
5.316250
5.310000
5.316250
11.036250
5.316250
2.355000
2.040000
5.850000
17.850000
7.110000
7.355000
1.352449
22.895252
8.772500
7.340000
5.060000
2.798750
5.748750
2.335000
28.489625
2.416678
8.879625
2.525000
3.885000

0.475392
0.475392
0.594240
0.594240
0.488250
0.488099
0.435299
0.594240
0.594240
0.594240
0.594240
0.594240
0.594240
0.594240
0.504321
0.475392
0.475392
0.857399
18.333000
0.316800
4.923000
4.365059
7.614000
2.453294
5.437800
2.461499
0.776999
0.504900
0.504900
0.325800
0.504900
18.176400
18.176400
0.320999
0.289800
0.290399
0.315299
0.320999
0.320999
0.320999
0.320999
0.320999
0.160499
0.320999
9.564750
9.558000
9.564750
9.564750
9.564750
4.239000
3.672000
3.672000
3.672000
2.754000
13.239000
1.167992
19.466547
9.805500
13.212000
9.108000
4.844250
4.844250
4.203000
7.344675
0.440680
7.344675
4.545000
6.993000

1.112108
0.052822
1.122188
1.958617
0.054250
0.054234
0.048367
0.186117
1.122188
1.122188
1.122188
1.122188
1.122188
1.122188
0.056036
1.112822
1.886393
0.095267
2.037000
0.035200
0.547000
6.454941
0.846000
5.716706
3.502200
6.478501
0.086334
0.056100
0.056100
0.036200
0.056100
7.553600
5.663600
0.201334
0.032200
0.032267
0.035034
0.042001
0.232001
0.218334
0.526001
0.530001
0.827167
0.666667
1.065250
1.062000
1.065250
6.785250
1.065250
0.471000
0.408000
4.218000
16.218000
5.886000
1.471000
0.833341
14.243453
4.414500
1.468000
1.012000
0.645750
3.595750
0.467000
25.225325
2.220820
5.615325
0.505000
0.777000

cod ATC

DCI

1,082

S01CA01 COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM)

1,083

S01GX09

OLOPATADINUM

Denumire Comerciala

TOBRADEX (R)
OPATANOL 1mg/ml

forma farm.

UNG. OFT.
PIC. OFT., SOL.

concentratie

Detinator APP

Tara det.
APP

Ambalaj

3 mg/1 mg/g ALCON COUVREUR NV BELGIA CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G
1mg/ml
ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML

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 17 din 17

Prescriptie

Nr. crt

P-RF
P-RF

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
amba referinta / UT
din pretul de
compensare 50% din compensare 50% din compensare 90% din compensare 90% din
laj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

1
1

5.712525
28.000000

7.357475
0.000000

2.856262
14.000000

10.213738
14.000000

5.141272
25.200000

7.928728
2.800000

ANEXA 2c

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

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
DIN H.G. NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE;
MEDICAMENTELE DIN ACEAST SUBLIST SE ELIBEREAZ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZ DE PRESCRIPIE MEDICAL CU REINERE N FARMACIE
VALABIL NCEPND CU 01 IANUARIE 2016

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

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
40
41

B01AA07
B01AA07
C01AA05
C01AA05
C01AA05
C01AA05
C03AA03
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03CA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01
C03DA01

C07AB02
C07AB02
C07AB02
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
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM

TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN SOPHARMA 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 ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 40 mg
FUROSEMID LPH 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA 25 mg

SPIRONOLACTONA LPH 25 mg

VEROSPIRON
SPIRONOLACTONA ARENA 50 mg
SPIRONOLACTONA BIOEEL 25 mg
SPIRONOLACTONA TERAPIA 25 mg

ALSPIRON 25 mg
ALSPIRON 50 mg
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL LAROPHARM 100 mg

METOPROLOL 100 mg
METOPROLOL TERAPIA 100 mg
METOPROLOL VIM SPECTRUM 100 mg

METOPROLOL ARENA 100 MG

METOPROLOL 100 mg
METOPROLOL AL 100
METOPROLOL ZENTIVA 100 mg

EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg
METOPROLOL ARENA 25 MG

METOPROLOL LPH 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. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

2mg
4mg
0,25 mg
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
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
25mg
25mg
25mg
25mg
25mg

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

CN UNIFARM S.A.
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA SA
MAGISTRA C&C S.R.L.

SLAVIA PHARM SRL

ZENTIVA SA
LABORMED PHARMA SA

ARENA GROUP S.A.

BIO EEL SRL
LABORMED PHARMA SA

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
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

KRKA D.D. NOVO MESTO SLOVENIA

AC HELCOR PHARMA SRL
EGIS PHARMACEUTICALS P.L.C.

LABORMED PHARMA SA

LAROPHARM SRL
MAGISTRA C & C SRL

TERAPIA SA
VIM SPECTRUM SRL
ARENA GROUP SA

ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 20 COMPRIMATE

PRF

CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

P-RF

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

S/P-RF

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI DOUA INELE (ROSU SI PORTOCALIU)X 2 ML SOL. INJ.

S/P-RF

CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

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

P-6L

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

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

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

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

P-RF

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.

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

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

P-6L

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

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.
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 1 FLAC. DIN STICLA BRUNA X 20 COMPR.

P-6L

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

SLAVIA PHARMA S.R.L.

P-6L
ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L
ZENTIVA S.A.
ROMANIA CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPRIMATE P6L
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR.

Pagina 1 din 39

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

30
20
20
25
5
5
25
20
20
20
20
20
20
30
5
30
50
60
30
30
20
50
20
20
30
30
20
30
20
30
30
20
30
20
30
30
20
20
30
30
60

0.226000
0.350000
0.166560
0.138800
1.652000
1.652000
0.173200
0.156500
0.156500
0.187800
0.157000
0.187800
0.187800
0.157666
1.260000
0.753000
0.258000
0.258000
0.441666
0.529999
0.222500
0.258000
0.215000
0.529999
0.077000
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.098500
0.098500
0.098666
0.098666
0.098333

0.226000
0.350000
0.166560
0.138800
1.652000
1.652000
0.173200
0.156500
0.156500
0.187800
0.157000
0.187800
0.187800
0.157666
1.260000
0.753000
0.258000
0.258000
0.441666
0.529999
0.222500
0.258000
0.215000
0.529999
0.077000
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.092400
0.098500
0.098500
0.098666
0.098666
0.098333

0.000000
0.000000
0.033940
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.125200
0.000000
0.125200
0.083200
0.000000
0.000000
0.000000
0.075400
0.078333
0.000000
0.032001
0.000000
0.111800
0.000000
0.157001
0.000000
0.203933
0.204100
0.153600
0.204100
0.203933
0.203933
0.204100
0.149933
0.198100
0.203933
0.203933
0.000000
0.000000
0.000000
0.000000
0.000000

42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93

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
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
C07AB07
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
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

Denumire Comerciala

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
METOPROLOL TERAPIA 50 mg COMPR.
METOPROLOL VIM SPECTRUM 50 mg COMPR.
METOPROLOL ARENA 50 MG COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL ZENTIVA 50 mg COMPR.
METOPROLOL LAROPHARM 50 mg

BETAPROL 50 mg
EGILOK 50 mg
METOPROLOL LPH 50 mg
METOPROLOL 50 mg

METOSUCCINAT SANDOZ 190 mg

METOSUCCINAT SANDOZ 47,5 mg

METOSUCCINAT SANDOZ 95 mg
METOPROLOL RETARD 100 mg
METOPROLOL TARTRAT AUROBINDO 100 mg

METOPROLOL TARTRAT AUROBINDO 50 mg

BETALOC (R) ZOK 100 mg

BETALOC (R) ZOK 50 mg
METOSUCCINAT SANDOZ 190 mg
METOSUCCINAT SANDOZ 47,5 mg

METOSUCCINAT SANDOZ 95 mg

BETALOC
BOREZ 10 mg
CONCOR COR 10 mg
CONCOR COR 10 mg
SOBYC 10 mg
BOREZ 2,5 mg
CONCOR COR 2,5 mg
CONCOR COR 2,5 mg
SOBYC 2,5 mg
CONCOR COR 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
CARVEDILOL SANDOZ 12,5 mg

DILATREND (R) 12,5 mg

CORYOL 12,5 mg
TALLITON (R) 12,5 mg
CARVEDILOL LPH 12,5 mg
CARVEDILOL VIM SPECTRUM 12,5mg

GLADYCOR 12,5 mg
MIOCARVIL 12,5 mg

concentratie

50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
COMPR. ELIB. MODIF. 190mg
COMPR. ELIB. MODIF. 47,5mg
COMPR. ELIB. MODIF. 95mg
COMPR. ELIB. PREL. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 50mg
COMPR. FILM. ELIB. PREL. 100mg
COMPR. FILM. ELIB. PREL. 50mg
COMPR.FILM.ELIB.MOD. 190mg
COMPR.FILM.ELIB.MOD. 47,5mg
COMPR.FILM.ELIB.MOD. 95mg
SOL. INJ./PERF. 5mg/5ml
COMPR. FILM. 10 mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 2,5 mg
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
COMPR. FILM. 2,5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
5mg
COMPR.
12,5 mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg
COMPR.
12,5mg

TARA
DET. APP
AMBALAJ
LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
DETINATOR APP

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

Prescriptie

NR.CRT

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

LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L

MAGISTRA C & C SRL ROMANIA

TERAPIA SA
ROMANIA
VIM SPECTRUM SRL ROMANIA
ARENA GROUP S.A. ROMANIA
SLAVIA PHARMA S.R.L. ROMANIA
ALIUD PHARMA GMBH GERMANIA
ZENTIVA S.A.
ROMANIA

HEXAL AG
HEXAL AG
HEXAL AG
TERAPIA SA
AUROBINDO PHARMA (MALTA) LIMITED
AUROBINDO PHARMA (MALTA) LIMITED

ASTRAZENECA AB
ASTRAZENECA AB
HEXAL AG
HEXAL AG
HEXAL AG
ASTRAZENECA AB

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

CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPRIMATE

P6L

GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L

GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L

ROMANIA

CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL.

P-6L

MALTA
MALTA
SUEDIA
SUEDIA

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

P6L
P6L

GERMANIA

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

P-6L

GERMANIA

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

P-6L

GERMANIA

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

P-6L

SUEDIA

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.

P6L

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

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

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

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

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

ALKALOID-INT D.O.O. SLOVENIA

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

P6L
P6L

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

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

MERCK KGAA
MERCK KGAA

P-6L

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

MERCK KGAA
MERCK KGAA

P-6L

GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L

ALKALOID-INT D.O.O. SLOVENIA

MERCK KGAA
MERCK KGAA

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.

P6L

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

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P6L

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.
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

TEVA PHARMACEUTICALS S.R.L.

P-6L
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

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. NOVO MESTO 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.

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.

P-6L

SLAVIA PHARM S.R.L. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR.

P-6L

Pagina 2 din 39

P-6L

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

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

0.181999
0.181999
0.181999
0.164333
0.181999
0.181999
0.172500
0.181999
0.181999
0.151666
0.181999
0.504000
0.215666
0.358333
0.092400
0.092400
0.181333
0.092400
0.181999
0.504000
0.215666
0.358333
4.086000
0.277200
0.277200
0.277200
0.277200
0.243333
0.250800
0.250800
0.209000
0.146799
0.146799
0.146799
0.274800
0.274800
0.274800
0.274800
0.274800
0.229000
0.229000
0.274800
0.274800
0.274800
0.277333
0.308570
0.259285
0.281000
0.308570
0.308570
0.308570
0.308570

0.181999
0.181999
0.181999
0.164333
0.181999
0.181999
0.172500
0.181999
0.181999
0.151666
0.181999
0.504000
0.215666
0.358333
0.092400
0.092400
0.181333
0.092400
0.181999
0.504000
0.215666
0.358333
4.086000
0.277200
0.277200
0.277200
0.277200
0.243333
0.250800
0.250800
0.209000
0.146799
0.146799
0.146799
0.274800
0.274800
0.274800
0.274800
0.274800
0.229000
0.229000
0.274800
0.274800
0.274800
0.277333
0.308570
0.259285
0.281000
0.308570
0.308570
0.308570
0.308570

0.000501
0.000334
0.000501
0.000000
0.000334
0.062001
0.000000
0.000334
0.000501
0.000000
0.000334
0.000000
0.000000
0.000000
0.204100
0.203933
0.000000
0.363600
0.198001
0.000000
0.000000
0.000000
0.000000
0.085800
0.808133
0.808133
0.070133
0.000000
0.123533
0.123533
0.000000
0.242534
0.242534
0.059534
0.372342
0.088200
0.145866
0.145866
0.145557
0.000000
0.000000
0.145557
0.145557
0.145866
0.000000
0.525715
0.000000
0.000000
0.153763
0.027430
0.076763
0.153763

94
95
96
97
98
99

DCI

COD ATC

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
142 C09AA02
143 C09AA02
144 C09AA02
145 C09AA02

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
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM

Denumire Comerciala

forma farm.

CARVEDILOL HELCOR 12,2 mg COMPR.

DILATREND (R) 25 mg
CORYOL 25 mg
TALLITON (R) 25 mg
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 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 LPH 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 VIM SPECTRUM 10 mg

ENALAPRIL LAROPHARM 10 mg

ENALAPRIL TERAPIA 10mg

ENALAPRIL 20 mg
ENALAPRIL LPH 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
RENITEC 20 mg

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.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
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
20mg
20mg
20mg
20mg

TARA
DET. APP
AMBALAJ
AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X 14 COMPR.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR.
DETINATOR APP

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

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

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

P-6L

CUTIE X 3 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

EGIS PHARMACEUTICALS P.L.C.

HEXAL AG

Prescriptie

NR.CRT

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

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.

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.

P-6L

SLAVIA PHARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 COMPR.

P-6L

HEXAL AG

P6L
P6L
P6L
P6L

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
LABORMED PHARMA SA
LABORMED PHARMA SA

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

P-6L

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.

P-6L

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

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.

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

MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA
LABORMED PHARMA SA ROMANIA

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

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

CUTIE X 5 BLIST. AL/PVC, X 10 COMPR. P-6L
CUTIE X 10 BLIST. AL/PVC, X 10 COMPR. 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 BLISTERE AL/PVC X 10 COMPRIMATE (2 ANI) P6L

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

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

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

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

Pagina 3 din 39

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

20
28
28
30
30
30
30
20
30
28
28
30
30
20
30
30
30
28
28
28
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
30
20
20
20
28
20
30
50
100
20
20
20
20
20
30
20
28

0.308570
0.342856
0.342856
0.342856
0.342856
0.342856
0.342856
0.342856
0.317333
0.216000
0.198214
0.185000
0.216000
0.216000
0.185000
0.216000
0.180333
0.257142
0.285714
0.180000
0.117666
0.141600
0.141600
0.118500
0.118000
0.118000
0.141600
0.118500
0.138000
0.163200
0.163200
0.138000
0.155666
0.136000
0.199500
0.199333
0.199000
0.199500
0.190500
0.228600
0.199500
0.199333
0.199400
0.199200
0.199500
0.199000
0.199500
0.330500
0.330500
0.330666
0.330500
0.396600

0.308570
0.342856
0.342856
0.342856
0.342856
0.342856
0.342856
0.342856
0.317333
0.216000
0.198214
0.185000
0.216000
0.216000
0.185000
0.216000
0.180333
0.257142
0.285714
0.180000
0.117666
0.141600
0.141600
0.118500
0.118000
0.118000
0.141600
0.118500
0.138000
0.163200
0.163200
0.138000
0.155666
0.136000
0.199500
0.199333
0.199000
0.199500
0.190500
0.228600
0.199500
0.199333
0.199400
0.199200
0.199500
0.199000
0.199500
0.330500
0.330500
0.330666
0.330500
0.396600

0.143430
0.583929
0.012144
0.180477
0.259144
0.181144
0.258144
0.259644
0.000000
0.173642
0.000000
0.000000
0.022333
0.012000
0.000000
0.022333
0.000000
0.000000
0.000000
0.000000
0.000000
0.000066
0.009400
0.000000
0.000000
0.000000
0.013066
0.000000
0.000000
0.067466
0.030300
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.077828
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.112328

DCI

COD ATC

146 C09AA02
147 C09AA02
148 C09AA02
149 C09AA02
150 C09AA02
151 C09AA02
152 C09AA02
153 C09AA02
154 C09AA02
155 C09AA02
156 C09AA02
157 C09AA02
158 C09AA02
159 C09AA02
160 C09AA02
161 C09AA02
162 C09AA02
163 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 C09AA05
184 C09AA05
185 C09AA05
186 C09AA05
187 C09AA05
188 C09AA05
189 C09AA05
190 C09AA05
191 C09AA05
192 C09AA05
193 C09AA05
194 C09AA05
195 C09AA05
196 C09AA05
197 C09AA05

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
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

forma farm.

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.
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.
COMPR.
COMPR.
COMPR.
COMPR.

ENALAPRIL LAROPHARM 20 mg

ENALAPRIL TERAPIA 20mg

ENALAPRIL 5 mg
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
ENALAPRIL ARENA 5 mg
ENALAPRIL SLAVIA 5 mg
ENALAPRIL LAROPHARM 5 mg

ENALAPRIL TERAPIA 5mg

ENAP 1,25 mg/ml
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 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
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
TONOLYSIN 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
ZENRA 10
TRITACE 10
RAMIPRIL AUROBINDO 10 mg

AMPRIGEN 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
ZENRA 2,5

concentratie

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
2,5mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg

Prescriptie

NR.CRT

KRKA, D.D., NOVO MESTO

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
SLOVENIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
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

DETINATOR APP

TERAPIA SA
ARENA GROUP SA
ARENA GROUP SA
SLAVIA PHARM S.R.L.

LAROPHARM SRL
TERAPIA SA
MAGISTRA C & C
KRKA D.D. NOVO MESTO
MERCK SHARP & DOHME

LABORMED PHARMA SA
LABORMED PHARMA SA

TERAPIA SA
ARENA GROUP S.A.
SLAVIA PHARM S.R.L.

LAROPHARM SRL
TERAPIA SA

AC HELCOR SRL
HEXAL AG

AMBALAJ

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

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

CUTIE X 5 BLIST. PVC/AL X 10 COMPR.
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLISTERE AL/PVC X 10 COMPRIMATE (2 ANI)

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

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

P-6L

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

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

P-6L

MAREA BRITANIE

GEDEON RICHTER ROMANIA SA

AC HELCOR SRL
HEXAL AG

CUTIE X 3 BLIST. X 10 COMPR.

ANTIBIOTICE SA

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

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

RANBAXY U.K. LIMITED

MAREA BRITANIE

ACTAVIS GROUP PTC EHF.

ANTIBIOTICE SA
GEDEON RICHTER ROMANIA SA

MEDOCHEMIE ROMANIA SRL

P-6L

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

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L
CUTIE X 2 BLISTERE AL/PVC- X 10 COMPRIMATE (2 ANI) P6L

RANBAXY U.K. LIMITED

ANTIBIOTICE SA

P-6L

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

GEDEON RICHTER ROMANIA SA

ACTAVIS GROUP PTC EHF.

P-6L

P6L
P6L
P6L

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

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

MEDOCHEMIE ROMANIA SRL

P-6L

CUTIE X 3 BLIST. X 10 COMPR.

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

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

ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.

P-6L

ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.

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

P-6L

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

P-6L

MEDOCHEMIE ROMANIA SRL

ACTAVIS GROUP PTC EHF.

GEDEON RICHTER ROMANIA SA

AC HELCOR PHARMA SRL

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

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

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

P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ZENTIVA S.A.
AUROBINDO PHARMA (MALTA) LIMITED

MALTA

P-6L

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

P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L

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

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

P-6L

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

P-6L

AC HELCOR PHARMA SRL

P-6L

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

ZENTIVA S.A.
Pagina 4 din 39

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

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

0.330500
0.330666
0.330600
0.330500
0.330500
0.330500
0.093000
0.094000
0.108000
0.093333
0.093000
0.093000
0.093333
0.090000
0.090000
0.093000
3.204000
0.305199
0.305199
0.270000
0.254333
0.270000
0.305199
0.305199
0.311071
0.454800
0.454800
0.379000
0.379000
0.454800
0.454800
0.428500
1.359333
0.231199
0.192666
0.193000
0.231199
0.238214
0.285856
0.285856
0.285856
0.285856
0.285856
0.285856
0.285856
0.285856
0.285856
0.149642
0.172142
0.168333
0.172000
0.166071

0.330500
0.330666
0.330600
0.330500
0.330500
0.330500
0.093000
0.094000
0.108000
0.093333
0.093000
0.093000
0.093333
0.090000
0.090000
0.093000
3.204000
0.305199
0.305199
0.270000
0.254333
0.270000
0.305199
0.305199
0.311071
0.454800
0.454800
0.379000
0.379000
0.454800
0.454800
0.428500
1.359333
0.231199
0.192666
0.193000
0.231199
0.238214
0.285856
0.285856
0.285856
0.285856
0.285856
0.285856
0.285856
0.285856
0.285856
0.149642
0.172142
0.168333
0.172000
0.166071

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.036285
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.213134
0.231801
0.000000
0.000000
0.000000
0.108134
0.081229
0.000000
0.344533
0.327700
0.000000
0.000000
0.357200
0.194128
0.000000
0.000000
0.033467
0.000000
0.000000
0.032015
0.000000
0.016286
0.016144
0.016144
0.016286
0.178429
0.016286
0.016144
0.016144
0.016144
0.000000
0.000000
0.000000
0.000000
0.000000

COD ATC

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 C09CA03
213 C09CA03
214 C09CA03
215 C09CA03
216 C09CA03
217 C09CA03
218 C09CA03
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 C09CA06
237 C09CA06
238 C09CA06
239 C09CA06
240 C09CA06
241 C09CA06
242 C09CA06
243 C09CA06
244 C09CA06
245 C09CA06
246 C09CA06
247 C09CA06
248 C09CA06
249 C09CA06

DCI

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**
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

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
ZENRA 5
TRITACE 5
RAMIPRIL AUROBINDO 5 mg
AMPRIGEN 5 mg
RAMIRAN 5 mg
RAMIRAN 5 mg
WENZELL 160 mg
WENZELL 160 mg
DIOVAN 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
VALSARTAN TORRENT 160 mg

VALSARTAN ZENTIVA 160 mg

VAPRESS 160 mg
VAPRESS 160 mg
VALSACOR 320 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
WENZELL 80 mg
WENZELL 80 mg
DIOVAN 80 mg
VALSACOR 80 mg
AVASSAN 80 mg
VALSARTAN TORRENT 80 mg
VALSARTAN ZENTIVA 80 mg

VAPRESS 80 mg
VAPRESS 80 mg
DIOVAN 3 mg/ml
ATACAND
TANDESAR 16 mg
CANDESARTAN SANDOZ 16 mg

KARBIS 16 mg
CANDESARTAN TORRENT 16 mg

ATACAND 16mg
CANZENO 16mg
CANDESARTAN LABORMED 16 mg
CANDESARTAN AUROBINDO 16 mg

CADEXYL 16 mg
CANDESARTAN CILEXETIL MCC 16 mg

ATACAND 32 mg
KARBIS 32 mg
CANDESARTAN TORRENT 32 mg

forma farm.

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

concentratie

2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
320mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg

DETINATOR APP
SANOFI - AVENTIS ROMANIA S.R.L.

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

Prescriptie

NR.CRT

P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L

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

ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.

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

P-6L

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

P-6L

AC HELCOR PHARMA SRL

P-6L

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

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

ROMANIA CUTIE X 2 BLIST. X 14 COMPR.

P-6L

SANOFI - AVENTIS ROMANIA S.R.L.

ZENTIVA S.A.
AUROBINDO PHARMA (MALTA) LIMITED

MALTA

P-6L

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

P-6L

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L

TERAPIA SA
ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L
TERAPIA SA
ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. P6L
ROMASTRU TRADING S.R.L.
ROMASTRU TRADING S.R.L.

ROMANIA
ROMANIA

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

KRKA D.D. NOVO MESTO SLOVENIA

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

TERAPIA S.A.

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

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. OPA-AL-PVC/AL X 98 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.

P6L
P6L

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

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-PCTFE/AL X 28 COMPR. FILM.

P6L
P6L
P6L
P6L

ROMANIA
ROMANIA

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 28COMPR. FILM.

ROMASTRU TRADING S.R.L.

ROMASTRU TRADING S.R.L.

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L

KRKA D.D. NOVO MESTO SLOVENIA

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

TERAPIA S.A.

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

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
NOVARTIS PHARMA GMBH GERMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 98 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.

P6L
P6L

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

CUTIE X 1 FLACON DIN STICLA BRUNA X 160ML SOLUTIE ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PENTRU FLACON + 1 SERINGA DOZATOARE A 5ML + 1 MASURA DOZATOARE A 30ML )

ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.

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

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.

ASTRAZENECA AB
ZENTIVA K.S.

P6L

SUEDIA

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR. P-6L

REPUBLICA CEHA

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

LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

MAGISTRA C&C S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

ASTRAZENECA AB

SUEDIA

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

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.

Pagina 5 din 39

P6L

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

28
30
30
30
28
28
30
30
28
28
28
30
30
30
28
30
28
28
28
98
28
28
28
30
28
28
28
28
28
30
28
28
28
98
28
28
28
1
28
28
28
30
30
28
30
28
30
28
30
28
30
30

0.179570
0.172000
0.172000
0.172000
0.172142
0.206570
0.206570
0.206570
0.206570
0.206570
0.206570
0.206570
0.206570
0.206570
0.554692
0.554692
0.554692
0.534285
0.554692
0.462244
0.554692
0.554692
0.554692
1.129333
0.495856
0.495856
0.413214
0.413214
0.351306
0.351306
0.351306
0.351306
0.351306
0.292755
0.351306
0.351306
0.351306
41.420000
0.840000
0.840000
0.840000
0.840000
0.700000
0.840000
0.840000
0.840000
0.840000
0.840000
0.840000
0.723600
0.723600
0.603000

0.179570
0.172000
0.172000
0.172000
0.172142
0.206570
0.206570
0.206570
0.206570
0.206570
0.206570
0.206570
0.206570
0.206570
0.554692
0.554692
0.554692
0.534285
0.554692
0.462244
0.554692
0.554692
0.554692
1.129333
0.495856
0.495856
0.413214
0.413214
0.351306
0.351306
0.351306
0.351306
0.351306
0.292755
0.351306
0.351306
0.351306
41.420000
0.840000
0.840000
0.840000
0.840000
0.700000
0.840000
0.840000
0.840000
0.840000
0.840000
0.840000
0.723600
0.723600
0.603000

0.085072
0.000000
0.000000
0.000000
0.000000
0.041644
0.041430
0.041430
0.032715
0.175215
0.041644
0.041430
0.041430
0.041430
0.515665
0.515641
1.039236
0.000000
0.515665
0.000000
0.007093
0.217450
0.217450
0.000000
2.072358
1.083786
0.000000
0.000000
0.451551
0.451360
0.843694
0.086551
0.451551
0.000000
0.171551
0.034408
0.034408
0.000000
0.741785
0.222500
0.158928
0.222000
0.000000
0.741785
0.026000
0.222142
0.172333
0.222500
0.222000
1.505685
0.725400
0.000000

COD ATC

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

DCI

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

forma farm.

ATACAND 32 mg
CANZENO 32mg
CADEXYL 32 mg

COMPR.
COMPR.
COMPR.
CANDESARTAN CILEXETIL MCC 32 mg COMPR.
ATACAND
COMPR.
TANDESAR 8 mg
COMPR.
CANDESARTAN SANDOZ 8 mg COMPR.
KARBIS 8 mg
COMPR.
CANDESARTAN TORRENT 8 mg COMPR.
ATACAND 8mg
COMPR.
CANZENO 8mg
COMPR.
CANDESARTAN LABORMED 8 mg COMPR.
CANDESARTAN AUROBINDO 8 mg COMPR.
CADEXYL 8 mg
COMPR.
CANDESARTAN CILEXETIL MCC 8 mg COMPR.

concentratie

32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

DETINATOR APP

ASTRAZENECA AB
ZENTIVA K.S.

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

SUEDIA

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR. P-6L

REPUBLICA CEHA

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

NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

MAGISTRA C&C S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.

TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR.
SANDOZ SRL
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR.

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

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.

ASTRAZENECA AB
ZENTIVA K.S.

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR. P-6L

REPUBLICA CEHA

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

LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

P6L

SUEDIA

MALTA

P6L

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

NEOLA PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. P6L

MAGISTRA C&C S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

28
30
28
30
28
28
28
30
30
28
30
28
30
28
30

0.723600
0.723600
0.723600
0.723600
0.637200
0.531071
0.531071
0.531000
0.531000
0.637200
0.531000
0.531071
0.531000
0.531071
0.531000

0.723600
0.723600
0.723600
0.723600
0.637200
0.531071
0.531071
0.531000
0.531000
0.637200
0.531000
0.531071
0.531000
0.531071
0.531000

1.505685
0.239400
0.634257
0.725400
0.179942
0.000000
0.000000
0.000000
0.000000
0.179942
0.000000
0.000000
0.000000
0.000000
0.000000

30
20

0.226000
0.350000

0.226000
0.350000

0.000000
0.000000

30
30
28
28
28
28
28
28
28
30
30
30
30
30
90
28
28

9.342333
9.342333
0.460714
0.506570
0.506570
0.506570
0.506570
0.422142
0.506570
0.506570
0.506570
0.506570
0.506570
0.506570
0.506570
0.506570
0.506570

9.342333
9.342333
0.460714
0.506570
0.506570
0.506570
0.506570
0.422142
0.506570
0.506570
0.506570
0.506570
0.506570
0.506570
0.506570
0.506570
0.506570

0.000000
0.000000
0.000000
1.141287
0.039144
0.600215
0.112358
0.000000
0.600215
0.182096
0.599763
0.599763
0.412763
0.074430
0.055430
0.087358
1.141287

56 113.407142
56 1,190.124285

113.407142
1,190.124285

0.000000
0.000000

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

1
2

B01AA07
B01AA07

ACENOCUMAROLUM
ACENOCUMAROLUM

TROMBOSTOP 2 mg
SINTROM 4 mg

COMPR.
COMPR.

2mg
4mg

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

Tratamentul se iniiaz de ctre medicul n specialitatea cardiologie, chirurgie cardiovascular i chirurgie vascular.

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

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***

PLAVIX 300mg
PLAVIX 300mg
ZYLLT
PLAVIX 75mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CLOPIDOGREL MYLAN 75mg COMPR. FILM.
TROGRAN 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.
CLOPIDOGREL TERAPIA 75 mg COMPR. FILM.
DEPLATT 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
TROMBEX 75 mg
COMPR. FILM.
CLOPIDOGREL AUROBINDO 75 mg COMPR. FILM.
PLAVIX 75mg
COMPR. FILM.

300mg
300mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB

SANOFI CLIR SNC

FRANTA
FRANTA

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA)

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA/AL/PVC-AL X 28 COMPR. FILM. P-RF

FRANTA
FRANTA

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PVDC/AL) P-RF

MYLAN S.A.S.
GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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.

P-RF

SANOFI PHARMA - BRISTOL MYERS SQUIBB

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

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

ROMANIA
ROMANIA
TERAPIA S.A.
ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

GEDEON RICHTER ROMANIA SA

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

P-RF

DR. REDDY'S LABORATORIES

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

P-RF

ZENTIVA K.S.
ZENTIVA K.S.
AUROBINDO PHARMA (MALTA) LIMITED

SANOFI CLIR SNC

CEHIA
CEHIA
MALTA
FRANTA

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

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

PRF

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

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF

CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF

Tratamentul se iniiaz de ctre medicul n specialitatea cardiologie, chirurgie cardiovascular i chirurgie vascular.

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C i D - G4

1 FARA DASABUVIRUM****
EXVIERA 250mg
2 FARA OMBITASVIRUM+PARITAPREVIRUM+RITONAVIRUM**** VIEKIRAX

COMPR. FILM.
COMPR. FILM.

250 mg
12,5 mg+75 mg+50 mg

ABBVIE LTD.
ABBVIE LTD.
Pagina 6 din 39

MAREA BRITANIE

CUTIE X BLISTERE PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPRIMATE FILMATE (AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPRIMATE FILMATE)

MAREA BRITANIE

CUTIE X BLISTERE PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPRIMATE FILMATE(AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPRIMATE FILMATE)

PR
PR

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

COD ATC

J05AB04
J05AB04
J05AB04
J05AB04
J05AB04
J05AF05
J05AF05
J05AF07

DCI

Denumire Comerciala

RIBAVIRINUM****
RIBAVIRINUM****
RIBAVIRINUM****
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****

REBETOL 200 mg
COPEGUS 200mg
MODERIBA 200 mg
MODERIBA 400 mg
MODERIBA 600 mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
TENOFOVIRUM DISOPROXIL FUMARATE**** VIREAD 245mg

J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE**** TENOFOVIR DISOPROXIL TEVA 245 mg

J05AF07 TENOFOVIRUM DISOPROXIL FUMARATE**** TENOFOVIR DISOPROXIL TEVA 245 mg
J05AF08
J05AF10
J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01

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)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
ACCOFIL 30 MU/0,5 ml
ACCOFIL 30 MU/0,5 ml
ACCOFIL 48 MU/0,5 ml
ACCOFIL 48 MU/0,5 ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 48 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 g
PEGINTRON 100 g
PEGINTRON 120 g
PEGINTRON 120 g
PEGINTRON 150 g
PEGINTRON 150 g
PEGINTRON 50 g
PEGINTRON 50 g
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

concentratie

DETINATOR APP
MERCK SHARP & DOHME

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ.

200mg
200mg
200mg
400mg
600mg
100 mg
100mg
245mg
245mg
245mg
10mg
0,5mg
1mg
60MU/ml
96MU/ml
30MU/0,5 ml
30MU/0,5 ml
48MU/0,5 ml
48MU/0,5 ml
300g/0,5ml
300g/0,5ml
480g/0,5ml
480g/0,8ml
9Mui/0,5ml

SOL. INJ. PEN MULTIDOZA

18 milioane U.I. MERCK SHARP & DOHME

SOL. INJ. PEN MULTIDOZA

30 milioane U.I. MERCK SHARP & DOHME

CAPS.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR. FILM.
COMPR. FILM.
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA

TARA
DET. APP
MAREA BRITANIE

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

Prescriptie

NR.CRT

P-RF/R

ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R
ABBVIE LIMITED
MAREA BRITANIE CUTIE CU 1 FLAC. PEID X 168 COMPR. PRF

ABBVIE LIMITED
MAREA BRITANIE CUTIE CU 1 FLAC. PEID X 56 COMPR.
ABBVIE LIMITED
MAREA BRITANIE CUTIE CU 1 FLAC. PEID X 56 COMPR.
TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

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

PRF
PRF
P-RF/R
P-RF/R
P-RF/R

PR
PR

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA

GILEAD SCIENCE INTERNATIONAL LIMITED

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

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

TEVA PHARMACEUTICALS S.R.L.

CUTIE CU 1 FLAC. DIN PED CU CAPAC CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM.

CUTIE CU 1 FLAC. DIN PED CU PERETII NGROSATI CU CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM.

ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 5 SERINGI PREUMPLUTE CU 0,5 ML SOL. INJ.

PR
PR
PR
PR

HOSPIRA UK LIMITED

MAREA BRITANIE

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

P-RF

TEVA GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC

PR

HOSPIRA UK LIMITED

MAREA BRITANIE

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

P-RF

TEVA GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC

ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 5 SERINGI PREUMPLUTE CU 0,5 ML SOL. INJ.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ.

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

PR
PR

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

ROCHE ROMANIA S.R.L. ROMANIA

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT

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. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT

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. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT

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. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT

PULB. + SOLV. PT. SOL. INJ.

100g
100g
120g
120g
150g
150g
50g
50g

MERCK SHARP & DOHME

MAREA BRITANIE

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

PR
PR
PR
PR
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.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

P-6L

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

140
168
168
56
56
30
28
30
30
30
30
30
30
1
1
1
5
1
5
5
1
5
1
1
1
1
1
1
1
1
1
1
1
1
1
50

2.333071
1.949464
2.339356
10.544464
13.558214
2.836666
3.403999
32.970399
27.475333
27.475333
41.273333
57.113666
61.447000
110.870000
163.380000
101.990000
92.674000
150.280000
136.150000
106.198000
111.208800
162.800000
163.380000
178.400000
390.310000
604.410000
674.210000
674.210000
794.880000
794.880000
975.890000
975.890000
370.000000
370.000000
781.040000
0.354400

2.333071
1.949464
2.339356
10.544464
13.558214
2.836666
3.403999
32.970399
27.475333
27.475333
41.273333
57.113666
61.447000
110.870000
163.380000
101.990000
92.674000
150.280000
136.150000
106.198000
111.208800
162.800000
163.380000
178.400000
390.310000
604.410000
674.210000
674.210000
794.880000
794.880000
975.890000
975.890000
370.000000
370.000000
781.040000
0.354400

0.000000
0.000000
2.867489
0.000000
0.000000
0.000000
0.959572
8.027267
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
7.000000
0.000000
0.000000
0.000000
0.000000
0.000000
8.351200
0.000000
7.460000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

50
20
1
1
1
100
100
100

0.543200
1.234000
20.480000
8.810000
31.020000
0.702300
0.702300
0.788900

0.543200
1.234000
20.480000
8.810000
31.020000
0.702300
0.702300
0.788900

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

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

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04

L04AX01
L04AX01
L04AX01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM

MEDROL A 16
MEDROL 32
SOLU - MEDROL ACT-O-VIAL

LEMOD SOLU 125 mg

LEMOD SOLU 500 mg
IMURAN
IMURAN
IMMUNOPRIN 75 mg

COMPR.
COMPR.
LIOF. SI SOLV.PT.SOL.INJ
PULB+SOLV. PT. SOL. INJ./PERF.
PULB+SOLV. PT. SOL. INJ./PERF.

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

16mg
32mg
250mg/4ml
125mg
500mg
50mg
50mg
75mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

P-RF

STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

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

S/P-RF

ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

ASPEN PHARMA TRADING LIMITED

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

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

Pagina 7 din 39

IRLANDA
AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

DCI

COD ATC

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
1
2
3
4
5

A05AA02
A05AA02
A05AA02
A05AA02
A05AA02

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOROM 250 mg
URSOFALK 500 mg
URSOFALK 250 mg/5 ml

CAPS.
CAPS.
CAPS.
COMPR. FILM.
SUSP. ORALA

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

LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
COMPR. FILM.
COMPR. FILM.

66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
200mg
200mg
200mg/10ml
40mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
50mg
250 mg

DR. FALK PHARMA GMBH

100
50
ROMANIA CUTIE CU 4 BLIST. PVC/AL X 15 CAPS. P6L
60
GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100
GERMANIA
P6L
1

ABBOTT HEALTHCARE PRODUCTS B.V.

OLANDA

DR. FALK PHARMA GMBH GERMANIA

DR. FALK PHARMA GMBH GERMANIA
ROMPHARM COMPANY S.R.L.

DR. FALK PHARMA GMBH

0.946200
0.946200
0.788500
2.681700
97.490000

0.946200
0.946200
0.788500
2.681700
97.490000

0.206200
0.267200
0.000000
0.000000
0.000000

1 10.750000
1 10.800000
P-6L
1
3.590000
P-6L
1 17.230000
P-6L
1 33.340000
CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L
1
6.730000
CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF
12
2.625833
CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM. P-RF
36
2.413333
P-RF
1 19.810000
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
0.156500
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
0.156500
CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L
20
0.187800
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
0.157000
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
0.187800
CUTIE X 2 BLIST. X 10 COMPR.
P-6L
20
0.187800
CUTIE X 3 BLIST. DIN PVC/AL X 10 COMPRIMATE P-6L
30
0.157666
CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ.
P-RF
5
1.260000
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
0.753000
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L
50
0.258000
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
0.258000
CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L
30
0.441666
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L
30
0.529999
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L
20
0.222500
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
50
0.258000
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
0.215000
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
20
0.529999
PR
56 113.407142
PR
56 1,190.124285
CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140
6.248214
CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168
6.248214
CUTIE CU 1 FLAC. PEID X 168 COMPR. PRF 168
5.206845
CUTIE CU 1 FLAC. PEID X 56 COMPR. PRF
56 10.544464
CUTIE CU 1 FLAC. PEID X 56 COMPR. PRF
56 13.558214
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF/R
30
2.836666
CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R
28
3.403999
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R
30 41.273333
CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R
30 57.113666

10.750000
10.800000
3.590000
17.230000
33.340000
6.730000
2.625833
2.413333
19.810000
0.156500
0.156500
0.187800
0.157000
0.187800
0.187800
0.157666
1.260000
0.753000
0.258000
0.258000
0.441666
0.529999
0.222500
0.258000
0.215000
0.529999
113.407142
1,190.124285
6.248214
6.248214
5.206845
10.544464
13.558214
2.836666
3.403999
41.273333
57.113666

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.125200
0.000000
0.125200
0.083200
0.000000
0.000000
0.000000
0.075400
0.078333
0.000000
0.032001
0.000000
0.111800
0.000000
0.157001
0.000000
0.000000
1.633857
1.549643
0.000000
0.000000
0.000000
0.000000
0.959572
0.000000
0.000000

CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L

CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L

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

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

7. CIROZA HEPATICA - G7
1 A06AD11 LACTULOSUM
2 A06AD11 LACTULOSUM
3 A06AD11 LACTULOSUM
4 A06AD11 LACTULOSUM
5 A06AD11 LACTULOSUM
6 A06AD11 LACTULOSUM
7 A07AA11 RIFAXIMINUM
8 A07AA11 RIFAXIMINUM
9 A07AA11 RIFAXIMINUM
10 C03CA01 FUROSEMIDUM
11 C03CA01 FUROSEMIDUM
12 C03CA01 FUROSEMIDUM
13 C03CA01 FUROSEMIDUM
14 C03CA01 FUROSEMIDUM
15 C03CA01 FUROSEMIDUM
16 C03CA01 FUROSEMIDUM
17 C03CA01 FUROSEMIDUM
18 C03DA01 SPIRONOLACTONUM
19 C03DA01 SPIRONOLACTONUM
20 C03DA01 SPIRONOLACTONUM
21 C03DA01 SPIRONOLACTONUM
22 C03DA01 SPIRONOLACTONUM
23 C03DA01 SPIRONOLACTONUM
24 C03DA01 SPIRONOLACTONUM
25 C03DA01 SPIRONOLACTONUM
26 C03DA01 SPIRONOLACTONUM
27 FARA DASABUVIRUM****
28 FARA OMBITASVIRUM+PARITAPREVIRUM+RITONAVIRUM****
29 J05AB04 RIBAVIRINUM****
30 J05AB04 RIBAVIRINUM****
31 J05AB04 RIBAVIRINUM****
32 J05AB04 RIBAVIRINUM****
33 J05AB04 RIBAVIRINUM****
34 J05AF05 LAMIVUDINUM****
35 J05AF05 LAMIVUDINUM****
36 J05AF08 ADEFOVIRUM DIPIVOXILUM****
37 J05AF10 ENTECAVIRUM****

DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
NORMIX 200 mg
NORMIX 200 mg
NORMIX 200mg/10ml
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID BIOEEL 40 mg
FUROSEMID LPH 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON

GRAN. PT. SUSP. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
SOL. INJ.
CAPS.
SPIRONOLACTONA ARENA 25 mg CAPS.
SPIRONOLACTONA LPH 25 mg CAPS.
VEROSPIRON
CAPS.
SPIRONOLACTONA ARENA 50 mg CAPS.
SPIRONOLACTONA BIOEEL 25 mg COMPR.
SPIRONOLACTONA TERAPIA 25 mg COMPR. FILM.
ALSPIRON 25 mg
COMPR. FILM.
ALSPIRON 50 mg
COMPR. FILM.
EXVIERA 250mg
COMPR. FILM.
VIEKIRAX
COMPR. FILM.
REBETOL 200 mg
CAPS.
COPEGUS 200mg
COMPR. FILM.
MODERIBA 200 mg
COMPR. FILM.
MODERIBA 400 mg
COMPR. FILM.
MODERIBA 600 mg
COMPR. FILM.
LAMIVUDINE TEVA 100 mg COMPR. FILM.
ZEFFIX 100 mg
COMPR. FILM.
HEPSERA
COMPR.
BARACLUDE 0,5mg
COMPR. FILM.

12,5 mg+75 mg+50 mg

200mg
200mg
200mg
400mg
600mg
100 mg
100mg
10mg
0,5mg

FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML

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

MIP PHARMA GMBH

MIP PHARMA GMBH

GERMANIA

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

GERMANIA

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

ROMPHARM COMPANY SRL

ROMANIA

ALFA WASSERMANN SPA

ITALIA
ITALIA
ITALIA

ALFA WASSERMANN SPA

ALFA WASSERMANN SPA

MAGISTRA C&C S.R.L. ROMANIA

SLAVIA PHARM SRL ROMANIA
ZENTIVA SA
ROMANIA
LABORMED PHARMA SA ROMANIA
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA
LABORMED PHARMA SA 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
TERAPIA SA
ROMANIA
AC HELCOR PHARMA SRL ROMANIA
AC HELCOR PHARMA SRL ROMANIA

ABBVIE LTD.
ABBVIE LTD.
MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X BLISTERE PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPRIMATE FILMATE (AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPRIMATE FILMATE)

MAREA BRITANIE

CUTIE X BLISTERE PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPRIMATE FILMATE(AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPRIMATE FILMATE)

MAREA BRITANIE

ROCHE ROMANIA SRL ROMANIA

ABBVIE LIMITED
MAREA BRITANIE
ABBVIE LIMITED
MAREA BRITANIE
ABBVIE LIMITED
MAREA BRITANIE
TEVA PHARMA B.V. OLANDA
GLAXO GROUP LTD. MAREA BRITANIE
GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

BRISTOL-MYERS SQUIBB PHARMA EEIG

MAREA BRITANIE

Pagina 8 din 39

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

P6L

P-6L

38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61

COD ATC

J05AF10
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AB04
L03AB05
L03AB05
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB10
L03AB11
N04BB01

DCI

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)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

BARACLUDE 1mg
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml
ACCOFIL 30 MU/0,5 ml
ACCOFIL 30 MU/0,5 ml
ACCOFIL 48 MU/0,5 ml
ACCOFIL 48 MU/0,5 ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 48 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 g
PEGINTRON 100 g
PEGINTRON 120 g
PEGINTRON 120 g
PEGINTRON 150 g
PEGINTRON 150 g
PEGINTRON 50 g
PEGINTRON 50 g
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

COMPR. FILM.

concentratie

DETINATOR APP

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ.

1mg
60MU/ml
96MU/ml
30MU/0,5 ml
30MU/0,5 ml
48MU/0,5 ml
48MU/0,5 ml
300g/0,5ml
300g/0,5ml
480g/0,5ml
480g/0,8ml
9Mui/0,5ml

SOL. INJ. PEN MULTIDOZA

18 milioane U.I. MERCK SHARP & DOHME

SOL. INJ. PEN MULTIDOZA

30 milioane U.I. MERCK SHARP & DOHME

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

BRISTOL-MYERS SQUIBB PHARMA EEIG

MAREA BRITANIE

CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA)

P-RF/R

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

ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 5 SERINGI PREUMPLUTE CU 0,5 ML SOL. INJ.

PR
PR
PR
PR

HOSPIRA UK LIMITED

MAREA BRITANIE

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

P-RF

TEVA GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC

PR

HOSPIRA UK LIMITED

MAREA BRITANIE

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

P-RF

TEVA GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC

ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 5 SERINGI PREUMPLUTE CU 0,5 ML SOL. INJ.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ.

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

PR
PR

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

ROCHE ROMANIA S.R.L. ROMANIA

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT

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. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT

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. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT

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. + 1 SERINGA + 2 ACE + 1 TAMPON DEZINFECTANT

PULB. + SOLV. PT. SOL. INJ.

100g
100g
120g
120g
150g
150g
50g
50g

MERCK SHARP & DOHME

MAREA BRITANIE

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

PR
PR
PR
PR
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.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SOL. INJ.

P-6L

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

30
1
1
1
5
1
5
5
1
5
1
1
1
1
1
1
1
1
1
1
1
1
1
50

61.447000
110.870000
163.380000
101.990000
92.674000
150.280000
136.150000
106.198000
111.208800
162.800000
163.380000
178.400000
390.310000
604.410000
674.210000
674.210000
794.880000
794.880000
975.890000
975.890000
370.000000
370.000000
781.040000
0.354400

61.447000
110.870000
163.380000
101.990000
92.674000
150.280000
136.150000
106.198000
111.208800
162.800000
163.380000
178.400000
390.310000
604.410000
674.210000
674.210000
794.880000
794.880000
975.890000
975.890000
370.000000
370.000000
781.040000
0.354400

0.000000
0.000000
7.000000
0.000000
0.000000
0.000000
0.000000
0.000000
8.351200
0.000000
7.460000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

10
10
5
5
5
5
10
10
10
10
10
10
5
5
5
1
1
6
6
1
6
1

1.975000
3.345000
9.078000
4.936000
9.074000
4.936000
11.747000
12.136000
14.096400
14.096400
24.501000
28.198000
14.580000
33.974000
28.870000
288.130000
329.720000
21.785000
45.386666
488.460000
68.290000
912.804000

1.975000
3.345000
9.078000
4.936000
9.074000
4.936000
11.747000
12.136000
14.096400
14.096400
24.501000
28.198000
14.580000
33.974000
28.870000
288.130000
329.720000
21.785000
45.386666
488.460000
68.290000
912.804000

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
4.408600
3.092600
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
99.806000

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

A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA01
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA02
A04AA05
A04AA05
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01

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***

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.
GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ.
GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ.
GRANISETRON KABI 1 mg/ml SOL. INJ.

ALOXI 500mcg
ALOXI
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml

CAPS. MOI
SOL. 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

4mg
8mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
1mg
1mg
1mg
1mg
2mg
2mg
1mg/1ml
3mg/3ml
1mg/ml
500mcg
250 mcg/5ml
1000UI/0,5ml
2000UI/1,0ml

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-RF

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

P-RF

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P-RF

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.

S/P-RF

MAREA BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

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

EGIS PHARMACEUTICALS P.L.C.

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

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

DR. REDDY'S LABORATORIES

DR. REDDY'S LABORATORIES
DR. REDDY'S LABORATORIES

CIPLA (UK) LIMITED

CIPLA (UK) LIMITED

DR. REDDY'S LABORATORIES

ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF
ACTAVIS GROUP PTC EHF.

ISLANDA

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

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

TEVA PHARMACEUTICALS S.R.L.

TEVA PHARMACEUTICALS S.R.L.

FRESENIUS KABI ROMANIA SRL

HELSINN BIREX PHARMACEUTICALS LTD.
HELSINN BIREX PHARMACEUTICALS LTD.

IRLANDA
IRLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

SANDOZ GMBH
SANDOZ GMBH
30000UI/0,75ml SANDOZ GMBH
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA
Pagina 9 din 39

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 3 ML SOL. INJ.

S
S
PR

CUTIE X BLISTER DIN POLIAMIDA/AL/PVC X 1 CAPSULA MOALE

PRF

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.

CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 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 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

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74

COD ATC

B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
G03HA01

H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02
H02AB02

J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04

J02AX04

DCI

EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM ZETA***
EPOETINUM ZETA***
EPOETINUM ZETA***
EPOETINUM ZETA***
EPOETINUM ZETA***
EPOETINUM ZETA***
EPOETINUM ZETA***
EPOETINUM ZETA***
EPOETINUM ZETA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**

Denumire Comerciala

BINOCRIT 40000 UI/1 ml

BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6ml
NEORECORMON 2000UI/0,3ml
NEORECORMON 30000UI/0,6ml
NEORECORMON 4000UI/0,3ml
NEORECORMON 5000UI/0,3ml

RETACRIT 10000UI/1,0ml
RETACRIT 2000UI/0,6ml
RETACRIT 30000UI/0,75ml
RETACRIT 3000UI/0,9ml
RETACRIT 40000UI/1,0ml
RETACRIT 4000UI/0,4ml
RETACRIT 5000UI/0,5ml
RETACRIT 6000UI/0,6ml
RETACRIT 8000UI/0,8ml
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

forma farm.

concentratie
DETINATOR APP
40000 UI/1 ml SANDOZ GMBH

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

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

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,4ml SANDOZ GMBH

5000UI/0,5ml SANDOZ GMBH

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

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

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

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.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

10000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE

2000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE
30000UI/0,75ml HOSPIRA UK LIMITED MAREA BRITANIE
3000UI/0,9ml HOSPIRA UK LIMITED MAREA BRITANIE
40000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE
4000UI/0,4ml HOSPIRA UK LIMITED MAREA BRITANIE
5000UI/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE
6000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE
8000UI/0,8ml HOSPIRA UK LIMITED MAREA BRITANIE
100mcg/0,5ml AMGEN EUROPE BV OLANDA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

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.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.
4mg/ml
ROMPHARM COMPANY S.R.L.
8mg
E.I.P.I.CO. MED S.R.L.
8mg
E.I.P.I.CO. MED S.R.L.
8mg/2ml
MEDOCHEMIE LTD.
100mg
JANSSEN PHARMACEUTICA N.V.
100mg
SLAVIA PHARM SRL
100mg
MEDICO UNO PHARMACEUTICAL SRL
100mg
ROMPHARM COMPANY SRL
100mg
ARENA GROUP S.A.
100mg
PHARMASWISS CESKA REPUBLIKA S.R.O.
200mg
PFIZER LIMITED
50mg
PFIZER LIMITED
200mg
PFIZER LIMITED
40mg/ml
PFIZER LIMITED
100mg
MERCK SHARP & DOHME LTD.
40mg/ml
MERCK SHARP & DOHME
50mg
MERCK SHARP & DOHME

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
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
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

COMPR.
COMPR.
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.
DEXAMETAZONA ROMPHARM 4 mg/ml SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
MICOGAL 100 mg
CAPS.
ITRACONAZOL ARENA 100 mg CAPS.
OMICRAL 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 100mg
CAPS. GASTROREZ.
NOXAFIL 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
PULB. PT. CONC. PT. SOL. PERF.

4000UI/0,3ml
5000UI/0,3ml

Pagina 10 din 39

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ.

PR
PR
PR
PR
PR
PR
PR
PR
PR

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 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

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ.

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ.
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ.
CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF

ROMANIA CUTIE CU 10 BLISTERE X 10 COMPRIMATE

ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMANIA CUTIE CU UN SUPORT CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMANIA CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ROMANIA CUTIE CU 25 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ROMANIA CUTIE CU 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.
ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

PRF
PRF
PRF
PRF
PRF
PRF
PRF
P-RF
P-RF

CIPRU
BELGIA

CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF

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

P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

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

P-RF
P-RF

CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF

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

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

P-RF

P-RF

MAREA BRITANIE

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

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

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

REPUBLICA CEHA

MAREA BRITANIE

P-RF

P-RF

P-RF

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR

MAREA BRITANIE

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

PR

MAREA BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

MAREA BRITANIE

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

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

1
6
6
6
6
1
6
6
1
1
1
1
1
1
1
1
1
4
4
4
4
1
4
4
1
4
4
4
50
100
10
25
100
10
25
100
100
5
10
15
15
15
15
15
15
28
28
1
1
24
1
1

760.670000
87.998333
107.725000
280.040000
59.898333
999.550000
108.236666
154.340000
228.050000
51.940000
533.260000
73.980000
693.880000
98.650000
123.300000
140.320000
196.010000
647.495000
78.342500
962.400000
143.647500
1,960.260000

206.655000
269.612500
3,219.860000

321.740000
395.560000
521.557500
2.250800
0.190800
0.832000
0.816800
0.736400
1.387000
1.327200
1.246200
1.256100
1.380000
1.425000
2.573599
2.144666
2.144666
2.144666
2.144666
2.144666
132.002857
36.496071
512.920000
2,266.130000

147.492083
2,660.080000
1,396.750000

760.670000
87.998333
107.725000
280.040000
59.898333
999.550000
108.236666
154.340000
228.050000
51.940000
533.260000
73.980000
693.880000
98.650000
123.300000
140.320000
196.010000
647.495000
78.342500
962.400000
143.647500
1,960.260000
206.655000
269.612500
3,219.860000
321.740000
395.560000
521.557500
2.250800
0.190800
0.832000
0.816800
0.736400
1.387000
1.327200
1.246200
1.256100
1.380000
1.425000
2.573599
2.144666
2.144666
2.144666
2.144666
2.144666
132.002857
36.496071
512.920000
2,266.130000
147.492083
2,660.080000
1,396.750000

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.620401
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

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

J02AX04
L01XX35
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA01
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05
N02AA05

100 N02AA05
101 N02AA05
102 N02AA05
103 N02AA05
104 N02AA05
105 N02AA05
106 N02AA05
107 N02AA05
108 N02AA05
109 N02AA05
110 N02AA05
111 N02AA08
112 N02AA08
113 N02AA08
114 N02AB02
115 N02AB03
116 N02AB03
117 N02AB03
118 N02AB03
119 N02AB03
120 N02AB03
121 N02AB03
122 N02AB03
123 N02AB03
124 N02AB03
125 N02AB03
126 N02AB03

DCI

CASPOFUNGINUM**
ANAGRELIDUM***
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
MORPHYNUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
OXYCODONUM
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
PETHIDINUM
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**

Denumire Comerciala

CANCIDAS 70 mg
THROMBOREDUCTIN 0,5 mg
EQUORAL 100 mg
SANDIMMUN NEORAL (R)
EQUORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL 50 mg
MST CONTINUS 100 mg
MST CONTINUS 10 mg
MST CONTINUS 200 mg
MST CONTINUS 30 mg
MST CONTINUS 60 mg
SEVREDOL 10 mg
SEVREDOL 20 mg
VENDAL (R) RETARD 100 mg
VENDAL (R) RETARD 30 mg
VENDAL (R) RETARD 60 mg

forma farm.
PULB. PT. CONC. PT. SOL. PERF.

CAPS.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.
COMPR. ELIB. MODIF.

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

MORFINA ZENTIVA 20 mg/ml SOL. INJ.

concentratie

70mg
0,5mg
100mg
25mg
25mg
50mg
50mg
100mg
10mg
200mg
30mg
60mg
10mg
20mg
100mg
30mg
60mg
20mg/ml
10 mg
20 mg
40 mg
80mg
10mg
20mg
20mg
40mg
40mg
80mg
80mg
10mg
20mg
40mg
40mg
60mg
80mg
80mg
120mg
60mg
90mg
50mg/ml

DETINATOR APP
MERCK SHARP & DOHME
AOP ORPHAN PHARMACEUTICALS AG

TEVA CZECH INDUSTRIES S.R.O.

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 GES.M.B.H
MUNDIPHARMA GES.M.B.H
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.

ZENTIVA S.A.

OXYCONTIN 10 mg
OXYCONTIN 20 mg
OXYCONTIN 40 mg
OXYCONTIN 80 mg
RELTEBON 10 mg
RELTEBON 20 mg

COMPR. CU ELIB. MODIF.

CLORHIDRAT DE OXICODONA TORRENT 20 mg

COMPR. CU ELIB. PREL.

RELTEBON 40 mg

COMPR. CU ELIB. PREL.

CLORHIDRAT DE OXICODONA TORRENT 40 mg

COMPR. CU ELIB. PREL.

RELTEBON 80 mg

COMPR. CU ELIB. PREL.

CLORHIDRAT DE OXICODONA TORRENT 80 mg

COMPR. CU ELIB. PREL.

OXIDOLOR 10 mg
OXIDOLOR 20 mg
OXIDOLOR 40 mg
OXICODONA SANDOZ 40 mg
OXICODONA SANDOZ 60 mg
OXIDOLOR 80 mg
OXICODONA SANDOZ 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
MIALGIN (R) 100 mg/2 ml
LUNALDIN 100 micrograme
LUNALDIN 200 micrograme
LUNALDIN 300 micrograme
LUNALDIN 400 micrograme
LUNALDIN 600 micrograme
LUNALDIN 800 micrograme

COMPR. ELIB. PREL.

COMPR. SUBLING.
COMPR. SUBLING.
COMPR. SUBLING.
COMPR. SUBLING.
COMPR. SUBLING.
COMPR. SUBLING.

100micrograme GEDEON RICHTER PLC.

FENTANYL TTS SANDOZ 100 mcg/h

PLASTURE TRANSDERMIC

100mcg/h

COMPR. CU ELIB. MODIF.

COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.

COMPR. CU ELIB. PREL.

COMPR. CU 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.

SOL. INJ.

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H
ACTAVIS GROUP PTC EHF.

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

AUSTRIA CUTIE CU 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 60 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
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

S
PR
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

PS
PS
PS
PS
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/PET/HARTIE X 60 COMPR. CU 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/PET/HARTIE X 60 COMPR. CU 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/PET/HARTIE X 60 COMPR. CU 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.

P-TS

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA
AUSTRIA
AUSTRIA

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

P-TS

SANDOZ S.R.L.
SANDOZ S.R.L.

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.

MUNDIPHARMA GES.M.B.H

AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL.

TORRENT PHARMA SRL ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

TORRENT PHARMA SRL ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

TORRENT PHARMA SRL ROMANIA

LANNACHER HEILMITTEL GES.M.B.H.
LANNACHER HEILMITTEL GES.M.B.H.

MUNDIPHARMA GES.M.B.H
MUNDIPHARMA GES.M.B.H

ZENTIVA SA

300micrograme GEDEON RICHTER PLC.

400micrograme GEDEON RICHTER PLC.
600micrograme GEDEON RICHTER PLC.
800micrograme GEDEON RICHTER PLC.

SANDOZ S.R.L.

FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h ACTAVIS GROUP PTC EHF.
PLASTURE TRANSDERMIC 100micrograme/ora

MAREA BRITANIE

CUTIE CU BLIST. CU INCHIDERE SECURIZATA PT. COPII DIN PVC/PVDC/AL/PET/HARTIE X 60 COMPR. ELIB. PREL.

ACTAVIS GROUP PTC EHF.

200micrograme GEDEON RICHTER PLC.

ALGOGESIC 100 micrograme/ora

TARA
DET. APP

Prescriptie

NR.CRT

ZENTIVA K.S.

DOLFORIN 100 g/ORA

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 25 mcg/h

PLASTURE TRANSDERMIC

100g/ora
25mcg/h

FENTANYL ACTAVIS 25micrograme/h

PLASTURE TRANSDERMIC

25micrograme/h ACTAVIS GROUP PTC EHF.

GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.

Pagina 11 din 39

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
PS

ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML

UNGARIA
UNGARIA
UNGARIA
UNGARIA
UNGARIA
UNGARIA
ROMANIA CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS
PS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

PS

CUTIE CU BLIST. SECURIZATE PT. COPII OPA/AL/PVC-HARTIE/POLIESTER/AL X 10 COMPR. SUBLINGUALE

PRF

CUTIE CU BLIST. SECURIZATE PT. COPII OPA/AL/PVC-HARTIE/POLIESTER/AL X 10 COMPR. SUBLINGUALE

PRF

CUTIE CU BLIST. SECURIZATE PT. COPII OPA/AL/PVC-HARTIE/POLIESTER/AL X 10 COMPR. SUBLINGUALE

PRF

CUTIE CU BLIST. SECURIZATE PT. COPII OPA/AL/PVC-HARTIE/POLIESTER/AL X 10 COMPR. SUBLINGUALE

PRF

CUTIE CU BLIST. SECURIZATE PT. COPII OPA/AL/PVC-HARTIE/POLIESTER/AL X 10 COMPR. SUBLINGUALE

PRF

CUTIE CU BLIST. SECURIZATE PT. COPII OPA/AL/PVC-HARTIE/POLIESTER/AL X 10 COMPR. SUBLINGUALE

ROMANIA
ROMANIA

ISLANDA

PRF
P-TS

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

1 1,801.340000
100 14.483900
50
6.232400
50
1.784400
50
1.487000
50
3.040560
50
2.533800
60
2.910799
60
0.626333
60
6.769666
60
0.925599
60
1.944000
60
0.751599
60
1.219500
30
2.425666
30
0.771333
30
1.620000
5
1.720000
60
0.815599
60
1.440199
60
2.331999
60
3.964399
60
0.679666
60
1.200166
60
1.200166
60
1.943333
60
1.943333
60
3.303666
60
3.304000
60
0.679666
60
1.200166
60
1.943333
20
2.046000
20
7.230000
60
3.303666
20
3.546500
56
2.159107
56
0.543750
56
1.462142
5
1.942000
10 29.404000
10 27.380000
10 27.968000
10 27.968000
10 27.968000
10 27.968000
5 31.884000
5 26.570000
5 31.884000
5 31.884000
5 10.538400
5
8.782000

1,801.340000
14.483900
6.232400
1.784400
1.487000
3.040560
2.533800
2.910799
0.626333
6.769666
0.925599
1.944000
0.751599
1.219500
2.425666
0.771333
1.620000
1.720000
0.815599
1.440199
2.331999
3.964399
0.679666
1.200166
1.200166
1.943333
1.943333
3.303666
3.304000
0.679666
1.200166
1.943333
2.046000
7.230000
3.303666
3.546500
2.159107
0.543750
1.462142
1.942000
29.404000
27.380000
27.968000
27.968000
27.968000
27.968000
31.884000
26.570000
31.884000
31.884000
10.538400
8.782000

0.000000
0.000000
0.000000
0.574000
0.000000
0.788040
0.000000
0.628367
0.000000
0.000000
0.184234
0.300333
0.114734
0.000000
0.000000
0.000000
0.000000
0.000000
0.230234
0.406134
0.503334
1.118434
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
2.056000
0.000000
7.800000
7.800000
1.231600
0.000000

DCI

COD ATC

127 N02AB03
128 N02AB03
129 N02AB03
130 N02AB03
131 N02AB03
132 N02AB03
133 N02AB03
134 N02AB03
135 N02AB03
136 N02AX02
137 N02AX02
138 N02AX02
139 N02AX02
140 N02AX02
141 N02AX02
142 N02AX02
143 N02AX02
144 N02AX02
145 N02AX02
146 N02AX02
147 N02AX02
148 N02AX02
149 N02AX02
150 N02AX02
151 N02AX02
152 N02AX02
153 N02AX02
154 N02AX02
155 N02AX02
156 N02AX02
157 N02AX02
158 N02AX02
159 N02AX02
160 N02AX02
161 N02AX02
162 N02AX02
163 N02AX02
164 N02AX02
165 N02AX02
166 N02AX02
167 N02AX02
168 N02AX02
169 N02AX02
170 N07BC02
171 N07BC02
172 N07BC02
173 N07BC02
174 R05DA04
175 R05DA04
176 R05DA04
177 R05DA04
178 R05DA04

FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
METHADONUM
METHADONUM
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

ZENTIVA K.S.

ALGOGESIC 25 micrograme/ora

PLASTURE TRANSDERMIC 25micrograme/ora

DOLFORIN 25 g/ORA

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 50 mcg/h

PLASTURE TRANSDERMIC

25g/ora
50mcg/h

FENTANYL ACTAVIS 50micrograme/h

PLASTURE TRANSDERMIC

50micrograme/h ACTAVIS GROUP PTC EHF.

ALGOGESIC 50 micrograme/ora

PLASTURE TRANSDERMIC 50micrograme/ora

DOLFORIN 50 g/ORA

PLASTURE TRANSDERMIC

FENTANYL TTS SANDOZ 75 mcg/h

PLASTURE TRANSDERMIC

ALGOGESIC 75 micrograme/ora

PLASTURE TRANSDERMIC 75micrograme/ora

DOLFORIN 75 g/ORA
TRAMADOL
K-ALMA (R)
TRAMADOL ARENA
TRAMACALM
TRAMADOL ZENTIVA 50 mg
TRAMAG 50
TRAMADOL EEL
TRAMADOL RETARD 100 mg

PLASTURE TRANSDERMIC

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

TRAMADOL SR ZENTIVA 100 mg COMPR. ELIB. PREL.

MABRON RETARD 100 mg

MABRON RETARD 100 mg
MABRON RETARD 100 mg
MABRON RETARD 100 mg
TRADOLAN RETARD 150 mg

COMPR. ELIB. PREL.

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

TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL.

MABRON RETARD 150 mg

MABRON RETARD 150 mg
MABRON RETARD 150 mg
MABRON RETARD 150 mg
TRADOLAN RETARD 200 mg
MABRON RETARD 200 mg
MABRON RETARD 200 mg
MABRON RETARD 200 mg
MABRON RETARD 200 mg
TRADOLAN 50 mg
TRAMADOL RETARD 150 mg
TRAMADOL RETARD 200 mg
TRAMADOL ZENTIVA 50 mg
TRAMADOL ZENTIVA 50 mg
MABRON
MABRON
TRAMADOL
TRAMADOL
TRAMADOL
SINTALGON 2,5 mg
METADON BIOEEL 5 mg
MISYO 10 mg/ml
MISYO 10 mg/ml
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT

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

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
CONC. PT. SOL. ORALA
CONC. PT. SOL. ORALA

COMPR.
COMPR.
COMPR.
COMPR.
CODEINA FOSFAT LPH 15 mg COMPR.

50g/ora
75mcg/h
75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
200mg
200mg
200mg
200mg
50mg
150mg
200mg
50mg
50mg
100mg
100mg
50mg/ml
50mg/ml
100mg
2,5mg
5mg
10mg/ml
10mg/ml
15mg
15mg
15mg
15mg
15mg

GEDEON RICHTER ROMANIA SA

SANDOZ S.R.L.
ZENTIVA K.S.
GEDEON RICHTER ROMANIA SA

TARA
DET. APP
REPUBLICA CEHA

ROMANIA
ROMANIA

AMBALAJ

Prescriptie

NR.CRT

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS
PS

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

CUTIE X 5 PLIC DIN HARTIE/PE/AL/PE X 1 PLASTURE TRANSDERMIC

P-TS

ROMANIA
ROMANIA

SANDOZ S.R.L.
ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC

P-TS

KRKA D.D.
SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

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

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

P-RF

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

ZENTIVA A.S.
MAGISTRA C & C
BIO EEL SRL

P-RF
P-RF

P-RF
P-RF
P-RF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF

ZENTIVA AS
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
LANNACHER HEILMITTEL GES.M.B.H.

ZENTIVA AS
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
LANNACHER HEILMITTEL GES.M.B.H.

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
LANNACHER HEILMITTEL GES.M.B.H.

SLOVACIA

CIPRU
CIPRU
CIPRU
CIPRU
AUSTRIA
SLOVACIA

CIPRU
CIPRU
CIPRU
CIPRU
AUSTRIA
CIPRU
CIPRU
CIPRU
CIPRU
AUSTRIA

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

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

PRF

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

PRF

CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

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

PRF

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

PRF

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

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

PRF

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

PRF

CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

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

PRF

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

PRF

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

PRF

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

PRF

CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

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

PRF

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

KRKA D.D. NOVO MESTO SLOVENIA

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

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

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

P-RF

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

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

ZENTIVA, A.S.
ZENTIVA, A.S.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
KRKA D.D.
KRKA D.D.
KRKA D.D.
ZENTIVA S.A.
BIO EEL SRL
INN-FARM D.O.O.
INN-FARM D.O.O.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL

CIPRU
CIPRU

SLOVENIA CUTIE X 5 FIOLE X 1 ML

SLOVENIA CUTIE X 5 FIOLE X 2 ML
SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

S/P-RF

P-RF

P-TS

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

P-TS

SLOVENIA
SLOVENIA

PS
PS

ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA SA ROMANIA

Pagina 12 din 39

S/P-RF

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 CU SIGILIU DIN PE A 1000 ML CONC. PT. SOL. ORAL

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, A 1000 ML CONC. PT. SOL. ORALA

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

CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

P-RF

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

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

CUTIE X 1 BLIST. AL/PVC X 20 COMPR.

P-RF

P-RF

P-RF

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

5 10.538400
5 10.538400
5 16.424000
5 15.444000
5 18.532800
5 18.532800
5 30.532000
5 32.076000
5 32.076000
20
0.299500
20
0.341400
20
0.341400
10
0.341400
20
0.284500
20
0.341400
20
0.341400
30
0.632400
30
0.630333
10
0.527000
30
0.528000
10
0.527000
30
0.528000
30
0.949599
30
0.904333
10
0.792000
30
0.791333
10
0.792000
30
0.791333
30
1.170666
10
1.055000
30
1.055333
10
1.055000
30
1.055333
30
0.330333
30
0.949599
30
1.266000
10
0.341400
10
0.341400
5
1.675320
100
1.396100
5
1.024000
5
1.675320
5
1.158000
50
0.506400
50
0.326000
1 387.080000
1 387.080000
30
0.181200
25
0.181200
20
0.151000
20
0.173500
20
0.165500

10.538400
10.538400
16.424000
15.444000
18.532800
18.532800
30.532000
32.076000
32.076000
0.299500
0.341400
0.341400
0.341400
0.284500
0.341400
0.341400
0.632400
0.630333
0.527000
0.528000
0.527000
0.528000
0.949599
0.904333
0.792000
0.791333
0.792000
0.791333
1.170666
1.055000
1.055333
1.055000
1.055333
0.330333
0.949599
1.266000
0.341400
0.341400
1.675320
1.396100
1.024000
1.675320
1.158000
0.506400
0.326000
387.080000
387.080000
0.181200
0.181200
0.151000
0.173500
0.165500

1.813600
3.653600
0.000000
0.000000
4.927200
6.529200
0.000000
0.000000
0.000000
0.000000
0.057100
0.125600
0.043600
0.000000
0.057100
0.042100
0.021266
0.000000
0.000000
0.000000
0.000000
0.000000
0.168401
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.335734
0.430000
0.056600
0.056600
0.200680
0.000000
0.000000
1.042680
0.000000
0.000000
0.000000
0.000000
0.000000
0.019133
0.024000
0.000000
0.000000
0.000000

DCI

COD ATC

179 R05DA04
180 V03AC01
181 V03AC03
182 V03AC03
183 V03AC03

CODEINUM
DEFEROXAMINUM**3)
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***

Denumire Comerciala

forma farm.

CODEINA FOSFAT MCC 15 mg COMPR.

DESFERAL
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg

PULB. PT. SOL. INJ./PERF.

COMPR. DISP.
COMPR. DISP.
COMPR. DISP.

concentratie

15mg
500mg
125mg
250mg
500mg

TARA
DET. APP
DETINATOR APP
AMBALAJ
MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

Prescriptie

NR.CRT

P-RF

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. S/P-RF

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR
PR
PR

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

20
10
28
28
28

0.181200
13.266000
27.555357
52.592500
95.897142

0.181200
13.266000
27.555357
52.592500
95.897142

0.008300
0.000000
0.000000
0.000000
0.000000

25
10
30
5
20
5
50
60
50
50
50
20
20
20
50
50
50
20
50
50
50
50
50
50
30
1
50
50
50
100
100
100
100
100
100
100
30
40
50
1
1
30

0.142800
0.119000
0.142800
2.274000
0.144000
14.054000
0.168000
0.141833
0.141800
0.141800
0.141800
0.140000
0.142000
0.142000
0.141800
0.141800
0.392200
0.392000
0.303800
0.412600
0.731600
0.356000
0.686000
0.168000
0.470400
23.360000
0.887000
1.372200
0.227760
0.189800
0.189800
0.234500
0.234500
0.304800
0.304800
0.281400
0.365760
0.277250
1.924200
18.430000
18.430000
0.903600

0.142800
0.119000
0.142800
2.274000
0.144000
14.054000
0.168000
0.141833
0.141800
0.141800
0.141800
0.140000
0.142000
0.142000
0.141800
0.141800
0.392200
0.392000
0.303800
0.412600
0.731600
0.356000
0.686000
0.168000
0.470400
23.360000
0.887000
1.372200
0.227760
0.189800
0.189800
0.234500
0.234500
0.304800
0.304800
0.281400
0.365760
0.277250
1.924200
18.430000
18.430000
0.903600

0.039600
0.000000
0.044200
0.000000
0.000000
0.000000
0.050200
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.179400
0.133600
0.000000
0.000000
0.000000
0.127840
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.067700
0.103240
0.000000
0.000000
0.000000
0.000000
0.028066

Tratamentul se iniiaz de ctre medicul n specialitatea oncologie sau hematologie.

9. EPILEPSIE - G11
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

N03AA02
N03AA02
N03AA02
N03AA02
N03AB02
N03AB02
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF01
N03AF02
N03AF02
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09

PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
OXCARBAZEPINUM
OXCARBAZEPINUM
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**

FENOBARBITAL ZENTIVA 100 mg

COMPR.

100 mg
100mg
100mg
SOL. INJ.
100 mg/ml
COMPR.
100mg
SOL. INJ.
250mg/5ml
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
400mg
COMPR.
400mg
COMPR. CU ELIB. PRELUNGITA 150mg
COMPR. CU ELIBERARE PRELUNGITA
300mg
COMPR. CU ELIBERARE PRELUNGITA
600mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 600mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 400mg
SUSP. ORALA
100mg/5ml
COMPR. FILM. 300mg
COMPR. FILM. 600mg
CAPS. ELIB. PREL. 150mg
CAPS. MOI GASTROREZ. 150mg
CAPS. MOI GASTROREZ. 150mg
CAPS. MOI GASTROREZ. 300mg
CAPS. MOI GASTROREZ. 300mg
CAPS. MOI GASTROREZ. 500mg
CAPS. MOI GASTROREZ. 500mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 500mg
COMPR. GASTROREZ. 200mg
MINICOMPR. ELIB. PREL. 1000mg
SIROP
57,64mg/ml
SIROP
57,64mg/ml
COMPR.
100mg

FENOBARBITAL ARENA 100mg COMPR.

FENOBARBITAL ARENA 100mg COMPR.
FENOBARBITAL ZENTIVA 100 mg/ml

FENITOINA RICHTER 100 mg

PHENHYDAN 250 mg/5 ml
TEGRETOL (R) 200
CARBAMAZEPINA LPH (R) 200 mg

CARBAMAZEPINA LPH 200 mg

CARBAVIM
CARBEPSIL 200mg
CARBAMAZEPIN
CARBAMAZEPIN EEL
CARBAMAZEPINA ARENA 200 mg
CARBAMAZEPINA SLAVIA 200 mg
CARBAMAZEPINA TERAPIA 200 mg

CARBEPSIL 400mg
CARBAMAZEPINA ARENA 400 mg

TIMONIL RETARD 150 mg

TIMONIL RETARD 300 mg
TIMONIL RETARD 600 mg
NEUROTOP (R) RETARD 300 mg
NEUROTOP (R) RETARD 600 mg

TEGRETOL CR 200
TEGRETOL CR 400
TIMONIL SIROP
TRILEPTAL (R) 300 mg
TRILEPTAL (R) 600 mg
ORFIRIL LONG 150 mg
CONVULEX (R) 150 mg
CONVULEX 150 mg
CONVULEX (R) 300 mg
CONVULEX 300 mg
CONVULEX (R) 500 mg
CONVULEX 500 mg
DEPAKINE CHRONO 300 mg
DEPAKINE (R) CHRONO 500 mg

DEPAKINE 200 mg
ORFIRIL LONG 1000 mg
DEPAKINE
DEPAKINE
LAMOTRIX 100 mg

ZENTIVA SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR.
P-RF
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLISTERE DIN PVC/AL A CTE 10 COMPRIMATE P-RF
ZENTIVA S.A
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6L
DESITIN ARZNEIMITTEL GMBH

GERMANIA

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

P-RF

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L

LABORMED PHARMA SA ROMANIA

CUTIE X 6 BLISTERE PVC-PVDC/AL X 10 COMPRIMATE

P-6L/S

LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L

VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
TERAPIA S.A.
ROMANIA CUTIE CU 5 BLIST. PVC/AL 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.
AC HELCOR PHARMA SRL

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

PRF
P-6L
P-6L

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

P6L
P6L
P6L

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

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P-6L

NOVARTIS PHARMA GMBH GERMANIA

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

P-6L

GERMANIA

CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE

P-6L

GEROT PHARMAZEUTIKA GMBH

DESITIN ARZNEIMITTEL GMBH

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L
DESITIN ARZNEIMITTEL GMBH

GERMANIA

GEROT PHARMAZEUTIKA GMBH

SANOFI-AVENTIS FRANCE

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA
FRANTA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

GEROT PHARMAZEUTIKA GES.M.B.H.

GEROT PHARMAZEUTIKA GMBH

GEROT PHARMAZEUTIKA GES.M.B.H.

GEROT PHARMAZEUTIKA GMBH

GEROT PHARMAZEUTIKA GES.M.B.H.

SANOFI-AVENTIS FRANCE
SANOFI-AVENTIS FRANCE

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

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

P-6L

CUTIE CU 5 BLIST. PVDC-PVC/AL X 20 CAPS. MOI GASTROREZ.

P6L

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

P-6L

CUTIE CU 5 BLIST. PVDC-PVC/AL X 20 CAPS. MOI GASTROREZ.

P6L

CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ.

P-6L

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

P6L

CUTIE X 2 FLAC. DIN PP X 50 COMPR. ELIB. PREL.

P-6L

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

CUTIE X 1 FLAC. DIN PP X 40 COMPR. GASTROREZ. P-6L
CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA

SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 LINGURITA DOZATOARE
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
SANOFI - AVENTIS FRANCE

Pagina 13 din 39

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

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92
93
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COD ATC

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX11
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12

DCI

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***

Denumire Comerciala

PLEXXO (R) 100 mg

LAMICTAL 100 mg
LAMOTRIX 200 mg
LAMICTAL 25 mg
LAMOTRIX 50 mg
LAMOTRIN 100 mg
LAMOTRIN 50 mg
LAMICTAL 2 mg
LAMICTAL 5 mg
TOPRAN 100 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP./MAST.
COMPR. DISP./MAST.

COMPR. FILM.

TOPIRAMAT ACTAVIS 100 mg COMPR. FILM.

LUSITRAX 100mg
TORLEPTA 100 mg
NEXTOP 100 mg
TOPAMAX 100 mg
TOPAMAX 100 mg
TOPILEX 100 mg
NEXTOP 200 mg
TOPRAN 25 mg
TOPIRAMAT ACTAVIS 25 mg
LUSITRAX 25 mg
TORLEPTA 25 mg
NEXTOP 25 mg
TOPAMAX 25 mg
TOPILEX 25 mg
TOPRAN 50 mg
TOPIRAMAT ACTAVIS 50 mg
LUSITRAX 50 mg
TORLEPTA 50 mg
NEXTOP 50 mg
TOPAMAX 50 mg
TOPAMAX 50 mg
TOPILEX 50 mg
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
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

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

concentratie

100mg
100mg
200mg
25mg
50mg
100mg
50mg
2mg
5mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100 mg
100mg
100mg
100mg
100mg
100mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
400 mg
400mg
400mg
400mg
400mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

CUTIE X 3 BLIST. X 10 COMPR.

P-6L
P-6L

MEDOCHEMIE LTD. CIPRU

ACTAVIS GROUP HF. ISLANDA
ACTAVIS GROUP HF. ISLANDA

CUTIE CU BLIST. PVC/AL X 28 COMPR.

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE CU BLIST. PVC/AL X 28 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE

P-6L

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

P-6L

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. DISP./MAST.

P-6L

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

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

DESITIN ARZNEIMITTEL GMBH

GERMANIA

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

MEDOCHEMIE LTD. CIPRU

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

TERAPIA SA
ACTAVIS S.R.L.
ROMASTRU TRADING S.R.L.

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

ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

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

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
JOHNSON & JOHNSON D.O.O.
JOHNSON & JOHNSON D.O.O.
LANNACHER HEILMITTEL GES.M.B.H.

SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L

SLOVENIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. P6L
AUSTRIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

TERAPIA SA
ACTAVIS S.R.L.
ROMASTRU TRADING S.R.L.

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

ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L
JOHNSON & JOHNSON D.O.O.

SLOVENIA

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

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

TERAPIA SA
ACTAVIS S.R.L.
ROMASTRU TRADING S.R.L.

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

ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 30 COMPR. FILM.

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

P6L
P6L
P-6L
P-RF
P-RF
P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L

AUROBINDO PHARMA LIMITED

SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L

SLOVENIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. P6L
AUSTRIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L
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

JOHNSON & JOHNSON D.O.O.

JOHNSON & JOHNSON D.O.O.
LANNACHER HEILMITTEL GES.M.B.H.

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L

ARENA GROUP S.A. ROMANIA

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

AUROBINDO PHARMA LIMITED

CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS.

MAREA BRITANIE

P-6L

CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L

P6L
P6L

WORWAG PHARMA GMBH & CO. KG

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

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

EGIS PHARMACEUTICALS P.L.C.

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L

ARENA GROUP S.A. ROMANIA

CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS.

AUROBINDO PHARMA LIMITED

CUTIE CU BLIST. POLIAMIDA/AL/PVC-AL X 50 CAPS.

MAREA BRITANIE

P-6L

CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L

P6L
P6L

WORWAG PHARMA GMBH & CO. KG

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

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L

EGIS PHARMACEUTICALS P.L.C.

Pagina 14 din 39

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.

P-6L

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

30
28
30
28
30
30
30
30
30
60
60
30
30
30
28
60
30
30
60
60
30
30
30
28
30
60
60
30
30
30
28
60
30
50
100
60
50
100
60
50
100
50
100
60
50
100
60
50
100
50
100
60

0.849666
0.903600
1.768000
0.149285
0.409999
0.753000
0.341666
0.009333
0.026333
0.632400
0.632400
0.632400
0.632400
0.527000
0.632400
0.632400
0.632400
5.168333
0.242799
0.242799
0.242799
0.242799
0.202333
0.242799
0.242799
0.413599
0.413599
0.413599
0.413599
0.344666
0.413599
0.413599
0.413599
0.149200
0.179040
0.179040
0.179040
0.179040
0.179040
0.447800
0.519600
0.519600
0.519600
0.519600
0.447400
0.433000
0.519600
0.597600
0.692520
0.692520
0.692500
0.692520

0.849666
0.903600
1.768000
0.149285
0.409999
0.753000
0.341666
0.009333
0.026333
0.632400
0.632400
0.632400
0.632400
0.527000
0.632400
0.632400
0.632400
5.168333
0.242799
0.242799
0.242799
0.242799
0.202333
0.242799
0.242799
0.413599
0.413599
0.413599
0.413599
0.344666
0.413599
0.413599
0.413599
0.149200
0.179040
0.179040
0.179040
0.179040
0.179040
0.447800
0.519600
0.519600
0.519600
0.519600
0.447400
0.433000
0.519600
0.597600
0.692520
0.692520
0.692500
0.692520

0.000000
0.501757
0.000000
0.000000
0.086667
0.000000
0.000000
0.000000
0.000000
0.350266
0.347433
0.382933
0.382933
0.000000
0.879385
0.865100
0.381933
0.000000
0.147534
0.147367
0.148201
0.147534
0.000000
0.358272
0.146867
0.229067
0.212401
0.250401
0.233067
0.000000
0.608186
0.618067
0.233401
0.000000
0.015060
0.397460
0.288760
0.273660
0.228293
0.000000
0.236500
0.827000
0.000100
0.055900
0.000000
0.000000
0.377733
0.000000
0.500580
0.816480
0.000000
0.336813

95
96
97
98
99

COD ATC

N03AX12
N03AX12
N03AX12
N03AX12
N03AX12

100 N03AX12
101 N03AX14
102 N03AX14
103 N03AX14
104 N03AX14
105 N03AX14
106 N03AX14
107 N03AX14
108 N03AX14
109 N03AX14
110 N03AX14
111 N03AX14
112 N03AX14
113 N03AX14
114 N03AX14
115 N03AX14
116 N03AX14
117 N03AX14
118 N03AX14
119 N03AX14
120 N03AX14
121 N03AX14
122 N03AX14
123 N03AX14
124 N03AX14
125 N03AX14
126 N03AX14
127 N03AX14
128 N03AX14
129 N03AX14
130 N03AX14
131 N03AX14
132 N03AX14
133 N03AX14
134 N03AX14
135 N03AX14
136 N03AX14
137 N03AX14
138 N03AX14
139 N03AX14
140 N03AX14
141 N03AX14
142 N03AX14
143 N03AX14
144 N03AX14
145 N03AX14
146 N03AX16

DCI

GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***

Denumire Comerciala

forma farm.

GABAPENTINA PFIZER 400 mg CAPS.

GABAPENTINA PFIZER 400 mg CAPS.

GABAPENTIN ARENA 400 mg CAPS.

GABARAN 600 mg
GRIMODIN 600 mg
GABARAN 800 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM TORRENT 1000 mg COMPR. FILM.
LEVETIRACETAM TERAPIA 1000 mg COMPR. FILM.
KEPPRA 1000 mg
COMPR. FILM.
LEVETIRACETAM ACTAVIS 1000mg COMPR. FILM.
LEVETIRACETAM TEVA 1000mg COMPR. FILM.
TRUND 1000 mg
COMPR. FILM.
EPILETAM 1000 mg
COMPR. FILM.
LEVETIRACETAM AUROBINDO 1000 mg COMPR. FILM.
MYAKELL 1000 mg
COMPR. FILM.
NORMEG 1000 mg
COMPR. FILM.
LEVELANZ 1000 mg
COMPR. FILM.
LEVELANZ 1000 mg
COMPR. FILM.
LEVETIRACETAM TEVA 250 mg COMPR. FILM.
LEVETIRACETAM TORRENT 250 mg COMPR. FILM.
LEVETIRACETAM TERAPIA 250 mg COMPR. FILM.
KEPPRA 250 mg
COMPR. FILM.
LEVETIRACETAM ACTAVIS 250mg COMPR. FILM.
TRUND 250 mg
COMPR. FILM.
EPILETAM 250 mg
COMPR. FILM.
LEVETIRACETAM AUROBINDO 250 mg COMPR. FILM.
MYAKELL 250 mg
COMPR. FILM.
LEVELANZ 250 mg
COMPR. FILM.
LEVELANZ 250 mg
COMPR. FILM.
LEVETIRACETAM TORRENT 500 mg COMPR. FILM.
LEVETIRACETAM TERAPIA 500 mg COMPR. FILM.
KEPPRA 500 mg
COMPR. FILM.
LEVETIRACETAM ACTAVIS 500mg COMPR. FILM.
LEVETIRACETAM TEVA 500 mg COMPR. FILM.
TRUND 500 mg
COMPR. FILM.
EPILETAM 500 mg
COMPR. FILM.
LEVETIRACETAM AUROBINDO 500 mg COMPR. FILM.
MYAKELL 500 mg
COMPR. FILM.
NORMEG 500 mg
COMPR. FILM.
LEVELANZ 500 mg
COMPR. FILM.
LEVELANZ 500 mg
COMPR. FILM.
LEVETIRACETAM TORRENT 750 mg COMPR. FILM.
MYAKELL 750 mg
COMPR. FILM.
LEVETIRACETAM DESITIN 1000 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 250 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 500 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 750 mg

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM ACTAVIS GROUP 100mg/ml

KEPPRA 100 mg/ml

TRUND 100 mg/ml
LEVETIRACETAM RATIOPHARM 100mg/ml

LYRICA 150 mg

SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
CAPS.

concentratie

400mg
400mg
400mg
600mg
600mg
800mg
1000 mg
1000 mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
250 mg
250 mg
250 mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500 mg
500 mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750 mg
750mg
1000mg
250mg
500mg
750mg
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
150mg

DETINATOR APP

TARA
DET. APP

PFIZER EUROPE MA EEIG

MAREA BRITANIE

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ARENA GROUP S.A. ROMANIA

RANBAXY UK LTD. MAREA BRITANIE
EGIS PHARMACEUTICALS P.L.C.

UNGARIA

RANBAXY UK LTD.

MAREA BRITANIE

TORRENT PHARMA S.R.L. ROMANIA

TERAPIA S.A.
UCB PHARMA SA

ROMANIA

TEVA PHARMA

BELGIA
ISLANDA
OLANDA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ACTAVIS GROUP PTC EHF.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ROMASTRU TRADING SRL

ROMANIA

ZENTIVA, K.S.

REPUBLICA CEHA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

TEVA PHARMA

OLANDA

TORRENT PHARMA S.R.L. ROMANIA

TERAPIA S.A.
UCB PHARMA SA

ROMANIA

ACTAVIS GROUP PTC EHF.

BELGIA
ISLANDA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ROMASTRU TRADING SRL

ROMANIA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

TORRENT PHARMA S.R.L. ROMANIA

TERAPIA S.A.
UCB PHARMA SA

ROMANIA

TEVA PHARMA

BELGIA
ISLANDA
OLANDA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ACTAVIS GROUP PTC EHF.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ROMASTRU TRADING SRL

ROMANIA

ZENTIVA, K.S.

REPUBLICA CEHA

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

TORRENT PHARMA S.R.L. ROMANIA

ROMASTRU TRADING SRL

ROMANIA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

DESITIN ARZNEIMITTEL GMBH

GERMANIA

ACTAVIS GROUP PTC EHF.

UCB PHARMA SA

ISLANDA
BELGIA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

RATIOPHARM GMBH GERMANIA

PFIZER LIMITED
MAREA BRITANIE

Pagina 15 din 39

AMBALAJ

Prescriptie

NR.CRT

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

50
100
CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L
60
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
30
CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L
60
CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L
30
CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMP.FILM. PRF
30
CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF
30
CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
30
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF
60
CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF
30
CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF
30
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
30
CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.FILM. PRF
30
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF
30
CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF
30
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF
60
CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF
30
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.FILM. PRF
30
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF
30
CUTIE CU BLIST. DIN AL/PVC X 30 COMPR. FILM. PRF
30
CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR.FILM. PRF
30
CUTIE CU 6 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF
60
CUTIE CU 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. FILM. PRF
30
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF
30
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.FILM. PRF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF
28
CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. PRF
30
CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF
30
PRF
30
PRF
30
PRF
30
PRF
60
PRF
1
CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA
P-RF
1
PRF
1
PRF
1
CUTIE X 14 CAPS., (BLIST. PVC/AL) P-RF
14
CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L
CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE
CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE
CUTIE CU 60 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

CUTIE X 1 FLACON DIN STICLA BRUNA A 300ML PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 SERINGA PENTRU ADMINISTRARE ORALA A 10ML

CUTIE X 1 FLACON DIN STICLA BRUNA X 300ML SOLUTIE ORALA, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII DIN PP + O SERINGA DOZATAOARE (PP, PE) DE 10ML SI UN ADAPTOR PT. SERINGA PE

CUTIE CU UN FLACON DIN STICLA BRUNA A 300 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + O SERINGA PENTRU ADMINISTRARE ORALA GRADATA A 10ML

0.596200
0.577100
0.692520
2.180000
1.867833
3.605000
1.878799
1.878799
1.878799
1.864000
1.878799
1.784333
1.878799
1.878799
1.878799
1.565666
1.878799
1.878799
0.472666
0.525999
0.525999
0.525999
0.477666
0.438333
0.525999
0.525999
0.525999
0.525999
0.525999
0.673599
0.673599
0.673599
0.645000
0.561333
0.673599
0.673599
0.673599
0.673599
0.673599
0.673599
0.673599
2.362000
2.834400
1.878799
0.525999
0.673599
2.834400
61.270000
73.524000
61.270000
61.270000
3.029570

0.596200
0.577100
0.692520
2.180000
1.867833
3.605000
1.878799
1.878799
1.878799
1.864000
1.878799
1.784333
1.878799
1.878799
1.878799
1.565666
1.878799
1.878799
0.472666
0.525999
0.525999
0.525999
0.477666
0.438333
0.525999
0.525999
0.525999
0.525999
0.525999
0.673599
0.673599
0.673599
0.645000
0.561333
0.673599
0.673599
0.673599
0.673599
0.673599
0.673599
0.673599
2.362000
2.834400
1.878799
0.525999
0.673599
2.834400
61.270000
73.524000
61.270000
61.270000
3.029570

0.000000
0.000000
0.429146
0.000000
0.000000
0.000000
1.285867
1.635201
3.247534
0.000000
0.050201
0.000000
1.635201
1.502534
1.635201
0.000000
1.634772
1.634772
0.000000
0.204001
0.430334
0.897667
0.000000
0.000000
0.430334
0.224334
0.430334
0.425429
0.425429
0.660067
1.076067
1.882401
0.000000
0.000000
0.228067
1.076067
0.709067
1.076067
0.135401
1.075686
1.075686
0.000000
0.423600
1.635201
0.362667
1.076067
0.042766
0.000000
15.986000
0.000000
0.000000
1.351144

COD ATC

147 N03AX16
148 N03AX16
149 N03AX16
150 N03AX16
151 N03AX16
152 N03AX16
153 N03AX16
154 N03AX16
155 N03AX16
156 N03AX17
157 N03AX17
158 N03AX17
159 N03AX17

DCI

PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
STIRIPENTOLUM**
STIRIPENTOLUM**
STIRIPENTOLUM**
STIRIPENTOLUM**

forma farm.

Denumire Comerciala

LYRICA 150 mg

CAPS.
PREGABALIN ZENTIVA 150 mg CAPS.
LYRICA 300 mg
CAPS.
LYRICA 300 mg
CAPS.
LYRICA 75 mg
CAPS.
LYRICA 75 mg
CAPS.
PREGLENIX 75 mg
CAPS.
PREGLENIX 75 mg
CAPS.
PREGABALIN ZENTIVA 75 mg CAPS.
DIACOMIT 250mg
CAPS.
DIACOMIT 500mg
CAPS.
DIACOMIT 250mg
PULB. PT. SUSP. ORALA
DIACOMIT 500mg
PULB. PT. SUSP. ORALA

concentratie

150mg
150mg
300mg
300mg
75mg
75mg
75mg
75mg
75mg
250mg
500mg
250mg
500mg

DETINATOR APP

PFIZER LIMITED
ZENTIVA, K.S.
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

TARA
DET. APP
MAREA BRITANIE
REPUBLICA CEHA

MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE
MAREA BRITANIE

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

ZENTIVA, K.S.
BIOCODEX
BIOCODEX
BIOCODEX
BIOCODEX

REPUBLICA CEHA

FRANTA
FRANTA
FRANTA
FRANTA

AMBALAJ

CUTIE X 56 CAPS., (BLIST. PVC/AL)

CUTIE CU BLIST. PVC/AL X 56 CAPS.
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)
CUTIE CU BLIST. PVC/AL X 14 CAPS.
CUTIE CU BLIST. PVC/AL X 56 CAPS.
CUTIE CU BLIST. PVC/AL X 56 CAPS.
CUTIE X 1 FLAC. DIN PP X 60 CAPS.
CUTIE X 1 FLAC. DIN PP X 60 CAPS.
CUTIE X 60 PLICURI HARTIE/AL/PE
CUTIE X 60 PLICURI HARTIE/AL/PE

Prescriptie

NR.CRT

P-RF

PRF
P-RF
P-RF
P-RF
P-RF

PRF
PRF
PRF
P-RF/R
P-RF/R
P-RF/R
P-RF/R

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

56
56
56
14
14
56
14
56
56
60
60
60
60

3.029570
2.524642
5.731785
6.045000
1.597285
1.597285
1.597285
1.597285
1.331071
12.749333
25.643166
12.749333
25.643166

3.029570
2.524642
5.731785
6.045000
1.597285
1.597285
1.597285
1.597285
1.331071
12.749333
25.643166
12.749333
25.643166

0.866680
0.000000
0.000000
0.000000
1.035572
0.816643
0.170572
0.027715
0.000000
0.000000
0.000000
0.000000
0.000000

50
0.562400
100
0.773600
7 452.308571
100
1.782700
100
2.139000
100
1.782500
100
2.139000
100
1.782500
100
1.851000
100
2.221200
100
1.851000
100
1.994800
100
2.393760
100
1.995000
100
1.646200
100
1.975440
100
1.646200
100
1.515120
100
1.262600
50
0.354400
40
0.549000
30
0.916333
28
1.099285
30
1.773000
28
2.127428
30
3.044666
28
3.653570
28
0.916071
28
1.772857
28
3.044642
28
0.916071
28
0.916071

0.562400
0.773600
452.308571
1.782700
2.139000
1.782500
2.139000
1.782500
1.851000
2.221200
1.851000
1.994800
2.393760
1.995000
1.646200
1.975440
1.646200
1.515120
1.262600
0.354400
0.549000
0.916333
1.099285
1.773000
2.127428
3.044666
3.653570
0.916071
1.772857
3.044642
0.916071
0.916071

0.000000
0.000000
0.000000
0.000000
0.603400
0.000000
0.603400
0.000000
0.000000
0.626500
0.000000
0.000000
0.675440
0.000000
0.000000
0.557260
0.000000
1.325480
0.000000
0.000000
0.000000
0.000000
0.265000
0.000000
0.462929
0.000000
0.869287
0.000000
0.000000
0.000000
0.000000
0.000000

Tratamentul se iniiaz de ctre medicul n specialitatea neurologie i neurologie pediatric.

10. BOALA PARKINSON - G12

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

N04AA01

TRIHEXYPHENIDYLUM

ROMPARKIN (R) 2 mg
ISICOM 250 mg/25 mg
COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA

N04BA02 COMBINATII (LEVODOPUM+CARBIDOPUM)**

N04BA02

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** TADOGLEN 100 mg/25 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 100 mg/25 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

LEVODOPA/CARBIDOPA/ENTACAPONA TEVA 100 mg/25 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 125 mg/31,25 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

LEVODOPA/CARBIDOPA/ENTACAPONA TEVA 125 mg/31,25 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** TADOGLEN 150 mg/37,5 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 150 mg/37,5 mg/200 mg
N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

LEVODOPA/CARBIDOPA/ENTACAPONA TEVA 150 mg/37,5 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** TADOGLEN 200 mg/50 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 200 mg/50 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

LEVODOPA/CARBIDOPA/ENTACAPONA TEVA 200 mg/50 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** TADOGLEN 50 mg/12,5 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 50 mg/12,5 mg/200 mg
N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

LEVODOPA/CARBIDOPA/ENTACAPONA TEVA 50 mg/12,5 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 75 mg/18,75 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***
N04BB01
N04BC01
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04

AMANTADINUM**
BROMOCRIPTINUM
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**

LEVODOPA/CARBIDOPA/ENTACAPONA TEVA 75 mg/18,75 mg/200 mg

VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROPINIROL TEVA 2 mg
REQUIP-MODUTAB 2 mg
ROPINIROL TEVA 4 mg
REQUIP-MODUTAB 4 mg
ROPINIROL TEVA 8 mg
REQUIP-MODUTAB 8 mg
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg
ROLPRYNA EP 8 mg

COMPR.
COMPR.
GEL INT.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
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.
DRAJ.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIB. PREL.
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA

ROPINIROL AUROBINDO 2 mg COMPR. ELIB. PREL.

ROPINIROL ACTAVIS 2 mg

COMPR. ELIB. PREL.

2mg
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
250mg/25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR.
FARA CONCENTRATIE

ABBVIE DEUTSCHLAND GMBH & CO. KG

GERMANIA

100mg/25mg/200 mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

100mg/25mg/200mg

ROMANIA

P-6L
S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PRF

ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM.

100mg/25mg/200mg TEVA PHARMACEUTICALS S.R.L.

125mg/31,25mg/200mg

CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC

P-6L

P-RF

CUTIE CU 1 FLAC. ALB DIN PEID X 100 COMPR. FILM. PRF

ORION CORPORATION FINLANDA CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. PRF

125mg/31,25mg/200mg TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. ALB DIN PEID X 100 COMPR. FILM. PRF

150mg/37,5mg/200 mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PRF

150mg/37,5mg/200mg

ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM.

150mg/37,5mg/200mg

TEVA PHARMACEUTICALS S.R.L.

P-RF

ROMANIA

CUTIE CU 1 FLAC. ALB DIN PEID X 100 COMPR. FILM. PRF

200mg/50mg/200 mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PRF

200mg/50mg/200mg

ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM.

P-RF

200mg/50mg/200mg TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. ALB DIN PEID X 100 COMPR. FILM. PRF

50mg/12,5 mg/200 mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM. PRF

50mg/12,5mg/200mg

ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM.

50mg/12,5mg/200mg TEVA PHARMACEUTICALS S.R.L.

ROMANIA

P-RF

CUTIE CU 1 FLAC. ALB DIN PEID X 100 COMPR. FILM. PRF

75mg/18,75mg/200mg

ORION CORPORATION FINLANDA CUTIE X 1 FLAC. HDPE X 100 COMPR. FILM. PRF

75mg/18,75mg/200mg

TEVA PHARMACEUTICALS S.R.L.

100mg
2,5mg
2mg
2mg
4mg
4mg
8mg
8mg
2 mg
4 mg
8 mg
2 mg
2mg

EGIS PHARMACEUTICALS P.L.C.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA CUTIE CU 1 FLAC. ALB DIN PEID X 100 COMPR. FILM. PRF
UNGARIA CUTIE X 1 FLAC. X 50 CAPS.
P-6L
ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF
ROMANIA CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG. PRF

BIOFARM SA
SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 28 COMPR. CU ELIB. PREL.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG.

PRF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 28 COMPR. CU ELIB. PREL.

P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. OPA/AL/PVC-AL X 30 COMPR. ELIB. PRELUNG.

PRF

SMITHKLINE BEECHAM PLC

MAREA BRITANIE

CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 28 COMPR. CU ELIB. PREL.

P-RF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

KRKA ,D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA - AL - PVC/AL X 28 COMPR. ELIB. PREL.

PRF

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL.

PRF

AUROBINDO PHARMA (MALTA) LIMITED

ACTAVIS GROUP PTC EHF.

Pagina 16 din 39

MALTA
ISLANDA

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL. PRF

33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84

COD ATC

N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC04
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC05
N04BC09
N04BC09
N04BC09
N04BC09
N04BD01
N04BD01
N04BD02

N04BX02
N04BX02

DCI

ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
PRAMIPEXOLUM**
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
SELEGILINUM
SELEGILINUM
RASAGILINUM***
ENTACAPONUM***
ENTACAPONUM***

Denumire Comerciala

NERVAMAT 2 mg

forma farm.
COMPR. ELIB. PREL.

ROPINIROL AUROBINDO 4 mg COMPR. ELIB. PREL.

NERVAMAT 4 mg
ROPINIROL ACTAVIS 4 mg

COMPR. ELIB. PREL.

COMPR. ELIB. PREL.

ROPINIROL AUROBINDO 8 mg COMPR. ELIB. PREL.

NERVAMAT 8 mg
ROPINIROL ACTAVIS 8 mg

COMPR. ELIB. PREL.

PRAMIPEXOLE ACCORD 0,088 mg

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

OPRYMEA 0,088mg
PRAMIPEXOLE ACCORD 0,18 mg
PRAMIPEXOLE ACCORD 0,18 mg

PRAMIPEXOL ZENTIVA 0,18 mg

OPRYMEA 0,18mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAMIPEXOL AUROBINDO 0,18 mg

MIGLASEN 0,18 mg
PRAMIPEXOL AUROBINDO 0,7 mg

PRAMIPEXOL ZENTIVA 0,7 mg

OPRYMEA 0,7mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOLE ACCORD 0,7mg
PRAMIPEXOL TORRENT 0,7 mg

PRAMIPEXOL STADA 0,7 mg

PRAMIPEXOLE ACCORD 0,7mg

MIGLASEN 0,7 mg
MIRAPEXIN 0,26 mg
OPRYMEA 0,26mg
CALMOLAN 0,26 mg
MIRAPEXIN 0,52 mg
OPRYMEA 0,52mg
CALMOLAN 0,52 mg
MIRAPEXIN 1,05 mg
OPRYMEA 1,05mg
OPRYMEA 1,57mg
OPRYMEA 2,10mg
MIRAPEXIN 2,1 mg
CALMOLAN 2,1 mg
OPRYMEA 2,62 mg
MIRAPEXIN 3,15 mg
OPRYMEA 3,15 mg
NEUPRO 2mg/24h
NEUPRO 4mg/24h
NEUPRO 6mg/24h
NEUPRO 8mg/24h
SELEGOS
SELEGOS
AZILECT 1mg
COMTAN 200mg
ENTACAPONE TEVA

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.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
COMPR. ELIB. PREL.
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC
PLASTURE TRANSDERMIC

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

concentratie

2mg
4 mg
4mg
4mg
8 mg
8mg
8mg
0,088 mg
0,088mg
0,18 mg
0,18 mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,26mg
0,26mg
0,52mg
0,52mg
0,52mg
1,05mg
1,05mg
1,57mg
2,10mg
2,1mg
2,1mg
2,62mg
3,15mg
3,15mg
2mg/24h
4mg/24h
6mg/24h
8mg/24h
5mg
5mg
1mg
200mg
200mg

Prescriptie

NR.CRT

DETINATOR APP

TARA
DET. APP

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL.

PRF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ACTAVIS GROUP PTC EHF.

AUROBINDO PHARMA (MALTA) LIMITED

ISLANDA
MALTA

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

ACTAVIS GROUP PTC EHF.

ISLANDA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

KRKA D.D.

SLOVENIA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

ZENTIVA, K.S.
REPUBLICA CEHA
KRKA D.D.
SLOVENIA
MEDOCHEMIE LTD. CIPRU
GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

TORRENT PHARMA S.R.L. ROMANIA

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

NEOLA PHARMA S.R.L. ROMANIA

MALTA
ZENTIVA, K.S.
REPUBLICA CEHA
KRKA D.D.
SLOVENIA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

TORRENT PHARMA S.R.L. ROMANIA

STADA ARZNEIMITTEL AG GERMANIA
ACCORD HEALTHCARE LIMITED MAREA BRITANIE

NEOLA PHARMA S.R.L. ROMANIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

KRKA D.D.
SLOVENIA
G.L. PHARMA GMBH AUSTRIA
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

KRKA D.D.
SLOVENIA
G.L. PHARMA GMBH AUSTRIA
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

KRKA D.D.
KRKA D.D.
KRKA D.D.

SLOVENIA
SLOVENIA
SLOVENIA

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

G.L. PHARMA GMBH AUSTRIA

KRKA, D.D., NOVO MESTO SLOVENIA
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

KRKA, D.D., NOVO MESTO SLOVENIA

IRLANDA
IRLANDA
UCB MANUFACTURING IRELAND LTD. IRLANDA
UCB MANUFACTURING IRELAND LTD. IRLANDA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
UCB MANUFACTURING IRELAND LTD.
UCB MANUFACTURING IRELAND LTD.

TEVA PHARMA GMBH GERMANIA

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

TEVA PHARMA B.V. OLANDA

Pagina 17 din 39

AMBALAJ

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

28
28
CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL. PRF
28
CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL. PRF
28
CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. ELIB. PREL.
PRF
28
CUTIE CU 4 BLIST. PVC-PCTFE/AL X 7 COMPR. ELIB. PREL. PRF
28
CUTIE CU BLIST. AL/AL X 28 COMPR. ELIB. PREL. PRF
28
CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF
30
CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF
30
CUTIE CU 10 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF 100
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF
30
CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF
30
CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
30
CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF
30
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
30
CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR. PRF
30
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. PRF
30
CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF
30
CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF
30
CUTIE CU 3 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF
30
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-RF
30
CUTIE X 3 BLIST. OPA-AL -PVC/AL X 10 COMPR. P-RF
30
CUTIE CU 10 BLIST. AL-PVC/AL A CATE 10 COMPR. PRF 100
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L
30
CUTIE CU 1 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
10
P-RF
30
CUTIE CU BLIST. AL/OPA-AL-PVC X 10 COMPR. ELIB. PREL. PRF
10
CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
30
P-RF
30
CUTIE CU BLIST. AL/OPA-AL-PVC X 30 COMPR. ELIB. PREL. PRF
30
CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
30
P-RF
30
P-RF
30
P-RF
30
CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
30
CUTIE CU BLIST. AL/OPA-AL-PVC X 30 COMPR. ELIB. PREL. PRF
30
CUTIE X BLIST. OPA-AL/DESICANT/PE/AL X 30 COMPR. ELIB. PREL. PRF
30
CUTIE CU 3 BLIST.OPA-AL-PVC/AL X 10 COMPR. P-RF
30
CUTIE X BLIST. OPA-AL/DESICANT/PE/AL X 30 COMPR. ELIB. PREL. PRF
30
CUTIE X 28 PLASTURI TRANSDERMICI P-RF
28
CUTIE X 28 PLASTURI TRANSDERMICI P-RF
28
CUTIE X 28 PLASTURI TRANSDERMICI P-RF
28
CUTIE X 28 PLASTURI TRANSDERMICI P-RF
28
CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L
50
CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L 100
CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF
30
P-RF
100
CUTIE X 1 FLAC. DIN PEID X 100 COMPR. FILM PRF 100

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

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
CUTIE CU BLISTERE (OPA/AL/DES/PE-AL) X 30 COMPRIMATE CU ELIBERARE PRELUNGITA

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM.

0.916071
1.772857
1.772857
1.772857
3.044642
3.044642
3.044642
0.523333
0.530000
0.322666
0.322500
0.386666
0.387000
0.387000
0.322666
0.387000
0.387000
0.387000
1.889333
2.041680
2.028000
2.034333
2.041680
1.889333
2.041680
2.027333
1.701400
2.041680
0.763200
0.636000
0.636000
1.679599
1.399666
1.399666
2.550000
2.125000
5.049333
4.722333
5.666799
4.722333
8.426666
9.320799
7.767333
7.975714
11.431428
14.614285
17.376071
0.725200
0.701100
14.349333
1.922280
1.601900

0.916071
1.772857
1.772857
1.772857
3.044642
3.044642
3.044642
0.523333
0.530000
0.322666
0.322500
0.386666
0.387000
0.387000
0.322666
0.387000
0.387000
0.387000
1.889333
2.041680
2.028000
2.034333
2.041680
1.889333
2.041680
2.027333
1.701400
2.041680
0.763200
0.636000
0.636000
1.679599
1.399666
1.399666
2.550000
2.125000
5.049333
4.722333
5.666799
4.722333
8.426666
9.320799
7.767333
7.975714
11.431428
14.614285
17.376071
0.725200
0.701100
14.349333
1.922280
1.601900

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.039666
0.264333
0.000000
0.203666
0.136333
0.127000
0.000000
0.067320
0.000000
0.000000
0.214986
0.000000
0.396320
0.000000
0.000000
0.405986
0.755800
0.000000
0.000000
0.473734
0.000000
0.000000
1.552000
0.000000
0.000000
0.000000
1.598201
0.000000
0.000000
2.629201
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.542220
0.000000

85
86
87
88
89

COD ATC

N04BX02
N04BX02
N04BX02
N05AH02
N05AH02

DCI

ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**

Denumire Comerciala

ENCAPIA 200 mg
ENCAPIA 200 mg
ENCAPIA 200 mg
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg

forma farm.

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

concentratie

200mg
200mg
200mg
100mg
25mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

MEDOCHEMIE LTD. CIPRU

MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

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

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 5 BLIST. X 10 COMPR.

CUTIE X 5 BLIST. X 10 COMPR.

P-RF

NOVARTIS PHARMA GMBH GERMANIA

MAGISTRA C&C S.R.L. ROMANIA

ARENA GROUP SA ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA

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.

P-RF

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

CUTIE CU BLIST. PVC-PVDC/AL X 100 COMPR. FILM. PRF

P-RF

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

30
60
100
50
50

1.779000
1.689166
1.601900
1.274200
0.386200

1.779000
1.689166
1.601900
1.274200
0.386200

0.000000
0.000000
0.000000
0.000000
0.000000

20
0.108399
30
0.090333
30
0.108399
20
0.108399
1 374.090000
1 82.990000
1 64.090000
1 61.880000
1 118.008000
1 46.730000
1 79.700000
1 98.340000
1 56.076000
1 110.680000
1 74.880000
100
0.702300
100
0.702300
100
0.788900
20
0.712000
60
0.688833
20
0.618500

0.108399
0.090333
0.108399
0.108399
374.090000
82.990000
64.090000
61.880000
118.008000
46.730000
79.700000
98.340000
56.076000
110.680000
74.880000
0.702300
0.702300
0.788900
0.712000
0.688833
0.618500

0.028601
0.000000
0.015267
0.025101
0.000000
0.000000
0.000000
0.000000
9.082000
0.000000
0.000000
0.000000
13.944000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

50
0.543200
20
1.234000
1 20.480000
1
8.810000
1 31.020000
20
0.108399
30
0.090333
30
0.108399
20
0.108399
1 374.090000
1 82.990000
1 64.090000
1 61.880000
1 118.008000

0.543200
1.234000
20.480000
8.810000
31.020000
0.108399
0.090333
0.108399
0.108399
374.090000
82.990000
64.090000
61.880000
118.008000

0.000000
0.000000
0.000000
0.000000
0.000000
0.028601
0.000000
0.015267
0.025101
0.000000
0.000000
0.000000
0.000000
9.082000

Tratamentul se initiaza de catre medicul in specialitatea neurologie

11. MIASTENIA GRAVIS - G13

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L04AX01
L04AX01
L04AX01
N07AA01
N07AA01
N07AA02

PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM
NEOSTIGMINI BROMIDUM
PYRIDOSTIGMINI BROMIDUM

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg

COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.

BENDATREXAT
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
IMURAN
IMURAN
IMMUNOPRIN 75 mg
NEOSTIGMINA LPH 15 mg
NEOSTIGMINA LPH 15 mg
MESTINON 60 mg

SOL 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

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR.
COMPR.
DRAJ.

5mg
5mg
5mg
5mg
100mg/ml
100mg/ml
25mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg
50mg
75mg
15mg
15mg
60mg

P-RF
P-RF
P-RF

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

AUSTRIA CUTIE X 1 FLACON X 50 ML

AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
ROMANIA CUTIE CU 1 FLAC. X 2 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

S
S
PR
PR
PR
PR
PR

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

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

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

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

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

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

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.30ML SOLUTIA INJECTABILA PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

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

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

CN UNIFARM S.A.
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

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

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

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

ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

ASPEN PHARMA TRADING LIMITED
EBEWE PHARMA GES.M.B.H. NFG KG

IRLANDA
AUSTRIA

P-RF
S/P-RF

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L

LABORMED PHARMA SA ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR.

P-6L

MEDA AB

SUEDIA

CUTIE X 1 FLAC. X 20 DRAJ.

S/P-RF

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. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14

1
2
3
4
5
6
7
8
9
10
11
12
13
14

H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM

MEDROL A 16
MEDROL 32
SOLU - MEDROL ACT-O-VIAL

LEMOD SOLU 125 mg

LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg

COMPR.
COMPR.
LIOF. SI SOLV.PT.SOL.INJ
PULB+SOLV. PT. SOL. INJ./PERF.
PULB+SOLV. PT. SOL. INJ./PERF.

COMPR.
COMPR.
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF.

METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF.

BENDATREXAT
METOTREXAT EBEWE 10 mg/ml
METOTREXAT EBEWE 10 mg/ml

SOL INJ.
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA

16mg
32mg
250mg/4ml
125mg
500mg
5mg
5mg
5mg
5mg
100mg/ml
100mg/ml
25mg/ml
10mg/ml
10mg/ml

P-RF

STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

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

S/P-RF

MAGISTRA C&C S.R.L. ROMANIA

ARENA GROUP SA ROMANIA
SINTOFARM SA
ROMANIA
GEDEON RICHTER ROMANIA SA ROMANIA
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

CN UNIFARM S.A.
EBEWE PHARMA GES.M.B.H. NFG KG
EBEWE PHARMA GES.M.B.H. NFG KG

Pagina 18 din 39

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.

AUSTRIA CUTIE X 1 FLACON X 50 ML

AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
ROMANIA CUTIE CU 1 FLAC. X 2 ML
AUSTRIA
AUSTRIA
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

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

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

S
S
PR
PR
PR

15
16
17
18
19
20
21
22
23
24

COD ATC

L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01DB07

L04AX01
L04AX01
L04AX01

DCI

METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM

Denumire Comerciala

METOTREXAT EBEWE 10 mg/ml

METOTREXAT EBEWE 10 mg/ml

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
ONKOTRONE
IMURAN
IMURAN
IMMUNOPRIN 75 mg

forma farm.
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

CONC. PT. SOL. INJ.

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

concentratie

10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
2mg/ml
50mg
50mg
75mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

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

PR
PR

GERMANIA

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

P-RF

GERMANIA

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

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

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

P-RF

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.30ML SOLUTIA INJECTABILA PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

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

AUSTRIA
AUSTRIA

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

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

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

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

ASPEN EUROPE GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

ASPEN PHARMA TRADING LIMITED

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

IRLANDA
AUSTRIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

1 46.730000
1 79.700000
1 98.340000
1 56.076000
1 110.680000
1 74.880000
1 555.760000
100
0.702300
100
0.702300
100
0.788900

46.730000
79.700000
98.340000
56.076000
110.680000
74.880000
555.760000
0.702300
0.702300
0.788900

0.000000
0.000000
0.000000
13.944000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

0.227760
0.189800
0.189800
0.234500
0.234500
0.304800
0.304800
0.281400
0.365760
0.277250
1.924200
18.430000
18.430000
0.903600
0.849666
0.903600
1.768000
0.149285
0.409999
0.753000
0.341666
0.009333
0.026333
0.562400
0.168000
0.267000
0.373333
0.299600
5.390000
6.468000
8.452000
2.206000
14.899285
3.767000
2.787333

0.127840
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.067700
0.103240
0.000000
0.000000
0.000000
0.000000
0.028066
0.000000
0.501757
0.000000
0.000000
0.086667
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.432000
0.000000
0.000000
0.000000
0.000000
0.000000

Tratamentul se iniiaz de ctre medicul din specialitatea neurologie.

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURRI SCHIZOTIPALE I DELIRANTE, TULBURRI AFECTIVE MAJORE, TULBURRI PSIHOTICE ACUTE I BOLI PSIHICE COPII, AUTISM, TULBURRI CU
DEFICIT DE ATENIE/HIPERREACTIVITATE) - G15
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

N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01
N03AG01

N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N03AX09
N04AA01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01
N05AD01

N05AE03
N05AE03
N05AE04

ACIDUM VALPROICUM + SARURI

ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**

ORFIRIL LONG 150 mg

CAPS. ELIB. PREL.
CONVULEX (R) 150 mg
CAPS. MOI GASTROREZ.
CONVULEX 150 mg
CAPS. MOI GASTROREZ.
CONVULEX (R) 300 mg
CAPS. MOI GASTROREZ.
CONVULEX 300 mg
CAPS. MOI GASTROREZ.
CONVULEX (R) 500 mg
CAPS. MOI GASTROREZ.
CONVULEX 500 mg
CAPS. MOI GASTROREZ.
DEPAKINE CHRONO 300 mg COMPR. ELIB. PREL.
DEPAKINE (R) CHRONO 500 mg

DEPAKINE 200 mg
ORFIRIL LONG 1000 mg
DEPAKINE
DEPAKINE
LAMOTRIX 100 mg
PLEXXO (R) 100 mg
LAMICTAL 100 mg
LAMOTRIX 200 mg
LAMICTAL 25 mg
LAMOTRIX 50 mg
LAMOTRIN 100 mg
LAMOTRIN 50 mg
LAMICTAL 2 mg
LAMICTAL 5 mg
ROMPARKIN (R) 2 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

SERDOLECT 16 mg
SERDOLECT 4 mg
ZYPSILA 40 mg

150mg
150mg
150mg
300mg
300mg
500mg
500mg
300mg
COMPR. ELIB. PREL. 500mg
COMPR. GASTROREZ. 200mg
MINICOMPR. ELIB. PREL. 1000mg
SIROP
57,64mg/ml
SIROP
57,64mg/ml
COMPR.
100mg
COMPR.
100mg
COMPR.
100mg
COMPR.
200mg
COMPR.
25mg
COMPR.
50mg
COMPR. DISP. 100mg
COMPR. DISP. 50mg
COMPR. DISP./MAST. 2mg
COMPR. DISP./MAST. 5mg
COMPR.
2mg
COMPR.
0,5mg
COMPR.
1mg
COMPR.
2mg
COMPR.
5mg
PIC. ORALE, SOL. 2 mg/ml
PIC. ORALE-SOL. 2mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
5mg/ml
COMPR. FILM. 16mg
COMPR. FILM. 4mg
CAPS.
40mg

50
100
GEROT PHARMAZEUTIKA GES.M.B.H.
CUTIE CU 5 BLIST. PVDC-PVC/AL X 20 CAPS. MOI GASTROREZ. P6L
100
GEROT PHARMAZEUTIKA GMBH
CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L
100
GEROT PHARMAZEUTIKA GES.M.B.H.
CUTIE CU 5 BLIST. PVDC-PVC/AL X 20 CAPS. MOI GASTROREZ. P6L
100
GEROT PHARMAZEUTIKA GMBH
CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. P-6L
100
GEROT PHARMAZEUTIKA GES.M.B.H.
CUTIE CU 10 BLIST. PVDC-PVC/AL X 10 CAPS. MOI GASTROREZ. P6L
100
SANOFI-AVENTIS FRANCE
CUTIE X 2 FLAC. DIN PP X 50 COMPR. ELIB. PREL. P-6L 100
SANOFI-AVENTIS FRANCE
CUTIE X 1 FLAC. PP X 30 COMPR. FILM. ELIB. PREL. P-RF
30
SANOFI-AVENTIS FRANCE
CUTIE X 1 FLAC. DIN PP X 40 COMPR. GASTROREZ. P-6L
40
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.
P-6L
50
SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA P-6L
1
SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 LINGURITA DOZATOARE P-6L
1
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR.
P-6L
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L
28
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. P-6L
28
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L
30
ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. DISP./MAST. P-6L
30
THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. DISP./MAST. P-6L
30
TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L
50
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF
20
ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. PRF
30
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLISTERE PVC/AL X 10 COMPRIMATE PRF
30
JANSSEN PHARMACEUTICA N.V. BELGIA
CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF
25
ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL. PRF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF
1
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE X 1 ML
P-RF
5
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.
P-RF
5
H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF
28
H. LUNDBECK A/S DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF
30
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF
60
DESITIN ARZNEIMITTEL GMBH

GERMANIA

GEROT PHARMAZEUTIKA GMBH

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA
FRANTA

Pagina 19 din 39

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6L

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

P-6L

0.227760
0.189800
0.189800
0.234500
0.234500
0.304800
0.304800
0.281400
0.365760
0.277250
1.924200
18.430000
18.430000
0.903600
0.849666
0.903600
1.768000
0.149285
0.409999
0.753000
0.341666
0.009333
0.026333
0.562400
0.168000
0.267000
0.373333
0.299600
5.390000
6.468000
8.452000
2.206000
14.899285
3.767000
2.787333

36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87

COD ATC

N05AE04
N05AE04
N05AF01
N05AF05
N05AF05
N05AF05
N05AF05
N05AF05
N05AH02
N05AH02
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03

DCI

ZIPRASIDONUM**
ZIPRASIDONUM**
FLUPENTIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
CLOZAPINUM**
CLOZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

ZYPSILA 60 mg
ZYPSILA 80 mg
FLUANXOL DEPOT
CLOPIXOL 10 mg
CLOPIXOL 25 mg
CLOPIXOL 20 mg/ml
CLOPIXOL (R) DEPOT
CLOPIXOL ACUPHASE (R)
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg
ZALASTA 10mg
OLAZAX 10 mg
ZALASTA 5mg
OLAZAX 5 mg
ZYPREXA 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
OLANZAPINA ACTAVIS 10 mg

BLOONIS 10 mg
LAPOZAN 15 mg
EGOLANZA 15 mg
EGOLANZA 20 mg
ZYPREXA 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA ACTAVIS 5 mg
BLOONIS 5 mg
ZALASTA 10mg
OLANZAPINE TEVA 10mg
OLANZAPINA TERAPIA 10 mg

OLAZAX DISPERZI 10 mg
LAPOZAN 10 mg
LAPOZAN 10 mg
BLOONIS 10 mg
OLANZAPINA DR. REDDY'S 10 mg

OLANZAPINA ACTAVIS 10 mg

IRROPIA 10 mg
OLANZAPINA TORRENT 10 mg

WRANELON 10 mg
OLANZAPINA AUROBINDO 10 mg

ZALASTA 15mg
OLANZAPINE TEVA 15mg
OLANZAPINA TERAPIA 15 mg

OLAZAX DISPERZI 15 mg
LAPOZAN 15 mg
BLOONIS 15 mg
OLANZAPINA DR. REDDY'S 15 mg

OLANZAPINA ACTAVIS 15 mg

IRROPIA 15 mg
OLANZAPINA TORRENT 15 mg

WRANELON 15 mg
OLANZAPINA AUROBINDO 15 mg

forma farm.

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

concentratie

60mg
80mg
20mg/ml
10mg
25mg
PIC. ORALE-SOL. 20mg/ml
SOL. INJ.
200mg/ml
SOL. INJ.
50mg/ml
COMPR.
100mg
COMPR.
25mg
COMPR.
10mg
COMPR.
10mg
COMPR.
5mg
COMPR.
5mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 10mg
COMPR. FILM. 15mg
COMPR. FILM. 15mg
COMPR. FILM. 20mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. FILM. 5mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 10mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg
COMPR. ORODISPERSABILE 15mg

TARA
DET. APP
AMBALAJ
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS.
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 CAPS.
DETINATOR APP

H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S

Prescriptie

NR.CRT

P-RF
P-RF

DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

DANEMARCA

CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER

P-RF

DANEMARCA

CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER

P-RF

DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML

P-RF

DANEMARCA
DANEMARCA

NOVARTIS PHARMA GMBH GERMANIA

NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 10 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 BLIST. X 10 COMPR.
CUTIE X 5 BLIST. X 10 COMPR.

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

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR., (BLISTER OPA/AL/PVC/AL)

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 28 COMPR., (BLISTER OPA/AL/PVC/AL)

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR.

P-RF

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE)

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

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

P-RF

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

P-RF

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

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

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

CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE)

P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR. FILM.

P-RF

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

P-RF

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

P-RF

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

P-RF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

REPUBLICA CEHA

OLANDA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ACTAVIS GROUP PTC EHF. ISLANDA
ELI LILLY NEDERLAND BV

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA

MEDOCHEMIE LTD. CIPRU

EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

UNGARIA
UNGARIA

OLANDA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ACTAVIS GROUP PTC EHF. ISLANDA
ELI LILLY NEDERLAND BV

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA

KRKA D.D. NOVO MESTO SLOVENIA

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

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

P-RF

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

MEDOCHEMIE LTD. CIPRU

MEDOCHEMIE LTD. CIPRU
DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

ROMASTRU TRADING S.R.L.

GALENICA S.A.
AUROBINDO PHARMA (MALTA) LIMITED

GRECIA
MALTA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE

PRF

CUTIE CU BLISTERE DIN PA/AL+EAA-PE+DESICANT-PED//AL-PE X 28 COMPR. ORODISPERSABILE

PRF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

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

P-RF

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

MEDOCHEMIE LTD. CIPRU

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

ROMASTRU TRADING S.R.L.

GALENICA S.A.
AUROBINDO PHARMA (MALTA) LIMITED

Pagina 20 din 39

GRECIA
MALTA

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE

PRF

CUTIE CU BLISTERE DIN PA/AL+EAA-PE+DESICANT-PED//AL-PE X 28 COMPR. ORODISPERSABILE

PRF

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

60
60
10
50
50
1
10
5
50
50
28
28
28
28
28
28
30
30
28
28
28
28
28
28
30
30
28
28
30
28
28
30
50
28
35
28
28
28
28
28
28
30
28
28
30
28
35
28
28
28
28
28

4.212166
4.330833
7.118000
0.358800
0.568000
29.290000
12.456000
9.058000
1.274200
0.386200
0.671428
0.671570
0.440357
0.446400
0.671570
0.671570
0.671570
0.563000
0.671428
2.440713
2.440713
2.764285
0.446400
0.446400
0.446400
0.372000
0.443928
0.586071
0.671570
0.671570
0.671570
0.671570
0.671570
0.671428
0.671570
0.559642
0.671570
0.671570
0.671570
0.671570
2.033928
2.440713
2.440713
2.440713
2.440713
2.440713
2.440713
2.435000
2.440713
2.440713
2.440713
2.440713

4.212166
4.330833
7.118000
0.358800
0.568000
29.290000
12.456000
9.058000
1.274200
0.386200
0.671428
0.671570
0.440357
0.446400
0.671570
0.671570
0.671570
0.563000
0.671428
2.440713
2.440713
2.764285
0.446400
0.446400
0.446400
0.372000
0.443928
0.586071
0.671570
0.671570
0.671570
0.671570
0.671570
0.671428
0.671570
0.559642
0.671570
0.671570
0.671570
0.671570
2.033928
2.440713
2.440713
2.440713
2.440713
2.440713
2.440713
2.435000
2.440713
2.440713
2.440713
2.440713

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.070215
0.000000
0.107885
6.514858
2.413430
2.413763
0.000000
0.000000
4.871787
5.162501
6.115000
3.342885
0.846100
2.016600
0.000000
0.000000
0.000000
0.062430
4.084501
0.358430
2.412430
2.252630
0.000000
3.746144
0.000000
0.361287
3.776644
0.362001
0.362001
0.000000
0.586953
3.426787
3.426787
3.426287
0.000001
3.426429
0.000000
0.129644
3.426787
2.030358
1.757144

88
89
90
91
92
93
94
95
96
97
98
99

DCI

COD ATC

N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03
N05AH03

100 N05AH03
101 N05AH03
102 N05AH03
103 N05AH03
104 N05AH03
105 N05AH03
106 N05AH03
107 N05AH03
108 N05AH03
109 N05AH03
110 N05AH03
111 N05AH03
112 N05AH03
113 N05AH03
114 N05AH03
115 N05AH03
116 N05AH03
117 N05AH04
118 N05AH04
119 N05AH04
120 N05AH04
121 N05AH04
122 N05AH04
123 N05AH04
124 N05AH04
125 N05AH04
126 N05AH04
127 N05AH04
128 N05AH04
129 N05AH04
130 N05AH04
131 N05AH04
132 N05AH04
133 N05AH04
134 N05AH04
135 N05AH04
136 N05AH04
137 N05AH04
138 N05AH04
139 N05AH04

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**

Denumire Comerciala

OLANZAPINA POLPHARMA 20 mg

ZALASTA 20mg
OLANZAPINE TEVA 20mg
OLANZAPINA TERAPIA 20 mg

OLAZAX DISPERZI 20 mg
BLOONIS 20 mg
OLANZAPINA DR. REDDY'S 20 mg

OLANZAPINA ACTAVIS 20 mg

IRROPIA 20 mg
OLANZAPINA TORRENT 20 mg

WRANELON 20 mg
OLANZAPINA AUROBINDO 20 mg

ZALASTA 5mg
OLANZAPINE TEVA 5mg
OLANZAPINA TERAPIA 5 mg
OLAZAX DISPERZI 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA DR. REDDY'S 5 mg

OLANZAPINA ACTAVIS 5 mg
IRROPIA 5 mg
OLANZAPINA TORRENT 5 mg

WRANELON 5 mg
OLANZAPINA AUROBINDO 5 mg
OLANZAPINA TORRENT 7,5 mg

ZYPADHERA 210mg
ZYPADHERA 300mg
ZYPADHERA 405mg
ZYPREXA 10 mg
SEROQUEL XR 150 mg
QUETIAPINA TEVA 150 mg
QUETIAPINA TEVA 200 mg
QUETIAPINA TEVA 300 mg
QUETIAPINA TEVA 400 mg
QUETIAPINA TEVA 50 mg
KETILEPT 100 mg
QUETIAPINE TEVA 100 mg
KVENTIAX 100 mg
QUETROP 100 mg
Q MIND 100 mg
KATHIRA 100 mg
KATHIRA 150 mg
KETILEPT 200 mg
QUETIAPINE TEVA 200 mg
KVENTIAX 200 mg
QUETROP 200 mg
Q MIND 200 mg
KATHIRA 200 mg
KATHIRA 25 mg
KETILEPT 300 mg
QUETIAPINE TEVA 300 mg
KVENTIAX 300 mg

forma farm.

concentratie

20 mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 20mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 7,5mg
210mg
300mg
405mg
PULB. PT. SOL. INJ. 10mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 150mg
COMPR. ELIB. PREL. 200mg
COMPR. ELIB. PREL. 300mg
COMPR. ELIB. PREL. 400mg
COMPR. ELIB. PREL. 50mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 100mg
COMPR. FILM. 150mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 200mg
COMPR. FILM. 25mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. FILM. 300mg
COMPR. ORODISPERSABILE

DETINATOR APP

TARA
DET. APP

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

KRKA D.D. NOVO MESTO SLOVENIA

AMBALAJ

Prescriptie

NR.CRT

CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 28 COMPR. ORODISP.

PRF

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

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

P-RF

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

SANOFI - AVENTIS ROMANIA S.R.L.

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

ROMASTRU TRADING S.R.L.

GALENICA S.A.

GRECIA
MALTA

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE

PRF

CUTIE CU BLISTERE DIN PA/AL+EAA-PE+DESICANT-PED//AL-PE X 28 COMPR. ORODISPERSABILE

PRF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 28 COMPR.ORODISPERSABILE. (BLISTER OPA/AL/PVC/AL)

P-RF

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (BLIST. OPA-AL-PVC/AL) P-RF

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 30 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. AL/AL X 50 COMPR. ORODISPERSABILE

P-RF

AUROBINDO PHARMA (MALTA) LIMITED

MEDOCHEMIE LTD. CIPRU

MEDOCHEMIE LTD. CIPRU
DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 35 COMPR. ORODISPERSABILE

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

ROMANIA
TORRENT PHARMA S.R.L. ROMANIA

ROMASTRU TRADING S.R.L.

GALENICA S.A.
AUROBINDO PHARMA (MALTA) LIMITED

GRECIA
MALTA

TORRENT PHARMA S.R.L. ROMANIA

CUTIE CU 4 BLIST. AL/AL X 7 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (2X14) COMPR. ORODISPERSABILE

PRF

CUTIE CU BLISTERE DIN PA/AL+EAA-PE+DESICANT-PED//AL-PE X 28 COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

P-RF

CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

CUTIE X 1 FLAC X 405MG PULB. + 1 FLAC. X 3ML SOLVENT

P-RF/R

ELI LILLY NEDERLAND BV

OLANDA
OLANDA
OLANDA
OLANDA

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE CU 6 BLIST. PVC-PCTFE/AL X 10 COMPR. ELIB. PREL.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA

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

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

ELI LILLY NEDERLAND BV

TEVA PHARMACEUTICALS S.R.L.

TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.
TEVA PHARMACEUTICALS S.R.L.

EGIS PHARMACEUTICALS P.L.C.

TEVA PHARMACEUTICAL S.R.L.

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

P-RF

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

PRF

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

PRF

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

PRF

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

PRF

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

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

P-RF/S

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF
GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF

NEOLA PHARMA S.R.L. ROMANIA

NEOLA PHARMA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C.

TEVA PHARMACEUTICAL S.R.L.

UNGARIA
ROMANIA

CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM.

PRF

CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM.

PRF

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

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

P-RF/S

KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF
GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF

NEOLA PHARMA S.R.L. ROMANIA

NEOLA PHARMA S.R.L. ROMANIA
EGIS PHARMACEUTICALS P.L.C.

TEVA PHARMACEUTICAL S.R.L.

UNGARIA
ROMANIA

CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM.

PRF

CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM.

PRF

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

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

P-RF/S

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

Pagina 21 din 39

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

28
2.764285
28
2.303571
30
2.304000
28
2.764285
28
2.764285
28
2.764285
35
2.764285
28
2.749642
28
2.764285
28
2.764285
28
2.764285
28
2.764285
28
0.440357
30
0.443666
28
0.446400
28
0.446400
30
0.446400
50
0.446400
35
0.446400
28
0.446400
28
0.446400
28
0.446400
28
0.446400
28
0.446400
28
3.313571
1 650.040000
1 916.710000
1 1,223.460000
1 20.710000
60
1.770199
60
1.475166
60
1.953500
60
2.752000
60
3.405166
60
0.742500
60
0.426799
60
0.355666
60
0.355666
60
0.426799
60
0.426799
60
0.426799
60
1.492666
60
0.602799
60
0.504833
60
0.502333
60
0.602799
60
0.602799
60
0.602799
60
0.588000
60
1.256799
60
1.051166
60
1.047333

2.764285
2.303571
2.304000
2.764285
2.764285
2.764285
2.764285
2.749642
2.764285
2.764285
2.764285
2.764285
0.440357
0.443666
0.446400
0.446400
0.446400
0.446400
0.446400
0.446400
0.446400
0.446400
0.446400
0.446400
3.313571
650.040000
916.710000
1,223.460000
20.710000
1.770199
1.475166
1.953500
2.752000
3.405166
0.742500
0.426799
0.355666
0.355666
0.426799
0.426799
0.426799
1.492666
0.602799
0.504833
0.502333
0.602799
0.602799
0.602799
0.588000
1.256799
1.051166
1.047333

6.508215
0.000000
0.000000
6.577857
3.458215
0.000357
5.624857
0.000000
3.457143
3.245000
2.111786
2.421072
0.000000
0.000000
2.060742
0.107885
0.845933
0.845800
2.016457
0.015742
0.107885
1.598600
0.107885
0.107885
0.000000
0.000000
0.000000
0.000000
0.000000
1.316134
0.000000
0.000000
0.000000
0.000000
0.000000
0.538701
0.000000
0.000000
1.033701
0.418201
0.473367
0.000000
0.347367
0.000000
0.000000
1.275034
0.813367
0.889867
0.000000
0.352867
0.000000
0.000000

COD ATC

140 N05AH04
141 N05AH04
142 N05AH04
143 N05AH04
144 N05AH04
145 N05AH04
146 N05AH04
147 N05AL01
148 N05AL01
149 N05AL01
150 N05AL05
151 N05AL05
152 N05AL05
153 N05AL05
154 N05AX08
155 N05AX08
156 N05AX08
157 N05AX08
158 N05AX08
159 N05AX08
160 N05AX08
161 N05AX08
162 N05AX08
163 N05AX08
164 N05AX08
165 N05AX08
166 N05AX08
167 N05AX08
168 N05AX08
169 N05AX08
170 N05AX08
171 N05AX08
172 N05AX08
173 N05AX08
174 N05AX08
175 N05AX08
176 N05AX08
177 N05AX08
178 N05AX08
179 N05AX08
180 N05AX08
181 N05AX08
182 N05AX08
183 N05AX08
184 N05AX08
185 N05AX08
186 N05AX08
187 N05AX08
188 N05AX08
189 N05AX08
190 N05AX08
191 N05AX08

DCI

QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
SULPIRIDUM
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**

Denumire Comerciala

QUETROP 300 mg
Q MIND 300 mg
KATHIRA 300 mg
SEROQUEL XR 200 mg
SEROQUEL XR 300 mg
SEROQUEL XR 400 mg
SEROQUEL XR 50 mg
EGLONYL (R) 50 mg
EGLONYL 50 mg
EGLONYL (R) 200 mg
AMISULPRIDA LPH 200 mg
MIDORA 200 mg
SOLIAN 200 mg
SOLIAN 400 mg
RISPERIDONE TEVA 1 mg
SPRING 1 mg
RONYDAL 1 mg
RISPEN 1
RISPERIDONA ARENA 1 mg
RONYDAL 1 mg
RISPEN 2
RISPERIDONE TEVA 2 mg
RISON 2 mg
SPRING 2 mg
RONYDAL 2 mg
RISPERIDONA ARENA 2 mg
RONYDAL 2 mg
TORENDO 3 mg
RISPERIDONE TEVA 3 mg
RISON 3 mg
SPRING 3 mg
RONYDAL 3 mg
RISPEN 3
RISPERIDONA ARENA 3 mg
RONYDAL 3 mg
RISPEN 4
TORENDO 4 mg
RISPERIDONE TEVA 4 mg
RISON 4 mg
SPRING 4 mg
RONYDAL 4 mg

forma farm.

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

CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR. DIVIZ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
RISPERIDONA MEDOCHEMIE 4 mg COMPR. FILM.
RISPERIDONA ARENA 4 mg COMPR. FILM.
RONYDAL 4 mg
COMPR. FILM.
TORENDO Q-TAB 1 mg
COMPR. ORODISPERSABILE
ESSENS OD 1 mg
COMPR. ORODISPERSABILE
TORENDO Q-TAB 2 mg
COMPR. ORODISPERSABILE
ESSENS OD 2 mg
COMPR. ORODISPERSABILE
ESSENS OD 3 mg
COMPR. ORODISPERSABILE
RISPOLEPT CONSTA 25 mg
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

RISPOLEPT CONSTA 37,5 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

RISPOLEPT CONSTA 50 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

concentratie

300mg
300mg
300mg
200mg
300mg
400mg
50mg
50mg
50mg
200mg
200mg
200mg
200mg
400mg
1mg
1mg
1mg
1mg
1mg
1mg
2 mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
1mg
1mg
2mg
2mg
3mg
25mg
37,5mg
50mg

DETINATOR APP
GLENMARK PHARMACEUTICALS S.R.O.

TARA
DET. APP
REPUBLICA CEHA

AMBALAJ

Prescriptie

NR.CRT

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

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF

NEOLA PHARMA S.R.L. ROMANIA

CUTIE CU 6 BLIST. OPACE DIN PVC/AL X 10 COMPR. FILM.

PRF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

ASTRAZENECA UK LIMITED

MAREA BRITANIE

CUTIE X 6 BLIST. PVC-PCTFE/AL X 10 COMPR. CU ELIB. PREL.

P-RF

ASTRAZENECA UK LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. OPACE DIN AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-RF

FRANTA CUTIE X 2 BLIST. X 15 CAPS.

FRANTA CUTIE CU 1 BLIST. PVC/AL X 30 CAPS.
FRANTA CUTIE X 1 BLIST. X 12 COMPR.

P-RF

LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-RF

TERAPIA S.A.

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

P-RF

SANOFI-AVENTIS FRANCE

FRANTA
FRANTA

SANOFI-SYNTHELABO FRANCE
SANOFI-SYNTHELABO FRANCE
SANOFI-SYNTHELABO FRANCE

SANOFI-AVENTIS FRANCE

ROMANIA
ANTIBIOTICE S.A.
ROMANIA
ROMASTRU TRADING SRL ROMANIA

TEVA PHARMACEUTICAL S.R.L.

PRF
P-RF

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF

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

ZENTIVA KS
CEHIA
ARENA GROUP S.A. ROMANIA

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

NEOLA PHARMA S.R.L. ROMANIA

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

ZENTIVA KS

CEHIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

ACTAVIS GROUP HF. ISLANDA

ANTIBIOTICE S.A.
ROMANIA
ROMASTRU TRADING SRL ROMANIA
ARENA GROUP S.A. ROMANIA
NEOLA PHARMA S.R.L. ROMANIA

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

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

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

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF
CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF

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

KRKA D.D. NOVO MESTO SLOVENIA

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

ROMANIA

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

ACTAVIS GROUP HF. ISLANDA

ANTIBIOTICE S.A.
ROMANIA
ROMASTRU TRADING SRL ROMANIA

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

TEVA PHARMACEUTICALS S.R.L.

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

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

ZENTIVA KS
CEHIA
ARENA GROUP S.A. ROMANIA

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

NEOLA PHARMA S.R.L. ROMANIA

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

ZENTIVA KS

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

CEHIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

KRKA D.D. NOVO MESTO SLOVENIA

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

ROMANIA

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

ACTAVIS GROUP HF. ISLANDA

ANTIBIOTICE S.A.
ROMANIA
ROMASTRU TRADING SRL ROMANIA

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

TEVA PHARMACEUTICALS S.R.L.

MEDOCHEMIE LTD. CIPRU

ARENA GROUP S.A. ROMANIA

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

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

CUTIE CU BLIST. PVC-PE-PVDC/AL X 20 COMPR. FILM.

PRF

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

NEOLA PHARMA S.R.L. ROMANIA

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

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

JANSSEN PHARMACEUTICA N.V.

BELGIA
BELGIA
BELGIA

JANSSEN PHARMACEUTICA N.V.

JANSSEN PHARMACEUTICA N.V.

Pagina 22 din 39

CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

P-RF

CUTIE CU 1 FLACON PULBERE PT SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUTA CU 2 ML SOLVENT + 2 ACE

S/P-RF

CUTIE CU 1 FLACON PULBERE PT SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUTA CU 2 ML SOLVENT + 2 ACE

S/P-RF

CUTIE CU 1 FLACON PULBERE PT SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUTA CU 2 ML SOLVENT + 2 ACE

S/P-RF

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

60
1.256799
60
1.256799
60
1.256799
60
2.344200
60
3.302400
60
4.086199
60
0.891000
30
0.274333
30
0.274333
12
0.698333
30
1.522000
30
1.522000
30
1.826400
30
3.672000
60
0.303833
30
0.364599
60
0.364599
50
0.359600
20
0.364599
60
0.364599
50
0.309000
60
0.309000
20
0.257500
30
0.309000
60
0.309000
20
0.309000
60
0.309000
30
0.507600
60
0.507600
20
0.423000
30
0.507600
60
0.507600
50
0.507600
20
0.507600
60
0.507600
50
0.309000
30
0.309000
60
0.309000
20
0.257500
30
0.309000
60
0.309000
20
0.309000
20
0.309000
60
0.309000
30
0.364599
30
0.364599
30
0.309000
30
0.309000
30
0.507600
1 374.930000
1 530.080000
1 635.690000

1.256799
1.256799
1.256799
2.344200
3.302400
4.086199
0.891000
0.274333
0.274333
0.698333
1.522000
1.522000
1.826400
3.672000
0.303833
0.364599
0.364599
0.359600
0.364599
0.364599
0.309000
0.309000
0.257500
0.309000
0.309000
0.309000
0.309000
0.507600
0.507600
0.423000
0.507600
0.507600
0.507600
0.507600
0.507600
0.309000
0.309000
0.309000
0.257500
0.309000
0.309000
0.309000
0.309000
0.309000
0.364599
0.364599
0.309000
0.309000
0.507600
374.930000
530.080000
635.690000

1.445534
0.489701
0.700034
1.771133
2.844766
3.775301
0.213333
0.000000
0.000000
0.000000
0.000000
0.000000
0.437266
0.000000
0.000000
0.150401
0.050901
0.000000
0.018901
0.050901
0.000000
0.222333
0.000000
0.564000
0.614333
0.530000
0.614333
0.687733
0.270066
0.000000
0.874066
0.919566
0.000000
0.851400
0.919566
0.000000
1.334333
0.795833
0.000000
1.579666
1.608833
1.503500
1.416000
1.608833
0.062067
0.070067
0.597000
0.619666
0.929733
0.000000
0.000000
0.000000

COD ATC

192 N05AX08
193 N05AX12
194 N05AX12
195 N05AX12
196 N05AX12
197 N05AX12
198 N05AX12
199 N05AX12
200 N05AX12
201 N05AX12
202 N05AX12
203 N05AX12
204 N05AX12
205 N05AX12
206 N05AX12
207 N05AX12
208 N05AX12
209 N05AX12
210 N05AX12
211 N05AX12
212 N05AX12
213 N05AX12
214 N05AX12
215 N05AX12
216 N05AX12
217 N05AX13
218 N05AX13
219 N05AX13
220 N05AX13
221 N05AX13
222 N05AX13
223 N05AX13
224 N06AB04
225 N06AB04
226 N06AB10
227 N06AB10
228 N06AB10
229 N06AB10
230 N06AB10
231 N06AB10
232 N06AB10
233 N06AB10
234 N06AB10
235 N06AB10
236 N06AB10
237 N06AB10
238 N06AB10
239 N06AB10
240 N06AB10
241 N06AB10
242 N06AB10
243 N06AB10

DCI

RISPERIDONUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
PALIPERIDONUM**
CITALOPRAMUM**
CITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**

Denumire Comerciala

RISPOLEPT
ABILIFY 10mg
ARYZALERA 10mg
ARIPIPRAZOL GLENMARK 10 mg

ARIPIPRAZOL TEVA 10 mg
ARIPIPRAZOL AUROBINDO 10 mg

ARIPIPRAZOL SANDOZ 10 mg
ARIPIPRAZOLE ZENTIVA 10 mg

RESTIGULIN 10 mg
ABILIFY 15mg
ARYZALERA 15mg
ARIPIPRAZOL GLENMARK 15 mg

ARIPIPRAZOL TEVA 15 mg
ARIPIPRAZOL AUROBINDO 15 mg

ARIPIPRAZOL SANDOZ 15 mg
ARIPIPRAZOLE ZENTIVA 15 mg

forma farm.

SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

RESTIGULIN 15 mg
ARIPIPRAZOL TEVA 20 mg
ARIPIPRAZOL TEVA 30 mg
ASTORET 10 mg

COMPR. ORODISPERSABILE

ARIPIPRAZOLE ZENTIVA 10 mg

COMPR. ORODISPERSABILE

ASTORET 15 mg

COMPR. ORODISPERSABILE

ARIPIPRAZOLE ZENTIVA 15 mg

COMPR. ORODISPERSABILE

ABILIFY MAINTENA 400mg

ABILIFY 7,5mg/ml
SOL. INJ.
INVEGA 3mg
COMPR. ELIB. PREL.
INVEGA 6mg
COMPR. ELIB. PREL.
INVEGA 9mg
COMPR. ELIB. PREL.
XEPLION
SUSP. INJ. CU ELIB. PREL.
XEPLION
SUSP. INJ. CU ELIB. PREL.
XEPLION
SUSP. INJ. CU ELIB. PREL.
XEPLION
SUSP. INJ. CU ELIB. PREL.
LINISAN 10 mg
COMPR. FILM.
LINISAN 20 mg
COMPR. FILM.
DEPRESINAL 10 mg
COMPR. FILM.
CIPRALEX 10 mg
COMPR. FILM.
ESCITIL 10 mg
COMPR. FILM.
ESCITALOPRAM-TEVA 10 mg COMPR. FILM.
LENUXIN 10 mg
COMPR. FILM.
ESLOREX 10 mg
COMPR. FILM.
SERODEPS 10mg
COMPR. FILM.
ESTAN 10 mg
COMPR. FILM.
ESTAN 10 mg
COMPR. FILM.
ESCITALOPRAM ACTAVIS 10 mg COMPR. FILM.
ELICEA 10 mg
COMPR. FILM.
ESCITALOPRAM AUROBINDO 10 mg COMPR. FILM.
ESCITALOPRAM ATB 10 mg COMPR. FILM.
ESCITALOPRAM TORRENT 10 mg COMPR. FILM.
ESCITALOPRAM-TEVA 15 mg COMPR. FILM.
ELICEA 15 mg
COMPR. FILM.
ESCITALOPRAM-TEVA 20 mg COMPR. FILM.
SERODEPS 20mg
COMPR. FILM.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

concentratie

1mg/ml
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
20mg
30mg
10mg
10mg
15mg
15mg
400mg
7,5mg/ml
3mg
6mg
9mg
100mg
150mg
50mg
75mg
10mg
20mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
20mg
20mg

DETINATOR APP

TARA
DET. APP

BELGIA

AMBALAJ

Prescriptie

NR.CRT

CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA

P-RF

CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

P-RF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

PRF

JANSSEN PHARMACEUTICA N.V.

OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE

CUTIE CU 1 BLSIT. OPA-AL-PVC/AL X 28 COMPR. PRF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

TEVA PHARMACEUTICALS S.R.L.

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

AUROBINDO PHARMA (MALTA) LIMITED

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

AUSTRIA CUTIE CU BLIST. ALU/ALU X 28 COMPR.

PRF

CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR.

PRF

SANDOZ GMBH
ZENTIVA, K.S.

REPUBLICA CEHA

GEDEON RICHTER ROMANIA S.A.

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. PRF

PRF

CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

P-RF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

PRF

OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE

CUTIE CU 1 BLSIT. OPA-AL-PVC/AL X 28 COMPR. PRF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

TEVA PHARMACEUTICALS S.R.L.

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

AUROBINDO PHARMA (MALTA) LIMITED

SANDOZ GMBH
ZENTIVA, K.S.
GEDEON RICHTER ROMANIA S.A.

TEVA PHARMACEUTICALS S.R.L.

TEVA PHARMACEUTICALS S.R.L.

TERAPIA S.A.
ZENTIVA, K.S.
TERAPIA S.A.
ZENTIVA, K.S.

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

AUSTRIA CUTIE CU BLIST. ALU/ALU X 28 COMPR.

PRF

CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR.

PRF

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR.

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

PRF

CUTIE CU BLIST. DETASABIL (PEEL-OF) DIN PA/AL/PVC-AL X 28 COMPR. ORODISPERSABILE

PRF

REPUBLICA CEHA

CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. ORODISPERSABILE

PRF

ROMANIA

CUTIE CU BLIST. DETASABIL (PEEL-OF) DIN PA/AL/PVC-AL X 28 COMPR. ORODISPERSABILE

PRF

REPUBLICA CEHA

CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. ORODISPERSABILE

PRF

REPUBLICA CEHA

OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE

OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE

JANSSEN-CILAG INTERNATIONAL NV
JANSSEN-CILAG INTERNATIONAL NV
JANSSEN-CILAG INTERNATIONAL NV
JANSSEN CILAG INTERNATIONALL NV
JANSSEN CILAG INTERNATIONALL NV
JANSSEN CILAG INTERNATIONALL NV
JANSSEN CILAG INTERNATIONALL NV

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

CUT IE CU UN FL.X 400 MG PULB., UN FL. DE 2 ML CU SOLV., O SERINGA LUER-LOCK DE 3 ML CU AC HIPODERMIC SECURIZAT , O SERINGA JET ABILA DE 3 ML CU VRF LUER-LOCK, UN ADAPT OR PENT RU FLACON, UN AC HIPODERMIC SECURIZAT SI UN AC HIPODERMIC SECURIZAT PT OBEZI

PRF

PRF
PRF

PRF

CUTIE X 1FLAC. X 1,3ML SOL.INJ

P-RF

CUTIE X 30 COMPR.ELIB.PREL. (BLISTER PVC/PCTFE/AL)

P-RF

CUTIEX 30 COMPR.ELIB.PREL. (BLISTER PVC/PCTFE/AL)

P-RF

CUTIE X 30 COMPR.ELIB.PREL. (BLISTER PVC/PCTFE/AL)

P-RF

CUTIE CU 1 SERINGA PREUMPLUTA SI 2 ACE

PR
PR
PR
PR

CUTIE CU 1 SERINGA PREUMPLUTA SI 2 ACE

CUTIE CU 1 SERINGA PREUMPLUTA SI 2 ACE
CUTIE CU 1 SERINGA PREUMPLUTA SI 2 ACE

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

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

P-RF

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

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

P-RF

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.

PRF

ROMANIA

CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF

CIPRU
CIPRU
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

GEDEON RICHTER ROMANIA SA

GEDEON RICHTER ROMANIA SA

TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER ROMANIA SA

ZENTIVA K.S.
TERAPIA SA
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ACTAVIS GROUP PTC EHF.

P-RF

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF
AUROBINDO PHARMA LIMITED

MAREA BRITANIE

ANTIBIOTICE S.A.

ROMANIA
TORRENT PHARMA SRL ROMANIA
TEVA PHARMACEUTICALS S.R.L. ROMANIA

CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF

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

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

PRF

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

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF
TEVA PHARMACEUTICALS S.R.L.

TERAPIA SA
Pagina 23 din 39

ROMANIA
ROMANIA

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

CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM. P-RF

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

1
28
30
28
30
30
28
28
28
28
30
28
30
30
28
28
28
30
30
28
28
28
28
1
1
30
30
30
1
1
1
1
30
30
30
28
28
30
28
30
28
14
28
28
30
28
28
28
30
30
30
28

17.330000
5.626713
5.626713
5.626713
5.626713
5.511666
5.626713
5.626713
4.688928
6.889599
6.889599
6.889599
6.889599
5.741333
6.889599
6.889599
6.889599
12.270000
12.270000
5.626713
5.626713
6.889599
6.889599
1,163.560000

19.950000
15.777333
16.040000
17.477333
1,463.340000
2,055.980000

944.130000
1,202.120000

0.246000
1.368000
0.778666
0.918000
0.848928
0.776000
0.848928
0.780666
0.780357
0.848571
0.848928
0.778214
0.780666
0.778214
0.765000
0.848928
1.018713
1.018713
1.370000
1.359642

17.330000
5.626713
5.626713
5.626713
5.626713
5.511666
5.626713
5.626713
4.688928
6.889599
6.889599
6.889599
6.889599
5.741333
6.889599
6.889599
6.889599
12.270000
12.270000
5.626713
5.626713
6.889599
6.889599
1,163.560000
19.950000
15.777333
16.040000
17.477333
1,463.340000
2,055.980000
944.130000
1,202.120000
0.246000
1.368000
0.778666
0.918000
0.848928
0.776000
0.848928
0.780666
0.780357
0.848571
0.848928
0.778214
0.780666
0.778214
0.765000
0.848928
1.018713
1.018713
1.370000
1.359642

0.000000
5.855787
1.665287
1.836858
1.836953
0.000000
1.836858
1.665072
0.000000
4.592901
0.574067
0.573972
0.574067
0.000000
0.573972
0.573972
0.017543
0.000000
0.000000
1.836858
1.665072
0.573972
0.573972
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.346285
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.111620
0.350287
0.000000
0.000000

COD ATC

244 N06AB10
245 N06AB10
246 N06AB10
247 N06AB10
248 N06AB10
249 N06AB10
250 N06AB10
251 N06AB10
252 N06AB10
253 N06AB10
254 N06AB10
255 N06AX05
256 N06AX05
257 N06AX05
258 N06AX05
259 N06AX05
260 N06AX05
261 N06AX14
262 N06AX14
263 N06AX14
264 N06AX14
265 N06AX14
266 N06AX16
267 N06AX16
268 N06AX16
269 N06AX16
270 N06AX16
271 N06AX16
272 N06AX16
273 N06AX16
274 N06AX16
275 N06AX16
276 N06AX16
277 N06AX16
278 N06AX16
279 N06AX16
280 N06AX16
281 N06AX16
282 N06AX16
283 N06AX16
284 N06AX16
285 N06AX16
286 N06AX16
287 N06AX16
288 N06AX16
289 N06AX16
290 N06AX16
291 N06AX16
292 N06AX16
293 N06AX21
294 N06AX21
295 N06AX21

DCI

ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**

Denumire Comerciala

forma farm.

COMPR. FILM.
ESCITALOPRAM ACTAVIS 20 mg COMPR. FILM.
ELICEA 20 mg
COMPR. FILM.
ELICEA Q-TAB 10 mg
COMPR. ORODISPERSABILE
ELICEA Q-TAB 10 mg
COMPR. ORODISPERSABILE
ESCITALOPRAM TORRENT 20 mg

ESCITALOPRAM TEVA 10 mg

ELICEA Q-TAB 15 mg
ELICEA Q-TAB 15 mg
ELICEA Q-TAB 20 mg
ELICEA Q-TAB 20 mg
ESCITALOPRAM TEVA 20 mg

TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 150 mg
TRITTICO AC 75 mg
TRITTICO AC 75 mg
LYXIT 12,5 mg
LYXIT 12,5 mg
NOBIXAL 12,5 mg
NOBIXAL 12,5 mg
COAXIL (R)
EFECTIN EP 150 mg
ELIFY EP 150 mg
IVRYX 150mg
VELAXIN 150 mg
ALVENTA 150mg
VENLAFAXINA ACTAVIS 150 mg
VENLAFAXINA ARENA EP 150 mg

VENLAFAXINA TERAPIA 150 mg

VENLAFAXINA TERAPIA 150 mg

FOBILESS 37,5 mg
VENLAFAXINA ARENA EP 37,5 mg

EFECTIN EP 75 mg
ELIFY EP 75 mg
IVRYX 75mg
IVRYX 75mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg

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. PREL.
COMPR. ELIB. PREL.

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

VENLAFAXINA ACTAVIS 75 mg
VENLAFAXINA ARENA EP 75 mg
VENLAFAXINA TERAPIA 75 mg
VENLAFAXINA TERAPIA 75 mg
VENLAFAXINA ARENA 37,5 mg COMPR.

VENLAFAXINA ARENA 50 mg
VENLAFAXINA ARENA 75 mg
ARGOFAN 150 SR
ARGOFAN 75 SR
CYMBALTA 30mg
DULSEVIA 30 mg
ZATINEX 30 mg

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

concentratie

20mg
20mg
20mg
10mg
10mg
10mg
15mg
15mg
20mg
20mg
20mg
150mg
150mg
150mg
150mg
75mg
75mg
12,5 mg
12,5 mg
12,5mg
12,5mg
12,5mg
150 mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
75 mg
75 mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
50mg
75mg
150mg
75mg
30mg
30mg
30mg

Prescriptie

NR.CRT

TARA
DET. APP
TORRENT PHARMA SRL ROMANIA

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

PRF

ISLANDA

CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM.

PRF

DETINATOR APP

ACTAVIS GROUP PTC EHF.

AMBALAJ

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

ROMANIA

CUTIE CU BLIST. HARTIE-PET-AL/PVC-AL-OPA X 30 COMPR. ORODISPERSABILE

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

CUTIE CU BLIST. HARTIE-PET-AL/PVC-AL-OPA X 30 COMPR. ORODISPERSABILE

PRF

TEVA PHARMACEUTICALS S.R.L.

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

ANGELINI FRANCESCO SPA

CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF

ANGELINI FRANCESCO SPA

ITALIA
ITALIA
ITALIA
ITALIA
ITALIA
ITALIA

ARENA GROUP S.A.

ARENA GROUP S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

PRF

CUTIE CU BLIST. DIN PVC-PVDC/AL X 90 COMPR. FILM.

PRF

ANGELINI FRANCESCO SPA

ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA
ANGELINI FRANCESCO SPA

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

CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF
CUTIE X 2 BLIST. AL/PVCX 10 COMPR. ELIB. PREL.

CUTIE X 1 BLIST. AL/PVC X 30 COMPR. ELIB. PREL. P-RF

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.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

P-RF

CUTIE X 2 BLIST. AL/PVC X 15 COMPR. ELIB. PREL. P-RF

P-RF

CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL.

PRF

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.

KRKA D.D. NOVO MESTO SLOVENIA

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.

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. 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

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL.

P-RF

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL

P-RF

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF

AUSTRIA
ISLANDA

CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF

CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL.

P-RF

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.
ZENTIVA A.S.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

SLOVACIA
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

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

P-RF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. OPA-AL[PEID-PE-DESICANT-PEID-AL-PE X 30 CAPS. GASTROREZ.

PRF

ANTIBIOTICE S.A.

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. GASTROREZ.

PRF

LANNACHER HEILMITTEL GES.M.B.H.

ACTAVIS GROUP PTC EHF.

Pagina 24 din 39

ROMANIA

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

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

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

28
28
30
28
28
30
28
28
28
28
30
20
60
60
20
30
30
30
90
30
30
30
28
30
28
28
30
28
30
30
30
30
30
28
30
28
28
28
30
30
28
30
30
30
30
30
30
30
30
28
30
28

1.631570
1.399642
1.406000
0.780357
0.780357
0.918000
1.018713
1.018713
1.576785
1.576785
1.369000
1.264000
1.094833
1.094833
1.264000
0.644666
0.644666
0.460333
0.445222
0.460333
0.460333
0.534266
0.665599
0.665599
0.665599
0.665599
0.554666
0.665599
0.665599
0.665599
0.665599
0.596333
0.715599
0.391200
0.391200
0.391200
0.391200
0.391200
0.326000
0.391200
0.391200
0.391200
0.391200
0.391200
0.715599
0.847333
0.391200
0.665000
0.391000
2.326285
2.012000
1.938571

1.631570
1.399642
1.406000
0.780357
0.780357
0.918000
1.018713
1.018713
1.576785
1.576785
1.369000
1.264000
1.094833
1.094833
1.264000
0.644666
0.644666
0.460333
0.445222
0.460333
0.460333
0.534266
0.665599
0.665599
0.665599
0.665599
0.554666
0.665599
0.665599
0.665599
0.665599
0.596333
0.715599
0.391200
0.391200
0.391200
0.391200
0.391200
0.326000
0.391200
0.391200
0.391200
0.391200
0.391200
0.715599
0.847333
0.391200
0.665000
0.391000
2.326285
2.012000
1.938571

0.637001
0.000000
0.000000
0.000000
0.000000
0.015666
0.350572
0.332358
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.173400
1.347258
0.332734
0.195115
0.642972
0.000000
0.190829
0.643067
0.643067
0.643067
0.000000
0.116067
0.927014
0.358133
0.272014
0.272014
0.493800
0.000000
0.271466
0.265228
0.488133
0.494133
0.494133
0.116067
0.000000
0.488133
0.000000
0.000000
0.613715
0.000000
0.000000

DCI

COD ATC

296 N06AX21
297 N06AX21
298 N06AX21
299 N06AX21
300 N06AX21
301 N06AX21
302 N06AX21
303 N06AX21
304 N06BA09
305 N06BA09
306 N06BA09
307 N06BA09
308 N06BA09
309 N06BA09

DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
DULOXETINUM**
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***

Denumire Comerciala

ZATINEX 30 mg

forma farm.
CAPS. GASTROREZ.

DULOXETINA DR. REDDY'S 30 mg CAPS. GASTROREZ.

CYMBALTA 60mg
DULSEVIA 60 mg
ZATINEX 60 mg
ZATINEX 60 mg

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

DULOXETINA DR. REDDY'S 60 mg CAPS. GASTROREZ.

DULOXETINE ZENTIVA 60 mg CAPS. GASTROREZ.

STRATTERA 10 mg
STRATTERA 18 mg
STRATTERA 25 mg
STRATTERA 40 mg
STRATTERA 60 mg
STRATTERA 80 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

concentratie

30mg
30mg
60mg
60mg
60mg
60mg
60mg
60mg
10mg
18mg
25mg
40mg
60mg
80mg

DR. REDDY'S LABORATORIES

TARA
DET. APP
ROMANIA
ROMANIA

ELI LILLY NEDERLAND BV

OLANDA

DETINATOR APP

ANTIBIOTICE S.A.

AMBALAJ

Prescriptie

NR.CRT

CUTIE CU BLIST. PVC-PVDC/AL X 28 CAPS. GASTROREZ.

PRF

CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 CAPS. GASTROREZ.

PRF

CUTIE, X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL)

P-RF

CUTIE CU BLIST. OPA-AL[PEID-PE-DESICANT-PEID-AL-PE X 30 CAPS. GASTROREZ.

PRF

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. GASTROREZ.

PRF

CUTIE CU BLIST. PVC-PVDC/AL X 28 CAPS. GASTROREZ.

PRF

DR. REDDY'S LABORATORIES

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 CAPS. GASTROREZ.

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC/PCTFE/AL X 28 CAPS. GASTROREZ.

PRF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS.

P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS.

P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS.

P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS.

P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS.

P-RF

ELI LILLY AND COMPANY LTD.

MAREA BRITANIE

CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7 CAPS.

P-RF/R

CUTIE CU, BLIST., DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.

P-RF

KRKA, D.D., NOVO MESTO SLOVENIA

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de
compensare 100%
amba referinta / UT
compensare 100% din
din pretul de
laj
(RON)
pretul de referinta)
referinta)

28
28
28
30
28
28
28
28
7
7
28
28
28
28

1.938571
2.011785
3.515199
2.929333
3.044642
3.044642
3.072142
3.072142
13.407142
13.491428
12.654285
12.654285
12.654285
15.916785

1.938571
2.011785
3.515199
2.929333
3.044642
3.044642
3.072142
3.072142
13.407142
13.491428
12.654285
12.654285
12.654285
15.916785

0.000000
0.000000
1.047658
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

28
30
30
30
28
28
28
28
50
56
60
98
100
30
28
28
28
30
30
30
28
28
28
50
56
60
98
100
30
28
28
28

1.251428
1.256570
1.256570
1.237666
1.256570
1.047142
1.256570
1.256570
1.256570
1.256570
1.256570
1.256570
1.256570
1.256570
1.256570
0.985000
1.158856
1.158856
1.158856
1.158856
0.965714
1.158856
1.158856
1.158856
1.158856
1.158856
1.158856
1.158856
1.158856
1.158856
1.251428
1.256570

1.251428
1.256570
1.256570
1.237666
1.256570
1.047142
1.256570
1.256570
1.256570
1.256570
1.256570
1.256570
1.256570
1.256570
1.256570
0.985000
1.158856
1.158856
1.158856
1.158856
0.965714
1.158856
1.158856
1.158856
1.158856
1.158856
1.158856
1.158856
1.158856
1.158856
1.251428
1.256570

0.000000
0.896763
0.896763
0.000000
1.063787
0.000000
0.477001
0.862001
0.755230
0.755037
0.755096
0.650981
0.651030
0.564096
1.059858
0.000000
0.552215
0.383810
0.383810
0.347144
0.000000
0.127215
0.371144
0.293744
0.294179
0.293810
0.218797
0.218944
0.100477
0.553286
0.000000
4.127001

Tratamentul se iniiaz de ctre medicul n specialitatea psihiatrie i psihiatrie pediatric/neuropsihiatrie infantil.

14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16

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N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***

YASNAL 10 mg
DAVIA 10 mg
DAVIA 10 mg
TUADIN 10 mg
PRIDIA 10 mg
DONECEPT 10 MG
COGNEZIL 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg
DOSPELIN 10 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
DONEPEZIL TORRENT 10 mg COMPR. FILM.
XALINAT 10 mg
COMPR. FILM.
YASNAL 5 mg
COMPR. FILM.
ZILDON 5 mg
COMPR. FILM.
DAVIA 5 mg
COMPR. FILM.
DAVIA 5 mg
COMPR. FILM.
TUADIN 5 mg
COMPR. FILM.
DONECEPT 5 MG
COMPR. FILM.
COGNEZIL 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DOSPELIN 5 mg
COMPR. FILM.
DONEPEZIL TORRENT 5 mg COMPR. FILM.
XALINAT 5 mg
COMPR. FILM.
YASNAL 10 mg
COMPR. ORODISPERSABILE
ARICEPT EVESS
COMPR. ORODISPERSABILE

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg

KRKA D.D. NOVO MESTO SLOVENIA

TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.

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

ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE X BLISTERE PVC/AL X 28 COMPRIMATE FILMATE P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU
CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

P-RF

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-RF

CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 98 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

GALENICA S.A.

GRECIA

KRKA D.D. NOVO MESTO SLOVENIA

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

CUTIE CU BLIST. DIN OPA-AL-PVC/AL CU 28 COMPR. FILM.

P-RF

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.

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

P-RF

ACTAVIS GROUP PTC EHF.

ISLANDA

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

P-RF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE X BLISTERE PVC/AL X 28 COMPRIMATE FILMATE P-RF

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU
CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. P-RF

P-RF
P-RF
P-RF

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-RF

CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 98 COMPR. FILM. P-RF
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P-RF

TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

GALENICA S.A.
KRKA D.D.

GRECIA

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

SLOVENIA

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL TIP "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PRF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF

Pagina 25 din 39

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COD ATC

N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA02
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA03
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DA04
N06DX01
N06DX01
N06DX01
N06DX01
N06DX01
N06DX01
N06DX01

DCI

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***

Denumire Comerciala

DONEPEZI