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ANEXA 1

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI
MODIFICARILE ULTERIOARE VALABILA INCEPAND CU
1 IULIE 2013

Nr crt.

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

cod ATC
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02BA
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B

DCI

RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
RANITIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
FAMOTIDINUM
NIZATIDINUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM

Denumire Comerciala

forma farm.

RANITIDIN ARENA 150mg


RANITIDINA 150 mg
RANITIDIN
ZANTAC 150 mg
N - RANITIDIN

COMPR.
COMPR.
COMPR.

RANITIDINA LAROPHARM 1

COMPR. FILM

RANITIDINA LPH 150 mg


RANITIDINA ATB 150 MG
RANITIDINA LPH 300 mg
RANITIDINA ATB 300 mg
ARNETIN
FAMODIN 20
FAMOTIDINA ZENTIVA 20mg
QUAMATEL 20 mg
FAMOTIDINA ZENTIVA 40 mg
FAMODIN 40
QUAMATEL 20 mg

COMPR. FILM

NIZATIDIN VIM SPECTRUM

CAPS.

OMEPRAZOL AUROBINDO 1

CAPS. G

ULTOP
OMEPRAZOL 20 mg
OMEPRAZOL LPH 20 mg
OMERAN 20
OMEPRAZOL 20 mg
OMEPRAZOL TERAPIA 20 mg
OMEPRAZOL ARENA 20 mg
OMEPRAZOL FARMEX 20 mg
NOVOGAST 20 mg
OMEPRAZOL LPH 20 mg
OMEPRAZOL ROMPHARM

ORTANOL 20 mg
HELICID 20
HELICID 20
OMEZ 20mg
OMEPRAZOL AUROBINDO 2

OMZATOL 20 mg
OMZATOL 20 mg
ORTANOL 40 mg

COMPR. FILM
COMPR. FILM

COMPR. FILM
COMPR. FILM
COMPR. FILM

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

CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G

OMEPRAZOL AUROBINDO 4

CAPS. G

OMEDAR (R)

COMPR. FILM. GASTROREZ.

concentratie

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

Detinator APP

tara det.
APP

Ambalaj

ARENA GROUP SA

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


MAGISTRA C&C S.R.L ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/AL X 10 COMPR. FI
GLAXO WELLCOME
M
MEDUMAN SA
ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. FILM.
LAROPHARM SRL
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10
LABORMED PHARMA
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10
LABORMED PHARMA
ANTIBIOTICE S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

Prescriptie

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

MEDOCHEMIE LTD. CIPRU

CUTIE X 5 FIOLE X 2 ML

ROMANIA
ZENTIVA S.A
ROMANIA
ROMANIA
GEDEON RIC
ZENTIVA S.A
ROMANIA
ROMANIA
AC HELCOR PHAR
ROMANIA
GEDEON RIC
VIM SPECTRUM SRL 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 14 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5

S/P-RF

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

P-6

AC HELCOR PHAR

P-R

P-6
P-6
P-6
P-6

AUROBINDO PHARMA (MALTA) LIMITED

MACEDO

CUTIE CU

P6L

KRKA D.D.

SLOVENI

CUTIE X 1 FLAC. PE X 14 CAPS. GAST

P-6

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

P-6

CUTIE X 2 BLIST. AL/PVC X 10 CAP

P-6

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

P-6

CUTIE X 3 BLIST. AL/PVC X 10 CAP

P-6

CUTIE X 3 BLIST. AL/PVC X 10 CAP

P-6

CUTIE X 3 BLIST. AL/PVC X 10 CAP

P-6

CUTIE X 3 BLIST. PVC/AL X 10 CAPS

P-6

CUTIE X 2 FOLII AL/PE X 10 CAPS. GAS

P-6

CUTIE X 1 BLIST. PVC/AL X 10CAPS

P-6

CUTIE X 3 BLIST. PVC/AL X 10 CAPS

P-6

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

P-6

CUTIE X 1 FLAC. DIN STICLA X

P-6

CUTIE X 1 FLAC. DIN STICLA X

P-6

ROMANIA
ROMANIA
LABORMED PHARMA
EUROPHARM SA
ROMANIA
SLAVIA PHARM SRL ROMANIA
TERAPIA SA
ROMANIA
ARENA GROUP S.A. ROMANIA
ROMANIA
FARMEX COMPANY
ANTIBIOTICE S.A.
ROMANIA
ROMANIA
LABORMED PHARMA
ROMANIA
ROMPHARM COM
GEDEON RIC

LEK PHARMACEU

SLOVENI

ZENTIVA K.S.
ZENTIVA K.S.

CEHIA
CEHIA

DR. REDDY'S L

ROMANIA

CUTIE X 3 FOLII AL/PE-PE/AL X

P-6

AUROBINDO PHARMA (MALTA) LIMITED

MACEDO

CUTIE CU

P6L

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

P-6

ROMASTRU TRADI

ROMANIA
ROMANIA

CUTIE X 4 BLIST. PA-AL-PVC/AL

P-6

LEK PHARMACEU

SLOVENI

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

P-6

AUROBINDO PHARMA (MALTA) LIMITED

MACEDO

CUTIE CU

P6L

DAR AL DAWA P

ROMANIA

CUTIE X

P-6

ROMASTRU TRADI

Pagina 1 din 101

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

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

4.55
4.56
4.55
7.01
3.99
4.55
4.56
4.55
13.00
8.66
12.67
8.89
5.86
9.45
7.72
12.31
24.64
18.23
4.61
14.45
14.45
12.80
21.42
22.68
22.53
22.02
20.85
15.04
6.49
22.16
8.07
10.06
18.38
21.42
8.94
10.71
21.42
8.03
12.76
14.45

Pret
amanuntul
maximal/UT
(RON)

0.227500
0.228000
0.227500
0.350500
0.199500
0.227500
0.228000
0.227500
0.433333
0.433000
2.534000
0.296333
0.195333
0.337500
0.257333
0.410333
4.928000
0.911500
0.329285
1.032142
1.032142
0.640000
0.765000
0.756000
0.751000
0.734000
0.695000
0.752000
0.649000
0.738666
0.576428
0.718571
0.656428
0.714000
0.319285
0.765000
0.765000
1.147142
0.911428
1.032142

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.192299
0.384599
0.384599
1.678945
0.192299
0.192299
0.192299
0.257333
0.384599
4.928000
0.192299
0.329285
0.662699
0.662699
0.640000
0.662699
0.662699
0.662699
0.662699
0.662699
0.662699
0.649000
0.662699
0.576428
0.662699
0.656428
0.662699
0.319285
0.662699
0.662699
1.147142
0.911428
0.662699

0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.173069
0.346139
0.346139
1.511050
0.173069
0.173069
0.173069
0.231599
0.346139
4.435200
0.173069
0.296356
0.596429
0.596429
0.576000
0.596429
0.596429
0.596429
0.596429
0.596429
0.596429
0.584100
0.596429
0.518785
0.596429
0.590785
0.596429
0.287356
0.596429
0.596429
1.032427
0.820285
0.596429

Nr crt.

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89

DCI

cod ATC
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A02B
A03AA
A03AA
A03AA
A03AA
A03AA
A03AA
A03AA
A03AA
A03AA
A03AA
A03AA
A03A
A03A

A03FA
A03FA
A03FA
A03FA
A03FA
A03FA
A03FA
A03FA
A03FA
A05AA
A05AA
A05AA
A05AA
A05AA
A05AA
A05AA
A05AA

A06AD
A06AD
A06AD
A06AD
A06AD
A06AD
A06AD
A06AD
A07AA

OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
MEBEVERINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
TRIMEBUTINUM
PAPAVERINI HYDROCHLORIDUM
PAPAVERINI HYDROCHLORIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
METOCLOPRAMIDUM
DOMPERIDONUM
DOMPERIDONUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
LACTULOSUM
NYSTATINUM

Denumire Comerciala

LOSEC MUPS 10 mg
OMEDAR 20 mg
LOSEC MUPS 20 mg
LOSEC 40 mg
OMEZ PUL

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

forma farm.

concentratie

PULB.

10mg
20mg
20mg
40mg
40mg

PULB.

FAR

COMP
COMP
COMP

LIOF. PT

15mg
30mg
CAPS. G
30mg
CAPS. G
30mg
CAPS. G
200mg
CAPS. ELIB
200mg
CAPS. ELIB
200mg
CAPS. ELIB
200mg
CAPS. ELIB
DRAJ.
100mg
COMPR.
100mg
COMPR.
100mg
100mg
COMPR. FILM
200mg
COMPR. FILM
COMPR. FILM. ELIB. PREL. 300mg
24mg/5ml
GR
COMPR.
100mg
COMPR.
200 mg
PAPAVERINA FARMACOM 2
METOCLOPRAMID
COMPR.
10mg
N - METOCLOPRAMID
COMPR.
10mg
METOCLOPRAMID 10 mg
COMPR.
10mg
COMPR.
10mg
METOCLOPRAMID ARENA 1
METOCLOPRAMID
7mg/ml
PIC. ORALE
SIROP
1mg/5ml
METOCLOPRAMID BIOFAR
METOCLOPRAMID 10 mg
SOL. INJ.
5mg/ml
MOTILIUM 10 mg
10mg
COMPR. FILM
OROPERIDYS 10 mg
COMPR. ORODISPERSABILE 10mg
URSOFALK (R)
CAPS.
250mg
URSOFALK (R)
CAPS.
250mg
URSOSAN
CAPS.
250mg
URSOCHOL 150 mg
COMPR.
150mg
URSOCHOL 300 mg
COMPR.
300mg
URSOFALK 500 mg
500mg
COMPR. FILM
URSOFALK 500 mg
500mg
COMPR. FILM
URSOFALK 250 mg/5 ml
SUSP. ORALA 250mg/5ml
DUPHALAC (R)
LICHID ORAL 66,7%
DUPHALAC (R)
LICHID ORAL 66,7%
LACTULOSE
SIROP
65%
LACTULOSE
SIROP
65%
LACTULOSE-MIP 650 mg/ml SIROP
650mg/ml
LACTULOSE-MIP 650 mg/ml SIROP
650mg/ml
LACTULAK 660 mg/ml
SOL. ORALA 660 mg/ml
LAEVOLAC 670mg/ml
SOL. ORALA 670mg/ml
NISTATINA
500.000ui
COMPR. FILM
CAPS. G

tara det.
APP

Detinator APP

Ambalaj

Prescriptie

ASTRAZENECA AB

SUEDIA

CUTIE CU 1 FLAC. PEID X 14 COMP

P6L

DAR AL DAWA P

ROMANIA

CUTIE X

P-6

ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA

CUTIE CU 1 FLAC. PEID X 7 COMPR

P6L

CUTIE X 5 FLAC. X 45 MG LIOF. PT. SO

S/P-RF

DR. REDDY'S L

ROMANIA

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

S/P-RF

ZENTIVA K.S.
RANBAXY UK LTD.

CEHIA

CUTIE X 1 FLAC. DIN STICLA CU P

S/P-RF

CUTIE X 2 BLIST. PVC-AL-P

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE X 2 BLIST. PVC-PE-PV

P-6

RANBAXY UK LTD.

CUTIE X 2 BLIST. PVC-AL-P

P-6

DR. REDDY'S L

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL

P-6

OLANDA
OLANDA
OLANDA
OLANDA

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


CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL
SOLVAY PHA
CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL
AB
CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL
AB
E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ.
MAGISTRA C & C
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
GEDEON RIC
SOLVAY PHA

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

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


CUTIE CU 3 BLIST. PVC/AL X 10 COMPR

ZENTIVA SA

ROMANIA

CUTIE X 2 BLIST. PVC-PV

P-6

PFIZER EUROPE M

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

P-6

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

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


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

PIERRE FABRE MEDICAMENT PRODUCTION

FRANTA/GERMANIA

DR. FALK PHARMA

GERMANI

PFIZER EUROPE M

PFIZER EUROPE M

P6L

CUTIE X 1 FLACON DIN STICLA X 20 ML PIC. ORALE.,SOLUTIE, PREVAZUT CU PICURATOR

P-R

CUTIE X

P-R

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

P-R

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-6

CUTIE CU BLIST. PVC-PE-PVD

P6L

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

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


P6L
GERMANI CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
P-6
CEHIA
CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
P-6
ITALIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6
ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6

DR. FALK PHARMA

GERMANI

CUTIE CU 2 BLIST. PVC-PVDC/AL X

DR. FALK PHARMA

GERMANI

CUTIE CU 4 BLIST. PVC-PVDC/AL X

DR. FALK PHARMA

GERMANI

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

P6L
P6L
P6L

FLACON DIN PEID PR

P-R

FLACON DIN PEID PR

P-R

DR. FALK PHARMA


PRO. MED. CS PRA

SOLVAY PHA
AB

OLANDA
OLANDA

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


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

P-6

MIP PHARMA GMBH GERMANI


MIP PHARMA GMBH GERMANI

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

P-6

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

P-6

P-6

ROMPHARM COM

ROMANIA

CUTIE X

P-6

FRESENI

AUSTRIA

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

P-R

ANTIBIOTICE SA

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

Pagina 2 din 101

P-R

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

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

33.19
14.45
24.96
114.72
16.22
19.43
6.56
13.13
11.36
16.66
25.07
25.07
25.07
25.07
9.03
11.12
11.12
17.13
33.61
36.01
12.05
4.42
8.54
1.16
1.36
5.39
1.39
2.85
8.69
12.02
12.31
25.07
124.28
71.49
68.77
54.19
35.88
136.52
268.17
97.49
10.37
10.37
10.42
3.47
17.23
33.34
7.09
3.57
8.47

Pret
amanuntul
maximal/UT
(RON)

2.370714
0.516071
3.565714
22.944000
16.220000
19.430000
0.468571
0.937857
0.811428
0.833000
0.835666
0.835666
0.835666
0.835666
0.451500
0.370666
0.370666
0.571000
1.120333
1.800500
12.050000
0.221000
0.427000
0.029000
0.034000
0.134750
0.034750
2.850000
8.690000
2.404000
1.231000
0.835666
1.242800
1.429800
1.375400
0.903166
1.794000
2.730400
2.681700
97.490000
10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
0.423500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.331349
0.516071
0.662699
22.012764
16.220000
19.430000
0.331349
0.662699
0.662699
0.662699
0.835666
0.835666
0.835666
0.835666
0.417833
0.370665
0.370665
0.370665
0.741334
1.112002
12.050000
0.193837
0.387675
0.029000
0.030768
0.030768
0.030768
2.850000
2.230071
2.404000
0.030768
0.030768
1.242800
1.359112
1.359112
0.815468
1.630936
2.718225
2.681700
67.955690
7.099085
7.099085
10.377223
3.459074
17.230000
33.340000
7.024582
3.565507
0.423500

0.298214
0.464463
0.596429
19.811487
14.598000
17.487000
0.298214
0.596429
0.596429
0.596429
0.752099
0.752099
0.752099
0.752099
0.376049
0.333598
0.333598
0.333598
0.667200
1.000801
10.845000
0.174453
0.348907
0.026100
0.027691
0.027691
0.027691
2.565000
2.007063
2.163600
0.027691
0.027691
1.118520
1.223200
1.223200
0.733921
1.467842
2.446402
2.413530
61.160121
6.389176
6.389176
9.339500
3.113166
15.507000
30.006000
6.322123
3.208956
0.381150

Nr crt.

90
91
92
93
94
95
96
97
98
99

DCI

cod ATC

Denumire Comerciala

113 B03AA

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

114 B03AB

COMPLEX DE HIDROX

115 B03AB

COMPLEX DE HIDROX

MESALAZINA DUO 400 mg


MESALAZINA DUO 800 mg
MESALAZINA DUO 800 mg
PENTASA 1000mg
PENTASA
SALOFALK 1 g
SALOFALK (R) 250 mg
SALOFALK (R) 500 mg
SALOFALK 4 g/ 60 ml
TROMBOSTOP 2 mg
SINTROM 4 mg
TICLODIN
IPATON
FITOMENADION 10 mg/ml
FERROGRADUMET (R)
TARDYFERON 80 mg
MALTOFER
FER ROMPHARM 50 mg/ml

116 B03AB

COMPLEX DE HIDROX

FERGLUROM FORTE 50 mg/m

117 B03AB

COMPLEX DE HIDROX

118 B03AB

COMPLEX DE HIDROX

119 B03AB

COMPLEX DE HIDROX

120 B03A

COMBINATII (

121 B03BB

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

A07E
A07E
A07E
A07E
A07E
A07E
A07E
A07E
A07E
A07E

100 A07E
101 A07E
102 A07E
103 A07E
104 A07E
105 A07E
106 A07E
107 B01AA
108 B01AA
109 B01A

110 B01A
111 B02BA

112 B03AA

122 C01A
123 C01A
124 C01A
125 C01B
126 C01BC
127 C01BC
128 C01BC
129 C01BC
130 C01BC
131 C01BC
132 C01BC
133 C01BC
134 C01BC
135 C01BD
136 C01BD
137 C01BD
138 C01BD

SULFASALAZIN EN
SALAZIDIN GR 500 mg
PENTASA 1 g
PENTASA
PENTASA 500mg

forma farm.

SIROP
SIROP
COMPR. FILM

FAR

COMP
CO

COMPR.
COMPR.

SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE

COMP

SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE

COMP

SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE

COMP

FERRUM HAUSMANN (R)


FERRUM HAUSMANN (R)
FERGLUROM 50mg/5ml
SORBIFER DURULES
ACIFOL 5 mg
DIGOXIN 0,25 mg
DIGOXIN ZENTIVA 0,25 mg
DIGOXIN 0,5 mg/2 ml
CHINIDINA ARENA 200 mg
PROPAFENONA ARENA 150
PROPAFENONA ARENA 150

COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUPOZ.
SUSP. RECT

COMPR.
COMPR.
COMPR. FILM
COMPR. FILM

SOL. INJ.
COMPR.

DRAJ. ELIB

COMPR. MAS
PIC. ORALE
PICA
PIC

COMPR. FILM

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

RYTMONORM (R)
PROPAFENON AL 150
PROPAFENON AL 150
PROPAFENON AL 150

COMPR. FILM

PROPAFENON SANDOZ 150

COMPR. FILM

PROPANORM 300 mg
RYTMONORM
AMIODARONA LPH 200 mg

COMPR. FILM

AMIODARONA ARENA 200

CORDARONE 200 mg
AMIOKORDIN

concentratie

500mg
500mg
1g
500mg
500mg
250mg
500mg
500mg
400mg
800mg
800mg
1000mg
1g
1g
250mg
500mg
4g/60ml
2mg
4mg
250mg
250mg
10mg/ml
105mg
80mg
100mg
50mg/ml
50mg/ml
50mg/ml
10mg/ml
50mg/5ml

COMPR. FILM. GASTROREZ.

COMPR. FILM
COMPR. FILM
COMPR. FILM

SOL. INJ.
COMPR.
COMPR.
COMPR. DIVI

SOL INJ.

5mg
0,25mg
0,25mg
0,5mg/2ml
200mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
300mg
70mg/20ml
200mg
200mg
200mg
150mg/3ml

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

KRKA D.D. NOVO M

SLOVENI

CUTIE X 5 BLIST. AL/PVC X 1

P-6

AC HELCOR PHAR

ROMANIA

CUTIE CU 5 BLIST. PVC/AL X

FERRING GMBH
FERRING GMBH
FERRING GMBH

GERMANI

CUTIE CU 6 BLIST. AL/AL X 10 COM

P6L
P6L

GERMANI

CUTIE X 10 BLIST. AL/PVC X 10 COM

P-6

GERMANI

CUTIE X 10 BLIST. AL/PVC X 10 COM

P-6

DR. FALK PHARMA

GERMANI

CUTIE X 10 BLIST. PVC-PV

P-6

DR. FALK PHARMA

GERMANI

CUTIE X 10 BLIST. PVC-PV

P-6

DR. FALK PHARMA

GERMANI

CUTIE X 5 BLIST. PVC-PVDC

P-6

DUO FARMACEUTIC

ROMANIA
ROMANIA
ROMANIA

CUTIE CU 4 BLIST. PVC

CUTIE CU 6 BLIST. PVC

P6L
P6L
P6L

FERRING GMBH
FERRING GMBH

GERMANI

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

P-6

GERMANI

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

P-6

DR. FALK PHARMA

GERMANI

CUTIE CU FOLII TERMOSUDATE

P6L

DR. FALK PHARMA

GERMANI

DUO FARMACEUTIC
DUO FARMACEUTIC

CUTIE CU 4 BLIST. PVC

P-6

DR. FALK PHARMA

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.


GERMANI CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

DR. FALK PHARMA

GERMANI

P-6

TERAPIA SA

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


GERMANI CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.
UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.
ROMANIA CUTIE X 5 FIOLE PREVAZU

NOVARTIS PHARM

AC HELCOR SRL
EGIS PHARMA

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

ROMANIA
ROMANIA

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

ALIUD PHA

GERMANI

P-R
P-R
S/P-RF

P-6
P-6

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

P-6

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

P6L

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

ALIUD PHA

CUTIE X 2 BLIST. X 25 COMPR. FILM.


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

HEXAL AG

GERMANI

PRO. MED. CS PRAH


ABBOTT GMBH&CO.
LABORMED PHARMA

ALIUD PHA

P-R

CUTIE X 3 BLIST. AL/PVDC-PE-

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

GERMANI

P-R

CUTIE X 3 BLIST. AL/PVC X 10 COMPR

BIOFARM S.A.
CUTIE X 1
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 3
VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML +
BIOFARM S.A.
ROMANIA
UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM.
EGIS PHARMA
ZENTIVA S.A.
ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR.
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ZENTIVA S.A.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
ZENTIVA S.A.
ROMANIA C
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 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.
ABBOTT GMBH&CO.

P-6

P-6
P-6
P-6
P-6
P-6
P-6
P-R
P-R
S/P-RF

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

CEHIA

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


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

GERMANI

CUTIE X 5 FIOLE DIN STICLA I

P-R

P-R

ARENA GROUP SA

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


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

SANOFI-AVENTIS

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

P-R

CN UNIFARM S.A.

ROMANIA CUTIE X 5 FIOLE X 3ML SOLUTIE INJE

PRF

Pagina 3 din 101

P-R
P-R

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

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

28.24
28.20
197.11
143.02
143.02
67.24
120.94
73.85
47.43
90.11
130.49
173.80
173.80
223.62
21.74
36.00
169.61
6.53
6.76
35.53
33.37
14.64
8.58
12.08
21.49
8.78
8.81
13.53
15.39
10.06
14.85
7.40
3.34
3.34
7.97
12.37
8.03
36.25
32.02
18.71
7.49
34.95
18.09
40.30
36.79
9.01
7.33
13.87
18.49

Pret
amanuntul
maximal/UT
(RON)

0.564800
0.564000
3.285166
1.430200
1.430200
0.672400
1.209400
1.477000
0.790500
1.501833
1.449888
6.207142
6.207142
7.454000
2.174000
3.600000
24.230000
0.217666
0.338000
1.776500
1.668500
2.928000
0.286000
0.402666
0.716333
8.780000
8.810000
13.530000
15.390000
10.060000
0.297000
0.246666
0.133600
0.133600
1.594000
0.618500
0.401500
0.362500
0.640400
0.374200
0.374500
0.349500
0.361800
0.806000
7.358000
0.300333
0.244333
0.462333
3.698000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.564800
0.564000
1.660342
0.830171
0.830171
0.415084
0.830171
0.830171
0.664135
1.328274
1.328274
6.207142
6.207142
6.207142
1.551780
3.103571
24.230000
0.181166
0.338000
0.603000
0.603000
2.928000
0.286000
0.232091
0.644699
8.780000
8.809999
8.809999
8.809999
5.873333
0.297000
0.246666
0.133600
0.133600
1.594000
0.618500
0.362325
0.362325
0.362325
0.362325
0.362325
0.349500
0.361800
0.724650
7.358000
0.272333
0.244333
0.272333
3.697999

0.508320
0.507600
1.494307
0.747153
0.747153
0.373575
0.747153
0.747153
0.597721
1.195446
1.195446
5.586427
5.586427
5.586427
1.396602
2.793213
21.807000
0.163049
0.304200
0.542700
0.542700
2.635200
0.257400
0.208881
0.580229
7.902000
7.928999
7.928999
7.928999
5.285999
0.267300
0.221999
0.120240
0.120240
1.434600
0.556650
0.326092
0.326092
0.326092
0.326092
0.326092
0.314550
0.325620
0.652185
6.622200
0.245099
0.219899
0.245099
3.328199

Nr crt.

cod ATC

139 C01BD
140 C01DA
141 C01DA
142 C01DA
143 C01DA
144 C01DA
145 C01DA
146 C01DA
147 C01DA
148 C01DA
149 C01E
150 C01E
151 C01E
152 C01E
153 C01E
154 C01E
155 C01E
156 C01E
157 C01E
158 C01E
159 C01E
160 C01E
161 C01E
162 C01E
163 C02A
164 C02AC
165 C02AC
166 C03A
167 C03BA
168 C03BA
169 C03BA
170 C03BA
171 C03BA
172 C03BA
173 C03BA
174 C03BA
175 C03BA
176 C03BA
177 C03BA
178 C03BA
179 C03BA
180 C03BA
181 C03BA
182 C03BA
183 C03BA
184 C03BA
185 C03BA
186 C03BA
187 C03CA

DCI

AMIODARONUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
NITROGLYCERINUM
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI DINITRAS
ISOSORBIDI MONONITRAS
ISOSORBIDI MONONITRAS
ALPROSTADILUM***
ALPROSTADILUM***
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
TRIMETAZIDINUM
METHYLDOPUM
CLONIDINUM
CLONIDINUM
HYDROCHLOROTHIAZIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
INDAPAMIDUM
FUROSEMIDUM

Denumire Comerciala

forma farm.

AMIOKORDIN
NITROMINT 2,6 mg
NITROGLICERINA 0,5 mg
NITRODERM (R) TTS 5
NITROMINT
DINITER SR 40 mg

SOL INJ.

ISOSORBIDE DINITRATE 10

COMPR.

ISODINIT(R) RETARD
OLICARD 40 mg RETARD
MONONITRON (R) EP 60 mg
PRIDAX 20mcg
VASAPROSTAN 20
TRIMETAZIDIN VIM SPEC

TRIMETAZIDINA ATB 35 mg
APSTAR 35 mg
TRIMELUZINE 35 mg
MODUXIN (R) 20 mg
DILATAN 20 mg

COMPR.
COMPR. S
SIST. TERAP. TRANSDERM.

SPRAY

CAPS. ELIB

COMPR.

CAPS. ELIB
COMPR. FILM. ELIB. PREL.

CONC.

LIOF. PT

CAPS.
CO

COMPR.
COMPR.

COMPR. FILM
COMPR. FILM

TRIMETAZIDINA LPH (R) 20

COMPR. FILM

PREDUCTAL 20 mg
PREDUCTAL MR 35 mg

COMPR. FILM

TRIMETAZIDINA LPH (R) 35

MODUXIN MR 35 mg
PREDUTRIM 20 mg/ml
DOPEGYT

COMPR. FILM. ELIB. MODIF.


COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.

PIC. ORALE

COMPR.
COMPR.
CLONIDINA SINTOFARM 0,1
CLONIDINA ARENA 0,15 mg COMPR.
NEFRIX 25 mg
COMPR.
SERDIMID 1,5 mg
CO
SERDIMID 2,5 mg
CO
INDAPAMIDA TERAPIA 1,5 m
INDAPAMIDA TERAPIA 2,5m

INDAPAMIDA MYLAN 1,5 mg


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

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

COMPR. CU ELIB. PRELUNGITA


COMPR. CU ELIB. PRELUNGITA

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

COMPR. FILM
COMPR. FILM. ELIB. PREL.

INDAPAMID LPH (R) 1,5 mg COMPR. FILM. ELIB. PREL.


RAWEL SR 1,5 mg
COMPR. FILM. ELIB. PREL.
IMPAMID SR 1,5 mg
COMPR. FILM. ELIB. PREL.
INDAPAMIDA ACTAVIS 1,5 mg COMPR. FILM. ELIB. PREL.
REDITENS SR 1.5 mg
COMPR. FILM. ELIB. PREL.
INDAPEN SR 1,5 mg
COMPR. FILM. ELIB. PREL.
FUROSEMID MCC 40 mg
COMPR.

PRF

ZENTIVA SA

tara det.
APP
Ambalaj
ROMANIA CUTIE X 5 FIOLE X 3ML SOLUTIE INJE
UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PR
ROMANIA CUTIE X 2 BLIST. PVC-PVDC

NOVARTIS PHARM

GERMANI

P-6

concentratie

50mg/ml
2,6mg
0,5mg
25mg
0,4mg/doza
40mg
10mg
20mg
40mg
60mg
20mcg
20mcg
20mg
35mg
35mg
35mg
20mg
20mg
20mg
20mg
35mg
35mg
35mg
20mg/ml
250mg
0,15mg
0,15mg
25mg
1,5mg
2,5mg
1,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
2,5mg
1,5 mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg
40mg

Detinator APP

KRKA
EGIS PHARMA

CUTIE X 10 PLICURI X 1 SIS

UNGARIA CUTIE X 1 FLACON X 10G (18


TERAPIA SA
ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL.
E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR.
CUTIE X 6 BLIST. X 10 COMPR. ELIB. PR
PHARMAKI G
M
EGIS PHARMA

Prescriptie

P-6
P-6
P-6
P-6
P-6
P-6

ABBOTT PRODU

GERMANI

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

P-6

ZENTIVA S.A

ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM.

P-6

GEBRO PHARMA G

AUSTRIA

S/P-RF

SCHWARZ PHARMA

GERMANI

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 3 BLIST. PVC-P

REPUBLICA CEHA

CUTIE CU BLIST. PVC-ACLAR/A

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. PVC-ACLAR/A


ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/
ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR.

CUTIE X 5 FLAC. X 1 ML CONC. PT. SO

CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL


VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X

GEDEON RIC

TERAPIA SA
LABORMED PHARMA
LES LABORATO

LES LAB. SERVIER I


LABORMED PHARMA

FRANTA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR


FRANTA CUTIE X 2 BLIST. AL/PVC X 30

ROMANIA
ROMANIA
GEDEON RIC
ROMANIA
ROMPHARM CO
UNGARIA
EGIS PHARMA
SINTOFARM SA
ROMANIA
ARENA GROUP SA ROMANIA
ZENTIVA SA
ROMANIA
SLAVIA PHARM S.R.L ROMANIA
SLAVIA PHARM S.R.L ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA

S/P-RF

P-6

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

CUTIE X 6 BLIST. AL/PVC X 10

P-6

CUTIE X 3 BLIST. PVC-PV

P-6

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

P6L

CUTIE X 1 FLAC. X 50 COMPR.


CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 FLAC. X 50 COMPR.
CUTIE X 1 BLIST. AL/PVC X 25 COMPR.

P-6

CUTIE CU 3 BLIST. PVC/AL X 10


CUTIE CU 2 BLIST. PVC/AL X 15

P6L
P6L

CUTIE X 3 BLIST. AL/PVC X 10

P-6

CUTIE X 3 BLIST. AL/PVC X 10C

P-6

P-6
P-6
P-6

MYLAN S.A.S.

FRANTA/GERMANIA

CUTIE CU BLIST DIN PVC/AL X

P-6

LES LAB. SERVIER I

FRANTA

CUTIE X 2 BLIST. AL/PVC X 15 COMPR

P-6

CUTIE X 3 BLIST. AL/PVC X 10 COMPR

P-6

CUTIE X 3 BLIST. OPA-AL-PVC

P-6

CUTIE X 3 BLIST. PVC/AL X 10

P-6

CUTIE CU BLIST. PVC-PVDC/AL

P-6

CUTIE CU 3 BLIST. PVC/AL X 10 CO

P6L
P6L

MAGISTRA C&C SRL ROMANIA


VIM SPECTRUM SRL ROMANIA

TORRENT PHARMA S

ROMANIA
ROMANIA
ROMANIA

WORWAG

GERMANI

GLEN

TEVA PHARM

CUTIE CU BLIST. PVC/AL X 30 COMPR

P-6

LABORMED PHARMA

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


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 C
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 C

KRKA D.D. NOVO M

SLOVENI

CUTIE X 3 BLIST. PVC-PV

P-6

GEDEON RIC

ROMANIA

CUTIE X 2 BLIST. PVC-PV

P-6

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. P

P-6

DR. REDDY'S L

ROMANIA

CUTIE X 3 BLIST. PVC/AL X 10 C

P-6

J & P PHARMA UK. L

CUTIE CU BLIST. PV

P-6

LABORMED PHARMA

LAROPHARM SRL

P-6
P-6

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

Pagina 4 din 101

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

5 18.49
60
9.88
20
3.87
10 18.47
1 15.30
20
9.03
60
2.14
60
3.94
20 12.02
40 36.41
5 328.95
10 521.11
30
7.61
30 16.72
60 33.41
60 26.64
30
7.61
30 14.61
60 15.24
60 23.44
60 49.74
60 33.39
30 16.72
1 12.33
50 26.73
50 10.05
50 12.34
25
4.18
30 13.68
30 15.07
30 13.30
30 14.90
30 12.60
30 21.05
30 13.68
30 10.66
30 13.68
30 13.31
30 13.68
30 12.62
30 15.07
20
9.11
30 13.68
30 11.71
30 13.16
30 13.68
30 13.68
30
9.88
20
3.02

Pret
amanuntul
maximal/UT
(RON)

3.698000
0.164666
0.193500
1.847000
15.300000
0.451500
0.035666
0.065666
0.601000
0.910250
65.790000
52.111000
0.253666
0.557333
0.556833
0.444000
0.253666
0.487000
0.254000
0.390666
0.829000
0.556500
0.557333
12.330000
0.534600
0.201000
0.246800
0.167200
0.456000
0.502333
0.443333
0.496666
0.420000
0.701666
0.456000
0.355333
0.456000
0.443666
0.456000
0.420666
0.502333
0.455500
0.456000
0.390333
0.438666
0.456000
0.456000
0.329333
0.151000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

3.697999
0.124625
0.115256
1.847000
15.300000
0.159775
0.035666
0.065666
0.239663
0.359495
55.530750
52.111000
0.253666
0.443978
0.443978
0.443978
0.253666
0.253702
0.253702
0.253702
0.443978
0.443978
0.443978
12.330000
0.534600
0.201000
0.217854
0.167200
0.343424
0.502333
0.343424
0.496666
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.502333
0.343424
0.343424
0.343424
0.343424
0.343424
0.343424
0.329333
0.151000

3.328199
0.112162
0.103730
1.662300
13.770000
0.143797
0.032099
0.059099
0.215696
0.323545
49.977675
46.899900
0.228299
0.399580
0.399580
0.399580
0.228299
0.228331
0.228331
0.228331
0.399580
0.399580
0.399580
11.097000
0.481140
0.180900
0.196068
0.150480
0.309081
0.452099
0.309081
0.446999
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.452099
0.309081
0.309081
0.309081
0.309081
0.309081
0.309081
0.296399
0.135900

Nr crt.

DCI

cod ATC

203 C03DA

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

204 C03E

COMBINATII (SPIR

205 C03E

COMBINATII (SPIR

206 C04AD

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

188 C03CA
189 C03CA
190 C03CA
191 C03CA
192 C03CA
193 C03CA
194 C03DA
195 C03DA
196 C03DA
197 C03DA
198 C03DA
199 C03DA
200 C03DA
201 C03DA
202 C03DA

207 C04AD
208 C04AD
209 C04AD
210 C04AD

211 C04AD
212 C04AD
213 C04AD
214 C04AD
215 C04AD
216 C04AD
217 C07A
218 C07A
219 C07A
220 C07A
221 C07A
222 C07A
223 C07A
224 C07A
225 C07A
226 C07A
227 C07A
228 C07A
229 C07A
230 C07A
231 C07A
232 C07A
233 C07A
234 C07A
235 C07A
236 C07A

Denumire Comerciala

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

SPIRONOLACTONA LPH 25

VEROSPIRON
SPIRONOLACTONA ARENA

SPIRONOLACTONA EEL 25
SPIRONOLACTONA OZONE

forma farm.

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

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
DIUROCARD 50 mg/20 mg
DIUREX 50

COMPR. FILM

PENTOXIFILINA SR ZENTIV

COMPR.

PENTOXIFILINA SR ZENTIV

COMPR.

PENTOXIFILINA SR ZENTIV

COMPR.

PENTOXIFILINA SR ZENTIV

COMPR.

VASONIT RETARD 600 mg


ANGIOPENT 400 mg
PENTOXI RETARD 400 mg
PENTOXI RETARD 400 mg
OXIFLUX 400 mg
OXIFLUX 400 mg
ANGIOPENT 600 mg
PROPRANOLOL EEL 10 mg
N - PROPRANOLOL 10 mg
PROPRANOLOL 10 mg
PROPRANOLOL EEL 40 mg
PROPRANOLOL 40 mg
PROPRANOLOL ARENA 40

SOTAGAMMA 160
SOTALOL AL 160
SOTALOL AL 160
SOTALOL AL 160
DAROB (R) 80 mg
SOTAGAMMA 80
SOTALOL AL 80
SOTALOL AL 80
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL LAROPHARM

METOPROLOL AL 100

COMPR. FILM
COMPR. FILM

CAPS.
CAPS.

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

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

TERAPIA SA
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS
ZENTIVA AS

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

LANN

AUSTRIA

concentratie

Detinator APP

40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
50mg
50mg/20 mg
50mg/20mg
400mg
400mg
600mg
600mg
600mg
400mg
400mg
400mg
400mg
400mg
600mg
10 mg
10mg
10mg
40mg
40mg
40mg
160mg
160mg
160mg
160mg
80mg
80mg
80mg
80mg
100mg
100mg
100mg
100mg
100mg
100mg

SLAVIA PHARM SRL


BIO EEL SRL
ZENTIVA SA
LABORMED PHARMA

ARENA GROUP S.A.


ZENTIVA SA
GEDEON RIC

ARENA GROUP S.A.


LABORMED PHARMA
GEDEON RIC

ARENA GROUP S.A.


BIO EEL SRL
OZON

TERAPIA SA
AC HELCOR PHAR
AC HELCOR PHAR

LABORMED PHARMA

BIO EEL S.R.L.


SC MEDUMAN SA
SINTOFARM SA
BIO EEL SRL
SINTOFARM SA
ARENA GROUP SA

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

WORWAG

GERMANI

ALIUD PHARMA GM

GERMANI

ALIUD PHARMA GM

GERMANI

ALIUD PHARMA GM

GERMANI

ABBOTT GMBH&CO.

GERMANI

WORWAG

GERMANI

ALIUD PHARMA GM

GERMANI

ALIUD PHARMA GM

GERMANI

KRKA D.D. NOVO M

SLOVENI

AC HELCOR PHAR

LAROPHARM SRL

ROMANIA
UNGARIA
ROMANIA
ROMANIA

ALIUD PHA

GERMANI

AC HELCOR PHAR

TERAPIA SA
TERAPIA SA
LABORMED PHARMA
LABORMED PHARMA
AC HELCOR PHAR

EGIS PHARMA

LABORMED PHARMA

Pagina 5 din 101

Ambalaj

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


CUTIE X 2 BLIST. X 10 COMPR.

Prescriptie

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

20
20
20
CUTIE X 1 FLAC. DIN PEID X 20 COMPR.
P-6
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
20
5
P-R
CUTIE
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
30
P-6
CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6
50
CUTIE CU 6 BLIST. PVC/AL X 10 CAPS. P6L
60
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
30
P-6
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
20
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6
50
50
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
P-6
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L
30
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
20
P-6
20
P-6
CUTIE X 2 BLIST. PVC-PV
50
P-6
CUTIE X 5 BLIST. PVC-PV
50
P-6
CUTIE X 5 BLIST. PVC-PV
100
P-6
CUTIE X 10 BLIST. PVC50
CUTIE X 5 BLIST. PVC/AL X 10 COMPR
P-6
20
CUTIE X 2 BLIST. AL/PVC X 10 C
P-6
40
CUTIE X 4 BLIST. X 10 COMPR. FILM.
P-6
20
CUTIE X 2 BLIST. X 10 COMPR. FILM.
P-6
20
CUTIE X 2 BLIST. AL/PVC X 10 C
P-6
60
CUTIE X 6 BLIST. AL/PVC X 10 C
P-6
20
CUTIE X 2 BLIST. AL/PVC X 10
P-6
50
CUTIE CU 2 BLIST. PVC/AL X 25 COMPR. P6L
CUTIE X 1 FLAC. X 50 COMPR.
50
P-6
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6
50
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6
50
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6
50
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6
50
100
CUTIE X 10 BLIST. AL/PVC-PVDC X 10
P-6
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
20
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6
50
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6 100
CUTIE X 2 BLIST. PP/AL X 10 COMPR.
20
P-6
100
CUTIE X 10 BLIST. AL/PVC-PVDC X 10
P-6
CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6 100
CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6
50
30
P-6
CUTIE X 3 BLIST. PVC/PVD
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
30
20
CUTIE X 1 FLAC. DIN STICLA BRUN
P-6
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
30
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
20
30
CUTIE X 3 BLIST. DIN PVC-PVDC/AL
P-6
P-6
P-6

2.28
5.42
6.02
3.04
6.02
6.07
28.51
16.07
19.46
16.72
16.24
4.30
10.79
16.21
4.30
13.74
31.48
23.31
10.25
20.54
33.83
65.38
33.65
6.13
22.42
17.21
6.13
18.40
16.46
3.25
3.22
3.59
4.98
4.64
4.98
58.44
11.17
26.93
54.63
10.06
39.32
36.53
17.52
14.05
10.94
6.56
7.12
5.86
9.12

Pret
amanuntul
maximal/UT
(RON)

0.114000
0.271000
0.301000
0.152000
0.301000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215800
0.324200
0.215000
0.687000
1.049333
1.165500
0.512500
0.410800
0.676600
0.653800
0.673000
0.306500
0.560500
0.860500
0.306500
0.306666
0.823000
0.065000
0.064400
0.071800
0.099600
0.092800
0.099600
0.584400
0.558500
0.538600
0.546300
0.503000
0.393200
0.365300
0.350400
0.468333
0.364666
0.328000
0.237333
0.293000
0.304000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.114000
0.151250
0.151250
0.151250
0.151250
1.214000
0.884983
0.221245
0.221245
0.442491
0.442491
0.215000
0.215800
0.221245
0.215000
0.442491
1.049333
1.078374
0.358732
0.358732
0.538099
0.538099
0.538099
0.306500
0.358732
0.358732
0.306500
0.306666
0.538099
0.030404
0.030404
0.030404
0.099600
0.092800
0.099600
0.486472
0.486472
0.486472
0.486472
0.243236
0.243236
0.243236
0.243236
0.273549
0.273549
0.273549
0.237333
0.273549
0.273549

0.102600
0.136125
0.136125
0.136125
0.136125
1.092600
0.796484
0.199120
0.199120
0.398241
0.398241
0.193500
0.194220
0.199120
0.193500
0.398241
0.944399
0.970536
0.322858
0.322858
0.484289
0.484289
0.484289
0.275850
0.322858
0.322858
0.275850
0.275999
0.484289
0.027363
0.027363
0.027363
0.089640
0.083520
0.089640
0.437824
0.437824
0.437824
0.437824
0.218912
0.218912
0.218912
0.218912
0.246194
0.246194
0.246194
0.213599
0.246194
0.246194

Nr crt.

cod ATC

237 C07A
238 C07A
239 C07A
240 C07A
241 C07A
242 C07A
243 C07A
244 C07A
245 C07A
246 C07A
247 C07A
248 C07A
249 C07A
250 C07A
251 C07A
252 C07A
253 C07A
254 C07A
255 C07A
256 C07A
257 C07A
258 C07A
259 C07A
260 C07A
261 C07A
262 C07A
263 C07A
264 C07A
265 C07A
266 C07A
267 C07A
268 C07A
269 C07A
270 C07A
271 C07A
272 C07A
273 C07A
274 C07A
275 C07A
276 C07A
277 C07A
278 C07A
279 C07A
280 C07A
281 C07A
282 C07A
283 C07A
284 C07A
285 C07A

DCI

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

Denumire Comerciala

forma farm.

METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL 100 mg

COMPR.
COMPR.
COMPR.
COMPR.
METOPROLOL TERAPIA 100
COMPR.
METOPROLOL VIM SPE
COMPR.
METOPROLOL ARENA 100
METOPROLOL 100 mg
COMPR.
COMPR.
METOPROLOL TARTRAT I
EGILOK 25 mg
COMPR.
METOPROLOL LPH 25 mg
COMPR.
METOPROLOL 25 mg
COMPR.
METOPROLOL ARENA 25 MG COMPR.
COMPR.
METOPROLOL LAROPHARM
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL LPH 50 mg
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
COMPR.
METOPROLOL TERAPIA 50
COMPR.
METOPROLOL VIM SPEC
METOPROLOL ARENA 50 MG COMPR.
METOPROLOL 50 mg
COMPR.
COMPR.
METOPROLOL TARTRAT I
METOPROLOL RETARD 100

BETALOC (R) ZOK 100 mg


BETALOC (R) ZOK 50 mg

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

METOSUCCINAT SANDOZ 1

CO

METOSUCCINAT SANDOZ 47

CO

METOSUCCINAT SANDOZ 95

CO

ATENOCOR 100 mg
ATENOLOL LPH 100 mg
ATENOLOL 100 mg
ATENOLOL ARENA 100 MG
ATENOLOL LPH 50 mg
ATENOLOL MEDUMAN 50mg
ATENOLOL 50 mg
ATENOCOR 50 mg
ATENOLOL ARENA 50 MG
ATENOLOL 100 mg MEDO
LOKREN 20 mg
BETAC
BETAC
BETAC
BETAC
BISOBLOCK 10 mg
BISOPROLOL LPH 10mg
BISOBLOCK 5 mg

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

COMPR.
COMPR.
COMPR.

concentratie

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

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

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

100
50
30
MAGISTRA C & C SR ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
TERAPIA SA
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
20
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
30
20
SLAVIA PHARMA S.R. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
30
INTAS
M
20
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA
P-6
EGIS PHARMA
20
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6
LABORMED PHARMA
30
MAGISTRA C & C SR ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
30
LAROPHARM SRL
20
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
AC HELCOR PHAR
20
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA
P-6
EGIS PHARMA
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
LABORMED PHARMA
30
ALIUD PHARMA GM
GERMANI CUTIE X 3 BLIST. DIN PVC-PVDC/AL
P-6
100
ALIUD PHARMA GM
GERMANI CUTIE X 10 BLIST. DIN PVC-PVDC/A
P-6
50
ALIUD PHARMA GM
GERMANI CUTIE X 5 BLIST. DIN PVC-PVDC/AL
P-6
30
MAGISTRA C & C SR ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
TERAPIA SA
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
20
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
30
20
SLAVIA PHARMA S.R. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L
30
INTAS
M
TERAPIA SA
20
ROMANIA CUTIE X 2 BLIST. PVCP-6
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM.
30
P-6
ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM.
30
P-6
HEXAL AG
30
GERMANI CUTIE X 3 BLIST.
P-6
HEXAL AG
30
GERMANI CUTIE X 3 BLIST.
P-6
HEXAL AG
30
GERMANI CUTIE X 3 BLIST.
P-6
AC HELCOR SRL
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
20
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
LABORMED PHARMA
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
20
P-6
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
20
20
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
LABORMED PHARMA
MEDUMAN SA
20
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
20
P-6
AC HELCOR SRL
30
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
20
20
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
MEDOCHEMIE R
P-6
FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.F
28
SANOFI-AVENTIS
P-6
MEDOCHEMIE LTD. CIPRU
28
CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FI
P-6
MEDOCHEMIE LTD. CIPRU
30
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
P-6
MEDOCHEMIE LTD. CIPRU
20
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-6
MEDOCHEMIE LTD. CIPRU
14
CUTIE X 2 BLIST. AL/PVC X 7 COMPR. F
P-6
30
UNGARIA CUTIE X 3 BLIST. X 10 COMPR.
ACTAVIS HUNGARY
P-6
30
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 C
LABORMED PHARMA
P-6
30
UNGARIA CUTIE X 3 BLIST. X 10 COMPR.
ACTAVIS HUNGARY
P-6
ALIUD PHA

GERMANI

CUTIE X 10 BLIST. DIN PVC-PVDC/AL

P-6

ALIUD PHA

GERMANI

CUTIE X 5 BLIST. DIN PVC-PVDC/AL

P-6

Pagina 6 din 101

19.75
13.00
9.49
15.12
7.38
7.01
8.09
8.09
1.90
1.90
2.85
2.85
3.51
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
5.27
11.12
25.70
15.69
22.71
8.14
13.59
10.83
7.04
6.26
6.26
3.93
3.70
4.50
5.35
3.56
4.61
9.61
14.84
15.89
10.60
7.41
16.55
18.12
7.55

Pret
amanuntul
maximal/UT
(RON)

0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.269666
0.095000
0.095000
0.095000
0.095000
0.175500
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.175666
0.556000
0.856666
0.523000
0.757000
0.271333
0.453000
0.361000
0.352000
0.313000
0.313000
0.196500
0.185000
0.225000
0.178333
0.178000
0.230500
0.343214
0.530000
0.529666
0.530000
0.529285
0.551666
0.604000
0.251666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.197500
0.260000
0.273549
0.273549
0.273549
0.233666
0.273549
0.269666
0.068387
0.068387
0.068387
0.068387
0.136774
0.136774
0.136774
0.136774
0.136774
0.084000
0.136774
0.136774
0.136774
0.136774
0.136774
0.136774
0.136774
0.273549
0.273549
0.136774
0.519744
0.129936
0.259872
0.361000
0.352000
0.313000
0.313000
0.196500
0.185000
0.225000
0.178333
0.178000
0.230500
0.343214
0.410325
0.410325
0.410325
0.410325
0.410325
0.410325
0.205162

0.177750
0.234000
0.246194
0.246194
0.246194
0.210299
0.246194
0.242699
0.061548
0.061548
0.061548
0.061548
0.123096
0.123096
0.123096
0.123096
0.123096
0.075600
0.123096
0.123096
0.123096
0.123096
0.123096
0.123096
0.123096
0.246194
0.246194
0.123096
0.467769
0.116942
0.233884
0.324900
0.316800
0.281700
0.281700
0.176850
0.166500
0.202500
0.160499
0.160200
0.207450
0.308892
0.369292
0.369292
0.369292
0.369292
0.369292
0.369292
0.184645

Nr crt.

cod ATC

286 C07A
287 C07A
288 C07A
289 C07A
290 C07A
291 C07A
292 C07A
293 C07A
294 C07A
295 C07A
296 C07A
297 C07A
298 C07A
299 C07A
300 C07AG
301 C07AG
302 C07AG
303 C07AG
304 C07AG
305 C07AG
306 C07AG
307 C07AG
308 C07AG
309 C07AG
310 C07AG

311 C07AG
312 C07AG
313 C07AG
314 C07AG
315 C07AG
316 C07AG
317 C07AG
318 C07AG
319 C07AG
320 C07AG
321 C07AG
322 C07AG
323 C07AG
324 C07AG
325 C07AG
326 C07AG
327 C07AG
328 C07AG
329 C07AG
330 C07AG
331 C08CA
332 C08CA
333 C08CA
334 C08CA

DCI

BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM

Denumire Comerciala

forma farm.

BISOPROLOL LPH 5mg


CONCOR 10 mg
BISOGAMMA (R) 10
BISOGAMMA (R) 10
CONCOR COR 10 mg
BISOTENS 10 mg

COMPR.

BISOPROLOL FU

COMPR. FILM

CONCOR COR 2,5 mg


CONCOR 5 mg
BISOGAMMA (R) 5
BISOGAMMA (R) 5
CONCOR COR 5 mg
BISOTENS 5 mg

COMPR. FILM

BISOPROLOL FUMAR

COMPR. FILM

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

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

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

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CARVEDILOL VIM SPECT
GLADYCOR 12,5 mg
COMPR.
MIOCARVIL 12,5 mg
COMPR.
COMPR.
CARVEDILOL HELCOR 12,2
DILATREND (R) 25 mg
COMPR.
CORYOL 25 mg
COMPR.
TALLITON (R) 25 mg
COMPR.
CARVEDILOL SANDOZ
COMPR.
CARVEDILOL LPH 25 mg
COMPR.
GLADYCOR 25 mg
COMPR.
MIOCARVIL 25 mg
COMPR.
CARVEDILOL HELCOR 25 mg COMPR.
DILATREND (R) 6,25 mg
COMPR.
CORYOL (R)
COMPR.
TALLITON 6,25 mg
COMPR.
CARVEDILOL SANDOZ
COMPR.
CARVEDILOL LPH 6,25 mg COMPR.
COMPR.
CARVEDILOL VIM SPECT
GLADYCOR 6,25 mg
COMPR.
MIOCARVIL 6,25 mg
COMPR.
CARVEDIGAMMA 12,5 mg
COMPR. FILM
CARVEDILOL AUROBINDO 1

COMPR. FILM

CARVEDIGAMMA 25 mg

COMPR. FILM

CARVEDILOL AUROBINDO 2

COMPR. FILM

CARVEDIGAMMA 6,25 mg

COMPR. FILM

CARVEDILOL AUROBINDO 6

COMPR. FILM

AMLODIPINA TEVA 10 mg
NORVASC 10 mg
AMLOHEXAL 10 mg
TENOX (R) 10

COMPR.
COMPR.
COMPR.
COMPR.

concentratie

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

MERCK KGAA

tara det.
APP
Ambalaj
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 C
GERMANI CUTIE X 3 BLIST. AL/PVC X 10 COMPR.F

WORWAG

GERMANI

WORWAG

GERMANI

Detinator APP
LABORMED PHARMA

MERCK KGAA
ANTIBIOTICE S.A.
AUROBINDO PHARMA (MALTA) LIMITED

MERCK KGAA
MERCK KGAA

CUTIE X 10 BLIST. X 10 COMPR. FILM.


CUTIE X 3 BLIST. X 10 COMPR. FILM.

Prescriptie

P-6
P-6
P

P-6

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


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

P-6

MALTA

CUTIE CU BLIST. PA-PVC

P6L

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


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

P-6

GERMANI

GERMANI
GERMANI

P-6

P-6

CUTIE X 3 BLIST. X 10 COMPR. FILM.


GERMANI CUTIE X 4 BLIST. X 25 COMPR. FILM.

P-6

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


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

P-6

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PA-PVC

P6L

HEXAL AG

GERMANI

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

P-6

ROCHE ROMANIA S.R

ROMANIA CUTIE X 2 BLIST. OPA-AL-PVDC/AL X

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7

P-6

CUTIE X 1 FLAC. DIN STICLA BRUNA

P-6

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


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

P-6

CUTIE X 2 BLIST. OPA-AL-PVDC/AL X

P-6

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 1

P-6

WORWAG
WORWAG

MERCK KGAA
ANTIBIOTICE S.A.

GERMANI
GERMANI

UNGARIA
ROMANIA
LABORMED PHARMA
VIM SPECTRUM SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
SLAVIA PHARM S.R.L ROMANIA
ROMANIA
AC HELCOR PHAR
ROMANIA
ROCHE ROMANIA S.R
EGIS PHARMA

KRKA D.D. NOVO M

SLOVENI

EGIS PHARMA

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA

HEXAL AG

GERMANI

P-6
P-6

P-6
P-6
P-6
P-6

P-6

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

P-6

ROMANIA
ANTIBIOTICE S.A.
ROMANIA
SLAVIA PHARM S.R.L ROMANIA
ROMANIA
AC HELCOR PHAR
ROMANIA
ROCHE ROMANIA S.R

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-6

CUTIE X 2 BLIST. OPA-AL-PVDC/AL X

P-6

KRKA D.D.

SLOVENI

CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7

P-6

EGIS PHARMA

UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA

HEXAL AG

GERMANI

LABORMED PHARMA

ROMANIA
VIM SPECTRUM SRL ROMANIA
ANTIBIOTICE S.A.
ROMANIA
SLAVIA PHARM S.R.L ROMANIA
LABORMED PHARMA

P-6
P-6
P-6

P-6

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

P-6

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


CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 3 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 15 COMPR.

P-6
P-6
P-6
P-6

WORWAG

GERMANI

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

P-6

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/

P6L

WORWAG

GERMANI

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

P-6

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/

P6L

WORWAG

GERMANI

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

P-6

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/

TEVA PHARM

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

P6L
P6L

PFIZER EUROPE M

CUTIE X 3 BLIST. AL-PVC/PVDC X 10 C

P-6

GERMANI

CUTIE X 3 BLIST. AL/PVC-COC-PVDC

P-6

SLOVENI

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

P-6

HEXAL AG
KRKA D.D.
Pagina 7 din 101

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

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

8.55
31.83
49.43
18.12
32.72
18.12
13.67
14.76
16.33
8.55
25.01
22.31
8.55
7.87
8.74
29.94
12.48
13.30
13.36
6.72
13.10
13.36
8.72
33.45
22.05
23.62
9.18
23.62
23.00
23.62
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
13.93
14.81
24.30
21.99
9.06
7.32
11.53
29.68
19.28
19.26

Pret
amanuntul
maximal/UT
(RON)

0.285000
1.061000
0.494300
0.604000
1.090666
0.604000
0.455666
0.492000
0.544333
0.285000
0.250100
0.743666
0.285000
0.262333
0.291333
1.069285
0.445714
0.443333
0.445333
0.336000
0.436666
0.445333
0.436000
1.194642
0.787500
0.787333
0.306000
0.787333
0.766666
0.787333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.464333
0.528928
0.810000
0.785357
0.302000
0.261428
0.384333
0.989333
0.642666
0.642000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.205162
0.410325
0.410325
0.410325
0.410325
0.410325
0.410325
0.102581
0.205162
0.205162
0.205162
0.205162
0.205162
0.205162
0.291333
0.354299
0.354299
0.354299
0.354299
0.336000
0.354299
0.354299
0.354299
0.708599
0.708599
0.708599
0.306000
0.708599
0.708599
0.708599
0.708599
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.177149
0.354299
0.354299
0.708599
0.708599
0.177149
0.177149
0.384333
0.578249
0.578249
0.578249

0.184645
0.369292
0.369292
0.369292
0.369292
0.369292
0.369292
0.092322
0.184645
0.184645
0.184645
0.184645
0.184645
0.184645
0.262199
0.318869
0.318869
0.318869
0.318869
0.302400
0.318869
0.318869
0.318869
0.637739
0.637739
0.637739
0.275400
0.637739
0.637739
0.637739
0.637739
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.159434
0.318869
0.318869
0.637739
0.637739
0.159434
0.159434
0.345899
0.520424
0.520424
0.520424

Nr crt.

cod ATC

335 C08CA
336 C08CA
337 C08CA
338 C08CA
339 C08CA
340 C08CA
341 C08CA
342 C08CA
343 C08CA
344 C08CA
345 C08CA
346 C08CA
347 C08CA
348 C08CA
349 C08CA
350 C08CA
351 C08CA
352 C08CA
353 C08CA
354 C08CA
355 C08CA
356 C08CA
357 C08CA
358 C08CA
359 C08CA
360 C08CA
361 C08CA
362 C08CA
363 C08CA
364 C08CA
365 C08CA
366 C08CA
367 C08CA
368 C08CA
369 C08CA
370 C08CA
371 C08CA
372 C08CA
373 C08CA
374 C08CA
375 C08CA
376 C08CA
377 C08CA
378 C08CA
379 C08CA
380 C08CA
381 C08CA
382 C08CA
383 C08CA

DCI

AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
AMLODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM

Denumire Comerciala

VASOREX 10 mg
CARDILOPIN 10 mg
AMLODIPINA BIOGALENICA

ALMACOR 10 mg
EPLODIN 10 mg
AMLODIPIN VIM SPECTRUM

AMLODIPINE VALEANT 10 m
AMLODIPINE VALEANT 10 m
AMLODIPINE VALEANT 10 m

AMLODIPINA LPH 10 mg
STAMLO M 10 mg
AMLODIPINA BLUEFISH 10 m
AMLODIPINA BIOGALENICA

AMLODIPINA HELCOR 10 mg
AMLODIPINA TERAPIA 10 m
AMLODIPINA TERAPIA 10 m
AMLODIPINA AUROBINDO 1

AGEN 10
AMLODIPINA ACCORD 10 mg
AMLODIPINA ACTAVIS 10 mg
AMLODIPINA ZENTIVA 10 mg

AMLODIPINA TEVA 5 mg
NORVASC 5 mg
AMLOHEXAL 5 mg
TENOX (R) 5
VASOREX 5 mg
CARDILOPIN 5 mg
AMLODIPINA BIOGALENICA

ALMACOR 5 mg
EPLODIN 5 mg
AMLODIPIN VIM SPECTRU

AMLODIPINE VALEANT 5 mg
AMLODIPINE VALEANT 5 mg
AMLODIPINE VALEANT 5 mg
AMLODIPINA LPH 5 mg
STAMLO M 5 mg
AMLODIPINA BLUEFISH 5 mg
AMLODIPINA BIOGALENICA

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

AGEN 5
AMLODIPINA ACCORD 5 mg
AMLODIPINA ACTAVIS 5 mg
AMLODIPINA ZENTIVA 5 mg
PLENDIL
FELODIPIN AL 10 mg
PLENDIL

forma farm.

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

tara det.
APP
concentratie
Detinator APP
10mg
ROMANIA
LABORMED PHARMA
10mg
UNGARIA
EGIS PHARMA
10mg
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
10mg
ANTIBIOTICE S.A.
ROMANIA
10mg
EXTRACTUMPHARM UNGARIA
10mg
VIM SPECTRUM SRL ROMANIA

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

POLONIA
POLONIA
ICN POLFA RZESZO
POLONIA
ICN POLFA RZESZO
ROMANIA
LABORMED PHARMA
ROMANIA
DR. REDDY'S L
SUEDIA
BLUEFISH
ARENA GROUP S.A. ROMANIA
HELCOR S.R.L.
ROMANIA
TERAPIA SA
ROMANIA
TERAPIA SA
ROMANIA
MALTA
AUROBINDO PHARMA (MALTA) LIMITED
ZENTIVA K.S.
REPUBLICA CEHA
ICN POLFA RZESZO

Ambalaj

Prescriptie

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

P-6

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 C


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

P-6

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

P-6

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

P-6

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

P-6

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

P-6

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

P-6

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

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

P-6

CUTIE X 2 BLIST. AL/OPA-AL-PVC X 1

P-6

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


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

P-6

P-6

P-6

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


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

P-6

TEVA PHARM

CUTIE X 3 BLIST. ACLAR-PVC/AL X 10


CUTIE CU BLIST. PVC/PVDC-AL X 30 C
CUTIE CU BLIST. PVC-PVDC/AL X 30 C
CUTIE CU BLIST. PVC/PVDC-AL X 30 C
M
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 C
REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 C
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 C

PFIZER EUROPE M

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

P-6

GERMANI

CUTIE X 3 BLIST. AL/PVC-COC-PVDC

P-6

SLOVENI

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

P-6

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

P-6

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 C


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

P-6

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

P-6

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

P-6

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

P-6

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

P-6

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

P-6

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

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

P-6

CUTIE X 2 BLIST. AL/OPA-AL-PVC X 1

P-6

ACCORD HEA

ACTAVIS GROUP P

ZENTIVA K.S.

HEXAL AG
KRKA D.D.

ROMANIA
UNGARIA
EGIS PHARMA
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ANTIBIOTICE S.A.
ROMANIA
EXTRACTUMPHARM UNGARIA
VIM SPECTRUM SRL ROMANIA
POLONIA
ICN POLFA RZESZO
POLONIA
ICN POLFA RZESZO
POLONIA
ICN POLFA RZESZO
ROMANIA
LABORMED PHARMA
ROMANIA
DR. REDDY'S L
LABORMED PHARMA

P-6

P6L
P6L
P6L
P6L
P6L
P6L

P-6

BLUEFISH

SUEDIA

HELCOR S.R.L.
TERAPIA SA
TERAPIA SA

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


ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 1
P-6
ROMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10
P-6

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

ZENTIVA K.S.

REPUBLICA CEHA

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


ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

ACCORD HEA

ACTAVIS GROUP P

ZENTIVA K.S.
ASTRAZENECA AB

P-6
P-6

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


CUTIE CU BLIST. PVC-PVDC/AL X 30 C
CUTIE CU BLIST. PVC/PVDC-AL X 30 C
M
ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 C
REPUBLICA SLOVACA CUTIE CU BLIST. PVC-PVDC/AL X 30 C

P6L
P6L
P6L
P6L
P6L

SUEDIA

CUTIE X 1 FLAC. DIN PE X 30 COMPR.

P-6

ALIUD PHARM

GERMANI

CUTIE CU 3 BLIST. PVC-P

P-6

ASTRAZENECA AB

SUEDIA

CUTIE 1 FLAC. DIN PE X 30 COMPR. E

P-6

Pagina 8 din 101

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

30
30
30
30
30
20
30
50
100
30
28
30
30
20
30
30
30
30
30
20
30
30
30
30
30
30
30
30
30
30
20
30
50
100
30
28
30
30
20
30
30
30
30
30
20
30
30
30
30

19.28
19.28
19.28
19.28
19.26
12.85
17.92
32.13
62.21
19.28
14.67
10.96
19.28
12.87
19.31
19.31
7.38
8.49
7.04
12.85
8.49
5.76
19.94
11.37
11.40
11.37
11.37
7.89
11.36
11.37
7.44
9.63
18.94
36.68
11.37
8.75
9.00
7.89
8.63
10.82
10.82
5.25
4.10
6.35
7.58
4.10
50.21
33.73
22.26

Pret
amanuntul
maximal/UT
(RON)

0.642666
0.642666
0.642666
0.642666
0.642000
0.642500
0.597333
0.642600
0.622100
0.642666
0.523928
0.365333
0.642666
0.643500
0.643666
0.643666
0.246000
0.283000
0.234666
0.642500
0.283000
0.192000
0.664666
0.379000
0.380000
0.379000
0.379000
0.263000
0.378666
0.379000
0.372000
0.321000
0.378800
0.366800
0.379000
0.312500
0.300000
0.263000
0.431500
0.360666
0.360666
0.175000
0.136666
0.211666
0.379000
0.136666
1.673666
1.124333
0.742000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.578249
0.578249
0.578249
0.578249
0.578249
0.578249
0.578249
0.578249
0.578249
0.578249
0.523928
0.365333
0.578249
0.578249
0.578249
0.578249
0.246000
0.283000
0.234666
0.578249
0.283000
0.192000
0.289124
0.289124
0.289124
0.289124
0.289124
0.263000
0.289124
0.289124
0.289124
0.289124
0.289124
0.289124
0.289124
0.289124
0.289124
0.263000
0.289124
0.289124
0.289124
0.175000
0.136666
0.211666
0.289124
0.136666
0.578249
0.578249
0.144562

0.520424
0.520424
0.520424
0.520424
0.520424
0.520424
0.520424
0.520424
0.520424
0.520424
0.471535
0.328799
0.520424
0.520424
0.520424
0.520424
0.221400
0.254700
0.211199
0.520424
0.254700
0.172800
0.260211
0.260211
0.260211
0.260211
0.260211
0.236700
0.260211
0.260211
0.260211
0.260211
0.260211
0.260211
0.260211
0.260211
0.260211
0.236700
0.260211
0.260211
0.260211
0.157500
0.122999
0.190499
0.260211
0.122999
0.520424
0.520424
0.130105

Nr crt.

cod ATC

384 C08CA
385 C08CA
386 C08CA
387 C08CA
388 C08CA
389 C08CA
390 C08CA
391 C08CA
392 C08CA
393 C08CA
394 C08CA
395 C08CA
396 C08CA
397 C08CA
398 C08CA
399 C08CA
400 C08CA
401 C08DA
402 C08DA
403 C08DA
404 C08DA
405 C08DA
406 C08DA
407 C08DA
408 C08DA
409 C08DA
410 C08DA

411 C08DA
412 C08DB
413 C08DB
414 C08DB
415 C08DB
416 C08DB
417 C08DB
418 C08DB
419 C09A
420 C09A
421 C09A
422 C09A
423 C09A
424 C09A
425 C09A
426 C09A
427 C09A
428 C09A
429 C09A
430 C09A
431 C09A
432 C09A

DCI

FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
FELODIPINUM
NIFEDIPINUM
NIFEDIPINUM
NIFEDIPINUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
VERAPAMILUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
DILTIAZEMUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM
CAPTOPRILUM

Denumire Comerciala

FELODIPIN AL 2,5 mg
PLENDIL
FELODIPIN AL 5 mg
SISTAR 10 mg
SISTAR 2,5 mg
SISTAR 5 mg
AURONAL 10 mg
PRESID (R) 10 mg
FELODIPIN SANDOZ 10 mg
AURONAL 2,5 mg
PRESID (R) 2,5 mg
AURONAL 5 mg
PRESID (R) 5 mg
FELODIPIN SANDOZ 5 mg
ADALAT CR 30
ADALAT CR 30
NIFEDIPIN RETARD TERAPI

CORDAMIL 40
ISOPTIN (R) 40 mg
VERAPAMIL AL 80
VERAPAMIL AL 80
CORDAMIL 80
ISOPTIN (R) 80 mg
VEROGALID (R) ER 240 mg
ISOPTIN RR
VERAPAMIL 40 mg
VERAPAMIL 80 mg
DILACORAN
DILTIAZEM EIPICO 60 mg
DILTIAZEM LPH 60 mg
DILTIAZEM ARENA 60 mg
DILTIAZEM BIOEEL 60 mg
DILTIAZEM BIOEEL 60 mg
CORZEM 120
DILZEM 90 mg RETARD
CAPTOPRIL MCC 12,5 mg
CAPTOPRIL 25 mg
CAPTOPRIL 25 EEL
CAPTOPRIL - AC 25 mg
CAPTOPRIL MCC 25 mg
CAPTOPRIL LPH 25 mg
CAPTOPRIL SINTOFARM 25

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

forma farm.
COMPR.
COMPR.
COMPR.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.
COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


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

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

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

DRAJ.
DRAJ.
SOL INJ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. FILM
COMPR. FILM. ELIB. PREL.

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

concentratie

2,5mg
5mg
5mg
10mg
2,5mg
5mg
10mg
10mg
10mg
2,5mg
2,5mg
5mg
5mg
5mg
30mg
30mg
20mg
40mg
40mg
80mg
80mg
80mg
80mg
240mg
240mg
40mg
80mg
5mg/2ml
60mg
60mg
60mg
60mg
60mg
120mg
90mg
12,5mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50 mg
50mg
50mg
50mg
50mg
50mg

tara det.
APP

Detinator APP

Ambalaj

Prescriptie

ALIUD PHARM

GERMANI

CUTIE CU 3 BLIST. PVC-P

P-6

ASTRAZENECA AB

SUEDIA

CUTIE X 1 FLAC. DIN PE X 30 COMPR

P-6

ALIUD PHARM

GERMANI

CUTIE CU 3 BLIST. PVC-P

P-6

CUTIE X 3 BLIST.

P-6

CUTIE X 3 BLIST.

P-6

CUTIE X 3 BLIST.

P-6

CUTIE X 3 BLIST. AL/PVC-P

P-6

EGIS PHARMA

ROMANIA
ROMANIA
ROMANIA
UNGARIA

IVAX -

CEHIA

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6

HEXAL AG

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 C

P-6

EGIS PHARMA

UNGARIA

CUTIE X 3 BLIST. AL/PVC-P

P-6

IVAX -

CEHIA

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6

EGIS PHARMA

UNGARIA

CUTIE X 3 BLIST. AL/PVC-P

P-6

IVAX -

CEHIA

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6

HEXAL AG

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 C

P-6

BAYER HEALTHCAR

GERMANI

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

P-6

GEDEON RIC
GEDEON RIC
GEDEON RIC

BAYER PHARMA AG GERMANI CUTIE X 2 BLIST. AL/PP X 14 COMPR.


TERAPIA SA
ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 C
AC HELCOR SRL
ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.
ABBOTT GMBH&CO.

GERMANI

ALIUD PHA

GERMANI

CUTIE X 5 BLIST. AL/PVC X 20 COMPR.

P-6
P-6
P-6
P-6

AC HELCOR SRL

CUTIE X 10 BLIST. X 10 COMPR. FILM.


GERMANI CUTIE X 5 BLIST. X 10 COMPR. FILM.
ROMANIA CUTIE X 3 BLIST. X 10 COMPR.FILM.

ABBOTT GMBH&CO.

GERMANI

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

P-6

IVAX -

CEHIA

CUTIE X 3 BLIST. X 10 COMPR. FILM.

P-6

ABBOTT GMBH&CO.

GERMANI

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

P-6

ROMANIA
ROMANIA
SANOFI-AVE
ROMANIA
ABBOTT
E.I.P.I.CO. MED S.R.L ROMANIA
ROMANIA
LABORMED PHARMA
ARENA GROUP SA ROMANIA
BIO EEL SRL
ROMANIA
BIO EEL SRL
ROMANIA
AC HELCOR SRL
ROMANIA

CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.


CUTIE X 2 BLIST. AL/PVC X 25 DRAJ.
CUTIE CU 5 FIOLE X 5MG/2ML
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-6

CUTIE X 5 BLIST. DIN AL/ PVC X 10COM


CUTIE X 2 BLIST. DIN AL/ PVC X 10 CO
CUTIE X 5 BLIST. DIN AL/ PVC X 10 CO
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-6

PFIZER EUROPE M

CUTIE X 3 BLIST. AL/PVC X 10 C

P-6

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-6

ALIUD PHA

SANOFI-AVE

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL
AC HELCOR PHAR

MAGISTRA C & C
LABORMED PHARMA

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

MAGISTRA C & C
LABORMED PHARMA

Pagina 9 din 101

P-6
P-6
P-6

P-6
PR/PRF

P-6
P-6
P-6
P-6
P-6

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

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

30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
28
50
30
100
100
50
30
50
30
20
50
50
5
20
20
50
20
50
10
30
30
30
20
20
30
30
30
20
20
30
20
20
30
30

14.47
28.37
18.44
30.42
14.47
18.43
42.57
33.56
30.52
16.47
8.61
26.66
17.21
15.69
29.88
29.88
10.80
3.33
17.09
21.02
10.51
5.96
15.30
22.60
19.91
11.82
17.32
12.73
5.39
5.39
13.37
5.39
13.37
12.84
15.38
3.41
4.10
3.02
2.28
3.42
3.42
4.64
2.28
2.67
6.67
3.87
2.67
4.50
3.93

Pret
amanuntul
maximal/UT
(RON)

0.482333
0.945666
0.614666
1.014000
0.482333
0.614333
1.419000
1.118666
1.017333
0.549000
0.287000
0.888666
0.573666
0.523000
1.067142
1.067142
0.216000
0.111000
0.170900
0.210200
0.210200
0.198666
0.306000
0.753333
0.995500
0.236400
0.346400
2.546000
0.269500
0.269500
0.267400
0.269500
0.267400
1.284000
0.512666
0.113666
0.136666
0.151000
0.114000
0.114000
0.114000
0.154666
0.114000
0.133500
0.222333
0.193500
0.133500
0.150000
0.131000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.144562
0.289124
0.289124
0.578249
0.144562
0.289124
0.578249
0.578249
0.578249
0.144562
0.144562
0.289124
0.289124
0.289124
0.289124
0.289124
0.192749
0.095917
0.095917
0.191835
0.191835
0.191835
0.191835
0.575506
0.575506
0.095917
0.191835
2.546000
0.268450
0.268450
0.267400
0.268450
0.267400
0.536900
0.402675
0.046755
0.093511
0.093511
0.093511
0.093511
0.093511
0.093511
0.093511
0.133500
0.187023
0.187023
0.133500
0.150000
0.131000

0.130105
0.260211
0.260211
0.520424
0.130105
0.260211
0.520424
0.520424
0.520424
0.130105
0.130105
0.260211
0.260211
0.260211
0.260211
0.260211
0.173474
0.086325
0.086325
0.172651
0.172651
0.172651
0.172651
0.517955
0.517955
0.086325
0.172651
2.291400
0.241605
0.241605
0.240660
0.241605
0.240660
0.483210
0.362407
0.042079
0.084159
0.084159
0.084159
0.084159
0.084159
0.084159
0.084159
0.120150
0.168320
0.168320
0.120150
0.135000
0.117900

Nr crt.

cod ATC

433 C09A
434 C09A
435 C09A
436 C09A
437 C09A
438 C09A
439 C09A
440 C09A
441 C09A
442 C09A
443 C09A
444 C09A
445 C09A
446 C09A
447 C09A
448 C09A
449 C09A
450 C09A
451 C09A
452 C09A
453 C09A
454 C09A
455 C09A
456 C09A
457 C09A
458 C09A
459 C09A
460 C09A
461 C09A
462 C09A
463 C09A
464 C09A
465 C09A
466 C09A
467 C09A
468 C09A
469 C09A
470 C09A
471 C09A
472 C09A
473 C09A
474 C09A
475 C09A
476 C09A
477 C09A
478 C09A
479 C09A
480 C09A
481 C09A

DCI

ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM

Denumire Comerciala

ENALAPRIL 10 mg
ENALAPRIL SANDOZ 10 mg
ENALAPRIL LPH 10 mg
ENAP 10 mg
ENALAPRIL FABIOL 10 mg
ENALAPRIL SLAVIA 10 mg
RENITEC 10 mg
ENALAPRIL TERAPIA 10 mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL ARENA 10mg
ENALAPRIL VIM SPECTRUM
ENALAPRIL LAROPHARM 10

ENALAPRIL 20 mg
ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg
ENALAPRIL LAROPHARM 20

ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
ENALAPRIL ARENA 5 mg
ENALAPRIL VIM SPECTRUM

ENALAPRIL SLAVIA 5 mg
ENALAPRIL LAROPHARM 5

ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg

forma farm.

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

concentratie

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

P-6

LABORMED PHARMA

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.

KRKA D.D. NOVO M

SLOVENI

P-6

Detinator APP

MAGISTRA C & C
SANDOZ SRL

CUTIE X 2 BLIST. AL/OPA-AL-PVC X 1

Prescriptie

P-6
P-6

FABIOL SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR.
MERCK SHARP &
P-6
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X
P-6
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6
ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6
VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 1
P-6
LAROPHARM SRL
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
P-6
ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR.
LABORMED PHARMA
P-6
KRKA D.D. NOVO M

SLOVENI

FABIOL SA

ROMANIA
ROMANIA
MERCK SHARP &
TERAPIA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
SLAVIA PHARM S.R.L ROMANIA
LAROPHARM SRL
ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
KRKA D.D. NOVO M

SLOVENI

ROMANIA
ROMANIA
LABORMED PHARMA
TERAPIA SA
ROMANIA
ARENA GROUP S.A. ROMANIA
VIM SPECTRUM SRL ROMANIA
SLAVIA PHARM S.R.L ROMANIA
LAROPHARM SRL
ROMANIA
MERCK SHARP &

CUTIE X 2 BLIST. AL/OPA-AL-PVC X 1

P-6

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


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

P-6

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

P-6

P-6

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


CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L
CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L
CUTIE X 2 BLIST. X 10 COMPR.
P-6
CUTIE X 2 BLIST. X 10 COMPR.
P-6
CUTIE X 2 BLIST. AL/OPA-AL-PVC X 1

P-6

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


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

P-6

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

P-6

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

P-6

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 1

P-6

P-6

AC HELCOR SRL
HEXAL AG

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


CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. P6L
SLOVENI CUTIE X 5 FIOLE X 1 ML
S/P-RF
CUTIE X 3 BLIST. X 10 COMPR.
P-6
M
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
GERMANI CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6

WORWAG

GERMANI

MEDOCHEMIE R

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

P-6
P-6

AC HELCOR SRL
HEXAL AG

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

WORWAG

GERMANI

KRKA D.D.
RANBAXY U.K. LIMI

ACTAVIS GROUP P

ANTIBIOTICE SA
GEDEON RIC
GEDEON RIC

RANBAXY U.K. LIMI

Pagina 10 din 101

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

P-6

P-6
P-6
P-6
P-6
P-6
P-6
P-6

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

20
20
20
20
20
20
28
20
30
50
100
20
20
20
20
20
20
20
20
28
20
30
50
20
20
20
20
20
28
20
20
30
20
20
20
5
30
20
30
30
30
30
30
28
28
30
20
30
30

4.39
3.96
4.39
4.39
4.39
4.39
10.52
7.30
6.87
11.25
22.02
11.28
4.10
4.39
7.94
10.18
8.75
7.94
7.12
17.12
11.11
11.12
16.43
7.92
7.94
3.67
3.67
3.67
7.87
3.84
3.93
5.58
3.65
3.67
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
11.96
15.47
8.75
23.11
15.65
15.05
12.93

Pret
amanuntul
maximal/UT
(RON)

0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.219500
0.397000
0.509000
0.437500
0.397000
0.356000
0.611428
0.555500
0.370666
0.328600
0.396000
0.397000
0.183500
0.183500
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.398666
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.374046
0.374046
0.374046
0.374046
0.356000
0.374046
0.374046
0.370666
0.328600
0.374046
0.374046
0.093511
0.093511
0.093511
0.093511
0.093511
0.093511
0.093511
0.093511
0.093511
0.093511
3.090000
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.046755
0.374046
0.374046
0.374046
0.374046

0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.336641
0.336641
0.336641
0.336641
0.320400
0.336641
0.336641
0.333599
0.295740
0.336641
0.336641
0.084159
0.084159
0.084159
0.084159
0.084159
0.084159
0.084159
0.084159
0.084159
0.084159
2.781000
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.168320
0.042079
0.336641
0.336641
0.336641
0.336641

Nr crt.

DCI

cod ATC

525 C09A

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
QUINAPRILUM
QUINAPRILUM
QUINAPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM
FOSINOPRILUM

526 C09B

COMBIN

527 C09B

COMBIN

528 C09B

COMBIN

529 C09B

COMBIN

530 C09B

COMBIN

482 C09A
483 C09A
484 C09A
485 C09A
486 C09A
487 C09A
488 C09A
489 C09A
490 C09A
491 C09A
492 C09A
493 C09A
494 C09A
495 C09A
496 C09A
497 C09A
498 C09A
499 C09A
500 C09A
501 C09A
502 C09A
503 C09A
504 C09A
505 C09A
506 C09A
507 C09A
508 C09A
509 C09A
510 C09A

511 C09A
512 C09A
513 C09A
514 C09A
515 C09A
516 C09A
517 C09A
518 C09A
519 C09A
520 C09A
521 C09A
522 C09A
523 C09A
524 C09A

Denumire Comerciala

LISINOPRIL 20 MEDO
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
TONOLYSIN 20 mg
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL SANDOZ 5 mg
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg
HARTIL 10 mg
ZENRA 10
TRITACE 10

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
RAMIPRIL AUROBINDO 10 m COMPR.
AMPRIGEN 10 mg
COMPR.
VIVACE 2,5 mg
COMPR.
PIRAMIL 2,5 mg
COMPR.
RAMIPRIL-AC 2,5 mg
COMPR.
AMPRIL 2,5 mg
COMPR.
HARTIL 2,5 mg
COMPR.
ZENRA 2,5
COMPR.
TRITACE(R) 2,5
COMPR.
AMPRIGEN 2,5 mg
COMPR.
VIVACE 5 mg
COMPR.
PIRAMIL 5 mg
COMPR.
RAMIPRIL-AC 5 mg
COMPR.
AMPRIL 5 mg
COMPR.
HARTIL 5 mg
COMPR.
ZENRA 5
COMPR.
TRITACE 5
COMPR.
RAMIPRIL AUROBINDO 5 mg COMPR.
AMPRIGEN 5 mg
COMPR.
ACCUPRO 10 mg
COMPR. FILM
ACCUPRO (R) 20
COMPR. FILM
ACCUPRO (R) 5
COMPR. FILM
MONOPRIL 10 mg
COMPR.
COMPR.
FOSINOPRIL AUROBINDO 10
MONOPRIL 20 mg
COMPR.
COMPR.
FOSINOPRIL AUROBINDO 20
ENAP HL
COMPR.
ENAP H
COMPR.
ENAP (R) HL 20 mg/12,5 mg COMPR.
VIMAPRIL HL
COMPR.
VIMAPRIL H
COMPR.

concentratie

20mg
20mg
20mg
20mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
10 mg
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
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10mg
20mg
5mg
10mg
10mg
20mg
20mg

Detinator APP
MEDOCHEMIE R

HEXAL AG
WORWAG

GERMANI

MEDOCHEMIE R

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

P-6

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


ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
GEDEON RIC
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
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
AC HELCOR PHAR

P-6

ANTIBIOTICE SA
GEDEON RIC

ANTIBIOTICE SA
RANBAXY U.K. LIMI

FAR

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C

ACTAVIS GROUP P

KRKA D.D. NOVO M

SLOVENI

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

P-6
P-6
P-6
P-6
P-6
P-6
P-6

P-6
P-6
P-6
P-6
P-6
P-6

SANOFI -

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


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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. OPA-AL-PVC/AL X 2

P-6

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL

P6L

EGIS PHARMA

ZENTIVA S.A.

ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.


SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
AC HELCOR PHAR
KRKA D.D. NOVO M

SLOVENI

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

SANOFI -

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


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

ALVOGEN IPCO S.A.

LUXEM

EGIS PHARMA

ZENTIVA S.A.

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL

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
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
AC HELCOR PHAR
KRKA D.D. NOVO M

SLOVENI

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

P-6
P-6

P-6
P-6
P-6
P-6
P-6
P-6
P-6

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

SANOFI -

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


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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. OPA-AL-PVC/AL X 2

P-6

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL

P6L

PFIZER EUROPE M

CUTIE X 3 BLIST. PVC/AL/PA X 10 COM

P-6

PFIZER EUROPE M

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

P-6

PFIZER EUROPE M

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

P-6

BRISTOL MYERS

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

P-6

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

P6L

BRISTOL-MYERS S

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

P-6

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

P6L

SLOVENI
SLOVENI
SLOVENI

CUTIE X 2 BLIST. AL/OPA-AL-PVC X 1

P-6

CUTIE X 2 BLIST. AL/OPA-AL-PVC X 1

P-6

CUTIE X 2 BLIST. OPA-AL-PVC/AL X 1

P-6

CUTIE X 3 BLIST. PVC/COC/PVDC-AL

P-6

CUTIE X 3 BLIST. PVC/COC/PVDC-AL

P-6

EGIS PHARMA

ZENTIVA S.A.

10mg+25mg KRKA D.D. NOVO M


FAR

Prescriptie

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

ACTAVIS GROUP P

10mg+12,5m KRKA D.D. NOVO M


20 mg/12,5m

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6

KRKA D.D. NOVO M

VIM SPECTRUM SRL ROMANIA


VIM SPECTRUM SRL ROMANIA

Pagina 11 din 101

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

P-6
P-6

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

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

14.44
23.37
23.48
22.90
39.31
7.64
7.15
6.50
8.67
7.37
9.28
9.23
23.28
9.74
24.93
9.21
9.23
14.19
9.49
24.04
4.65
9.37
4.87
10.02
4.62
4.65
7.15
9.92
6.70
10.17
7.18
10.85
6.69
6.70
10.31
7.10
10.75
11.69
16.75
8.20
20.83
13.54
28.58
18.58
8.89
9.82
7.95
8.88
11.82

Pret
amanuntul
maximal/UT
(RON)

0.722000
0.779000
0.782666
0.817857
1.310333
0.254666
0.238333
0.216666
0.289000
0.245666
0.331428
0.329642
0.831428
0.324666
0.831000
0.328928
0.329642
0.506785
0.338928
0.801333
0.166071
0.334642
0.162333
0.334000
0.165000
0.166071
0.255357
0.330666
0.239285
0.363214
0.239333
0.361666
0.238928
0.239285
0.368214
0.253571
0.358333
0.389666
0.558333
0.273333
0.743928
0.451333
1.020714
0.619333
0.444500
0.491000
0.397500
0.296000
0.394000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.374046
0.374046
0.374046
0.374046
0.748092
0.093511
0.093511
0.093511
0.093511
0.093511
0.093511
0.329642
0.748092
0.324666
0.748092
0.328928
0.329642
0.506785
0.338928
0.748092
0.166071
0.187023
0.162333
0.187023
0.165000
0.166071
0.187023
0.187023
0.239285
0.363214
0.239333
0.361666
0.238928
0.239285
0.368214
0.253571
0.358333
0.124681
0.249364
0.062340
0.124681
0.124681
0.249364
0.249364
0.412071
0.412071
0.397500
0.296000
0.394000

0.336641
0.336641
0.336641
0.336641
0.673282
0.084159
0.084159
0.084159
0.084159
0.084159
0.084159
0.296677
0.673282
0.292199
0.673282
0.296035
0.296677
0.456106
0.305035
0.673282
0.149463
0.168320
0.146099
0.168320
0.148500
0.149463
0.168320
0.168320
0.215356
0.326892
0.215399
0.325499
0.215035
0.215356
0.331392
0.228213
0.322499
0.112212
0.224427
0.056106
0.112212
0.112212
0.224427
0.224427
0.370863
0.370863
0.357750
0.266400
0.354600

Nr crt.

DCI

cod ATC

531 C09B

COMBINATII (

532 C09B

COMBINATII (

533 C09B

COMBINATII (

534 C09B

COMBINATII (

535 C09B

COMBINATII (

536 C09B

COMBINATII (

537 C09CA

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

538 C09CA
539 C09CA
540 C09CA
541 C09CA
542 C09CA
543 C09CA
544 C09CA
545 C09CA
546 C09CA
547 C09CA
548 C09CA
549 C09CA
550 C10A
551 C10A
552 C10A
553 C10A
554 C10A
555 C10A
556 C10A
557 C10A
558 C10A
559 C10A
560 C10A
561 C10A
562 C10A
563 C10A
564 C10A
565 C10A
566 C10A
567 C10A
568 C10A
569 C10A
570 C10A
571 C10A
572 C10A
573 C10A
574 C10A
575 C10A
576 C10A
577 C10A
578 C10A
579 C10A

Denumire Comerciala

forma farm.

HARTIL HCT 2,5 mg/12,5mg COMPR.


RAMIPRIL HCT-MEDOCHEMI COMPR.
TRITACE 2,5 PLUS
COMPR.
HARTIL HCT 5 mg/25mg
COMPR.
RAMIPRIL HCT-MEDOCHEMI COMPR.
TRITACE 5 PLUS
COMPR.
TALOSAN 100 mg
COMPR. FILM
TALOSAN 100 mg
COMPR. FILM
LOZAP 100
COMPR. FILM
LORISTA 100 mg
COMPR. FILM
TALOSAN 12,5 mg
COMPR. FILM
TALOSAN 25 mg
COMPR. FILM
TALOSAN 25 mg
COMPR. FILM
TALOSAN 50 mg
COMPR. FILM
TALOSAN 50 mg
COMPR. FILM
LOSARTAN FARMAL 50 mg COMPR. FILM
LOZAP 50
COMPR. FILM
COZAAR 50 mg
COMPR. FILM
LORISTA 50 mg
COMPR. FILM
SIMVASTATINA BIOGALENI

COMPR. FILM

SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg
ZEPLAN (R) 10 mg
ZOCOR 10 mg
SINTENAL 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg

COMPR. FILM

SIMVASTATINA ACTAVIS 10
SIMVASTATINA ACTAVIS 10
SIMVASTATIN ACCORD 10 m
SIMVASTATIN BLUEFISH 10

COMPR. FILM

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

COMPR. FILM

SIMVASTATINA ALVOGEN 1

COMPR. FILM

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

SIMGAL 10 mg
COMPR. FILM
SIMVASTATINA TEVA 10 mg COMPR. FILM
SIMVASTATIN AUROBINDO

COMPR. FILM

SIMVASTATIN ACTAVIS 10 m

COMPR. FILM

SIMVASTATINA BIOGALENI

COMPR. FILM

SIMVAHEXAL (R) 20 mg
ZEPLAN (R) 20 mg
ZEPLAN (R) 20 mg
ZOCOR 20 mg
ZOCOR 20 mg
SINTENAL 20 mg
VASILIP 20 mg

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

tara det.
APP
Ambalaj
UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14

concentratie
Detinator APP
2,5mg/12,5m EGIS PHARMA
2,5mg/12,5m MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. OPA-AL-PVC/AL X 1
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
2,5mg/12,5m SANOFI 5mg/25mg EGIS PHARMA
UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14

5mg/25mg
5mg/25mg
100mg
100mg
100mg
100mg
12,5mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

MEDOCHEMIE LTD. CIPRU

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

Prescriptie

P-6
P-6
P-6
P-6
P-6

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


ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 1
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FIL

P-6

SLOVACI
SLOVENI

CUTIE CU 3 BLIST. PVC-PVDC/AL X

P-6

CUTIE CU BLIST. PVC-PVDC/AL X 28

P6L

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

P-6

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

P-6

CUTIE X 3 FOLII AL/PE X 10 COMPR. FIL

P-6

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

P-6

CUTIE X 3 FOLII AL/PE X 10 COMPR. FIL

P-6

FARMAL INTER

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. PVC-PE- PVDC/

P-6

ZENTIVA A.S.

SLOVACI

CUTIE CU 3 BLIST. PVC-PVDC/AL X

P-6

MERCK SHARP &

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/

P-6

KRKA, D.D., NOVO

SLOVENI

CUTIE CU BLIST. DIN PVC-PVDC/A

P6L

SANOFI -

TERAPIA SA
TERAPIA SA
ZENTIVA A.S.
KRKA, D.D., NOVO

TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD


HEXAL AG
GERMANI CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6
P-6

P-6
P-6
P-6

AC HELCOR PHAR

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


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

KRKA D.D.

SLOVENI

P-6

LABORMED PHARMA

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

P-6

ACTAVIS GROUP P

CUTIE X BLIST. PVC-PVDC/AL X 28

P-6

ACTAVIS GROUP P

ISLANDA
ISLANDA

CUTIE X BLIST. PVC-PVDC/AL X 30

P-6

ACCORD HEA

CUTIE CU BLIST. PVC- PE- PVDC

P-6

BLUEFISH

SUEDIA

CUTIE CU BLIST. PVC-PE-PVDC/

P-6
P-6

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

CUTIE CU 3 BLIST. PVC-PVDC/AL X

P-6

CIPLA (UK) LIMITED M


ZENTIVA K.S.
CEHIA

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

P-6

CUTIE X 2 BLIST. PVC-PE-PVDC/

P-6

ALVOGEN IPCO S.A.

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

P-6
P-6

TEVA PHARM

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


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/

AUROBINDO PH

GEDEON RIC
GEDEON RIC

MERCK SHARP &

RANBAXY U.K. LIMI


RANBAXY U.K. LIMI
RANBAXY U.K. LIMI

TEVA PHARM

LUXE

CUTIE X 4 BLIST. DIN PVC/PE/P

CUTIE CU BLIST. PVC/PE/PVDC/AL

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


ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD
HEXAL AG
GERMANI CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ACTAVIS GROUP P

P-6
P-6
P-6

P-6

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

AC HELCOR PHAR

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


ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/
ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

KRKA D.D.

SLOVENI

P-6

GEDEON RIC
GEDEON RIC

MERCK SHARP &


MERCK SHARP &

Pagina 12 din 101

CUTIE X 4 BLIST. DIN PVC/PE/P

P-6
P-6
P-6
P-6

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

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

5.64
13.27
8.67
12.82
20.15
19.72
33.41
33.41
14.38
32.76
4.25
7.81
7.81
17.92
17.92
17.89
7.75
64.56
18.00
8.75
9.37
4.38
8.75
13.45
9.35
8.74
9.37
8.75
9.35
9.26
5.56
4.24
8.47
9.37
8.46
4.01
9.37
4.01
4.28
9.21
9.35
16.55
17.75
16.56
8.27
12.74
25.45
17.69
16.55

Pret
amanuntul
maximal/UT
(RON)

0.201428
0.442333
0.309642
0.457857
0.671666
0.704285
1.113666
1.113666
0.479333
1.170000
0.141666
0.260333
0.260333
0.597333
0.597333
0.638928
0.258333
2.305714
0.642857
0.312500
0.312333
0.312857
0.312500
0.480357
0.311666
0.312142
0.312333
0.312500
0.311666
0.308666
0.185333
0.302857
0.302500
0.312333
0.302142
0.143214
0.312333
0.143214
0.142666
0.307000
0.311666
0.591071
0.591666
0.591428
0.590714
0.910000
0.908928
0.589666
0.591071

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.201428
0.412071
0.309642
0.412071
0.412071
0.412071
1.055169
1.055169
0.479333
1.055169
0.131896
0.260333
0.260333
0.527584
0.527584
0.527584
0.258333
0.527584
0.527584
0.241123
0.241123
0.241123
0.241123
0.241123
0.241123
0.241123
0.241123
0.241123
0.241123
0.241123
0.185333
0.241123
0.241123
0.241123
0.241123
0.143214
0.241123
0.143214
0.142666
0.241123
0.241123
0.482247
0.482247
0.482247
0.482247
0.482247
0.482247
0.482247
0.482247

0.181285
0.370863
0.278677
0.370863
0.370863
0.370863
0.949652
0.949652
0.431399
0.949652
0.118706
0.234299
0.234299
0.474825
0.474825
0.474825
0.232499
0.474825
0.474825
0.217010
0.217010
0.217010
0.217010
0.217010
0.217010
0.217010
0.217010
0.217010
0.217010
0.217010
0.166799
0.217010
0.217010
0.217010
0.217010
0.128892
0.217010
0.128892
0.128399
0.217010
0.217010
0.434022
0.434022
0.434022
0.434022
0.434022
0.434022
0.434022
0.434022

Nr crt.

cod ATC

580 C10A
581 C10A
582 C10A
583 C10A
584 C10A
585 C10A
586 C10A
587 C10A
588 C10A
589 C10A
590 C10A
591 C10A
592 C10A
593 C10A
594 C10A
595 C10A
596 C10A
597 C10A
598 C10A
599 C10A
600 C10A
601 C10A
602 C10A
603 C10A
604 C10A
605 C10A
606 C10A
607 C10A
608 C10A
609 C10A
610 C10A

611 C10A
612 C10A
613 C10A
614 C10A
615 C10A
616 C10A
617 C10A
618 C10A
619 C10A
620 C10A
621 C10A
622 C10A
623 C10A
624 C10A
625 C10A
626 C10A
627 C10A
628 C10A

DCI

SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM

Denumire Comerciala

forma farm.

SIMCOR 20 mg
SIMVASTATIN LPH 20 mg

COMPR. FILM

SIMVASTATINA ACTAVIS 20
SIMVASTATINA ACTAVIS 20
SIMVASTATIN ACCORD 20 m
SIMVASTATIN BLUEFISH 20
SIMVASTATIN BLUEFISH 20

COMPR. FILM

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

COMPR. FILM

SIMVASTATINA ALVOGEN 20

COMPR. FILM

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

SIMGAL 20 mg
COMPR. FILM
SIMVASTATINA TEVA 20 mg COMPR. FILM
SIMVASTATIN AUROBINDO

COMPR. FILM

SIMVASTATIN ACTAVIS 20 m

COMPR. FILM

SIMVAHEXAL (R) 30 mg

COMPR. FILM

SIMVASTATINA BIOGALENI

COMPR. FILM

VASILIP (R) 40 mg
ZOCOR FORTE
ZOCOR FORTE
ZEPLAN (R) 40 mg
ZEPLAN (R) 40 mg
SINTENAL 40 mg
SIMVAHEXAL (R) 40 mg
SIMCOR 40 mg
SIMVASTATIN LPH 40 mg

COMPR. FILM

SIMVASTATINA ACTAVIS 40
SIMVASTATINA ACTAVIS 40
SIMVASTATIN ACCORD 40 m
SIMVASTATIN BLUEFISH 40
SIMVASTATIN BLUEFISH 40
SIMVASTATIN BLUEFISH 40

COMPR. FILM

RANVOR 40 mg
RANVOR 40 mg
SIMVASTATINA SUN 40 mg

COMPR. FILM

SIMVASTATINA ALVOGEN 40

COMPR. FILM

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

SIMVACARD 40 mg
COMPR. FILM
SIMGAL 40 mg
COMPR. FILM
SIMVASTATINA TEVA 40 mg COMPR. FILM
SIMVASTATIN AUROBINDO

COMPR. FILM

SIMVASTATIN ACTAVIS 40 m

COMPR. FILM

SIMVASTATIN ACCORD 80 m COMPR. FILM

MEDOSTATIN
MEDOSTATIN
MEDOSTATIN
MEDOSTATIN 40 mg
PRAVATOR 20 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
30mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
20mg
20mg
20mg
40mg
20mg

Detinator APP

ANTIBIOTICE SA
LABORMED PHARMA

tara det.
APP
Ambalaj
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

ACTAVIS GROUP P

ISLANDA
ISLANDA

ACCORD HEA

ACTAVIS GROUP P

Prescriptie

P-6
P-6

CUTIE X BLIST. PVC-PVDC/AL X 28

P-6

CUTIE X BLIST. PVC-PVDC/AL X 30

P-6

CUTIE CU BLIST. PVC- PE- PVDC

P-6

CUTIE CU BLIST. PVC-PE-PVDC/

P-6

CUTIE CU BLIST. PVC-PE-PVDC/

P-6
P-6

CUTIE X 2 BLIST. X 7 COMPR. FILM.


CUTIE X 4 BLIST. X 7 COMPR. FILM.

CUTIE CU 3 BLIST. PVC-PVDC/AL X

P-6

CIPLA (UK) LIMITED M


ZENTIVA K.S.
CEHIA

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

P-6

CUTIE X 2 BLIST. PVC-PE-PVDC/

P-6

ALVOGEN IPCO S.A.

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

P-6
P-6

TEVA PHARM

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


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/

AUROBINDO PH

BLUEFISH
BLUEFISH

RANBAXY U.K. LIMI


RANBAXY U.K. LIMI
RANBAXY U.K. LIMI

TEVA PHARM

SUEDIA
SUEDIA
M

LUXE

CUTIE CU BLIST. PVC/PE/PVDC/AL

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


HEXAL AG
GERMANI CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD
KRKA D.D.
SLOVENI CUTIE X 4 BLIST. PVC/PE/PVDC/AL
ACTAVIS GROUP P

P-6

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

ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/


ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-6

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


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

P-6

CUTIE X BLIST. PVC-PVDC/AL X 28 C

P-6

ACTAVIS GROUP P

ISLANDA
ISLANDA

CUTIE X BLIST. PVC-PVDC/AL X 30

P-6

ACCORD HEA

CUTIE CU BLIST. PVC- PE- PVDC

P-6

CUTIE CU BLIST. PVC-PE-PVDC/

P-6

CUTIE CU BLIST. PVC-PE-PVDC/

P-6

CUTIE CU BLIST. PVC-PE-PVDC/

P-6

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6

CUTIE CU 3 BLIST. PVC-PVDC/AL X

P-6

CIPLA (UK) LIMITED

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

P-6

ALVOGEN IPCO S.A.

LUXE

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

P-6

ZENTIVA K.S.

CEHIA

CUTIE X 2 BLIST. PVC-PE-PVDC/

P-6

MERCK SHARP &


MERCK SHARP &
GEDEON RIC
GEDEON RIC

AC HELCOR PHAR

HEXAL AG
ANTIBIOTICE S.A.
LABORMED PHARMA
ACTAVIS GROUP P

BLUEFISH
BLUEFISH
BLUEFISH

RANBAXY U.K. LIMI


RANBAXY U.K. LIMI

GERMANI

SUEDIA
SUEDIA
SUEDIA

P-6
P-6
P-6
P-6
P-6
P-6

TEVA PHARM

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


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/

AUROBINDO PH

CUTIE CU BLIST. PVC/PE/PVDC/AL

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 30

P6L
P6L
P6L

ACCORD HEA

CUTIE CU BLIST. PVC- PE- PVDC

P-6

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU
CIPRU

P-6

RANBAXY U.K. LIMI

CUTIE X 10 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.
CUTIE X 3 BLIST. X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 4 BLIST. AL/PVC X 7 COMPR.

TEVA PHARM

Pagina 13 din 101

P-6

P-6
P-6
P-6
P-6

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

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

17.73
17.73
13.11
14.05
17.73
13.61
14.58
7.90
15.79
14.05
15.78
6.63
16.84
6.63
7.10
17.46
14.05
21.09
29.88
29.86
44.47
22.99
29.88
14.93
31.99
31.99
31.99
31.99
21.56
23.11
31.99
15.01
30.03
18.54
15.01
23.14
29.83
23.14
9.12
9.12
9.77
31.51
23.11
56.17
67.59
14.44
20.79
47.66
22.45

Pret
amanuntul
maximal/UT
(RON)

0.591000
0.591000
0.468214
0.468333
0.591000
0.486071
0.486000
0.564285
0.563928
0.468333
0.563571
0.236785
0.561333
0.236785
0.236666
0.582000
0.468333
0.703000
1.067142
1.066428
1.588214
1.642142
1.067142
1.066428
1.066333
1.066333
1.066333
1.066333
0.770000
0.770333
1.066333
1.072142
1.072500
0.618000
1.072142
0.771333
1.065357
0.771333
0.325714
0.325714
0.325666
1.050333
0.770333
1.872333
0.675900
1.444000
0.693000
1.588666
0.801785

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.482247
0.482247
0.468214
0.468333
0.482247
0.482247
0.482247
0.482247
0.482247
0.468333
0.482247
0.236785
0.482247
0.236785
0.236666
0.482247
0.468333
0.703000
0.964495
0.964495
0.964495
0.964495
0.964495
0.964495
0.964495
0.964495
0.964495
0.964495
0.770000
0.770333
0.964495
0.964495
0.964495
0.618000
0.964495
0.771333
0.964495
0.771333
0.325714
0.325714
0.325666
0.964495
0.770333
1.872333
0.321498
0.321498
0.321498
0.642996
0.482247

0.434022
0.434022
0.421392
0.421499
0.434022
0.434022
0.434022
0.434022
0.434022
0.421499
0.434022
0.213106
0.434022
0.213106
0.212999
0.434022
0.421499
0.632700
0.868045
0.868045
0.868045
0.868045
0.868045
0.868045
0.868045
0.868045
0.868045
0.868045
0.693000
0.693299
0.868045
0.868045
0.868045
0.556200
0.868045
0.694199
0.868045
0.694199
0.293142
0.293142
0.293099
0.868045
0.693299
1.685099
0.289348
0.289348
0.289348
0.578696
0.434022

Nr crt.

cod ATC

629 C10A
630 C10A
631 C10A
632 C10A
633 C10A
634 C10A
635 C10A
636 C10A
637 C10A
638 C10A
639 C10A
640 C10A
641 D01AC
642 D01AC
643 D06B
644 D06B
645 D06B
646 D06B
647 D06B
648 D06B
649 D06B
650 D07A
651 D07AC
652 D07AC
653 D07AC
654 G01AF
655 G01AF
656 G01AF
657 G02AB
658 G03BA
659 G03BA
660 G03BA
661 G03CA
662 G03CA
663 G03CA
664 G04C
665 G04C
666 G04C
667 G04C
668 G04C
669 G04C
670 G04C
671 G04C
672 G04C
673 G04C
674 H02A
675 H02A
676 H02A
677 H02A

DCI

PRAVASTATINUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
FENOFIBRATUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
HYDROCORTISONUM
BETAMETHASONUM
BETAMETHASONUM
BETAMETHASONUM
MICONAZOLUM
MICONAZOLUM
MICONAZOLUM
ERGOMETRINUM
TESTOSTERONUM*
TESTOSTERONUM*
TESTOSTERONUM*
ESTRADIOLUM*
ESTRADIOLUM*
ESTRADIOLUM*
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
DOXAZOSINUM
METHYLPREDNISOLONUM*
METHYLPREDNISOLONUM*
PREDNISONUM
PREDNISONUM

Denumire Comerciala

PRAVATOR 40 mg
LIPANTHYL (R) 100
LIPOFIB 160 mg
FENOLIP 160 mg
LIPANTHYL 200 M
LIPOFIB 267 mg
LIPIVIM
TRIGLIPO 160 mg
LIPANTIL NANO 145 mg
FENOFIBRAT TEVA 160 mg
LIPANTHYL SUPRA 160 mg
LIPANTHYL SUPRA 160 mg
MEDACTER
MICONAZOL NITRAT 2%
ACICLOVIR 50mg/g
ZOVIRAX
ACICLOVIR 50mg/g
ACICLOVIR HYPERION
ACICLOVIR TIS 50mg/g
ACICLOVIR SLAVIA 50 mg/g
ACICLOVIR TERAPIA 50 mg/g
HIDROCORTIZON 1%
BETADERM
EKARZIN 0,5MG/G
BETADERM
GYNOZOL 200
GYNOZOL 400
MEDACTER
MALEAT DE ERGOMETRINA

UNDESTOR TESTOCAPS 40

ANDROGEL 50 mg
NEBIDO 1000 mg/4 ml
ESTREVA (R)
OESTROGEL 0,6 mg/g
CLIMARA
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)
KAMIREN (vezi G04CAN1)

forma farm.

concentratie

Detinator APP

40mg
100mg
160mg
160mg
200mg
267mg
CAPS. PULB. MICRONIZATA 200mg
COMPR.
160mg
145mg
COMPR. FILM
160mg
COMPR. FILM
COMPR. FILM. ELIB. MODIF. 160mg
COMPR. FILM. ELIB. MODIF. 160mg
CREMA
2%
CREMA
2%
CREMA
5%
CREMA
5%
CREMA
5%
CREMA
50mg/g
CREMA
50mg/g
CREMA
50mg/g
CREMA
50mg/g
UNGUENT
1%
CREMA
0,1%
CREMA
0,5mg/g
UNGUENT
0,1%
CAPS. VAG. 200mg
CAPS. VAG. 400mg
CREMA VAG. 2%
SOL. INJ.
0,2mg/ml
CAPS. MOI 40mg
GEL
50mg
SOL. INJ.
1000mg/4ml
GEL
0,1%
GEL
0,6mg/g

RANBAXY U.K. LIMI

COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

PLASTURE TRANSDERM.

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

CARDURA XL 4 mg (vezi G

COMPR.

CARDURA XL 4 mg (vezi G

COMPR.

KAMIREN XL 4 mg (vezi C0

COMPR. FILM. ELIB. PREL.

KAMIREN XL 4 mg (vezi C0

COMPR. FILM. ELIB. PREL.

LEMOD SOLU 125 mg


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

LIOF. PT. S
LIOF. PT. S

COMPR.
COMPR.

50mcg/24ore

1mg
1mg
2mg
2mg
4mg
4mg
4mg
4mg
4mg
4mg
125mg
500mg
5mg
5mg

tara det.
APP
M

Ambalaj
CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 C

LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS.


TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 CAPS.
LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CA
VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.

Prescriptie

P-6
P-6
P-6

P6L
P-6
P-6
P-6

LABORMED PHARMA

ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 1

P-6

LAB. FOURNIER S.A.

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

P-6

TEVA PHARM

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

P-6

LAB. FOURNIER SA FRANTA CUTIE X 1 BLIS


LAB. FOURNIER SA FRANTA CUTIE X 3 BLIS
GRECIA CUTIE X 1 TUB X 30G
FARAN LABORATO
SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G
ROMANIA CUTIE X 1 TUB X 15 G CREMA
GEDEON RIC
CUTIE X 1 TUB X 5G CREMA
THE
M
ROMANIA CUTIE X 1 TUB X 5 G CREMA
GEDEON RIC
HYPERION S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA

P-6
P-6
P-R
P-R
P-R
P-R
P-R
P-R

TIS FARMACEUTIC S ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA


P-R
SLAVIA PHARM S.R.L ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA
P-R
TERAPIA S.A.
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB X 20 G
P-R
E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 TUB X 20 G
P-R
ANTIBIOTICE S.A.
ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA
P-R
E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 TUB X 20 G
P-R
ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI
PHARCO IMPEX 93 S
P-R
ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI
PHARCO IMPEX 93 S
P-R
FARAN LABORATO

GRECIA CUTIE X 1 TUB X 78 G

P-R

ZENTIVA S.A.
N.V. ORGANON

ROMANIA

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

P-R

CUTIE X 6

P-R

CUTIE X 30 PLICURI DIN FOLIE PET

P-R

CUTIE X 1 FIOLA X 4 ML SOL. INJ.

S/P-RF

CUTIE X 1 FLACON PE,

P-6

CUTIE

P-6

LAB. BESINS I

OLANDA
FRANTA

BAYER SCH

GERMANI

LAB. THERAMEX
LABORATOIRES BESINS INTERNATIONAL

MONACO
FRANTA

BAYER SCH

GERMANI

CUTIE X 4 PLICURI X 1 PLASTURE T

P-6

KRKA D.D. NOVO M

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C


CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C
CUTIE X 3 BLIST. PVC-PVDC/AL X 10 C
CUTIE X 3 BLIST. PVC-PVDE/AL X 10 C
CUTIE X 3 BLIST. PVC-PVDE/AL X 10 C

P-6

KRKA D.D. NOVO M

SLOVENI
SLOVENI
SLOVENI
SLOVENI
SLOVENI
SLOVENI

PFIZER EUROPE M

CUTIE X 2 BLIST. PVC-

P-6

PFIZER EUROPE M

CUTIE X 2 BLIST. PVC-

P-6

CUTIE X 3 BLIST.

P-6

CUTIE X 3 BLIST.

P-6

KRKA D.D. NOVO M


KRKA D.D. NOVO M
KRKA D.D. NOVO M
KRKA D.D. NOVO M

KRKA D.D. NOVO M


KRKA D.D. NOVO M

SLOVENI
SLOVENI

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


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV
STADA HEMOFARM S
MAGISTRA C&C S.R.L ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
STADA HEMOFARM S

Pagina 14 din 101

P-6
P-6
P-6
P-6
P-6

S/P-RF
S/P-RF

P-R
P-R

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

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

28 35.52
1.268571
0.964495
0.868045
48 20.74
0.432083
0.432083
0.388874
30 26.89
0.896333
0.753479
0.678131
30 26.44
0.881333
0.753479
0.678131
10 13.56
1.356000
0.941849
0.847664
30 33.54
1.118000
1.118000
1.006200
30 26.43
0.881000
0.881000
0.792900
30 26.87
0.895666
0.753479
0.678131
30 34.74
1.158000
0.682841
0.614556
30 26.89
0.896333
0.753479
0.678131
10 13.81
1.381000
0.753479
0.678131
30 40.04
1.334666
0.753479
0.678131
1
8.57
8.570000
8.570000
7.713000
1
6.83
6.830000
6.224250
5.601825
1
7.60
7.600000
6.048000
5.443200
1 21.06 21.060000
2.016000
1.814400
1
4.98
4.980000
2.016000
1.814400
1
7.33
7.330000
6.048000
5.443200
1
4.70
4.700000
4.700000
4.230000
1
6.72
6.720000
6.048000
5.443200
1
6.72
6.720000
6.048000
5.443200
1
7.40
7.400000
7.400000
6.660000
1
5.96
5.960000
3.570000
3.213000
1
7.40
7.400000
7.400000
6.660000
1
5.96
5.960000
3.570000
3.213000
6
5.96
0.993333
0.993333
0.893999
3
5.72
1.906666
1.906666
1.715999
1 19.37 19.370000 12.203098 10.982788
5
7.13
1.426000
1.426000
1.283400
60 47.33
0.788833
0.788833
0.709949
30 223.35
7.445000
7.445000
6.700500
1 484.53 484.530000 484.530000 436.077000
1 29.40 29.400000 10.252796
9.227516
1 16.61 16.610000
9.842684
8.858415
4 33.33
8.332500
8.332500
7.499250
30 10.18
0.339333
0.189482
0.170533
30 10.18
0.339333
0.189482
0.170533
30 17.07
0.569000
0.378964
0.341067
30 17.07
0.569000
0.378964
0.341067
30 30.86
1.028666
0.757928
0.682135
30 30.86
1.028666
0.757928
0.682135
28 46.49
1.660357
0.757928
0.682135
28 46.49
1.660357
0.757928
0.682135
30 37.34
1.244666
0.757928
0.682135
30 37.34
1.244666
0.757928
0.682135
1
8.81
8.810000
8.018749
7.216874
1 31.02 31.020000 31.020000 27.918000
20
2.65
0.132500
0.087333
0.078599
30
2.62
0.087333
0.087333
0.078599

Nr crt.

DCI

Denumire Comerciala

PREDNISONUM
PREDNISONUM
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
HYDROCORTISONUM*
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
DOXYCYCLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
AMOXICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM

PREDNISON 5 mg
PREDNISON - RICHTER 5 mg

cod ATC

678 H02A
679 H02A
680 H02A
681 H02A
682 H02A
683 H02A
684 H02A
685 H02A
686 J01AA
687 J01AA
688 J01AA
689 J01AA
690 J01CA
691 J01CA
692 J01CA
693 J01CA
694 J01CA
695 J01CA
696 J01CA
697 J01CA
698 J01CA
699 J01CA
700 J01CA
701 J01CA
702 J01CA
703 J01CA
704 J01CA
705 J01CA
706 J01CA
707 J01CA
708 J01CA
709 J01CA
710 J01CA

711 J01CA
712 J01CA
713 J01CA
714 J01CA
715 J01CE
716 J01CE
717 J01CE
718 J01CE
719 J01CE
720 J01CE
721 J01CF
722 J01CF
723 J01CF
724 J01CF
725 J01CF
726 J01CF

BENZATHINI BENZYLPENICILLIN
BENZATHINI BENZYLPENICILLIN

OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM

HYDROCORTISONE ROUSS
HYDROCORTISONE SUCC

HYDROCORTISONE 500 mg
HIDROCORTIZON HF 500 mg
HIDROCORTIZON HF 100 mg
HIDROCORTIZON HEMISUC

DOXICICLINA ATB 100 mg


DOXICICLINA
DOXICICLINA SANDOZ 100 m

tara det.
APP
forma farm. concentratie
Detinator APP
COMPR.
5mg
SINTOFARM SA
ROMANIA
COMPR.
5mg
ROMANIA
GEDEON RIC
COMPR.
10mg
CN UNIFARM
ROMANIA
E.I.P.I.CO. MED S.R.L ROMANIA
LIOF. + SOLV. PT. SOL. INJ. 100mg
ROMANIA
STADA HEMOFARM S
LIOF. PT. SOL. INJ. + SOLV. 500mg
ROMANIA
STADA HEMOFARM S
PULB. + SOLV. PT. SOL. INJ./PERF. 500mg
100mg
ROMANIA
STADA HEMOFARM S
SOL. INJ. I.V. 25mg/5ml
ZENTIVA S.A.
ROMANIA
CAPS.
100 mg
ANTIBIOTICE S.A.
ROMANIA
CAPS.
100mg
ARENA GROUP SA ROMANIA
CAPS.
100mg
SANDOZ SRL
ROMANIA
PULB. SI SOLV. PT. SOL. INJ./PERF.

UNIDOX SOLUTAB
COMPR. DISP
AMOXICILINA ARENA 250 mg CAPS.
CAPS.
AMOXICILINA ANTIBIOTICE
OSPAMOX 250 mg
CAPS.
CAPS.
AMOXICILINA SANDO
AMOXICILINA FARMEX 250 m CAPS.
CAPS.
AMOXICILINA ANTIBIOTICE
E - MOX
CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA FORTE 500 mg CAPS.
AMOXICILINA ARENA 500 mg CAPS.
CAPS.
AMOXICILINA SANDOZ
OSPAMOX 1000 mg
COMPR. FILM
OSPAMOX 500 mg
COMPR. FILM
AMOXICILINA TERAPIA 1 g COMPR. PT. DISP. ORALA
DUOMOX 1000 mg
DUOMOX 250 mg
DUOMOX 500 mg
DUOMOX 750 mg
JULPHAMOX
PUL

COMPR. FILM

100mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
1000mg
500mg
1g
1000mg
250mg
500mg
750mg
125mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
250mg/5ml
1000000ui
1500000ui
500000ui

SIROP

400000ui/5ml

COMPR. PT. DISPERSIE ORALA


COMPR. PT. DISPERSIE ORALA
COMPR. PT. DISPERSIE ORALA
COMPR. PT. DISPERSIE ORALA

AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA

OSPAMOX (R) 125 mg/5 ml


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

E - MOX
OSPAMOX 250 mg/5 ml
OSPEN (R) 1000
OSPEN (R) 1500
OSPEN (R) 500
OSPEN 400
MOLDAMIN 1200000 UI
MOLDAMIN 1200000 UI
OXACILINA ARENA 250 mg
OXACILINA 250 mg
OXACILINA SANDOZ 250 mg
OXACILINA FARMEX 250 mg
OXACILINA 500 mg
OXACILINA ARENA 500 mg

PUL
PUL
PUL
PUL
PUL
PUL

COMPR. FILM
COMPR. FILM

PULB. PT
PULB. PT

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

1200000UI
1200000UI
250mg
250mg
250mg
250mg
500mg
500mg

Ambalaj

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


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

S/P-RF

P-R

CUTIE X 1 FLAC. DIN STICLA X 20 ML, INCCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, C

PR/PRF

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

PR/PRF

CUTIE X 5 FIOLE X 1 ML SOL. A

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.

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML


ROMANIA

AUSTRIA

ANTIBIOTICE SA
ARENA GROUP SA
Pagina 15 din 101

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

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

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

FARMEX COMPANY

P-R

CUTIE X 1 FLAC. X 5,1 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE

ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML


SANDOZ S.R.L.
ROMANIA
E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 60 ML SU

AUSTRIA CUTIE X 1 FLAC. X 6,6 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE
AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12
AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12
AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12
AUSTRIA CUTIE X 1 FLACON X 60ML
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

PRF

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

GULF PHARMACEUTICAL IND. (JUPHAR)

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

PRF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML

OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 CO


ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
SANDOZ GMBH
AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAP
SANDOZ SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
FARMEX COMPANY
ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 BLIST. X 8 CAPS.
ROMANIA CUTIE X 1 BLIST. X 10 CAPS.
FARMEX COMPANY
ROMANIA CUTIE X 2 BLIST. X 10 CAPS.
FARMEX COMPANY
ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS.
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
SANDOZ GMBH
AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COM
SANDOZ GMBH
AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PVCOLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
ASTELLAS P
OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
ASTELLAS P
OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
ASTELLAS P
OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR.
ASTELLAS P
SANDOZ S.R.L.
SANDOZ GMBH

P-R

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML

ASTELLAS P

GULF PHARMACEUTICAL IND. (JUPHAR)

Prescriptie

P-R

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

CUTIE CU 1 FLA

P-R

CUTIE CU 1

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

P-R
P-R
P-R
P-R
P-R
P-R

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

30
3.71
20
2.57
25 12.20
1
3.91
1 11.91
1 11.91
1
7.09
5 21.33
10
4.01
20
7.00
10
3.61
10
6.83
20
5.95
20
6.24
12
4.44
20
6.15
20
5.25
10
5.69
8
7.53
10
5.92
20
8.81
10
5.69
10
4.92
12 11.63
12
5.69
21 19.41
20 23.77
20 10.12
20 14.76
20 19.75
1
7.55
1
5.73
1
4.55
1
8.20
1
4.88
1
4.88
1
4.88
12
3.47
12
6.10
12
2.62
1
9.51
1
5.39
100 451.96
20
7.10
20
7.55
20
7.70
20
6.73
10
7.50
10
6.19

Pret
amanuntul
maximal/UT
(RON)

0.123666
0.128500
0.488000
3.910000
11.910000
11.910000
7.090000
4.266000
0.401000
0.350000
0.361000
0.683000
0.297500
0.312000
0.370000
0.307500
0.262500
0.569000
0.941250
0.592000
0.440500
0.569000
0.492000
0.969166
0.474166
0.924285
1.188500
0.506000
0.738000
0.987500
7.550000
5.730000
4.550000
8.200000
4.880000
4.880000
4.880000
0.289166
0.508333
0.218333
9.510000
5.390000
4.519600
0.355000
0.377500
0.385000
0.336500
0.750000
0.619000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.087333
0.087333
0.488000
2.381999
11.910000
11.910000
2.381999
0.595499
0.342900
0.342900
0.342900
0.342900
0.280800
0.280800
0.280800
0.280800
0.262500
0.481978
0.481978
0.481978
0.440500
0.481978
0.481978
0.963957
0.474166
0.924285
0.963957
0.280800
0.481978
0.722968
2.808000
1.684800
1.684800
5.616000
3.369600
3.369600
3.369600
0.289166
0.440718
0.146906
0.195874
4.338799
4.338799
0.299457
0.299457
0.299457
0.299457
0.598915
0.598915

0.078599
0.078599
0.439200
2.143799
10.719000
10.719000
2.143799
0.535949
0.308610
0.308610
0.308610
0.308610
0.252720
0.252720
0.252720
0.252720
0.236250
0.433780
0.433780
0.433780
0.396450
0.433780
0.433780
0.867561
0.426749
0.831856
0.867561
0.252720
0.433780
0.650671
2.527200
1.516320
1.516320
5.054400
3.032640
3.032640
3.032640
0.260249
0.396646
0.132215
0.176286
3.904919
3.904919
0.269511
0.269511
0.269511
0.269511
0.539023
0.539023

FARMEX COMPANY

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

500mg
500mg
500mg
500mg
1g
1g

SANDOZ SRL
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ROMANIA CU
ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.
ROMANIA CU

AUGMENTIN SR 1000 mg/62

COMPR.

1000mg/62,

BEECHAM GROUP P

CUTIE CU 7 BLIST. AL/PVC-AL X

P-R

COMPR. FILM

1000mg

LEK PHARMACEU

SLOVENI

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

P-R

COMPR. FILM

500 mg/125

RANBAXY UK LIMITE

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

P-R

COMPR. FILM

500/125mg

ANTIBIOTICE S.A.

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

P-R

COMPR. FILM

500mg/125m

BEECHAM GROUP P

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

P-R

COMPR. FILM

625mg

LEK PHARMACEU

SLOVENI

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

P-R

COMPR. FILM

875mg/125m
875mg/125m

ANTIBIOTICE S.A.

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

P-R

AMOXICILLINUM + ACIDUM

AMOKSIKLAV 2 x 1000 mg
ENHANCIN 500 mg/125mg
AMOXIPLUS 500/125 mg
AUGMENTIN 500 mg/125 mg
AMOKSIKLAV 2 x 625 mg
AMOXIPLUS 875 mg/125 mg
AUGMENTIN 875 mg/125 mg

BEECHAM GROUP P

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

P-R

741 J01CR

AMOXICILLINUM + ACIDUM

AMOKSIKLAV QUICKTAB 10

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

BIOMEDIAL PHARMA

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

P-R

742 J01CR

AMOXICILLINUM + ACIDUM

AMOKSIKLAV QUICKTAB 625

COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

1000mg
625mg

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

P-R

743 J01CR

AMOXICILLINUM + ACIDUM

PUL

125mg+31,

MEDOCHEMIE LTD. CIPRU

P-R

744 J01CR

AMOXICILLINUM + ACIDUM

MEDOCLAV 156,25 mg/5 ml


AMOKSIKLAV 156,25mg/5ml

PUL

156,25mg/5m

LEK PHARMACEU

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

P-R

745 J01CR

AMOXICILLINUM + ACIDUM

MEDOCLAV FORTE 312,5mg/

PUL

250mg+62

MEDOCHEMIE LTD. CIPRU

CUTIE X 1 FLAC. DIN S

P-R

746 J01CR

AMOXICILLINUM + ACIDUM

PUL

400mg+57

LEK PHARMACEU

P-R

AMOXICILLINUM + ACIDUM

PUL

400mg+57

LEK PHARMACEU

SLOVENI
SLOVENI

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

747 J01CR

AMOKSIKLAV 2x
AMOKSIKLAV 2x

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

P-R

748 J01CR

AMOXICILLINUM + ACIDUM

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

PUL

400mg/57m

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF

749 J01CR

AMOXICILLINUM + ACIDUM

AUGMENTIN BIS 400 mg/57

PUL

400mg/57m

SMITHKLINE BEE

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

P-R

750 J01CR

AMOXICILLINUM + ACIDUM

AUGMENTIN BIS 400 mg/57

PUL

400mg/57m

SMITHKLINE BEE

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

P-R

751 J01CR

AMOXICILLINUM + ACIDUM

AUGMENTIN BIS 400 mg/57

PUL

400mg/57m

SMITHKLINE BEE

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

P-R

752 J01CR

AMOXICILLINUM + ACIDUM

AUGMENTIN (R) ES

PUL

600 mg/4

SMITHKLINE BEE

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

P-R

753 J01CR

AMOXICILLINUM + ACIDUM

ENHANCIN 250 mg/ 62,5 mg/5

PUL

250 mg

RANBAXY UK LIMITE

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE

P-R

754 J01CR

AMOXICILLINUM + ACIDUM

LEK PHARMACEU

SLOVENI

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

P-R

755 J01DB

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

AMOKSIKLAV 312,5mg/5ml PUL


CEFALEXINA ARENA 250 mg CAPS.
CEFALEXINA 250 mg
CAPS.
OSPEXIN (R) 250 mg
CAPS.
CAPS.
CEFALEXIN SANDOZ 2
CEFALEXINA 500 mg
CAPS.
CEFALEXINA ARENA 500 mg CAPS.
CEFALEXIN SANDOZ
CAPS.
OSPEXIN 1000 mg
COMPR. FILM
OSPEXIN 500 mg
COMPR. FILM
KEFLEX (R) 125 mg/5 ml
GR
OSPEXIN (R) 125 mg/5 ml
GR

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.

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

Nr crt.

DCI

cod ATC

Denumire Comerciala

forma farm.

OXACILINA FORTE 500 mg CAPS.


OXACILINA SANDOZ 500 mg CAPS.

732 J01CF

OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM

733 J01CR

AMOXICILLINUM + ACIDUM

734 J01CR

AMOXICILLINUM + ACIDUM

735 J01CR

AMOXICILLINUM + ACIDUM

736 J01CR

AMOXICILLINUM + ACIDUM

737 J01CR

AMOXICILLINUM + ACIDUM

738 J01CR

AMOXICILLINUM + ACIDUM

739 J01CR

AMOXICILLINUM + ACIDUM

740 J01CR

727 J01CF
728 J01CF
729 J01CF
730 J01CF
731 J01CF

756 J01DB
757 J01DB
758 J01DB
759 J01DB
760 J01DB
761 J01DB
762 J01DB
763 J01DB
764 J01DB
765 J01DB
766 J01DB
767 J01DB
768 J01DB
769 J01DB
770 J01DB
771 J01DB
772 J01DB
773 J01DB
774 J01DB
775 J01DB

OXACILINA ANTIBIOTICE 50
OXACILINA ANTIBIOTICE 50

OXACILINA ANTIBIOTICE 1 g
OXACILINA ANTIBIOTICE 1 g

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


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

COMPR. FILM

CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GR

KEFLEX (R) 250 mg/5 ml

GR

CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA

GR

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

GR

CAPS.
CAPS.
CAPS.
COMPR. FILM
GR

GRAN. S

concentratie

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

Detinator APP

BIOMEDIAL PHARMA

Pagina 16 din 101

ROMANIA
ROMANIA
SLOVENI

AUSTRIA
AUSTRIA
ISLANDA
AUSTRIA

Prescriptie

P-R
P-R
P-RF/S

P-R
P-RF/S

P-R

P-R
P-R
P-R
P-R
P-R
P-R
P-R

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

P-R

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

P-R

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

P-R

CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP

P-R

ROMANIA

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

P-R

ISLANDA

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

P-R

ROMANIA

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

P-R

AUSTRIA

CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML

P-R

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


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

P-R
P-R

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

P-R

CUTIE X 1 BLIST. PVC/PVDC X 10. CO

P-R

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

P-R

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

P-R

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

20 11.17
10
7.04
100 418.89
1
4.92
100 448.06
1
5.33
28 44.84
14 39.13
28 33.07
14 10.83
14 15.32
14 28.06
14 18.97
14 26.35
14 25.07
14 16.53
1 14.90
1 11.69
1 22.11
1
6.46
1 12.93
1
6.47
1
9.95
1
9.95
1 19.89
1 34.30
1 22.71
1 24.02
20 11.91
20 11.82
12
7.15
10
5.98
10 10.51
10
9.00
10 10.02
12 15.79
12 11.88
1
6.19
1
7.61
1
6.93
1 10.48
1
9.65
1
9.63
10 18.55
10 13.45
10 13.02
10 26.15
1 12.05
1 22.42

Pret
amanuntul
maximal/UT
(RON)

0.558500
0.704000
4.188900
4.920000
4.480600
5.330000
1.601428
2.795000
1.181071
0.773571
1.094285
2.004285
1.355000
1.882142
1.790714
1.180714
14.900000
11.690000
22.110000
6.460000
12.930000
6.470000
9.950000
9.950000
19.890000
34.300000
22.710000
24.020000
0.595500
0.591000
0.595833
0.598000
1.051000
0.900000
1.002000
1.315833
0.990000
6.190000
7.610000
6.930000
10.480000
9.650000
9.630000
1.855000
1.345000
1.302000
2.615000
12.050000
22.420000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.558500
0.598915
2.558825
2.558825
4.480600
5.117650
1.601428
1.498615
0.856351
0.773571
0.856351
0.856351
1.355000
1.498615
1.498615
0.856351
6.123214
6.123214
12.246428
6.460000
12.930000
6.470000
6.857999
6.857999
13.715999
29.391428
12.246428
12.246428
0.450900
0.450900
0.450900
0.450900
0.901800
0.900000
0.901800
1.315833
0.901800
5.136250
5.136250
5.136250
10.272500
9.650000
9.630000
0.450900
0.901800
0.901800
1.803600
5.136250
10.272500

0.502650
0.539023
2.302942
2.302942
4.032540
4.605885
1.441285
1.348753
0.770715
0.696213
0.770715
0.770715
1.219500
1.348753
1.348753
0.770715
5.510892
5.510892
11.021785
5.814000
11.637000
5.823000
6.172199
6.172199
12.344399
26.452285
11.021785
11.021785
0.405810
0.405810
0.405810
0.405810
0.811620
0.810000
0.811620
1.184249
0.811620
4.622625
4.622625
4.622625
9.245250
8.685000
8.667000
0.405810
0.811620
0.811620
1.623240
4.622625
9.245250

Nr crt.

cod ATC

DCI

817 J01DD

CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFUROXIMUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFACLORUM
CEFIXIMUM
CEFIXIMUM

818 J01EE

SULFAMETHOXAZOLUM +

819 J01EE

SULFAMETHOXAZOLUM +

820 J01EE

SULFAMETHOXAZOLUM +

821 J01EE

SULFAMETHOXAZOLUM +

822 J01EE

SULFAMETHOXAZOLUM +

823 J01EE

SULFAMETHOXAZOLUM +

824 J01FA0

ERYTHROMYCINUM

776 J01DC
777 J01DC
778 J01DC
779 J01DC
780 J01DC
781 J01DC
782 J01DC
783 J01DC
784 J01DC
785 J01DC
786 J01DC
787 J01DC
788 J01DC
789 J01DC
790 J01DC
791 J01DC
792 J01DC
793 J01DC
794 J01DC
795 J01DC
796 J01DC
797 J01DC
798 J01DC
799 J01DC
800 J01DC
801 J01DC
802 J01DC
803 J01DC
804 J01DC
805 J01DC
806 J01DC
807 J01DC
808 J01DC
809 J01DC
810 J01DC

811 J01DC
812 J01DC
813 J01DC
814 J01DC
815 J01DC
816 J01DD

Denumire Comerciala

CEROXIM 250 mg
CEFUROXIMA ANTIBIOTICE
CEFUROXIMA ANTIBIOTICE

CEFUROXIMA AUROBINDO

CEROXIM 500 mg
CEFUROXIMA ANTIBIOTICE
CEFUROXIMA ANTIBIOTICE

CEFUROXIMA AUROBINDO

AXYCEF (R) 125


AXYCEF (R) 250
AXYCEF (R) 500
ZINNAT (R) 125 mg
ZINNAT (R) 250 mg
ZINNAT (R) 500 mg
ZINNAT
AXYCEF (R) 125 mg/5 ml
CECLODYNE 250 mg
CEFACLOR ARENA 250 mg
CLORACEF (R) 250
CEFACLOR TERAPIA 250 mg
CECLODYNE FORTE 500 mg
CLORACEF (R) FORTE 500
CEFACLOR ARENA 500 mg
CEFACLOR TERAPIA 500 mg
CECLOR MR 500 mg
CECLOR MR 750 mg
CEFACLOR TERAPIA MR 37
CEFACLOR TERAPIA MR 75

CECLODYNE (R) MR 375 mg


CECLODYNE (R) MR 500 mg
CECLODYNE (R) MR 750 mg
CECLOR (R) 125 mg/5 ml
CEFACLOR TERAPIA 125mg
CEFACLOR TERAPIA 250mg
CEFACLOR TERAPIA 250mg

CECLOR (R) 250 mg/5 ml


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

forma farm.

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

COMPR. FILM
COMPR. FILM
COMPR. FILM
GR

PUL

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CO
CO

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

GR
GR
GR
GR
GR

concentratie

Detinator APP

250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
125mg
250mg
500mg
125mg
250mg
500mg
125mg/5ml
125mg/5ml
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
750mg
375mg
750mg
375mg
500mg
750mg
125mg/5ml
125mg/5ml
250 mg/5 ml
250 mg/5 ml
250mg/5ml
125mg/5ml
125mg/5ml
250mg/5ml
250mg/5ml
100mg
200mg

RANBAXY U.K. LIMI

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

tara det.
APP
M

AUR

ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 C


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 10 C

RANBAXY U.K. LIMI

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.

Prescriptie

P-R
P-R
P-R

PRF

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

P-R

CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 C

P-R

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

P-R

CUTIE CU BLIST. PA-AL-PVC/AL X 10 C


CUTIE X 1 BLIST. X 10 COMPR. ACOPER
CUTIE X 1 BLIST. X 10 COMPR. ACOPER
CUTIE X 1 BLIST. X 10 COMPR. ACOPER

PRF

SANDOZ SRL
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

GLAXOWELLCOME

GLAXOWELLCOME

GLAXOWELLCOME

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

CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT

P-R

CUTIE

P-R

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

P-R

AUR

SANDOZ SRL
SANDOZ SRL
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA
DAR AL DAWA P
TERAPIA SA
ROMANIA
SANDOZ SRL
ROMANIA
ROMANIA
DAR AL DAWA P
ARENA GROUP S.A. ROMANIA
TERAPIA SA
ROMANIA

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

ISLANDA
ISLANDA

DAR AL DAWA P

Pagina 17 din 101

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


CUTIE X 2 BLIST. X 8 CAPS.

ISLANDA
ROMANIA
ROMANIA
ROMANIA

ISLANDA

P-R
P-R
P-R
P-R
P-R
P-R

P-R
P-R

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

P-R

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

P-R

CUTIE X 2 BLIST. X 8 CAPS.


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

P-R
P-R

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

P-R

CUTIE CU 1 BLIST. PVC-

PRF

CUTIE CU 1 BLIST. PVC-

PRF

ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL


ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. PR
ROMANIA CUTIE X 1 BLIST.
ROMANIA CUTIE X 1 BLIST.
ROMANIA CUTIE X 1 BLIST. PVC-P

ROMANIA
ROMANIA
STADA HEMOFARM S
PUL
ROMANIA
DAR AL DAWA P
PUL
ROMANIA
STADA HEMOFARM S
PUL
CAPS.
ANTIBIOTICE S.A.
ROMANIA
CAPS.
ANTIBIOTICE SA
ROMANIA
COMPR.
ROMANIA
400mg/80mg ZENTIVA S.A.
COMPR.
UNGARIA
400mg/80mg EGIS PHARMA
COMPR.
400mg/80mg BIO EEL SRL
ROMANIA
COMPR.
400mg/80mg ARENA GROUP S.A. ROMANIA
SIROP
25mg/5mg/ml EGIS PHARMA
UNGARIA
SUSP. ORALA 200mg/40m
E.I.P.I.CO. MED S.R.L ROMANIA
COMPR.
200mg
ARENA GROUP SA ROMANIA
PUL

Ambalaj
CUTIE X 1 BLIST. PVC-ACLAR/AL X 10

P-R
P-R
P-R
P-R
P-R

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

P-R

CUTIE X 1 FLAC. DIN PEID

P-R

CUTIE X 1 FLAC. DIN P

P-R

CUTIE X 1 FLAC. DIN PEID

P-R

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

P-R

CUTIE X 1 FLAC.

P-R

CUTIE X

P-R

CUTIE X 1 FLAC.

P-R

CUTIE X

P-R

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


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

PRF
P-R
P-R
P-R
P-R
P-R

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

P-R

CUTIE

P-R

CUTIE X 2 BLIST. X 10 COMPR.

P-R

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

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

14.38
14.28
14.28
10.80
30.20
30.12
30.12
17.97
9.82
11.82
20.22
15.13
16.61
27.64
19.41
17.66
16.07
15.16
21.40
13.81
29.55
28.55
27.89
32.67
26.19
35.79
32.82
55.59
35.49
46.90
66.58
16.73
12.39
22.30
29.74
33.16
11.90
9.09
21.40
16.53
21.56
34.77
7.72
4.13
7.04
7.72
8.20
4.76
7.09

Pret
amanuntul
maximal/UT
(RON)

1.438000
1.428000
1.428000
1.080000
3.020000
3.012000
3.012000
1.797000
0.982000
1.182000
2.022000
1.513000
1.661000
2.764000
19.410000
17.660000
1.607000
1.516000
1.337500
0.920666
2.955000
1.784375
2.789000
2.178000
2.619000
3.579000
3.282000
5.559000
3.549000
4.690000
6.658000
16.730000
12.390000
22.300000
29.740000
33.160000
11.900000
9.090000
21.400000
16.530000
2.156000
3.477000
0.386000
0.206500
0.352000
0.386000
8.200000
4.760000
0.354500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1.289699
1.289699
1.289699
1.080000
2.579399
2.579399
2.579399
1.797000
0.982000
1.182000
2.022000
1.283999
1.289699
2.579399
12.839999
17.660000
0.644849
0.644849
0.644849
0.644849
1.289699
1.289699
1.289699
1.289699
1.289699
1.934549
0.967274
1.934549
0.967274
1.289699
1.934549
9.629999
9.629999
19.259999
25.679999
19.259999
9.629999
7.703999
19.259999
15.407999
1.752524
3.477000
0.284062
0.206500
0.284062
0.284062
3.853124
4.760000
0.354500

1.160729
1.160729
1.160729
0.972000
2.321459
2.321459
2.321459
1.617300
0.883800
1.063800
1.819800
1.155599
1.160729
2.321459
11.555999
15.894000
0.580364
0.580364
0.580364
0.580364
1.160729
1.160729
1.160729
1.160729
1.160729
1.741094
0.870546
1.741094
0.870546
1.160729
1.741094
8.666999
8.666999
17.333999
23.111999
17.333999
8.666999
6.933599
17.333999
13.867199
1.577271
3.129300
0.255655
0.185850
0.255655
0.255655
3.467811
4.284000
0.319050

Nr crt.

cod ATC

825 J01FA0
826 J01FA0
827 J01FA0
828 J01FA0
829 J01FA0
830 J01FA0
831 J01FA0
832 J01FA0
833 J01FA0
834 J01FA0
835 J01FA0
836 J01FA0
837 J01FA0
838 J01FA0
839 J01FA0
840 J01FA0
841 J01FA0
842 J01FA0
843 J01FA0
844 J01FA0
845 J01FA0
846 J01FA0
847 J01FA0
848 J01FA0
849 J01FA0
850 J01FA0
851 J01FA0
852 J01FA0
853 J01FA0
854 J01FA0
855 J01MA
856 J01MA
857 J01MA
858 J01MA
859 J01MA
860 J01MA
861 J01MA
862 J01MA
863 J01MA
864 J01MA
865 J01MA
866 J01MA
867 J01MA
868 J01MA
869 J01MA
870 J01MA
871 J01MA
872 J01MA
873 J01MA

DCI

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

Denumire Comerciala

ERITROMICINA 200 mg

forma farm.

ERITROMICINA

COMPR.
COMPR.

ERITROMICINA SANDOZ 20

PUL

CLAXIRIT 500 mg

CO

CLARITROMICINA TEVA 500

COMPR.

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

COMPR. FILM

CLARITROMICINA TEVA 250

COMPR. FILM

LEKOKLAR (R) 500 mg


KLERIMED (R) 500
KLABAX 500 mg
FROMILID 500
ROCLARIN 500 mg

COMPR. FILM

CLARITROMICINA TEVA 500

COMPR. FILM

KLABAX MR 500 mg
KLACID SR
FROMILID (R) UNO
KLACID (R)
KLACID (R)
FROMILID (R) 125 mg/5 ml
LEKOKLAR 125 mg/5 ml
KLABAX 125 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
LEKOKLAR 250 mg/5 ml
KLABAX 250 mg/5 ml
KLACID I.V.
ZANOCIN
OFLOXIN 200

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

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

COMPR. FILM. ELIB. MODIF.

COMPR. FILM. ELIB. PREL.


COMPR. FILM. ELIB. PREL.

GR
GR
GR
GR
GR
GR
GR
GR
GR

LIOF. PT

COMPR. FILM
COMPR. FILM

CIPROFLOXACINA ARENA

COMPR. FILM

CIPROFLOXACINA ARENA

COMPR. FILM

CIPROCIN 250 mg
CIPRINOL 250 mg
CIPROLEN (R) 250 mg
CUMINOL 250 mg
CUMINOL 250 mg

COMPR. FILM

CIPROFLOXACINA ALKALO

COMPR. FILM

CIFRAN

COMPR. FILM

CIPROFLOXACINA ARENA

COMPR. FILM

CIPROFLOXACINA ARENA

COMPR. FILM

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg

COMPR. FILM

CIPROFLOXACINA ALKALO

COMPR. FILM

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

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

concentratie

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

ANTIBIOTICE SA
SANDOZ S.R.L.
SANDOZ S.R.L.

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE

P-R

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC/PVDC//

PRF

TEVA PHARM

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X

PRF

ABBOTT SPA

ITALIA

LEK PHARMACEU

SLOVENI

CUTIE X 1 BLIST. X 14 COMPR. FILM.


CUTIE X 2 BLIST. X 7 COMPR. FILM.

Detinator APP

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA

Prescriptie

P-R
P-R

P-R
P-R

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

P-R

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

P-R

KRKA D.D. NOVO M

SLOVENI

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

P-R

TEVA PHARM

ROMANIA

PRF

LEK PHARMACEU

SLOVENI

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-R

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

P-R

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

P-R

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

P-R

MEDOCHEMIE LTD. CIPRU


TERAPIA SA
ROMANIA
KRKA D.D. NOVO M

SLOVENI

ANTIBIOTICE S.A.
TERAPIA SA

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


ROMANIA C
ROMANIA CUTIE X 1 BLIST. PVC/PVD

ABBOTT LABORA

CUTIE X 1 BLIST. PVC-PVD

P-R

KRKA D.D.
ABBOTT SPA
ABBOTT SPA
KRKA D.D.
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA
SANDOZ SRL
TERAPIA SA

SLOVENI

CUTIE X 1 BLIST. PVC-PVD

P-R

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

P-R

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

P-R

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

P-R

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

P-R

CUTIE X 1 FLAC.

P-R

CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-R

CUTIE X 1 FLAC. PEID X 7

P-R

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

P-R

CUTIE X 1 FLAC. PEID

P-R

TEVA PHARM

ITALIA
ITALIA
SLOVENI

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ABBOTT LABORA

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

RANBAXY UK LIMITE

P-R

PRF
P-R

S/P-RF

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


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

P-R

E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10

P-R

P-R
P-R
P-R

KRKA D.D. NOVO M

SLOVENI

AC HELCOR SRL

P-R

GEDEON RIC

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


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

ALKALOID D.O.O.

SLOVENI

CUTIE X 1 FLAC. DIN STICLA BR

P-R

RANBAXY UK LIMITE

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

P-R

GEDEON RIC

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

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


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

P-R

P-R
P-R

P-R
P-R

DR. REDDY'S L

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

P-R

KRKA D.D. NOVO M

SLOVENI

P-R

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

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.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
GEDEON RIC

ALKALOID D.O.O.
Pagina 18 din 101

SLOVENI

CUTIE X 1 FLAC. DIN STICLA BR

P-R
P-R
P-R
P-R

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

20
20
1
7
6
14
14
14
14
14
14
14
14
14
14
20
14
7
5
7
1
1
1
1
1
1
1
1
1
1
10
10
10
20
10
10
10
10
20
10
10
10
20
10
10
10
10
10
10

9.60
8.44
11.46
32.05
29.37
28.57
32.23
16.69
14.67
16.69
11.34
37.95
32.62
32.08
32.62
43.35
24.62
33.15
36.43
28.09
39.14
24.48
23.30
26.21
18.94
61.52
51.09
44.85
31.68
53.78
11.36
20.02
37.31
65.61
6.83
6.83
6.83
6.83
12.30
7.87
6.93
6.56
12.30
4.76
13.22
13.22
13.22
13.22
15.12

Pret
amanuntul
maximal/UT
(RON)

0.480000
0.422000
11.460000
4.578571
4.895000
2.040714
2.302142
1.192142
1.047857
1.192142
0.810000
2.710714
2.330000
2.291428
2.330000
2.167500
1.758571
4.735714
7.286000
4.012857
39.140000
24.480000
23.300000
26.210000
18.940000
61.520000
51.090000
44.850000
31.680000
53.780000
1.136000
2.002000
3.731000
3.280500
0.683000
0.683000
0.683000
0.683000
0.615000
0.787000
0.693000
0.656000
0.615000
0.476000
1.322000
1.322000
1.322000
1.322000
1.512000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.429171
0.422000
11.460000
2.145855
2.145855
1.072927
1.072927
1.072927
1.047857
1.072927
0.810000
2.145855
2.145855
2.145855
2.145855
2.145855
1.758571
2.145855
2.145855
2.145855
28.228499
16.937100
16.937100
16.937100
16.937100
56.456999
51.090000
33.874200
31.680000
25.576250
1.136000
1.189800
0.237960
0.237960
0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.594900
0.476000
1.189800
1.189800
1.189800
1.189800
1.189800

0.386253
0.379800
10.314000
1.931269
1.931269
0.965634
0.965634
0.965634
0.943071
0.965634
0.729000
1.931269
1.931269
1.931269
1.931269
1.931269
1.582713
1.931269
1.931269
1.931269
25.405649
15.243390
15.243390
15.243390
15.243390
50.811299
45.981000
30.486780
28.512000
23.018625
1.022400
1.070820
0.214164
0.214164
0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.535410
0.428400
1.070820
1.070820
1.070820
1.070820
1.070820

Nr crt.

cod ATC

874 J01MA
875 J01MA
876 J01MA
877 J01MA
878 J01MA
879 J01MA
880 J01MA
881 J01MA
882 J01MA
883 J01MA
884 J01MA
885 J01MA
886 J01MA
887 J01MA
888 J01MA
889 J01MA
890 J01MA
891 J01MA
892 J01MB
893 J01XD
894 J01XD
895 J01XD
896 J01XD
897 J01XD
898 J01XD
899 J01XD
900 J01XD
901 J01XD
902 J01XD
903 J01XD
904 J01XD
905 J01XD
906 J02AB
907 J02AB
908 J02AB
909 J02AB
910 J02AB

911 J02AC
912 J02AC
913 J02AC
914 J02AC
915 J02AC
916 J02AC
917 J02AC
918 J02AC
919 J02AC
920 J02AC
921 J02AC
922 J02AC

DCI

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

Denumire Comerciala

CIFRAN
CIPRO QUIN (R)

forma farm.

concentratie

500mg
500mg
COMPR. FILM
500mg
CIPROFLOXACINA ARENA
COMPR. FILM
500mg
CIPROFLOXACINA ARENA
COMPR. FILM
ALVEBAR 500 mg
500mg
COMPR. FILM
CIPRINOL 750 mg
750mg
COMPR. FILM
750mg
COMPR. FILM
CIPROFLOXACINA ARENA
CIPROBAY XR 1000 mg
COMPR. FILM. ELIB. PREL. 1000 mg
CIPROBAY XR 1000 mg
COMPR. FILM. ELIB. PREL. 1000 mg
CIPROBAY XR 500 mg
COMPR. FILM. ELIB. PREL. 500 mg
CIPROBAY XR 500 mg
COMPR. FILM. ELIB. PREL. 500 mg
PEFLOXACIN LAROPHARM COMPR. FILM 400mg
NORFLOXACINA LPH 400 mg COMPR. FILM 400mg
NORFLOX - 400
400mg
COMPR. FILM
NOLICIN 400 mg
400mg
COMPR. FILM
EPINOR
400mg
COMPR. FILM
NOR QUIN 400 mg
400mg
COMPR. FILM
400mg
NORFLOXACIN HELCOR 400
COMPR. FILM
NALIXID 500 mg
CAPS.
500mg
COMPR.
250mg
METRONIDAZOL ARE
COMPR.
250mg
METRONIDAZOL ARE
FLAGYL ( vezi J01XD01)
250mg
COMPR. FILM
FLAGYL ( vezi J01XD01)
250mg
COMPR. FILM
METRONIDAZOL A 5 g/l
SOL. PERF. 5g/l
METRONIDAZOL A 5 g/l
SOL. PERF. 5g/l
METRONIDAZOL B 5 g/l
SOL. PERF. 5g/l
METRONIDAZOL B 5 g/l
SOL. PERF. 5g/l
SOL. PERF. 5mg/ml
METRONIDAZOL BRAUN 5mg
SOL. PERF. 5mg/ml
METRONIDAZOL BRAUN 5mg
SOL. PERF. 5mg/ml
METRONIDAZOL BRAUN 5mg
FLAGYL 4 % (J01XD01)
SUSP. ORALA 4%
FLAGYL 4 % (J01XD01)
SUSP. ORALA 4%
NIZORAL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOCONAZOL 200 mg
COMPR.
200mg
KETOSTIN 200 mg
COMPR.
200mg
COMPR.
200mg
KETOCONAZOL ARENA 200
DIFLAZON 100 mg
CAPS.
100mg
FLUCOVIM 100
CAPS.
100mg
FUNGOLON 100 mg
CAPS.
100mg
100mg
FLUCONAZOLE TEVA 100 m CAPS.
100mg
FLUCONAZOLE TEVA 100 m CAPS.
DIFLAZON 150 mg
CAPS.
150mg
FLUCOVIM 150
CAPS.
150mg
DIFLUCAN 150 mg
CAPS.
150mg
FLUCORIC 150 mg
CAPS.
150mg
CAPS.
150mg
FLUCONAZOL SANDOZ (R) 1
150mg
FLUCONAZOLE TEVA 150 m CAPS.
FLUCONAZOL 150 mg
CAPS.
150mg
COMPR. FILM

Detinator APP
RANBAXY UK LIMITE

tara det.
APP
M

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

ANTIBIOTICE SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

Prescriptie

P-R
P-R
P-R
P-R

DR. REDDY'S L

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

P-R

KRKA D.D. NOVO M

SLOVENI

P-R

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

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

P-R

GERMANI

CUTIE X 1 BLIST. DIN PP/AL X

P-R

BAYER PHARMA AG GERMANI

CUTIE X 1 BLIST. DIN PP/AL X

P-R

CUTIE X 1 BLIST. DIN PP/AL

P-R

BAYER HEALTHCAR
BAYER HEALTHCAR

GERMANI

BAYER PHARMA AG GERMANI CUTIE X 1 BLIST. DIN PP/AL X


LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.

P-R
P-R

LABORMED PHARMA

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

CIPLA (UK) LIMITED

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-R

KRKA D.D. NOVO M

SLOVENI

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

P-R

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-R

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

P-RF/S

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

P-R

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


ANTIBIOTICE S.A.
ROMANIA
ROMANIA
A.C. HELCOR PH
ZENTIVA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA

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


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

P-R

P-R
P-R
P-R

FRANTA
FRANTA

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

P-R

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

P-R

INFOMED FLUIDS S

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 12 FLACOANE X 200 ML


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

B. BRAUN MELSU

GERMANI

CUTIE X 10 FLAC. DIN STI

S/P-RF

B. BRAUN MELSU

GERMANI

CUTIE X 10 FLAC. DIN PEJD X 100 M

S/P-RF

B. BRAUN MELSU

GERMANI

CUTIE X 20 FLAC. DIN PEJD X 100 M

S/P-RF

LABORATOIRE AVE

FRANTA
FRANTA

CUTI

P-R

CUTI

P-R

LABORATOIRE AVE
LABORATOIRE AVE
INFOMED FLUIDS S
INFOMED FLUIDS S
INFOMED FLUIDS S

LABORATOIRE AVE

TERAPIA SA
MAGISTRA C & C
SLAVIA PHARM SRL
AC HELCOR SRL
ARENA GROUP SA
KRKA D.D.
VIM SPECTRUM SRL
BALKANPHARM
TEVA PHARM
TEVA PHARM

CUTIE X 1 BLIST. X 10 COMPR.


CUTIE X 1 BLIST. X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 10 COMPR.
SLOVENI CUTIE X 4 BLIST. X 7 CAPS.
ROMANIA CUTIE X 1 BLIST. X 4 CAPS.
BULGARI CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


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

KRKA D.D.
SLOVENI CUTIE X 1 BLIST. X 1 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
PFIZER EUROPE M
M
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL
SANDOZ SRL
GERMANI CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAP
SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
TEVA PHARM

Pagina 19 din 101

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

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

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

10
8.78
10 13.22
10
9.23
20 16.43
10
6.49
10 38.50
10 37.31
7 84.70
7 84.70
3 27.63
3 27.63
10 27.86
20 15.73
10
6.19
20 17.60
14
7.70
20 17.60
20 17.60
30 29.29
30
7.72
30
7.72
20
7.09
20
7.09
12 100.25
1
9.11
12 98.29
1
8.91
10 48.92
10 48.37
20 278.47
1
7.95
1
7.95
10 20.48
10
8.03
10
6.87
10 12.62
10
9.17
28 236.41
4 25.61
16 82.66
2
9.43
7 31.51
1 22.51
1
9.94
1 25.08
1 18.86
1 14.58
1
6.59
1
9.68

Pret
amanuntul
maximal/UT
(RON)

0.878000
1.322000
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
12.100000
9.210000
9.210000
2.786000
0.786500
0.619000
0.880000
0.550000
0.880000
0.880000
0.976333
0.257333
0.257333
0.354500
0.354500
8.354166
9.110000
8.190833
8.910000
4.892000
4.837000
13.923500
7.950000
7.950000
2.048000
0.803000
0.687000
1.262000
0.917000
8.443214
6.402500
5.166250
4.715000
4.501428
22.510000
9.940000
25.080000
18.860000
14.580000
6.590000
9.680000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.878000
1.189800
0.923000
0.821500
0.594900
1.784700
1.784700
2.379600
2.379600
1.189800
1.189800
1.189800
0.660875
0.619000
0.660875
0.550000
0.660875
0.660875
0.976333
0.257333
0.257333
0.297187
0.297187
8.354166
8.632083
8.190833
8.632083
4.316041
4.316041
4.316041
7.949999
7.949999
0.803000
0.803000
0.687000
0.803000
0.803000
4.077641
4.077641
4.077641
4.077641
4.077641
6.116462
6.116462
6.116462
6.116462
6.116462
6.116462
6.116462

0.790200
1.070820
0.830700
0.739350
0.535410
1.606230
1.606230
2.141640
2.141640
1.070820
1.070820
1.070820
0.594787
0.557100
0.594787
0.495000
0.594787
0.594787
0.878699
0.231599
0.231599
0.267468
0.267468
7.518749
7.768874
7.371749
7.768874
3.884436
3.884436
3.884436
7.154999
7.154999
0.722700
0.722700
0.618300
0.722700
0.722700
3.669876
3.669876
3.669876
3.669876
3.669876
5.504815
5.504815
5.504815
5.504815
5.504815
5.504815
5.504815

Nr crt.

cod ATC

923 J02AC
924 J02AC
925 J02AC
926 J02AC
927 J02AC
928 J02AC
929 J02AC
930 J02AC
931 J02AC
932 J02AC
933 J02AC
934 J02AC
935 J02AC
936 J02AC
937 J02AC
938 J02AC
939 J02AC
940 J02AC
941 J02AC
942 J02AC
943 J02AC
944 J02AC
945 J02AC
946 J02AC
947 J05AB
948 J05AB
949 J05AB
950 J05AB
951 J05AB
952 J05AB
953 J05AB
954 J05AB
955 J05AB
956 J05AB
957 L02BG
958 M01A
959 M01A
960 M01A
961 M01A
962 M01A
963 M01A
964 M01A
965 M01A
966 M01A
967 M01A
968 M01A
969 M01A
970 M01A
971 M01A

DCI

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

Denumire Comerciala

forma farm.

CAPS.
CAPS.
FLUCONAZOL BIOGALENI
FLUCONAZOL ARENA 150 M CAPS.
MYCOSYST 150 mg
CAPS.
CAPS.
FLUCONAZOL ACTAVIS 150
MYCOMAX 150
CAPS.
FLUCONAZOL LPH 150 mg CAPS.
CAPS.
FLUCONAZOL ROMPHARM
CAPS.
FLUCONAZOL AUROBINDO
FLUCONAZOLE TEVA 200 m CAPS.
DIFLAZON 50 mg
CAPS.
FLUCOVIM 50
CAPS.
DIFLUCAN 50 mg
CAPS.
FLUCORIC 50 mg
CAPS.
CAPS.
FLUCONAZOL SANDOZ (R) 5
FUNGOLON 50 mg
CAPS.
FLUCONAZOLE TEVA 50 mg CAPS.
FLUCONAZOL 50 mg
CAPS.
CAPS.
FLUCONAZOL MEDOCHEMI
CAPS.
FLUCONAZOL BIOGALENIC
CAPS.
FLUCONAZOL ARENA 50 MG
FLUCONAZOL LPH 50 mg
CAPS.
DIFLUCAN (R) 50 mg/5 ml
PUL
DIFLAZON 2mg/ml
SOL. PERF.
ACICLOVIR 200 mg
CAPS.
ACICLOVIR ARENA 200 mg CAPS.
ACICLOVIR FARMEX 200 mg CAPS.
ACICLOVIR ARENA 400 mg CAPS.
ACICLOVIR TERAPIA 200 mg COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 200 mg
COMPR.
ACICLOVIR 400 mg
COMPR.
VIROLEX
PULB. PT. SOL. INJ./PERF.
ROGLUTEN (R) 250 mg
COMPR.
CAPS.
INDOMETACIN LAROPHAR
CAPS.
INDOMETACIN ARENA 25 M
CAPS.
INDOMETACIN ARENA 50 M
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
INDOMETACIN 50 mg
SUPOZ.
DICLOREUM 150 mg
CAPS. ELIB
FLUCONAZOL MEDOCHEMI

DICLOFENAC DUO PH

TRATUL 50
DICLOTARD 100 mg
DICLAC (R) 75 ID
VOLTAREN (R) RETARD
REFEN (R) RETARD
RHEUMAVEK

CAPS. ELIB
CAPS. MOI GASTROREZ.

CO

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

concentratie

150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
200mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg/5ml
2mg/ml
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
400mg
250mg
250mg
25mg
25mg
50mg
50mg
50mg
50mg
150mg
75mg
50mg
100mg
75mg
100mg
100mg
25mg

Detinator APP
MEDOCHEMIE R
LABORATOARELE PROF.DR.MORAIT S.R.L.

ARENA GROUP SA
GEDEON RIC

tara det.
APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Ambalaj

Prescriptie

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

P-R

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

P-R

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


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

P-R
P-R

PRF

AUROBINDO PHARMA (MALTA) LIMITED

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


CEHIA
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
MALTA
CUTIE CU 1 BLIST. PVC TRA

TEVA PHARM

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

P-R

ACTAVIS GROUP P

ZENTIVA K.S.
LABORMED PHARMA
ROMPHARM CO

KRKA D.D.
SLOVENI CUTIE X 1 BLIST. X 7 CAPS.
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
PFIZER EUROPE M
M
TERAPIA SA
ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL
SANDOZ SRL
ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
BULGARI CUTIE X 1 BLIST. PVC/AL X 8 CAPS.
BALKANPHARM
ROMANIA
SLAVIA PHARM SRL ROMANIA
ROMANIA
MEDOCHEMIE R
LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
ROMANIA
LABORMED PHARMA
TEVA PHARM

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

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


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

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


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

P-R

PRF
PRF
PRF
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

PRF

PFIZER EUROPE M

CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML

P-R

KRKA D.D. NOVO M

SLOVENI

CUTIE X 1 FLACON DIN STICLA INC

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.
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
FARMEX COMPANY S
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.
ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.
GEDEON RIC
UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 CO
LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 CO
EGIS PHARMA
EGIS PHARMA

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

KRKA D.D. NOVO M

SLOVENI

CUTIE X 5 FLAC. X 250 MG PULB.

ACTAVIS S.R.L.
LAROPHARM SRL
ARENA GROUP SA
ARENA GROUP SA
ANTIBIOTICE SA
SINTOFARM SA
MAGISTRA C & C

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 FLAC. X 40 COMPR.


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.

ALFA WASSERMANN

ITALIA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CEHIA
CUTIE X 3 BLIST. PVC/PVDC/AL X
AUSTRIA CUTIE X 3 BLIST. PVC-PV

P-6

TERAPIA SA
HEXAL AG

ROMANIA

CUTIE X 2 BLIST. PVC-PV

P-6

GERMANI

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

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 1 BLIST.

P-6

STADA HEMOFARM S

ROMANIA

CUTIE X 2 BLIST. PVC/AL X 10 C

P-6

FARAN LABORATO

GRECIA

CUTIE X 3 BLIST

P-6

PHARMASWISS CESKA REPUBLIKA S.R.O.

GEROT PHAR

Pagina 20 din 101

S/P-RF

P-R

P-6
P-6
P-6

CUTIE X 2 FOLII TERMOSUDATE AL-P

P-6

CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.

P-6

CUTIE X 2 FOLII TERMOSUDATE PV

P-6
P-6
P-6

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

1
8.20
1
6.59
1
9.03
4 63.10
1 10.06
1 12.53
1
9.94
1 12.94
1 13.54
7 39.37
7 61.72
7 22.56
7 56.54
7 29.61
7 41.93
8 19.04
7 16.69
7 19.58
7 16.15
7 15.76
7 19.12
7 22.56
1 56.54
1 45.82
20 20.23
20 21.42
20 21.42
10 19.48
20 17.15
20 17.23
20 13.81
20 13.00
10 19.23
5 282.97
40 151.38
20
1.62
30
2.14
20
3.53
6
4.13
10
6.87
10
6.59
20 47.70
30 20.49
30
6.39
20
8.21
10
3.93
10
6.56
20
8.55
30
5.72

Pret
amanuntul
maximal/UT
(RON)

8.200000
6.590000
9.030000
15.775000
10.060000
12.530000
9.940000
12.940000
13.540000
5.624285
8.817142
3.222857
8.077142
4.230000
5.990000
2.380000
2.384285
2.797142
2.307142
2.251428
2.731428
3.222857
56.540000
45.820000
1.011500
1.071000
1.071000
1.948000
0.857500
0.861500
0.690500
0.650000
1.923000
56.594000
3.784500
0.081000
0.071333
0.176500
0.688333
0.687000
0.659000
2.385000
0.683000
0.213000
0.410500
0.393000
0.656000
0.427500
0.190666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

6.116462
6.116462
6.116462
6.116462
6.116462
6.116462
6.116462
6.116462
6.116462
5.624285
2.038820
2.038820
2.038820
2.038820
2.038820
2.038820
2.038820
2.038820
2.038820
2.038820
2.038820
2.038820
14.271745
37.131570
0.748422
0.748422
0.748422
1.496844
0.748422
0.748422
0.690500
0.650000
1.496844
56.594000
3.784500
0.071775
0.071333
0.143550
0.312750
0.312750
0.312750
0.430650
0.215325
0.143550
0.287100
0.215325
0.287100
0.287100
0.071775

5.504815
5.504815
5.504815
5.504815
5.504815
5.504815
5.504815
5.504815
5.504815
5.061856
1.834938
1.834938
1.834938
1.834938
1.834938
1.834938
1.834938
1.834938
1.834938
1.834938
1.834938
1.834938
12.844570
33.418413
0.673579
0.673579
0.673579
1.347159
0.673579
0.673579
0.621450
0.585000
1.347159
50.934600
3.406050
0.064597
0.064199
0.129195
0.281475
0.281475
0.281475
0.387585
0.193792
0.129195
0.258390
0.193792
0.258390
0.258390
0.064597

Nr crt.

cod ATC

972 M01A
973 M01A
974 M01A
975 M01A
976 M01A
977 M01A
978 M01A
979 M01A
980 M01A
981 M01A
982 M01A
983 M01A
984 M01A
985 M01A
986 M01A
987 M01A
988 M01A
989 M01A
990 M01A
991 M01A
992 M01A
993 M01A
994 M01A
995 M01A
996 M01A
997 M01A
998 M01A
999 M01A
0

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

DCI

Denumire Comerciala

DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
KETOROLACUM TROMETHAMIN
ACECLOFENACUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
TENOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM
MELOXICAMUM

VOLTAREN (R) 50
DICLOFENAC 50 mg
CLAFEN 50 mg
DICLOFENAC 50 mg
VOLTAREN RAPID (R)
DICLOFENAC ARENA 25 mg
N - DICLOFENAC
DICLOFENAC ARENA 50 mg
DICLOFENAC ARENA 50 mg
VOLTAREN (R)
RHEUMAVEK
TRATUL (R)
DICLAC
DICLOFENAC 75 mg
DICLOFENAC AL I.M.
DICLOFENAC AL I.M.
REFEN 75 mg
CLAFEN 100 mg
VOLTAREN (R)
DICLOFENAC 100 mg
DICLOFENAC SODIC 100 mg

VOLTAREN (R)
KETOROL
KETANOV 10 mg
KETANOV
KETOROL
AFLAMIL 100mg
TENOXICAM LPH 20 mg
TENOXICAM 20 mg
TENOXICAM ARENA 20 mg
NEO - ENDUSIX (R)
NEO - ENDUSIX (R)
MOVALIS (R) 15 mg
MOVALIS (R) 15 mg
MELOXICAM LPH 15 mg
MELOXICAM SANDOZ 15 mg
MELOX 15 mg
MELOX 15 mg
RECOXA 15
MELOXICAM MCC 15 mg
VALZER 15 mg
NOFLAMEN 15 mg
MELOXICAM VIM SPECTRU

ASPIFLEX 15 mg
MELOX 7,5 mg
MELOX 7,5 mg
MOVALIS (R) 7,5 mg
MOVALIS (R) 7,5 mg
MELOXICAM LPH 7,5 mg

forma farm.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

DRAJ.
DRAJ. G
DRAJ. G
DRAJ. G
DRAJ. G

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ./PE

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

SOL. INJ.
SOL. INJ.
COMPR. FILM

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

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

concentratie

50mg
50mg
50mg
50mg
50mg
25mg
50mg
50mg
50mg
25mg/ml
25mg/ml
30mg/ml
75mg
75mg/3ml
75mg/3ml
75mg/3ml
25mg/ml
100mg
100mg
100mg
100mg
50mg
10mg
10mg
30mg/ml
30mg/ml
100mg
20mg
20mg
20mg
20mg
20mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
7,5 mg
7,5 mg
7,5mg
7,5mg
7,5mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

NOVARTIS PHARM

GERMANI

TERAPIA SA
ANTIBIOTICE SA

P-6

AC HELCOR PHAR

ROMANIA CUTIE X 2 BLIST. AL/PVC X 1


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

NOVARTIS PHARM

GERMANI

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

P-6

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 DRAJ

P-6

CUTIE X 1 FLAC. PE X 20 DRAJ. GAST

P-6

CUTIE X 2 BLIST. AL/PVC X 10 DRAJ

P-6

CUTIE X 1 BLIST. AL/PVC X 30 DRAJ

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 5 FIOLE CU PUNCT DE RUPE

P-R

FARAN LABORATO

GRECIA
AUSTRIA

P-R

CUTIE X 1 BLIST P

P-R

GEROT PHAR

CUTIE X 2 BLIST

P-6
P-6
P-6

HEXAL AG
TERAPIA SA

GERMANI

CUTIE X 5 FIOLE X 3 ML SOL. INJ.

P-R

ROMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-R

ALIUD PHARMA GM

GERMANI

CUTIE X 5 FIOLE DIN STICLA INC

P-R

ALIUD PHARMA GM

GERMANI

CUTIE X 10 FIOLE DIN STICLA

P-R

STADA HEMOFARM S

SINTOFARM SA
MAGISTRA C & C

ROMANIA CUTIE CU 5 FIOLE DIN


ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3
GERMANI CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ.
ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.
ROMANIA CUTIE X 2 FOLII TERMOSUDATE PV

NOVARTIS PHARM

GERMANI

CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ.

P-6

DR. REDDY'S L

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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

P-6

CUTIE CU 2 BLIST. OPA-AL-P

P-6

CUTIE X 10 FIOLE X 1 ML

P-R

CUTIE X 1 BLIST. X 10

P-R

CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 C

P-6

ANTIBIOTICE SA
NOVARTIS PHARM

TERAPIA SA
TERAPIA SA
DR. REDDY'S L
GEDEON RIC

ANFARM HELLAS S.A. PHARMACEUTICALS

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.
GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM.
GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

LABORMED PHARMA

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

HEXAL AG
MEDOCHEMIE LTD
MEDOCHEMIE LTD
ZENTIVA AS

GERMANI

LABORMED PHARMA

ARENA GROUP SA
ARENA GROUP SA
ANFARM HELLAS S.A. PHARMACEUTICALS

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


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

P-R

P-6
P-6
P-6
P-6

P-6
P-6
P-6
P-6
P-R

P-6
P-6
P-6

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


CUTIE X 3 BLIST. AL-PVC/PVDC X 10 C
CUTIE X 1 BLIST. AL-PVC/PVDC X 10 C
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 C

P-6

ROMANIA
ROMANIA
GEDEON RIC
UNGARIA
EGIS PHARMA
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA

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

P-6

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


CUTIE X BLIST. OPA-AL-PVC/AL X 10 C

P-6

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


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

P-6

MEDOCHEMIE LTD
MEDOCHEMIE LTD

CIPRU
CIPRU

P-6

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

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


CUTIE X 3 BLIST. AL-PVC/PVDC X 10 C
CUTIE X 1 BLIST. PVC-PVDC/AL X 10 C
CUTIE X 2 BLIST. PVC-PVDC/AL X 10 C

LABORMED PHARMA

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.

CIPRU
CIPRU
CEHIA

MAGISTRA C & C SR

Pagina 21 din 101

P-6
P-6
P-6

P-6
P-6
P-6
P-6
P-6
P-6

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

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

6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
6.38
9.45
6.75
10.14
24.75
19.61
22.71
11.45
14.11
14.11
6.35
5.44
15.44
7.70
10.03
9.98
30.39
10.60
8.69
10.03
10.03
5.01
10.03
10.03
9.61
25.65
7.41
14.84
9.65

Pret
amanuntul
maximal/UT
(RON)

0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.638000
0.945000
0.337500
0.507000
2.475000
1.961000
1.135500
0.572500
0.705500
0.705500
0.635000
5.440000
0.772000
0.770000
0.501500
0.499000
1.013000
1.060000
0.434500
0.501500
0.501500
0.501000
0.501500
0.501500
0.961000
0.855000
0.741000
0.742000
0.482500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.143550
0.143550
0.143550
0.113500
0.143550
0.071775
0.127000
0.132500
0.132666
1.097999
1.097999
1.317600
1.097999
1.097999
1.097999
1.097999
0.810000
0.625500
0.625500
0.625500
0.625500
0.312750
0.095699
0.095699
1.464000
1.464000
0.143550
0.451350
0.451350
0.451350
0.451350
2.570850
0.451350
0.451350
0.451350
0.451350
0.451350
0.451350
0.434500
0.451350
0.451350
0.451350
0.451350
0.451350
0.225675
0.225675
0.225675
0.225675
0.225675

0.129195
0.129195
0.129195
0.102150
0.129195
0.064597
0.114300
0.119250
0.119399
0.988199
0.988199
1.185840
0.988199
0.988199
0.988199
0.988199
0.729000
0.562950
0.562950
0.562950
0.562950
0.281475
0.086129
0.086129
1.317600
1.317600
0.129195
0.406215
0.406215
0.406215
0.406215
2.313765
0.406215
0.406215
0.406215
0.406215
0.406215
0.406215
0.391050
0.406215
0.406215
0.406215
0.406215
0.406215
0.203107
0.203107
0.203107
0.203107
0.203107

Nr crt.

cod ATC

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M01A

M04A

M04A

M04A

N02AD

N02AD

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

DCI

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

Denumire Comerciala

forma farm.

MELOXICAM SANDOZ 7,5 mg COMPR.


MELOXICAM MCC 7,5 mg
COMPR.
VALZER 7,5mg
COMPR.
COMPR.
MELOXICAM VIM SPECTR
ASPIFLEX 7,5 mg
COMPR.
MOVALIS 15mg/1,5ml
SOL. INJ.
MELOXICAM 15 mg
SUPOZ.
KETOPROFEN SR TERAPIA

KETONAL (R) DUO 150 mg


KETONAL UNO
KETOPROFEN SR TERAPIA

KETARD 200 mg
KETONAL RETARD
RUBIFEN 100 mg
PROFENID (R) 100 mg
KETONAL FORTE 100 mg
KETOPROXIN 100 mg
KETOPROXIN 50 mg
PROFENID (R) LP 200 mg
KETONAL 100 mg/ 2 ml
KETOPROFEN TERAPIA 1

KETONAL 100 mg
RUBIFEN (R) 100 mg
KETOMAG
MILURIT 100 mg
MILURIT 300 mg
COLCHICINA
FORTRAL
FORTRAL
TRALGIT 50
TRAMADOL
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAG 50
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 150
TRADOLAN RETARD 150 mg
TRALGIT SR 200
TRADOLAN RETARD 200 mg
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg

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

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

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

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

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

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

concentratie

7,5mg
7,5mg
7,5mg
7,5mg
7,5mg
15mg/1,5ml
15mg
100mg
150mg
200mg
200mg
200mg
150mg
100 mg
100mg
100mg
100mg
50mg
200mg
100mg/2ml
100mg/2ml
100mg
100mg
100mg
100mg
300mg
1mg
30mg/ml
30mg/ml
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
150mg
150mg
200mg
200mg
50mg
100mg
150mg

Detinator APP

HEXAL AG

tara det.
APP
GERMANI

MAGISTRA C & C SR

ROMANIA
ROMANIA
GEDEON RIC
VIM SPECTRUM SRL ROMANIA
BMF PHARM S.R.L. ROMANIA
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

MAGISTRA C & C
TERAPIA SA
SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA

GERMANI

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

P-6

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

P-6

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

P-6

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


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

P-6

CUTIE X 5 FIOLE DIN STICLA IN

P-R

Prescriptie

P-6
P-6

LABORMED PHARMA

ROMANIA CUTII X 2 FOLII TERMOSUDATE PV


ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB.
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-P
ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-P
ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB.
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

LEK PHARMACEU

SLOVENI

P-6

ANTIBIOTICE SA
LAB. AVENTIS

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

P-6

FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM.


SLOVENI CUTIE X 1 FLAC. X 20 COMPR. FILM.

P-6
P-6

AC HELCOR PHAR

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


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

LAB. AVENTIS

FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. E

P-6

LEK PHARMACEU

SLOVENI

P-R

TERAPIA SA

ROMANIA CUTIE X 5 FIOLE X 2 ML

LEK PHARMACEU

SLOVENI

ANTIBIOTICE SA
MAGISTRA C & C

ROMANIA
ROMANIA
UNGARIA
UNGARIA
ROMANIA

LEK PHARMACEU

AC HELCOR PHAR

CUTIE X 1 FLAC. X 20 COMPR. CU ELI

CUTIE X 10 FIOLE X 2 ML SOL.

P-6
P-6
P-6
P-6
P-6

P-6
P-6

P-R

CUTIE X 2 FOLII AL/PE X 6 SUPOZ.

P-6

CUTIE X 2 FOLII TERM

P-6

CUTIE X 2 FOLII LAMINATE PVC/PE X

P-6

CUTIE X 1 FLAC. X 50 COMPR.


CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 2 BLIST. AL/PVC X 20 COMPR.
CUTIE X 10 FIOLE X 1 ML SOL. INJ.
CUTIE X 50 FIOLE X 1 ML SOL. INJ.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. PVC/AL X 10 CAPS.
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 BLIST. 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-6

GERMANI

CUTIE X 1 BLIST. X 10 COMPR. ELIB. M

P-R

SLOVENI
SLOVACI
SLOVACI

CUTIE X 3 BLIST. X 10 COMPR. ELIB. PR

P-R

CUTIE X 3 BLIST. PVC/AL X 10 COMPR

P-R

CUTIE X 3 BLIST. PVC/AL X 10 COMPR

P-R

LANN

AUSTRIA

CUTIE CU 3 BLIST. PVC/AL X 10

PRF

ZENTIVA AS

SLOVACI

CUTIE X 1 BLIST. PVC/AL X 10 COMPR

P-R

EGIS PHARMA
EGIS PHARMA

BIOFARM SA
KRKA D.D. NOVO M
KRKA D.D. NOVO M

ZENTIVA A.S.
KRKA D.D.
MEDOCHEMIE LTD.
ANTIBIOTICE SA
AC HELCOR SRL

SLOVENI
SLOVENI
SLOVACI
SLOVENI

CIPRU

ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA
ROMANIA
MEDICAROM GROU
ARENA GROUP S.A. ROMANIA
MAGISTRA C & C
ROMANIA
BIO EEL SRL
ROMANIA

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS

AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10


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

LANN
LANN

GRUNENTHAL GMBH GERMANI


GRUNENTHAL GMBH GERMANI

Pagina 22 din 101

P-6
P-R
P-R
P-RF/S

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

PRF
P-R

CUTIE X 1 BLIST. AL/PVDC

P-R

CUTIE X 1 BLIS

P-R

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

20
20
20
20
20
5
6
10
20
20
10
10
20
20
30
20
20
20
14
10
5
12
6
10
50
30
40
10
50
20
20
10
20
10
20
10
20
20
20
10
30
30
30
30
10
30
30
10
10

9.65
9.65
9.65
9.65
9.65
15.12
9.46
11.93
16.49
26.32
15.13
7.57
15.02
9.03
13.20
11.62
7.89
7.15
13.36
11.36
9.63
8.20
4.10
6.53
6.04
10.43
5.76
14.70
66.75
5.82
5.82
3.85
7.67
3.85
7.67
3.82
9.00
7.67
7.67
6.30
18.91
18.89
27.55
33.41
10.62
34.30
10.65
9.69
22.03

Pret
amanuntul
maximal/UT
(RON)

0.482500
0.482500
0.482500
0.482500
0.482500
3.024000
1.576666
1.193000
0.824500
1.316000
1.513000
0.757000
0.751000
0.451500
0.440000
0.581000
0.394500
0.357500
0.954285
1.136000
1.926000
0.683333
0.683333
0.653000
0.120800
0.347666
0.144000
1.470000
1.335000
0.291000
0.291000
0.385000
0.383500
0.385000
0.383500
0.382000
0.450000
0.383500
0.383500
0.630000
0.630333
0.629666
0.918333
1.113666
1.062000
1.143333
0.355000
0.969000
2.203000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.225675
0.225675
0.225675
0.225675
0.225675
2.570850
0.563625
0.496874
0.745312
0.993749
0.993749
0.757000
0.745312
0.451500
0.440000
0.496874
0.394500
0.248437
0.954285
1.049499
1.926000
0.668166
0.668166
0.653000
0.117116
0.347666
0.144000
1.368750
1.335000
0.283461
0.283461
0.283461
0.283461
0.283461
0.283461
0.283461
0.283461
0.283461
0.283461
0.566924
0.566924
0.566924
0.850388
0.850388
1.062000
1.133849
0.283461
0.566924
0.850388

0.203107
0.203107
0.203107
0.203107
0.203107
2.313765
0.507262
0.447186
0.670780
0.894374
0.894374
0.681300
0.670780
0.406350
0.396000
0.447186
0.355050
0.223593
0.858856
0.944549
1.733400
0.601349
0.601349
0.587700
0.105404
0.312899
0.129600
1.231875
1.201500
0.255114
0.255114
0.255114
0.255114
0.255114
0.255114
0.255114
0.255114
0.255114
0.255114
0.510231
0.510231
0.510231
0.765349
0.765349
0.955800
1.020464
0.255114
0.510231
0.765349

Nr crt.

cod ATC

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02AX

N02CC

N02CC

N02CC

N02CC

N02CC

N02CC

N02CC

N02CC

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

N03AF

1 N03AF
2

N03AF

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

DCI

TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
SUMATRIPTANUM*
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM

Denumire Comerciala

TRAMADOL RETARD 150 mg


TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRALGIT 50 mg
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
IMIGRAN DR 100 mg
IMIGRAN DR 50 mg
XIBIMER 100 mg
SUMACTA 100 mg
SUMACTA 100 mg
XIBIMER 50 mg
SUMACTA 50 mg
SUMACTA 50 mg
TEGRETOL (R) 200
CARBAMAZEPINA LPH 200 m

CARBAVIM
CARBEPSIL 200
CARBAMAZEPIN
CARBAMAZEPIN EEL
FINLEPSIN
CARBAMAZEPINA ARENA 20

FINLEPSIN
CARBEPSIL 400
CARBAMAZEPINA ARENA

TIMONIL RETARD 150 mg


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

TEGRETOL CR 200
FINLEPSIN 200 RETARD
TEGRETOL CR 400
FINLEPSIN 400 RETARD
FINLEPSIN 400 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
GABAPENTIN AUROBINDO

GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAPENTINA PFIZER 100
GABAPENTINA PFIZER 100
GABAPENTIN AUROBINDO

forma farm.

concentratie

150mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. ORODISPERSABILE 50mg
SOL. INJ.
100mg
SOL. INJ.
100mg
SOL. INJ.
100mg/2ml
SOL. INJ.
50mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
50mg/ml
SOL. INJ.
50mg/ml
SUPOZ.
100mg
COMPR. DISP 100mg
COMPR. DISP 50mg
100mg
COMPR. FILM
100mg
COMPR. FILM
100mg
COMPR. FILM
50mg
COMPR. FILM
50mg
COMPR. FILM
50mg
COMPR. FILM
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
200mg
COMPR.
400mg
COMPR.
400mg
150mg
300mg
600mg
300mg
COMPR.
600mg
COMPR.
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 200mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. FILM. ELIB. PREL. 400mg
COMPR. FILM. ELIB. PREL. 400mg
200mg
CO
SUSP. ORALA 100mg/5ml
CAPS.
100 mg
CAPS.
100mg
CAPS.
100mg
CAPS.
100mg
CAPS.
100mg
CAPS.
300 mg
COMPR. FILM. ELIB. PREL.

tara det.
APP

Detinator APP

SLOVENI
GRUNENTHAL GMBH GERMANI
SLOVENI
KRKA D.D. NOVO M
KRKA D.D. NOVO M

ZENTIVA, A.S.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.

REPUBLICA SLOVACA

CIPRU
CIPRU

Ambalaj

Prescriptie

CUTIE X 3 BLIST. AL/PVC X 10 C

P-R

CUTIE X 1 BLIST. PVC-PV

P-R

CUTIE X 3 BLIST. AL/PVC X 10 C

P-R

CUTIE CU 1 BLIS

PRF

CUTIE X 5 FIOLE DIN STICLA BRUNA

S/P-RF

CUTIE X 100 FIOLE DIN STICLA B

S/P-RF

KRKA D.D.

CUTIE X 5 FIOLE X 2 ML SOL. INJ.


CUTIE X 5 FIOLE X 1 ML
ROMANIA CUTIE X 5 FIOLE X 1 ML
SLOVENI CUTIE X 5 FIOLE X 2 ML
ROMANIA CUTIE X 5 FIOLE X 2 ML
SLOVENI CUTIE X 1 BLIST. X 5 SUPOZ.

GLAXO WELL

CUTIE CU 1 BLIST. (OPA)-AL-PV

P-R

GLAXO WELL

CUTIE CU 1 BLIST. (OPA)-AL-PV

P-R

DR. REDDY'S L

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

P-R

ACTAVIS GROUP P

PRF

ACTAVIS GROUP P

ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.


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

DR. REDDY'S L

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

P-R

ACTAVIS GROUP P

PRF

ACTAVIS GROUP P

ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.


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

NOVARTIS PHARM

GERMANI

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

P-6

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


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

P-6

CUTIE X 5 BLIST. AL-HAR

P-6

MEDICAROM GROU

KRKA D.D.
MEDICAROM GROU

SLOVACI
SLOVENI

ROMANIA
VIM SPECTRUM SRL ROMANIA
AC HELCOR SRL
ROMANIA
SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
LABORMED PHARMA

AWD PHARMA G

GERMANI

ARENA GROUP SA

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


ROMANIA CUTIE X 5 BLIST. AL-HAR
S.C.
AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.

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

P-R

PRF

PRF

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

COMPR. CU ELIB. PRELUNGITA

DESITIN ARZNE

GERMANI

CUTIE X 5 BLIST. PVC/AL

COMPR. CU ELIBERARE PRELUNGITA

DESITIN ARZNE

GERMANI

CUTIE X 5 BLIST

COMPR. CU ELIBERARE PRELUNGITA

DESITIN ARZNE

GERMANI

CUTIE X 5 BLIST

P6L
P6L
P6L

CUTIE X 5 BLIST. AL/PVDC-PVC

P-6

CUTIE X 5 BLIST. AL/PVDC-PVC

P-6

GEROT PHAR

AUSTRIA
AUSTRIA

NOVARTIS PHARM

GERMANI

CUTIE X 5 BLIST. A

P-6

S.C.

ROMANIA

CUTIE X 5 B

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 3 BLIST. A

P-6

AWD PHARMA G

GERMANI

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

P-6

S.C.

ROMANIA

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

P-6

AWD PHARMA G

GERMANI

CUTIE X 5

P-6

DESITIN ARZNE

GERMANI

CUTIE X 1 FLACON

P-6

AUROBINDO PH

CUTIE CU BLIST. DIIN POLIAMID

P6L

WORWAG

GERMANI

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

P-6

GEROT PHAR

PFIZER EUROPE M

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


CUTIE CU BLIST. PVC/PVDC/AL X 50 CA
M

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X 100 C

AUROBINDO PH

CUTIE CU BLIST. POLIAMIDA/AL/PVC

EGIS PHARMA

Pagina 23 din 101

P-6

P6L
P6L
P6L

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

30 41.57
10 28.18
30 53.20
10
3.84
5
9.83
100 134.56
5 12.28
5
4.93
5
4.90
5 13.10
5
7.67
5
5.58
2 44.81
2 25.36
6 58.12
2 20.02
6 58.12
6 41.45
2 14.28
6 41.47
50 17.38
50 11.31
50 11.31
50 11.31
20
4.42
20
4.50
50 11.31
20
4.96
50 11.31
50 26.26
20 10.51
50 15.16
50 20.62
50 36.53
50 20.68
50 36.59
50 19.17
50 12.43
30 25.35
50 25.27
50 25.27
50 12.43
1 22.51
50
7.20
100 60.61
60 33.34
50 22.54
100 43.63
50 21.80

Pret
amanuntul
maximal/UT
(RON)

1.385666
2.818000
1.773333
0.384000
1.966000
1.345600
2.456000
0.986000
0.980000
2.620000
1.534000
1.116000
22.405000
12.680000
9.686666
10.010000
9.686666
6.908333
7.140000
6.911666
0.347600
0.226200
0.226200
0.226200
0.221000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.383400
0.248600
0.845000
0.505400
0.505400
0.248600
22.510000
0.144000
0.606100
0.555666
0.450800
0.436300
0.436000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.850388
1.133849
1.133849
0.283461
1.572302
1.345600
1.572302
0.786148
0.786148
1.572302
1.534000
1.116000
9.929166
4.964583
9.686666
9.929166
9.686666
4.964583
4.964583
4.964583
0.226200
0.226200
0.226200
0.226200
0.221000
0.225000
0.226200
0.226200
0.226200
0.452400
0.452400
0.169650
0.339300
0.678600
0.339300
0.678600
0.226200
0.226200
0.452400
0.452400
0.452400
0.226200
22.510000
0.144000
0.309197
0.309197
0.309197
0.309197
0.436000

0.765349
1.020464
1.020464
0.255114
1.415071
1.211040
1.415071
0.707533
0.707533
1.415071
1.380600
1.004400
8.936249
4.468124
8.717999
8.936249
8.717999
4.468124
4.468124
4.468124
0.203580
0.203580
0.203580
0.203580
0.198900
0.202500
0.203580
0.203580
0.203580
0.407160
0.407160
0.152685
0.305370
0.610740
0.305370
0.610740
0.203580
0.203580
0.407160
0.407160
0.407160
0.203580
20.259000
0.129600
0.278277
0.278277
0.278277
0.278277
0.392400

Nr crt.

cod ATC

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N03AX

N05AD

N05AD

N05AD

N05AD

N05AD

N05AD

N05AD

N05AD

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

N05B

DCI

GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
DIAZEPAMUM
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
MEDAZEPAMUM*
LORAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
BROMAZEPAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*
ALPRAZOLAMUM*

Denumire Comerciala

GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAPENTINA PFIZER 300
GABAPENTINA PFIZER 300
GABAPENTIN AUROBINDO

GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABAPENTINA PFIZER 400
GABAPENTINA PFIZER 400

forma farm.

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

GABARAN 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GRIMODIN 800 mg

COMPR. FILM

HALOPERIDOL LAROPHARM

HALOPERIDOL 1 mg
HALOPERIDOL 2 mg
HALDOL

COMPR.
COMPR.
COMPR.
COMPR.

HALOPERIDOL ROMPHARM

PIC. OFT., S

COMPR. FILM
COMPR. FILM
COMPR. FILM

HALOPERIDOL 2 mg/ml
PIC. ORALE
HALOPERIDOL DECANOAT SOL. INJ.
SOL. INJ.
HALOPERIDOL RICHTER 5
DIAZEPAM 10 mg
COMPR.
DIAZEPAM
COMPR.
COMPR.
DIAZEPAM LAROPHARM 10
DIAZEPAM 10 mg
SOL. INJ.
DIAZEPAM DE

DIAZEPAM DES

ANSILAN 10 mg
MEDAZEPAM
MEDAZEPAM
MEDAZEPAM 10 mg
MEDAZEPAM LPH 10 mg
ANXIAR (R) 1 mg
BROMAZEPAM LPH 1,5 mg
LEXOTAN
BROMAZEPAM LPH 3 mg
BROMAZEPAM SLAVIA 3 mg
BROMAZEPAM ARENA 3 mg
XANAX 0,25 mg
ALPRAZOLAM LPH (R) 0,25

PRAZOLEX (R) 0,25 mg


FRONTIN 0,25 mg
XANAX 0,5 mg
ALPRAZOLAM LPH (R) 0,5 m

FRONTIN 0,5 mg

SOL. RECTAL
SOL. RECTAL

CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

300mg
300mg
300mg
300mg
300mg
300mg
400 mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
800mg
800mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml
50mg/ml
5mg/ml
10mg
10mg
10mg
10mg/2ml
10mg/2,5ml
5mg/2,5ml
10mg
10 mg
10 mg
10mg
10mg
1 mg
1,5mg
3mg
3mg
3mg
3mg
0,25mg
0,25mg
0,25mg
0,25mg
0,5mg
0,5mg
0,5mg

tara det.
APP

Detinator APP

Ambalaj

Prescriptie

WORWAG

GERMANI

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

P-6

RANBAXY UK LTD.

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

P-6

PLIVA LJUBLJANA D

SLOVENI

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

P-6

PFIZER EUROPE M

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


CUTIE CU BLIST. PVC/PVDC/AL X 50 CA
M

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X 100 C

AUROBINDO PH

CUTIE CU BLIST. POLIAMIDA/AL/PVC

P6L
P6L
P6L

WORWAG

GERMANI

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

P-6

RANBAXY UK LTD.

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

P-6

PLIVA LJUBLJANA D

SLOVENI

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

P-6

EGIS PHARMA

P-6

PFIZER EUROPE M

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


CUTIE CU BLIST. PVC/PVDC/AL X 50 CA
M

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X 100 C

P6L
P6L

RANBAXY UK LTD.

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

P-6

EGIS PHARMA

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

P-6

RANBAXY UK LTD.

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

P-6

EGIS PHARMA

CUTIE CU BLIST. PVC-PVDC/AL X 60

P-6

JANSSEN PH

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 1 BLIST. AL/PVC X 25 COMPR.

EGIS PHARMA

UNGARIA
LAROPHARM S.R.L. ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
ROMPHARM CO

GEDEON RIC
GEDEON RIC
GEDEON RIC
GEDEON RIC

TERAPIA SA
LAROPHARM SRL
TERAPIA SA
DESITIN
DESITIN
LEK PHARMACEU

BELGIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
GERMANI
GERMANI

SLOVENI

ARENA GROUP SA
ARENA GROUP SA
LAROPHARM SRL

ROMANIA
ROMANIA
ROMANIA
ROMANIA
LABORMED PHARMA
ROMANIA
GEDEON RIC
ROMANIA
LABORMED PHARMA
ROMANIA
ROCHE ROMANIA S.R
ROMANIA
LABORMED PHARMA
SLAVIA PHARM SRL ROMANIA
ARENA GROUP S.A. ROMANIA
PFIZER EUROPE M

EGIS PHARMA

ROMANIA
ROMANIA
UNGARIA

PFIZER EUROPE M

LABORMED PHARMA
GEDEON RIC

LABORMED PHARMA
EGIS PHARMA

Pagina 24 din 101

ROMANIA
UNGARIA

P-6

P-R
P-R
P-R
P-R

CUTIE CU

PRF

CUTIE X 1 FLACON

P-R

CUTIE X 5 FIOLE X 1 ML

P-R

CUTIE X 5 FIOLE DIN STICLA IN

P-R

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 5 FIOLE X 2 ML
CUTIE X 5 PUNGI X 1 TUB X 2,5 ML +
CUTIE X 5 PUNGI X 1 TUB X 2,5 ML +
CUTIE X 1 FLAC. DIN STICLA BRUNA X

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


CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 25 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 1 BLIST. AL/PVC X 10 COMPR.
CUTIE CU 1 BLIST. PVC/AL X 10 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
CUTIE X 1 FLAC. X 30 COMPR.
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 1 FLAC. X 30 COMPR.

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

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

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

100
50
100
60
50
100
50
100
50
100
60
50
100
30
60
30
60
20
30
30
25
1
1
5
5
20
30
20
5
5
5
25
20
50
20
20
50
20
30
20
10
10
30
20
30
30
30
20
30

133.56
65.96
133.09
63.62
47.92
91.03
28.81
175.18
72.72
169.16
85.96
64.12
121.79
65.21
123.68
104.24
197.38
3.24
7.72
10.80
17.94
4.31
6.66
44.52
12.48
1.99
4.01
1.05
10.48
32.62
25.99
3.82
2.45
5.61
2.25
2.47
6.70
2.14
7.16
3.10
2.20
1.54
5.65
2.68
4.35
4.93
8.94
4.24
7.46

Pret
amanuntul
maximal/UT
(RON)

1.335600
1.319200
1.330900
1.060333
0.958400
0.910300
0.576200
1.751800
1.454400
1.691600
1.432666
1.282400
1.217900
2.173666
2.061333
3.474666
3.289666
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
0.099500
0.133666
0.052500
2.096000
6.524000
5.198000
0.152800
0.122500
0.112200
0.112500
0.123500
0.134000
0.107000
0.238666
0.155000
0.220000
0.154000
0.188333
0.134000
0.145000
0.164333
0.298000
0.212000
0.248666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.927597
0.927597
0.927597
0.927597
0.927597
0.910300
0.576200
1.236799
1.236799
1.236799
1.236799
1.236799
1.217900
1.855199
1.855199
2.473599
2.473599
0.081000
0.162000
0.324000
0.717600
4.310000
3.240000
8.904000
1.162619
0.099500
0.133666
0.052500
2.096000
6.524000
5.198000
0.115875
0.115875
0.112200
0.112500
0.115875
0.092700
0.034762
0.069525
0.069525
0.069525
0.069525
0.057937
0.057937
0.057937
0.057937
0.115875
0.115875
0.115875

0.834837
0.834837
0.834837
0.834837
0.834837
0.819270
0.518580
1.113119
1.113119
1.113119
1.113119
1.113119
1.096110
1.669679
1.669679
2.226239
2.226239
0.072900
0.145800
0.291600
0.645840
3.879000
2.916000
8.013600
1.046357
0.089550
0.120299
0.047250
1.886400
5.871600
4.678200
0.104287
0.104287
0.100980
0.101250
0.104287
0.083430
0.031285
0.062572
0.062572
0.062572
0.062572
0.052143
0.052143
0.052143
0.052143
0.104287
0.104287
0.104287

Nr crt.

cod ATC

N05B

N05B

N05B

N05B

N05B

N05CD

N05CD

N05CD

N05C

N05C

N05C

N05C

N05C

N05C

N05C

N05C

N05C

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

DCI

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

Denumire Comerciala

PRAZOLEX (R) 0,5 mg


XANAX 1 mg
ALPRAZOLAM LPH (R) 1 mg
PRAZOLEX (R) 1 mg
FRONTIN 1mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
NITRAZEPAM LPH (R) 2,5 mg
NITRAZEPAM LPH (R) 5 mg COMPR.
NITRAZEPAM 5 mg
COMPR.
IMOVANE 7,5 mg
COMPR. FILM
SANVAL (R) 10 mg
COMPR. FILM
SANVAL (R) 10 mg
COMPR. FILM
ZOLPIDEM 10 mg
COMPR. FILM
ZOLPIDEM ATB 10 MG
COMPR. FILM
STILNOX 10 mg
COMPR. FILM
STILNOX 10 mg
COMPR. FILM
ZOLSANA 5 mg
COMPR. FILM
ONIRIA 10 mg/ml
PIC. ORALE
ANAFRANIL (R) 10 mg
DRAJ.
ANAFRANIL (R) 25 mg
DRAJ.
AMITRIPTILINA ARENA 25 mg COMPR. FILM
DOXEPIN 25 mg
DRAJ.
FLUOXIN 20 mg
CAPS.
FLUOXIN 20 mg
CAPS.
MAGRILAN 20 mg
CAPS.
ROFLUXIN 20 mg
CAPS.
PROZAC 20 mg
COMPR. DISP
LINISAN 10 mg
COMPR. FILM
DALSAN 10 mg
COMPR. FILM
LINISAN 20 mg
COMPR. FILM
DALSAN 20 mg
COMPR. FILM
DALSAN 40 mg
COMPR. FILM
ARKETIS
COMPR.
PAROXETIN ATB 20 mg
COMPR. FILM
SEROXAT 20 mg
COMPR. FILM
PALUXETIL 20 mg
COMPR. FILM
PAXETIN 20 mg
COMPR. FILM
PALUXETIL 20 mg
COMPR. FILM
PALUXETIL 40 mg
COMPR. FILM
SERLIFT 100 mg
COMPR. FILM
ASENTRA (R)
COMPR. FILM
SERTRALIN SANDOZ 100 mg COMPR. FILM
SERTRALINA 100 mg
COMPR. FILM
SETALOFT 100 mg
COMPR. FILM
XIMPROVE 100 mg
COMPR. FILM
ZOLOFT 100 mg
COMPR. FILM
ADJUVIN 100 mg
COMPR. FILM
STIMULOTON 100 mg
COMPR. FILM
SERLIFT 50 mg
COMPR. FILM
ASENTRA (R)
COMPR. FILM

GEDEON RIC

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

PFIZER EUROPE M

concentratie

0,5mg
1mg
1mg
1mg
1mg
2,5mg
5mg
5mg
7,5mg
10mg
10mg
10mg
10mg
10mg
10mg
5mg
10mg/ml
10mg
25mg
25mg
25mg
20mg
20mg
20mg
20mg
20mg
10mg
10mg
20mg
20mg
40mg
20mg
20 mg
20mg
20mg
20mg
20mg
40mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg

Detinator APP

LABORMED PHARMA
GEDEON RIC
EGIS PHARMA

LABORMED PHARMA
LABORMED PHARMA
GEDEON RIC

SANOFI AVENTIS
LEK PHARMACEU
LEK PHARMACEU

ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
ROMANIA

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


CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 15 COMPR.
CUTIE X 1 FLAC. X 30 COMPR.
CUTIE 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.

FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR.


SLOVENI CUTIE X 1 BLIST. X 10 COMPR. FILM.
SLOVENI CUTIE X 2 BLIST. X 10 COMPR. FILM.

Prescriptie

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

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


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

P-R

SANOFI -

ROMANIA
ROMANIA
ROMANIA
ROMANIA

KRKA D.D. NOVO M

SLOVENI

CUTIE X 2 BLIST. PVC-PE-PVDC/

P-R

ITF PHARMA KERESKEDELMI ES SZOLGALTATO KFT.

UNGARIA

CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CU PIC. ORALE, SOL.+PIPETA

P-R

NOVARTIS PHARM

GERMANI

LABORMED PHARMA

ANTIBIOTICE S.A.
SANOFI -

NOVARTIS PHARM

ARENA GROUP S.A.


TERAPIA SA
VIM SPECTRUM SRL
VIM SPECTRUM SRL
MEDOCHEMIE LTD.
ANTIBIOTICE S.A.
ELI LILLY SA
GEDEON RIC
EGIS PHARMA
GEDEON RIC
EGIS PHARMA
EGIS PHARMA

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


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

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

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


CUTIE X 2 BLIST. PVC/AL X 7 CAPS.
CUTIE X 4 BLIST. PVC/AL X 7 CAPS.
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/
ROMANIA
UNGARIA
ROMANIA
UNGARIA
UNGARIA

P-R
P-R
P-R

P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

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

P-R

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

P-R

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

P-R

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

P-R

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

P-R

MEDOCHEMIE LTD. CIPRU


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. DIN PVC

P-R

PRF

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


GERMANI CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FI

P-R

SANDOZ S.R.L.
SANDOZ S.R.L.
TERAPIA SA
KRKA D.D.
HEXAL AG
ARENA GROUP S.A.

ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 CO


ROMANIA CUTIE CU BLIST. DIN AL/PVC X 30 CO
ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-R

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

P-R

ACTAVIS GROUP P

ISLANDA

P-R

DR. REDDY'S L

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

PFIZER EUROPE M

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR

P-R

LANN

AUSTRIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X

PRF

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


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

P-R

SMITHKLINE BEE

HEXAL AG
ACTAVIS GROUP HF.

EGIS PHARMA

TERAPIA SA
KRKA D.D.
Pagina 25 din 101

SLOVENI
GERMANI

SLOVENI

P-R
P-R

P-R
P-R

CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-R

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

P-R

CUTIE CU BLISTERE DIN PVC

CUTIE X 4 BLIST. X 7 COMPR. FILM.

P-R

P-R
P-R

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

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

5.79
12.70
6.06
8.24
12.60
1.37
1.57
2.40
15.50
4.13
8.27
4.25
4.25
3.90
7.80
13.56
60.41
7.24
14.31
15.01
19.95
11.28
22.06
17.63
15.12
36.82
7.12
7.40
39.54
10.72
33.59
23.05
23.04
34.30
20.48
23.05
20.48
36.77
35.28
40.84
37.80
37.64
34.09
35.28
68.51
49.28
35.28
19.54
22.87

Pret
amanuntul
maximal/UT
(RON)

0.193000
0.423333
0.303000
0.274666
0.420000
0.068500
0.078500
0.120000
0.775000
0.413000
0.413500
0.425000
0.425000
0.390000
0.390000
0.678000
60.410000
0.241333
0.477000
0.300200
0.665000
0.805714
0.787857
0.587666
0.756000
1.315000
0.237333
0.264285
1.318000
0.382857
1.199642
0.768333
0.768000
1.143333
0.682666
0.768333
0.682666
1.225666
1.260000
1.458571
1.260000
1.254666
1.217500
1.260000
2.446785
1.642666
1.260000
0.697857
0.816785

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.115875
0.231750
0.231750
0.231750
0.231750
0.055912
0.078500
0.111825
0.775000
0.407250
0.407250
0.407250
0.407250
0.390000
0.390000
0.203625
12.217500
0.149053
0.372633
0.300200
0.372633
0.567000
0.567000
0.567000
0.567000
0.567000
0.237333
0.264285
0.567000
0.382857
1.134000
0.567000
0.567000
0.567000
0.567000
0.567000
0.567000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
1.134000
0.567000
0.567000

0.104287
0.208575
0.208575
0.208575
0.208575
0.050320
0.070650
0.100642
0.697500
0.366525
0.366525
0.366525
0.366525
0.351000
0.351000
0.183262
10.995750
0.134147
0.335369
0.270180
0.335369
0.510300
0.510300
0.510300
0.510300
0.510300
0.213599
0.237856
0.510300
0.344571
1.020600
0.510300
0.510300
0.510300
0.510300
0.510300
0.510300
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
1.020600
0.510300
0.510300

Nr crt.

cod ATC

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06A

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

DCI

SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
SERTRALINUM*
FLUVOXAMINUM*
FLUVOXAMINUM*
MIANSERINUM*
MIANSERINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
MIRTAZAPINUM*
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

Denumire Comerciala

SERTRALIN SANDOZ 50 mg
SERTRALINA 50 mg
SETALOFT 50 mg
XIMPROVE 50 mg
ZOLOFT 50 mg
ADJUVIN 50 mg
STIMULOTON 50 mg
ZOLOFT 20 mg/ml
FEVARIN (R) 100
FEVARIN (R) 50
MIANSERIN 10
MIANSERIN 30
REMERON SOLTAB 30 mg
MIRZATEN (R) 30 mg
PHARMATAZ 30 mg
ESPRITAL (R) 30

forma farm.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
CONC

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

COMPR. DISP
COMPR. FILM
COMPR. FILM
COMPR. FILM

MIRTAZAPIN AUROBINDO 15

COMPR. ORODISPERSABILE

MIRZATEN Q-TAB 30 mg

COMPR. ORODISPERSABILE

MIRTAZAPINA BLUEFISH 30

COMPR. ORODISPERSABILE

MIRTAZAPIN AUROBINDO 30

COMPR. ORODISPERSABILE

ZULIN 30 mg
PHARMATAZ 30 mg
MIRTAZAPIN AUROBINDO 45

IVRYX 150mg
EFECTIN EP 150 mg
ELIFY EP 150 mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
ADOXA EP 150 mg

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB

VENLAFAXINA ACTAVIS 150

CAPS. ELIB

VENLAFAXINA ARENA EP 15
VENLAFAXINA TERAPIA 150
VENLAFAXINA TERAPIA 150

CAPS. ELIB
CAPS. ELIB
CAPS. ELIB

FOBILESS 37,5 mg

CAPS. ELIB

VENLAFAXINA ARENA EP 37

CAPS. ELIB

IVRYX 75mg
EFECTIN EP 75 mg
ELIFY EP 75 mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
ADOXA EP 75 mg

CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB
CAPS. ELIB

VENLAFAXINA ACTAVIS 75 m

CAPS. ELIB

VENLAFAXINA ARENA EP 75

CAPS. ELIB

VENLAFAXINA TERAPIA 75 m
VENLAFAXINA TERAPIA 75 m

CAPS. ELIB
CAPS. ELIB

concentratie

50mg
50mg
50mg
50mg
50mg
50mg
50mg
20mg/ml
100mg
50mg
10mg
30mg
30mg
30mg
30mg
30mg
15mg
30mg
30mg
30mg
30mg
30mg
45mg
150 mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg
37,5mg
75 mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

tara det.
APP

Detinator APP

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

Prescriptie

HEXAL AG
ARENA GROUP SA

GERMANI

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

P-R

ACTAVIS GROUP P

ISLANDA

P-R

DR. REDDY'S L

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

PFIZER EUROPE M

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR

P-R

LANN

AUSTRIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X

PRF

EGIS PHARMA

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

P-R

PFIZER EUROPE M

P-R

AB
AB

REMEDICA LTD.
REMEDICA LTD.
NV ORGANON
KRKA D.D.

CUTIE CU BLISTERE DIN PVC

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 COM


OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COM
CIPRU
CUTIE X 10 BLIST. PVC-PVDC/AL X
CIPRU
CUTIE X 2 BLIST. PVC-PVDC/AL X 10
OLANDA

P-R

P-R

P-R
P-R
P-RF/S

P-R

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

P-R

SLOVENI

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

P-R

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

P-R

ZENTIVA KS

ISLANDA
CEHIA

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

P-R

AUROBINDO PH

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

P-R

KRKA D.D. NOVO M

SLOVENI

CUTIE

P-R

BLUEFISH

SUEDIA

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

P-R

AUROBINDO PH

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

P-R

ANTIBIOTICE S.A.

ROMANIA

CUTIE X 5 BLIST. AL/AL X 6 CO

P-R

ACTAVIS GROUP P

ISLANDA

CUTIE CU 5 FOLII TERMOSUDATE OPA-AL/AL-PVC X 6 COMPR. ORODISPERSABILE

PRF

AUROBINDO PH

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

P-R

ROMASTRU TRADI

ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR

P-R

PFIZER EUROPE M

CUTIE CU BLIST. DIN AC

PRF

CUTIE CU BLIST PVC/AL X 30 CAPS.

PRF

CUTIE X 1 BLIST. ACLAR/PE/P

P-R

ACTAVIS GROUP HF.

MEDOCHEMIE LTD. CIPRU


AUSTRIA
WYETH
EGIS PHARMA

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/A

P-R

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. PVC-PVDC/AL X

P-R

LANN

AUSTRIA

CUTIE X BLIST. PVC/AL X 30 CAPS. C

P-R

RANBAXY (UK) LIMI

CUTIE CU BLIST. PVC/AL X 30 CAPS.

P-R

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC/AL X 28 CAPS.

P-R

CUTIE X 3 BLIST. PVC-PE-

P-R

CUTIE CU BLIST. PVC-ACLAR/AL

PRF

CUTIE CU BLIST. PVC-PVDC/AL X

PRF

CUTIE X BLIST. PVC/AL X 30 CAPS. C

P-R

CUTIE X 3 BLIST. PVC-PE-

P-R

ARENA GROUP S.A. ROMANIA


TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
AUSTRIA
LANN
ARENA GROUP S.A. ROMANIA
ROMASTRU TRADI

ROMANIA

CUTIE X 2 BLIST. PCV-ACLAR

P-R

PFIZER EUROPE M

CUTIE CU BLIST. DIN AC

PRF

CUTIE CU BLIST. PVC/AL X 30 CAPS.

PRF

CUTIE X 1 BLIST. ACLAR/PE/P

P-R

MEDOCHEMIE LTD. CIPRU


AUSTRIA
WYETH
EGIS PHARMA

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL

P-R

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. PVC-PVDC/AL X

P-R

LANN

AUSTRIA

CUTIE X BLIST. PVC/AL X 30 CAPS. C

P-R

RANBAXY (UK) LIMI

CUTIE CU BLIST. PVC/AL X 30 CAPS.

P-R

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC/AL X 28 CAPS.

P-R

CUTIE X 3 BLIST. PVC-PE-

P-R

CUTIE CU BLIST. PVC-ACLAR/AL

PRF

CUTIE CU BLIST. PVC-PVDC/AL X

PRF

ARENA GROUP S.A. ROMANIA


TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
Pagina 26 din 101

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

30
30
28
28
28
30
30
1
30
30
100
20
30
30
30
30
30
30
30
30
30
30
30
28
28
30
28
28
30
30
30
28
30
30
30
30
30
28
28
30
28
28
30
30
30
28
30
30
30

20.82
20.92
18.74
19.54
36.98
26.58
20.94
65.61
48.83
25.21
46.70
26.06
82.15
37.92
36.01
13.91
24.62
37.92
37.92
38.11
37.90
32.17
63.52
23.22
58.69
40.87
58.69
38.14
40.87
40.87
40.87
23.11
40.71
40.87
40.87
24.38
24.04
17.89
35.58
25.61
35.58
23.88
25.59
25.59
25.61
17.72
25.42
25.61
25.61

Pret
amanuntul
maximal/UT
(RON)

0.694000
0.697333
0.669285
0.697857
1.320714
0.886000
0.698000
65.610000
1.627666
0.840333
0.467000
1.303000
2.738333
1.264000
1.200333
0.463666
0.820666
1.264000
1.264000
1.270333
1.263333
1.072333
2.117333
0.829285
2.096071
1.362333
2.096071
1.362142
1.362333
1.362333
1.362333
0.825357
1.357000
1.362333
1.362333
0.812666
0.801333
0.638928
1.270714
0.853666
1.270714
0.852857
0.853000
0.853000
0.853666
0.632857
0.847333
0.853666
0.853666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.567000
0.567000
0.567000
0.567000
0.567000
0.567000
0.567000
13.608000
0.567000
0.283500
0.398248
1.194751
1.231833
1.231833
1.200333
0.463666
0.615916
1.231833
1.231833
1.231833
1.231833
1.072333
1.847749
0.829285
1.362285
1.362285
1.362285
1.362142
1.362285
1.362285
1.362285
0.825357
1.357000
1.362285
1.362285
0.340571
0.340571
0.638928
0.681142
0.681142
0.681142
0.681142
0.681142
0.681142
0.681142
0.632857
0.681142
0.681142
0.681142

0.510300
0.510300
0.510300
0.510300
0.510300
0.510300
0.510300
12.247200
0.510300
0.255150
0.358423
1.075275
1.108649
1.108649
1.080299
0.417299
0.554324
1.108649
1.108649
1.108649
1.108649
0.965099
1.662974
0.746356
1.226056
1.226056
1.226056
1.225927
1.226056
1.226056
1.226056
0.742821
1.221300
1.226056
1.226056
0.306513
0.306513
0.575035
0.613027
0.613027
0.613027
0.613027
0.613027
0.613027
0.613027
0.569571
0.613027
0.613027
0.613027

Nr crt.

cod ATC

N06AX

N06AX

N06AX

N06AX

N06AX

N06AX

N07A

P01AB

P01AB

P01AB

P01AB

P02C

P02C

P02C

P02C

P02C

P02C

P02C

P02C

P02C

P02C

R01AD

R03AC

R03AC

R03AC

R03B

R03B

R03B

R03B

R03B

R03B

R03B

R03B

R03B

R03B

R03CC

R03CC

R03CC

R03DA

R03DA

R03DA

R03DA

R03DA

R05DA

R05DA

R05DA

R05DA

R05DA

R05DA

DCI

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
NEOSTIGMINI BROMIDUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
TINIDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
ALBENDAZOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
LEVAMISOLUM
BECLOMETASONUM
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
BECLOMETASONUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
BUDESONIDUM*
IPRATROPII BROMIDUM*
IPRATROPII BROMIDUM*
SALBUTAMOLUM
SALBUTAMOLUM
SALBUTAMOLUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
THEOPHYLLINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM

Denumire Comerciala
VENLAFAXINA ARENA 37,5 m

forma farm.

concentratie

COMPR.
VENLAFAXINA ARENA 50 mg COMPR.
VENLAFAXINA ARENA 75 mg COMPR.
ARGOFAN 150 SR
COMPR.
ARGOFAN 75 SR
COMPR.

37,5mg
50mg
75mg
150mg
75mg
37,5 mg
VENLAFAXINA ACTAVIS 37,5
COMPR. FILM
NEOSTIGMINA LPH 15 mg COMPR.
15mg
500mg
TINIZOL (R) 500 mg (J01XD02
COMPR. FILM
TIPROGYN 500 (vezi J01XD02 COMPR. FILM 500mg
500mg
TINIZOL (R) 500 mg (J01XD02
COMPR. FILM
TIPROGYN 500 (vezi J01XD02 COMPR. FILM 500mg
COMPR.
200mg
ALBENDAZOL VIM SPE
ESKAZOLE
COMPR.
400mg
DUADOR 200 mg
200mg
COMPR. FILM
ALBENDAZOL LPH 200 mg COMPR.FILM 200 mg
ZENTEL 0,4 g/10 ml
SUSP. ORALA 0,4g/10ml
VERMIGAL NOVO 400 mg
SUSP. ORALA 400mg/10ml
DECARIS 150 mg
COMPR.
150mg
LEVAMISOL ARENA 150 mg COMPR.
150mg
DECARIS 50 mg
COMPR.
50mg
LEVAMISOL ARENA 50 mg
COMPR.
50mg
RINOCLENIL 100
100mcg/doza
SPRAY NAZ
VENTOLIN (R)
SOL. INHAL. 5mg/ml
VENTOLIN 100 INHALER C

ASTHALIN INHALER
CLENIL (R) JET 250 mcg
FRENOLYN 200
FRENOLYN 200
PULMICORT TURBUHAL

FRENOLYN 400
FRENOLYN 400
BUDIAIR 200 mcg
BUDIAIR 200 mcg JET
IPRAXA 500mcg/2ml

ZENTIVA S.A.
AC HELCOR SRL
ZENTIVA S.A.
AC HELCOR SRL
VIM SPECTRUM SRL

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

GLAXO SM

Detinator APP

ARENA GROUP S.A.


ARENA GROUP S.A.
ARENA GROUP S.A.
ZENTIVA A.S.
ZENTIVA A.S.
ACTAVIS S.R.L.
LABORMED PHARMA

Ambalaj

P-R

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

P-R

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

P-R

CUTIE CU BLIST. PVC-PVDC/AL

P-R

CUTIE CU BLIST. PVC-PVDC/AL

P-R

CUTIE X 4 BLIST. AL/PVC X 14 COMPR.

P-R

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


CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. X 4 COMPR. FILM.
CUTIE X 1 BLIST. X 4 COMPR.FILM.
CUTIE X 1 BLIST. AL/PVC X 2 COMPR.

P-6

CUTIE X 12 BLIST. PVC-PVDC/AL X 1 C

P-R

LABORMED PHARMA

ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FI

GLAXOSMIT

GEDEON RIC

BIOFARM S.A.

ROMANIA
ROMANIA
GEDEON RIC
ARENA GROUP S.A. ROMANIA
ROMANIA
GEDEON RIC
ARENA GROUP S.A. ROMANIA

Prescriptie

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

P-R
P-R
P-R
P-R
P-R

P-R
P-R

CUTIE X 1 FLACON UNI

P-R

CUTIE X 1 FLAC. DIN STICLA

P-R

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-R
P-R
P-R
P-R

CHIESI FARMACEU

ITALIA

CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE

P-R

GLAXOWELLCOME

CUTIE X 1 FALC. DIN STICLA

P-6

100mcg/doza
100mcg/doza
250mcg/doza

GLAXOWELLCOME

CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA

P-R

CIPLA (UK) LIMITED

CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA

P-6

CHIESI FARMACEU

ITALIA

CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP

P-R

200 mcg/doz

MEDOCHEMIE R

200 mcg/doz

MEDOCHEMIE R

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 1


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 2

200mcg/doza

ASTRAZENECA AB

SUEDIA

400 mcg/doz

MEDOCHEMIE R

400 mcg/doz

MEDOCHEMIE R

ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 1


ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 2

SOL. DE INHALAT PRESURIZATA

200 mcg/doz

CHIESI FARMACEU

SOL. DE INHALAT PRESURIZATA

200mcg/doza

CHIESI FARMACEU

ITALIA
ITALIA

TEVA PHARM

CIPLA (UK) LIMITED

SUSP. INHAL. PRESURIZATA


SUSP. INHAL. PRESURIZATA
SOL. INHALAT PRESURIZATA

PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.
PULB. INHAL.

500mcg/2ml
IPRAVENT INHALER 20mcg/d
SUSP. INHAL. PRESURIZATA 20mcg/doza
2mg/5ml
SALBUTAMOL EIPICO 2mg/5m SIROP
VENTOLIN (R)
SOL. INJ.
0,5mg/ml
SALBUTAMOL T
SOL. ORALA 0,04%
THEO SR 100
100mg
CAPS. ELIB
TEOTARD (R) 200
200mg
CAPS. ELIB
THEO SR 200
200mg
CAPS. ELIB
THEO SR 300
300mg
CAPS. ELIB
TEOTARD (R) 350
350mg
CAPS. ELIB
FOSFAT DE CODEINA 15 mg COMPR.
15mg
CODEINA FOSFORICA
COMPR.
15mg
FARMACOD
COMPR.
15mg
CODEINA FOSFAT
COMPR.
15mg
COMPR.
15mg
CODEINA FOSFAT LPH 15 m
15mg
CODEINA FOSFAT MCC 15 m COMPR.
SOL. DE INHALAT PRIN NEBULIZ.

CUTIE X 1 FLACON

P-R
P-R
P-R
P-R
P-R

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA + VALVA DOZATOARE + DISPOZITIV DE ADMINISTRA

P-R

CUTIE X 1 FLACON X 200 DOZE SOL. DE INHALAT PRESURIZATA = VALVA DOZATOARE + DISPOZITIV JET DE ACTION

P-R

ROMANIA

CUTIE X

P-6

CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA

P-6

CUTIE X 1 FLAC. DIN STICLA BRUN

P-6
P-6

TIS FARMACEUTIC S

CUTIE X 5 FIOLE DIN STICLA X 1 ML


ROMANIA CUTIE X 1 FLACON X 100 ML

GLAXOSMITHKL

ROMANIA

CUTIE X 2 BLIST. PVC/PVDC-AL X

P-R

KRKA D.D.

SLOVENI

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

P-R

ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X

P-R

CUTIE X 1 BLIST. PVC/PVDC - AL

P-R

SLOVENI

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

P-R

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


CUTIE X 1 BLIST. AL/PVC X 25 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
CUTIE X 1 BLIST. AL/PVC X 20 COMPR.
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

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


GLAXO WELLCOME

GLAXOSMITHKL
GLAXOSMITH

KRKA D.D.
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL
LABORMED PHARMA

MAGISTRA C & C SR

Pagina 27 din 101

P-6

P-R
P-R
P-R
P-R
P-R
P-R

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

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

30 24.04
0.801333
0.340571
0.306513
30 24.50
0.816666
0.454095
0.408685
30 25.42
0.847333
0.681142
0.613027
30 20.74
0.691333
0.691333
0.622199
30 15.98
0.532666
0.532666
0.479399
56 38.11
0.680535
0.340571
0.306513
20 13.73
0.686500
0.686500
0.617850
4
3.70
0.925000
0.594374
0.534936
4
3.68
0.920000
0.594374
0.534936
4
3.70
0.925000
0.594374
0.534936
4
3.68
0.920000
0.594374
0.534936
2
6.22
3.110000
3.079166
2.771249
12 71.68
5.973333
5.973333
5.375999
2
6.38
3.190000
3.079166
2.771249
2
6.39
3.195000
3.079166
2.771249
1
5.73
5.730000
3.813750
3.432375
1
3.74
3.740000
3.740000
3.366000
1
3.42
3.420000
3.420000
3.078000
1
3.42
3.420000
3.420000
3.078000
2
3.02
1.510000
1.139988
1.025989
2
3.02
1.510000
1.139988
1.025989
1 48.52 48.520000 42.718000 38.446200
1
8.92
8.920000
1.558800
1.402920
1 10.51 10.510000
7.794000
7.014600
1
6.81
6.810000
6.810000
6.129000
1 101.96 101.960000 101.960000 91.764000
1 39.48 39.480000 39.480000 35.532000
1 75.00 75.000000 75.000000 67.500000
1 60.76 60.760000 40.790000 36.711000
1 84.20 84.200000 81.580000 73.422000
1 172.36 172.360000 163.160000 146.844000
1 74.98 74.980000 43.509332 39.158398
1 74.98 74.980000 43.509332 39.158398
20 31.83
1.591500
1.579124
1.421211
1 12.60 12.600000 12.600000 11.340000
1
3.05
3.050000
3.050000
2.745000
5
3.56
0.712000
0.712000
0.640800
1
2.67
2.670000
2.497500
2.247750
20
5.72
0.286000
0.178800
0.160920
40
9.38
0.234500
0.234500
0.211050
10
4.27
0.427000
0.357600
0.321840
10
5.96
0.596000
0.536400
0.482760
40 13.98
0.349500
0.349500
0.314550
30
6.01
0.200333
0.153124
0.137811
25
5.13
0.205200
0.153124
0.137811
20
3.02
0.151000
0.151000
0.135900
20
3.02
0.151000
0.151000
0.135900
20
3.19
0.159500
0.153124
0.137811
20
3.65
0.182500
0.153124
0.137811

Nr crt.

DCI

cod ATC

R06A

R06A

R06A

R06A

R06AX

R06AX

R06AX

R06AX

R06AX

R06AX

R06AX

S01AX

S01B

S01B

S01B

CHLORPHENAMINUM
CETIRIZINUM
CETIRIZINUM
CETIRIZINUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
KETOTIFENUM
CIPROFLOXACINUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

S01C

COMBINATI

S01C

COMBINATI

Denumire Comerciala

CLORFENIRAMIN
CELERG
LETIZEN (R) 10 mg
ZYRTEC 10 mg/ml
KETOF 1 mg
KETOF 1 mg
H - KETOTIFEN
KETOTIFEN
KETOTIFEN LAROPHARM 1

KETOTIFEN LPH 1 mg
KETOF 1 mg/5 ml
CIPLOX (vezi S01AX13)
DICLOFENAC ROMPHARM
UNICLOPHEN (R) 0,1%
VOLTAREN OPHTHA CD
BETABIOPTAL
BETABIOPTAL

forma farm.

COMPR.

concentratie

Detinator APP

PICATURI

4mg
10 mg
10mg
10mg/ml
1mg
1mg
1mg
1mg
1mg
1mg
1mg/5ml
0,3%
1mg/ml
0,1%
0,1%

PICATUR

0,2g+0,5g/1

THEA FARMASPA

UNG. OFT.

0,2g+0,5g/1

THEA FARMACEUTIC

COMPR. FILM
COMPR. FILM
PIC

CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
SIROP
UNG. OFT.
PIC. OFT.-SO
PICATURI

LABORMED PHARMA
AC HELCOR PHAR

KRKA D.D.
U.C.B. GMBH
HEXAL AG
HEXAL AG
AC HELCOR SRL

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
P-6

Prescriptie

SLOVENI
GERMANI
GERMANI
GERMANI

ROMANIA
MAGISTRA C&C S.R.L ROMANIA
LAROPHARM SRL
ROMANIA
ROMANIA
LABORMED PHARMA

HEXAL AG
GERMANI
CIPLA (UK) LIMITED M

CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6

CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE

P-6

CUTIE X 5 BLIST. AL/PP X 10 CAPS.


P-6
CUTIE X 2 BLIST. AL/PP X 10 CAPS.
P-6
CUTIE X 2 BLIST. X 10 COMPR.
P-6
CUTIE X 2 BLIST. X 10 COMPR.
P-6
CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6
CUTIE X 2 BLIST. PVC X 10 COMPR
P6L
CUTIE X 1 FLACON X 100

P-6

P-R

ROMPHARM COM

ROMANIA

FLACON PICURATOR DIN PEJD X 5

P-6

UNIMED PHARMA LT

SLOVACI

CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR

P-6

LABORATOIRES THE

FRANTA/GERMANIA

CUTIE X 1 FLAC. PEJD X 5 ML PICATURI OFT.-SOL. + PICURATOR PEJD + CAPAC CU INEL DE SIGURANTA

P-6

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE

P-R

CUTIE X 1 TUB AL X 5 G

P-R

ITALIA
ITALIA

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

20
20
20
1
50
20
20
20
20
20
1
1
1
1
1
1
1

NOT:
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (*) se iniiaza de medicul de specialitate in limita competenei i poate fi prescris n continuare de medicul de familie pe baza scrisorii
medicale emise de medicul de specialitate;
- Tratamentul cu medicamentele corespunztoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Snt ii;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Snt ii 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 28 din 101

2.31
21.16
13.53
22.99
13.81
5.25
3.65
3.45
3.45
3.31
11.43
4.27
10.69
11.23
14.30
13.45
15.45

Pret
amanuntul
maximal/UT
(RON)

0.115500
1.058000
0.676500
22.990000
0.276200
0.262500
0.182500
0.172500
0.172500
0.165500
11.430000
4.270000
10.690000
11.230000
14.300000
13.450000
15.450000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.115499
0.729524
0.676500
14.590494
0.172500
0.172500
0.172500
0.172500
0.172500
0.165500
11.430000
4.270000
9.421250
11.230000
9.421250
13.450000
13.950000

0.103949
0.656571
0.608850
13.131444
0.155250
0.155250
0.155250
0.155250
0.155250
0.148950
10.287000
3.843000
8.479125
10.107000
8.479125
12.105000
12.555000

ANEXA 2

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU MODIFICARILE SI
COMPLETARILE ULTERIOARE VALABILA INCEPAND CU 01 IULIE 2013

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

cod ATC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC
A02BC

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
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM

Denumire Comerciala

CONTROLOC 20 mg
SELTRAZ 20 mg
CONTROLOC 40mg
SELTRAZ 40 mg
ZENCOPAN 20 mg
PANTEXEL 20 mg
PANTOSAL 20 mg
NOLPAZA 20 mg
AZATOL 20 mg
PANTOPRAZOL TEVA 20 mg
ZENCOPAN 40 mg
PANTEXEL 40 mg
PANTOSAL 40 mg
NOLPAZA 40mg
AZATOL 40 mg
PANTOPRAZOL TEVA 40 mg
PANTOPRAZOL TERAPIA 40 mg
PANTOPRAZOL TERAPIA 40 mg
GESOFLUX 20 mg
GESOFLUX 40 mg
CONTROLOC 40mg LIOF

NOLPAZA 40 mg
PANTOPRAZOL ACTAVIS 40 mg
PANTOPRAZOL TEVA 40 mg
EMANERA 20 mg
EMANERA 20 mg
HELIDES 20 mg
EMANERA 40 mg
EMANERA 40 mg
HELIDES 40 mg
NEXIUM 20 mg
ESOMEPRAZOL SANDOZ 20 mg
ESOMEPRAZOL TORRENT 20 mg
ESOMEPRAZOL TEVA 20 mg
PRAGASTROL 20 mg
NEXIUM 40 mg
ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL TORRENT 40 mg
ESOMEPRAZOL TEVA 40 mg
PRAGASTROL 40 mg
ESOMEPRAZOL TERAPIA 20mg
ESOMEPRAZOL TERAPIA 40mg
NEXIUM 10 mg
NEXIUM 40 mg

forma farm.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.
COMPR. FILM. GASTROREZ.

COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE

LIOF. PT. S
PULB. PT.
PULB. PT.
PULB. PT. SOL. INJ. SAU PERF.

CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
CAPS. G
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMP
COMPR. GASTROREZISTENTE
COMPR. GASTROREZISTENTE
GRAN. GASTROREZ. PT. SUSP.ORALA

PULB. PT. SOL. INJ./PERF.

concentratie

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

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

NYCOMED GMBH

GERMANI

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6

DR. REDDY'S L

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6

NYCOMED GMBH

GERMANI

CUTIE X 6 BLIST. AL/AL IN SUPORT DE CARTON X 5 COMPR. FILM. GASTROREZ.

P-6

DR. REDDY'S L

ROMANIA

CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE

P-6

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L

GEDEON RIC

ROMANIA

CUTIE X 2 BLIS

P-6

NYCOMED GMBH

GERMANI

CUTIE CU BLIST. AL/AL X

P-6

KRKA D.D., NOVO

SLOVENI

CUTIE X 2 BLIST. OPA-

P-6

ROMASTRU TRADI

CUTIE

P-6

TEVA PHARM

ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. NYLON/AL/PVC/AL A CATE 28 COMPR. GASTROREZ.

P6L
P6L

GEDEON RIC

ROMANIA

CUTIE X 2 BLIS

P-6

NYCOMED GMBH

GERMANI

CUTIE CU BLIST. AL/AL X

P-6

KRKA D.D., NOVO

SLOVENI

CUTIE X 2 BLIST. OPA-

P-6

ROMASTRU TRADI

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE

P-6

CUTIE CU BLIST

P6L

TEVA PHARM

CUTIE CU BLIST

TERAPIA S.A.
P-6
CUTIE X 1 BLIST
TERAPIA S.A.
P-6
CUTIE X 3 BLIST
G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST.
P6L
G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST.
P6L
NYCOMED GMBH
GERMANI CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF
KRKA D.D., NOVO

SLOVENI

CUTIE CU

P-R

ACTAVIS GROUP P

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML CONTINAND 40 MG PANTOPRAZOL

PR/PRF

TEVA PHARM

ROMANIA

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

PR/PRF

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6

CUTIE CU BLIST. PA

P-6

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 14 CAPS. GASTROREZ.

P-6

CUTIE CU BLIST. OPA-AL-PE+DESICANT/AL+ PE X 28 CAPS. GASTROREZ.

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PA

P-6

SUEDIA

CUTIE X 2 BLIST. X 7 COMPR

P-6

CUTIE CU BLIST. AL/AL X1

P-6

CUTIE CU BLIST. AL/AL X

TEVA PHARM

ROMANIA
ROMANIA
ROMANIA

ALVOGEN IPCO S.A.

LUXE

CUTIE CU BL

P6L
P6L
P6L

ASTRAZENECA AB
SANDOZ SRL

SUEDIA

KRKA, D.D., NOVO

SLOVENI
SLOVENI

ZENTIVA K.S.

REPUBLICA CEHA

KRKA, D.D., NOVO

KRKA, D.D., NOVO


KRKA, D.D., NOVO

ZENTIVA K.S.
ASTRAZENECA AB
SANDOZ SRL
TORRENT PHARMA S

SLOVENI
SLOVENI

CUTIE CU BLIST. AL/AL X

CUTIE X 2 BLIST. A

P-6

CUTIE CU BLIST. AL/AL X1

P-6

CUTIE CU BLIST. AL/AL X

TEVA PHARM

ROMANIA
ROMANIA
ROMANIA

ALVOGEN IPCO S.A.

LUXE

CUTIE CU BL

P6L
P6L
P6L

TERAPIA S.A.
TERAPIA S.A.
ASTRAZENECA AB
ASTRAZENECA AB

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6

CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA

P-6

CUTIE X 10 FLACOANE LIOF.

S/P-RF

TORRENT PHARMA S

Pagina 29 din 101

SUEDIA
SUEDIA

CUTIE CU BLIST. AL/AL X

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

30 34.83
28 22.06
30 55.68
28 31.62
28
6.38
28 22.06
28 21.91
30 21.88
28 22.57
30 20.43
28 11.63
28 31.62
28 31.39
30 32.77
28 33.80
30 36.17
10
5.93
30 19.57
30 22.28
30 34.10
1 33.62
1 19.31
1 21.85
10 190.42
14 26.47
28 51.23
28 18.38
14 38.71
28 73.54
28 30.80
14 39.41
14 30.17
28 51.18
14 18.94
30 26.75
14 59.56
14 44.12
28 73.48
14 26.58
30 47.82
14 26.47
14 38.71
28 174.25
10 297.47

Pret
amanuntul
maximal/UT
(RON)

1.161000
0.787857
1.856000
1.129285
0.227857
0.787857
0.782500
0.729333
0.806071
0.681000
0.415357
1.129285
1.121071
1.092333
1.207142
1.205666
0.593000
0.652333
0.742666
1.136666
33.620000
19.310000
21.850000
19.042000
1.890714
1.829642
0.656428
2.765000
2.626428
1.100000
2.815000
2.155000
1.827857
1.352857
0.891666
4.254285
3.151428
2.624285
1.898571
1.594000
1.890714
2.765000
6.223214
29.747000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.662699
0.662699
1.325399
1.129285
0.227857
0.662699
0.662699
0.662699
0.662699
0.662699
0.415357
1.129285
1.121071
1.092333
1.207142
1.205666
0.593000
0.652333
0.662699
1.136666
22.012764
19.310000
21.850000
19.042000
0.883598
0.883598
0.656428
1.767198
1.767198
1.100000
0.883598
0.883598
0.883598
0.883598
0.883598
1.767198
1.767198
1.767198
1.767198
1.594000
0.883598
1.767198
6.223214
29.350344

0.331349
0.331349
0.662699
0.564642
0.113928
0.331349
0.331349
0.331349
0.331349
0.331349
0.207678
0.564642
0.560535
0.546166
0.603571
0.602833
0.296500
0.326166
0.331349
0.568333
11.006382
9.655000
10.925000
9.521000
0.441799
0.441799
0.328214
0.883599
0.883599
0.550000
0.441799
0.441799
0.441799
0.441799
0.441799
0.883599
0.883599
0.883599
0.883599
0.797000
0.441799
0.883599
3.111607
14.675172

Nr. crt

45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95

cod ATC

DCI

A11CC

ESOMEPRAZOLUM
ESOMEPRAZOLUM
SUCRALFATUM
SUCRALFATUM
BISMUTHI SUBCITRAS
OTILONIUM BROMIDUM
RIFAXIMINUM
RIFAXIMINUM
RIFAXIMINUM
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
BUDESONIDUM**
RACECADOTRILUM
RACECADOTRILUM
ORLISTATUM****
ORLISTATUM****
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM

A16AX

ACIDUM TIOCTICUM (ALFA-LIPOIC

A16AX

ACIDUM TIOCTICUM (ALFA-LIPOIC

A16AX

ACIDUM TIOCTICUM (ALFA-LIPOIC

B01AB

DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
DALTEPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
REVIPARINUM**#
REVIPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
SULODEXIDUM**
SULODEXIDUM**
CLOPIDOGRELUM**

A02BC
A02BC

A02BX
A02BX
A02BX
A03AB
A07AA
A07AA
A07AA
A07EA
A07EA
A07EA
A07EA
A07XA
A07XA
A08AB
A08AB
A11CC
A11CC
A11CC

B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AB
B01AC

Denumire Comerciala

ESOMEPRAZOL SANDOZ 40 mg
ESOMEPRAZOL POLPHARMA 40 mg
GASTROFAIT
VENTER
DE - NOL
SPASMOMEN (R)
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
BUDENOFALK
BUDENOFALK UNO 9 mg
BUDENOFALK 2 mg/doza
BUDENOFALK 2 mg/doza
HIDRASEC 100 mg
HIDRASEC 10 mg
XENICAL 120mg
XENICAL 120mg
ALPHA D3 0,25 mcg
ALFACALCIDOL SANDOZ 0,25 mcg
ALPHA D3 0,50 mcg
ALFACALCIDOL SANDOZ 0,5 mcg
THIOGAMMA (R) 600 oral (vezi A16AX01)
THIOCTACID (R) 600 HR (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 m
FRAXIPARINE 3800 UI anti-factor Xa/0,4 m
FRAXIPARINE 5700 UI anti-factor Xa/0,6 m
FRAXIPARINE 7600 UI anti-factor Xa/0,8 m

CLIVARIN (R) 1432UI/0,25 ml


CLIVARIN (R) 3436 UI/0,6 ml
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
INNOHEP
VESSEL DUE F
VESSEL DUE F
PLAVIX 300mg

forma farm.
PULB. PT. SOL. INJ./PERF.
PULB. PT. SOL. PERF./INJ.

COMPR.
COMPR.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
GR

CAPS. G
GR

SPUMA REC
SPUMA REC

CAPS.
PULB.

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

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS. MOI
SOL. INJ.

SANDOZ S.R.L.

tara det.
APP
ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

PRF

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.

P6L

concentratie

40mg
40mg
1g
1g
120mg
40mg
200mg
200mg
100mg/5ml
3mg
9mg
2mg/doza
2mg/doza
100mg
10mg
120mg
120mg
0,25mcg
0,25g
0,50mcg
0,5g
600mg
600mg
25mg/ml

Detinator APP

Ambalaj

Prescriptie

E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMP

P-6

KRKA D.D.

P-6

SLOVENI

CUTIE X 5 BLIST. X 10 COMPR.

P-6

ALFA WASSERMAN

OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR


ITALIA
CUTIE X 3 BLIST. PVC-PVDC
ITALIA
CUTIE X 1 BLIST. AL/PVC X 12 C
ITALIA
CUTIE X 3 BLIST. AL/PVC A
ITALIA

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

P-R

DR. FALK PHARMA

GERMANI

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

P-R

DR. FALK PHARMA

GERMANI

CUTIE CU

PRF

DR. FALK PHARMA

GERMANI

CUTIE X 1 FLAC. DIN AL X 14 DOZE X 1,2G SPUMA RECTALA, 14 APLICATOARE LUBREFIANTE PVC SI 14 PUNGI PL

P-R

DR. FALK PHARMA

GERMANI

CUTIE X 2 FLAC. DIN AL X 2X14 DOZE X 1,2G SPUMA RECTALA, 2X (14 APLICATOARE PVC LUBREFIANTE SI 14 PU

P-R

ASTELLAS
A. M

ALFA WASSERMAN
ALFA WASSERMAN

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X


LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G

P-6
P-R
P-R

P-R
P-R

ROCHE REGISTRA

CUTIE X 21 CAPS. TARI (B

P-R

ROCHE REGISTRA

CUTIE X 84 CAPS. TARI (B

P-R
P-R

SANDOZ S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 C


ROMANIA CUTIE CU BLIST. PVC/PVDC-AL
ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI
ROMANIA CUTIE CU BLIST. PVC/PVDC-AL

WORWAG

GERMANI

CUTIE X 6 BLIST. PVC-PVDC

P-6

MEDA PHARMA

GERMANI

P-6

MEDA PHARMA

GERMANI

CUTIE X 1 FLAC. X 30 COMPR. FILM


CUTIE X 5 FIOLE X 24 ML SOL.INJ.

CUTIE X 5 BLIST. X 1 SERINGA

S/P-RF

CUTIE X 5 BLIST. X 1 SERINGA

S/P-RF

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P-RF

TEVA PHARM

SANDOZ S.R.L.
TEVA PHARM

10000UI/0,4m PFIZER EUROPE M


12500 UI/0,5
PFIZER EUROPE M
15000ui/0,6m PFIZER EUROPE M

PRF
P-R

PRF

S/P-RF

18000 UI/0,

PFIZER EUROPE M

CUTIE X 5 BLIST. X 1 SERINGA

S/P-RF

2500ui/0,2ml
5000ui/0,2ml
7500ui/0,3ml

PFIZER EUROPE M

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE M

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P-RF

PFIZER EUROPE M

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

S/P-RF

FRANTA
FRANTA
FRANTA
FRANTA

CUTIE X 10 SERINGI PRE

PR/PRF

CUTIE X 10 SERINGI PRE

PR/PRF

CUTIE X 10 SERINGI PRE

PR/PRF

8000ui

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

CUTIE X 2 SERINGI PREUM

PR/PRF

2850 ui A

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

CUT

S/P-RF

3800 ui A

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

CUT

S/P-RF

5700 ui A

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

CUT

S/P-RF

7600 ui A

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

CUT

S/P-RF

GERMANI

CUTIE X 2

S/P-RF

GERMANI

CUTIE X 1

S/P-RF

DANEM

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA/ML)

S/P-RF

DANEM

CUT

S/P-RF

DANEM

CUT

S/P-RF

DANEM

CUTI

S/P-RF

2000ui
4000ui
6000ui

1432ui/0,25m ABBOTT GMBH&CO.


3436ui/0,6ml ABBOTT GMBH&CO.

20000 U-AXa

LEO PHARMA A/S


LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S

20000u

LEO P

DANEM

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA)

S/P-RF

20000u

LEO P

DANEM

CUT

S/P-RF

20000u

LEO P

DANEM

CUT

S/P-RF

CUTIE X 2 BLIST. PVDC-

P-R

CUTIE X 10 FIOLE DIN STICLA

P-R

CUTIE

P-R

10000 U-AXa
10000 U-AXa
10000 U-AXa

250ULS
600ULS/2ml
COMPR. FILM 300mg

ALFA WASSERMAN
ALFA WASSERMAN
SANOFI PHARMA - BRISTOL MYERS SQUIBB

Pagina 30 din 101

ITALIA
ITALIA
FRANTA

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

10
10
20
50
40
30
12
36
1
100
30
1
2
20
16
21
84
50
30
30
30
60
30
5
5
5
5
5
10
10
10
10
10
10
2
10
10
10
10
10
5
10
10
10
2
10
2
2
50
10
30

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

193.35 19.335000 19.335000


9.667500
193.35 19.335000 19.335000
9.667500
6.19
0.309500
0.309500
0.154750
15.95
0.319000
0.314250
0.157125
39.95
0.998750
0.314250
0.157125
33.57
1.119000
1.119000
0.559500
33.10
2.758333
2.646666
1.323333
91.26
2.535000
2.535000
1.267500
19.11 19.110000 15.880014
7.940007
444.55
4.445500
4.048486
2.024243
419.11 13.970333 12.145471
6.072735
419.11 419.110000 383.830000 191.915000
744.14 372.070000 372.070000 186.035000
43.59
2.179500
2.048287
1.024143
41.04
2.565000
2.048287
1.024143
92.03
4.382380
3.789970
1.894985
301.77
3.592500
3.592500
1.796250
33.62
0.672400
0.523333
0.261666
37.26
1.242000
0.523333
0.261666
31.40
1.046666
1.046666
0.523333
55.07
1.835666
1.046666
0.523333
104.94
1.749000
1.749000
0.874500
80.78
2.692666
2.350875
1.175437
125.48 25.096000 25.096000 12.548000
125.97 25.194000 25.194000 12.597000
170.87 34.174000 32.676388 16.338194
206.87 41.374000 39.211666 19.605833
235.27 47.054000 47.054000 23.527000
77.59
7.759000
6.535277
3.267638
142.16 14.216000 13.070555
6.535277
202.99 20.299000 19.605833
9.802916
64.09
6.409000
6.409000
3.204500
118.84 11.884000 11.884000
5.942000
144.45 14.445000 14.445000
7.222500
40.14 20.070000 20.070000 10.035000
75.42
7.542000
6.535277
3.267638
103.46 10.346000
8.713701
4.356850
132.46 13.246000 13.070555
6.535277
189.75 18.975000 17.427403
8.713701
84.46
8.446000
6.544414
3.272207
101.41 20.282000 15.702952
7.851476
536.03 53.603000 37.344439 18.672219
129.10 12.910000
6.535277
3.267638
155.09 15.509000
8.402498
4.201249
73.65 36.825000 18.672216
9.336108
,113.22 111.322000 74.688886 37.344443
103.18 51.590000 26.141111 13.070555
127.08 63.540000 33.609999 16.804999
102.83
2.056600
2.056600
1.028300
78.43
7.843000
7.843000
3.921500
359.66 11.988666
9.648000
4.824000

Nr. crt

96
97
98
99

DCI

cod ATC

25 B01AC

CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
CLOPIDOGRELUM**
TRIFLUSALUM

26 B01AC

COMBINATII

B01AC
B01AC
B01AC
B01AC

00 B01AC
01 B01AC
02 B01AC
03 B01AC
04 B01AC
05 B01AC
06 B01AC
07 B01AC
08 B01AC
09 B01AC

110 B01AC

111 B01AC
112 B01AC
113 B01AC
114 B01AC
115 B01AC
116 B01AC
117 B01AC
118 B01AC
119 B01AC
20 B01AC
21 B01AC
22 B01AC
23 B01AC
24 B01AC

28 B01AX

FONDAPARINUX SODIUM**#
FONDAPARINUX SODIUM**#

29 B03AC

COMPLEX DE HIDROXID DE FER

30 C01EB

IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
IVABRADINUM**
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
MOXONIDINUM
RILMENIDINUM
RILMENIDINUM
EPLERENONUM*#
EPLERENONUM*#
NICERGOLINUM
NICERGOLINUM

27 B01AX

31 C01EB
32 C01EB
33 C01EB
34 C02AC
35 C02AC
36 C02AC
37 C02AC
38 C02AC
39 C02AC
40 C02AC
41 C02AC
42 C02AC
43 C03DA
44 C03DA
45 C04AE
46 C04AE

Denumire Comerciala

CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75mg
TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
CLOPIDOGREL ACTAVIS 75 mg
DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY'S 75 mg
MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75 mg
PLATEL 75 mg
DEPLATT 75 mg
CLOPIDOGREL ACCORD 75 mg
TROMBEX 75 mg
TROMBEX 75 mg
AFLEN (R)
AGGRENOX
ARIXTRA 2,5mg/0,5ml
ARIXTRA 7,5mg/0,6ml
VENOFER (R)
CORLENTOR 5mg
CORLENTOR 5mg
CORLENTOR 7,5mg
CORLENTOR 7,5mg
MOXOGAMMA 0,2 mg
MOXONIDINA MYLAN 0,2 mg
PHYSIOTENS 0,2
MOXOGAMMA 0,3 mg
MOXOGAMMA 0,4 mg
MOXONIDINA MYLAN 0,4 mg
PHYSIOTENS 0,4
TENAXUM
RILMENIDINA TEVA 1 mg
INSPRA 25 mg
INSPRA 50 mg
NICERIUM (R) 15
NICERIUM (R) 30 UNO

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

CAPS.
CAPS. ELI
SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ./PE

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

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

concentratie

75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
300mg
25mg/200mg
2,5mg/0,5ml
7,5mg/0,6ml
20mg/ml
5mg
5mg
7,5mg
7,5mg
0,2mg
0,2mg
0,2mg
0,3mg
0,4mg
0,4mg
0,4mg
1mg
1mg
25mg
50mg
15mg
30mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

TEVA PHARMA BV

OLANDA

CUTIE CU BLIST. AL/AL X 28 X 1

P-R

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. OPA/AL/

P-R

FRANTA
CEHIA

CUTIE X 28 COMPR. FILM. (BL

P-R

ZENTIVA K.S.

CUTIE X 1 FLAC.

P-R

EGIS PHARMA

UNGARIA

CUTIE CU BLIST. OPA-AL

P-R

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

CUTIE X 1 FLAC.

P-R

CUTIE CU BLIST. DIN

P-R

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PE

P-R

WORWAG

GERMANI

CUTIE CU BLIST. AL/AL X 28 COMP

P-R

WORWAG

GERMANI

CUTIE CU BLIST. PVC-PE

P-R

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-

P-R

ACTAVIS GROUP P

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMP

LABORMED PHARMA

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL

P-R

CUTIE CU BLIST. PV

P-R

IWA CONSULTING A
IWA CONSULTING A

DANEM

CUTIE CU BLIST. PVC-PE

P-R

DANEM

CUTIE CU BLIST. P

P-R

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST. PVC-PE

P-R

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-

P-R

CUTIE CU BLIST. OPA-AL-

P-R

CUTIE CU BLIST. PCTFE

P-R

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. AL/AL X 10 COMP

P-R

CUTIE CU BLIST. AL/AL X 60 COMP

P-R

CUTIE CU BLIST. AL/AL X 90 COMP

P-R

ROMANIA

CUTIE CU 3 BLIST. PA-AL-

PRF

CIPRU

CUTIE CU BLIST. AL/AL X 28 COMP

P-R

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. OPA-AL-

PRF

ACCORD HEA

CUTIE CU 3 BLIST. AL/AL X 10 CO

PRF

ZENTIVA K.S.
ZENTIVA K.S.
GALENICA S.A.

CEHIA
CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATE
CEHIA
CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATE
GRECIA CUTIE X 5 BLIST. X 10 CAPS.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE X 1 FLAC. DIN PP

P-6

CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

P-R

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU

P-R

SANOFI PHARMA - BRISTOL MYERS SQUIBB

GEDEON RIC

PHARMASW

DR. REDDY'S L

ROMASTRU TRADI

GLAXO GROUP LTD.


GLAXO GROUP LTD.
VIFOR FRANCE S.A.
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER
LES LAB. SERVIER

FRANTA CUTIE X 5 FIOLE X 5 ML


FRANTA CUTIE X 28 COMPR.
FRANTA CUTIE X 56 COMPR.
FRANTA CUTIE X 56 COMPR.
FRANTA CUTIE X 28 COMPR.

P-R

P-R
P-R
P-R

S/P-RF

P-6
P-6
P-6
P-6

WORWAG PHARMA

GERMANI

CUTIE X 3 BLIST. PVC-PVDC

P-6

GENERICS (UK) LTD

CUTIE CU BLIST. PVC-PVDC/

P-6

ABBOTT PRODUC

GERMANI

CUTIE X 1 BLIST. PVC-PVDC

P-6

WORWAG PHARMA

GERMANI

CUTIE X 3 BLIST. PVC-PVDC

P-6

WORWAG PHARMA

GERMANI

CUTIE X 3 BLIST. PVC-PVDC

P-6

GENERICS (UK) LTD

CUTIE CU BLIST. PVC-PVDC/

P-6

ABBOTT PRODUC

GERMANI

CUTIE X 1 BLIST. PVC-PVDC

P-6

LES LABORATO

FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COM

P-6

TEVA PHARM

ROMANIA

CUTIE X BLISTERE AL/AL (FOLIE AL CFF FORMATA LA RECE/FOLIE AL ACOPERITA LA CALD CU UN STRAT DE LAC) X 30 COMPRIMATE

P6L

PFIZER EUROPE M

CUT

P-R

PFIZER EUROPE M

CUT

P-R

GERMANI

CUTIE X 3 BLIST. PP/AL X 10 C

P-6

GERMANI

CUTIE X 3 BLIST. PP/AL X 10 C

P-6

HEXAL AG
HEXAL AG

Pagina 31 din 101

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

28
28
28
30
28
90
28
28
28
28
28
28
28
30
28
28
28
28
30
28
10
60
90
30
28
30
30
30
90
50
60
10
10
5
28
56
56
28
30
28
28
30
30
28
28
30
30
30
30
30
30

37.53
37.53
57.74
17.86
37.52
52.86
79.52
79.52
37.53
37.53
37.53
37.53
37.53
40.26
68.48
68.48
37.52
37.52
40.22
37.52
13.82
76.22
114.32
51.97
37.46
40.20
85.21
17.18
49.88
84.93
63.61
233.80
653.26
149.77
160.23
240.27
260.36
160.23
21.80
13.24
32.50
25.87
33.14
26.58
43.79
41.62
27.94
185.59
185.59
27.89
51.38

Pret
amanuntul
maximal/UT
(RON)

1.340357
1.340357
2.062142
0.595333
1.340000
0.587333
2.840000
2.840000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
2.445714
2.445714
1.340000
1.340000
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
2.840333
0.572666
0.554222
1.698600
1.060166
23.380000
65.326000
29.954000
5.722500
4.290535
4.649285
5.722500
0.726666
0.472857
1.160714
0.862333
1.104666
0.949285
1.563928
1.387333
0.931333
6.186333
6.186333
0.929666
1.712666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1.340357
1.340357
2.062142
0.595333
1.340000
0.587333
2.412000
2.412000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
2.412000
2.412000
1.340000
1.340000
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
2.412000
0.572666
0.554222
1.206000
1.060166
22.176499
65.326000
29.954000
3.272517
3.272517
4.649285
4.908776
0.726666
0.472857
0.871417
0.862333
1.104666
0.949285
1.563928
1.307128
0.931333
3.866458
6.186333
0.486749
0.973499

0.670178
0.670178
1.031071
0.297666
0.670000
0.293666
1.206000
1.206000
0.670178
0.670178
0.670178
0.670178
0.670178
0.671000
1.206000
1.206000
0.670000
0.670000
0.670333
0.670000
0.691000
0.635166
0.635111
0.866166
0.668928
0.670000
1.206000
0.286333
0.277111
0.603000
0.530083
11.088249
32.663000
14.977000
1.636258
1.636258
2.324642
2.454388
0.363333
0.236428
0.435708
0.431166
0.552333
0.474642
0.781964
0.653564
0.465666
1.933229
3.093166
0.243374
0.486749

Nr. crt

DCI

cod ATC

86 C07AB

NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
NICERGOLINUM
VINCAMINUM
VINCAMINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
DIOSMINUM (COMBINATII)**
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM
NEBIVOLOLUM

87 C07BB

COMBINATII (B

88 C07BB

COMBINATII (B

89 C07BB

COMBINATII (B

90 C07BB

COMBINATII (B

91 C07BB

COMBINATII (B

92 C07BB

COMBINATII (B

47 C04AE
48 C04AE
49 C04AE
50 C04AE
51 C04AE
52 C04AE
53 C04AE
54 C04AE
55 C04AE
56 C04AX
57 C04AX
58 C04A
59 C04A
60 C04A
61 C04A
62 C04A
63 C04A
64 C04A
65 C04A
66 C04A
67 C04A
68 C04A
69 C04A
70 C04A
71 C04A
72 C04A
73 C04A
74 C04A
75 C05CA
76 C07AB
77 C07AB
78 C07AB
79 C07AB
80 C07AB
81 C07AB
82 C07AB
83 C07AB
84 C07AB
85 C07AB

93 C08CA
94 C08CA
95 C08CA
96 C08CA
97 C08CA

LACIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM
LERCANIDIPINUM

Denumire Comerciala

NICERGOLINA LPH 10 mg
GRALIN 10 mg
SERMION
NICERGOLINA LPH 30 mg
GRALIN 30 mg
GRALIN 5 mg
NICERIUM (R) 10
SINERGOLIN 30
SINERGOLIN 30
OXYBRAL SR 30 mg
VINCAMINA
BILOBIL INTENS 120 mg (vezi N06DX02)
BILOBIL 40 mg (C04AXN1)
BILOBIL 40 mg (C04AXN1)
BILOBIL FORTE (vezi C04AXN1)
GINGIUM 120mg (vezi N06DX02)
GINGIUM 40mg (vezi N06DX02 )
GINKOFAR 40 mg (vezi N06DX02)
GINKOFAR 40 mg (vezi N06DX02)
GINKO BILOBA BIOFARM 40 mg (vezi N
GINKGO BILOBA BIOFARM 40 mg (vezi
GINKGO BILOBA BIOFARM 40 mg (vezi

TANAKAN (EGB 761) (N06DX02)


GINGIUM 80mg (vezi N06DX02)
GINKGO BILOBA BIOFARM 80 mg (vezi
GINKGO BILOBA BIOFARM 80 mg (vezi

TANAKAN (EGB 761) (C04AXN1)


TANAKAN (EGB 761) (C04AXN1)
DETRALEX ( R )
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
NEBINORM 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
NEBICARD 5 mg
LODOZ 10 mg/6,25mg
LODOZ 10 mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 2,5mg/6,25mg
LODOZ 5mg/6,25mg
LODOZ 5mg/6,25mg
LACIPIL 4 mg
LERCANIDIPINA TEVA 10 mg
LERCANIDIPINA TEVA 10 mg
LERCANIDIPIN ACTAVIS 10 mg
LERCANIDIPIN ACTAVIS 10 mg

forma farm.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM

DRAJ.
DRAJ.
DRAJ.
CAPS. ELIB

DRAJ.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
PICA
PICA

COMPR. FILM

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

concentratie

10mg
10mg
30mg
30mg
30mg
5mg
10mg
30mg
30mg
30mg
10mg
120mg
40mg
40mg
80mg
120mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
40mg/ml
40mg/ml
500mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg

tara det.
APP
Ambalaj
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 C
LABORMED PHARMA
SLAVIA PHARM S.R.L ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 C
Detinator APP

PFIZER EUROPE M

CUTIE X 2 BLIST. PVC-

ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 C


SLAVIA PHARM S.R.L ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 C
SLAVIA PHARM S.R.L ROMANIA CUTIE X 2 BLIST. PVC/AL X 15 C
HEXAL AG
GERMANI CUTIE X 1 BLIST. AL/PVC X 25 DRAJ
SINTOFARM SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ
ROMANIA CUTIE X 1 BLIST.
GLAXOSMITHKL
BIOFARM SA
ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ
LABORMED PHARMA

Prescriptie

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

SLOVENI
SLOVENI
SLOVENI
SLOVENI

CUTIE X 6 BLIST. PVC-PVDC/AL X

P-6

CUTIE X 2 BLIST. AL/PVC-PVDC X

P-6

CUTIE X 6 BLIST. AL/PVC-PVDC X

P-6

CUTIE X 6 BLIST. AL/PVC X 10 CAPS

P-6

HEXAL AG
HEXAL AG
BMF PHARM S.R.L.
BMF PHARM S.R.L.
BIOFARM S.A.
BIOFARM S.A.
BIOFARM S.A.
IPSEN PHARMA
HEXAL AG
BIOFARM S.A.
BIOFARM S.A.

GERMANI

CUTIE X 3 BLIST. AL/PP X 10 COM

P-6

GERMANI

CUTIE X 3 BLIST. AL/PP X 10 COM

P-6

BEAUFOUR IPSE

FRANTA

KRKA D.D. NOVO M


KRKA D.D. NOVO M
KRKA D.D. NOVO M
KRKA D.D. NOVO M

ROMANIA CUTIE X 6 BLIST. PVC-PVDC


ROMANIA CUTIE X 9 BLIST. PVC-PVDC
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 C
ROMANIA CUTIE X 4 BLIST. AL/PVC X 15 C
ROMANIA CUTIE X 4 BLIST. PVC-PVDC

P-6

FRANTA/GERMANIA

CUTIE X 2 BLIST. AL/PVC X 15 C

P-6

GERMANI

CUTIE X 3 BLIST. AL/PP X 10 COM

P-6

ROMANIA
ROMANIA

CUTIE CU 3 BLIST. PVC-P

P-6

CUTIE CU 6 BLIST. PVC-P

P-6

CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

P-6

IPSEN PHARMA

FRANTA/GERMANIA CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA

P-6

LES LAB. SERVIER I

FRANTA

P-6

BE

GERMANI

CUTIE X 2 BLIST. AL/PVC X 15 C

TEVA PHARM

CUTIE X 4 BLIST. AL/PVC X 7 COMP


ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
ROMANIA CUTIE X 3 BLIST. PVC-PE-P
ROMANIA CUTIE X 3 BLIST. PVC- PEROMANIA CUTIE CU BLIST. PVC-PVDC/AL
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

SANDOZ S.R.L.
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COM


ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COM
ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 C

ACTAVIS S.R.L.
LABORMED PHARMA

ANTIBIOTICE S.A.
TEVA PHARM

TORRENT PHARMA

BIOFARM SP. ZO.O


MERCK KGAA
COMPR. FILM 10 mg/6,25m
MERCK KGAA
COMPR. FILM 10 mg/6,25m
MERCK KGAA
COMPR. FILM 2,5mg/6,25m
MERCK KGAA
COMPR. FILM 2,5mg/6,25m
COMPR. FILM 5mg/6,25mg MERCK KGAA
COMPR. FILM 5mg/6,25mg MERCK KGAA
COMPR. FILM 4mg
GLAXO OPERATI
COMPR. FILM 10 mg
TEVA PHARM
COMPR. FILM 10 mg
TEVA PHARM
COMPR. FILM 10mg
ACTAVIS GROUP P
COMPR. FILM 10mg
ACTAVIS GROUP P
Pagina 32 din 101

CUTIE CU BLIST. PVC-PVDC/AL

P-6
P-6
P-6
P-6

P-6
P-6

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

P6L
P-6

POLONIA

CUTIE CU BLIST. PVC-PE-P

P6L
P6L

GERMANI

CUTIE X 3 BLIST. PP/AL X 10 COM

P-6

GERMANI

CUTIE X 3 BLIST. PVC/AL X 10 C

P-6

GERMANI

CUTIE X 3 BLIST. PP/AL X 10 COM

P-6

GERMANI

CUTIE X 3 BLIST. PVC/AL X 10 C

P-6

GERMANI

CUTIE X 3 BLIST. PP/AL X 10 COM

P-6

GERMANI

CUTIE X 3 BLIST. PVC/AL X 10 C

P-6

CUTIE X 2 BLIST. PA-AL-PVC/

P-6

CUTIE CU BLIST. DIN P

P-6

CUTIE CU BLIST. DIN P

P-6

CUTIE CU BLIST. AL/PVC X 28 CO

P-6

CUTIE CU BLIST. AL/PVC X 30 CO

P-6

ROMANIA
ROMANIA

ISLANDA
ISLANDA

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

30
30
30
30
30
30
25
30
20
10
20
60
20
60
60
30
30
60
90
30
60
60
30
30
30
60
1
1
30
28
30
30
30
28
30
30
28
28
30
28
30
30
30
30
30
30
14
60
30
28
30

13.45
13.45
48.31
32.45
32.45
6.76
14.11
32.39
21.59
9.26
6.72
65.18
9.58
27.50
45.29
33.74
12.48
26.61
36.73
12.30
23.51
23.51
23.17
23.51
23.17
44.84
24.88
24.88
26.39
34.55
23.20
27.09
24.87
22.80
24.44
24.87
13.84
22.65
24.59
22.93
29.46
29.46
26.29
26.29
29.46
29.46
12.80
26.92
21.09
16.58
17.77

Pret
amanuntul
maximal/UT
(RON)

0.448333
0.448333
1.610333
1.081666
1.081666
0.225333
0.564400
1.079666
1.079500
0.926000
0.336000
1.086333
0.479000
0.458333
0.754833
1.124666
0.416000
0.443500
0.408111
0.410000
0.391833
0.391833
0.772333
0.783666
0.772333
0.747333
24.880000
24.880000
0.879666
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.829000
0.494285
0.808928
0.819666
0.818928
0.982000
0.982000
0.876333
0.876333
0.982000
0.982000
0.914285
0.448666
0.703000
0.592142
0.592333

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.324499
0.324499
0.973499
0.973499
0.973499
0.162249
0.324499
0.973499
0.973499
0.926000
0.315500
1.086333
0.388999
0.388999
0.754833
1.124666
0.388999
0.388999
0.388999
0.388999
0.388999
0.388999
0.388999
0.777999
0.772333
0.747333
24.880000
24.880000
0.879666
0.820650
0.773333
0.820650
0.820650
0.814285
0.814666
0.820650
0.494285
0.808928
0.819666
0.818928
0.902749
0.902749
0.876333
0.876333
0.902749
0.902749
0.578249
0.448666
0.578249
0.578249
0.578249

0.162249
0.162249
0.486749
0.486749
0.486749
0.081124
0.162249
0.486749
0.486749
0.463000
0.157750
0.543166
0.194499
0.194499
0.377416
0.562333
0.194499
0.194499
0.194499
0.194499
0.194499
0.194499
0.194499
0.388999
0.386166
0.373666
12.440000
12.440000
0.439833
0.410325
0.386666
0.410325
0.410325
0.407142
0.407333
0.410325
0.247142
0.404464
0.409833
0.409464
0.451374
0.451374
0.438166
0.438166
0.451374
0.451374
0.289124
0.224333
0.289124
0.289124
0.289124

Nr. crt

cod ATC

DCI

41 C09AA

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
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
PERINDOPRILUM
BENAZEPRILUM
BENAZEPRILUM
BENAZEPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
TRANDOLAPRILUM
ZOFENOPRILUM
ZOFENOPRILUM

42 C09BA

COMBINATII (PERINDOPRILU

43 C09BA

COMBINATII (PERINDOPRILU

44 C09BA

COMBINATII (PERINDOPRILU

45 C09BA

COMBINATII (PERINDOPRILU

46 C09BA

COMBINATII (PERINDOPRILU

47 C09BA

COMBINATII (PERINDOPRILU

48 C09BA

COMBINATII (PERINDOPRILU

98 C08CA
99 C08CA
00 C08CA
01 C08CA
02 C08CA
03 C08CA
04 C08CA
05 C08CA
06 C08CA
07 C08CA
08 C08CA
09 C09AA
10 C09AA

211 C09AA
12 C09AA
13 C09AA
14 C09AA
15 C09AA
16 C09AA
17 C09AA
18 C09AA
19 C09AA
20 C09AA
21 C09AA
22 C09AA
23 C09AA
24 C09AA
25 C09AA
26 C09AA
27 C09AA
28 C09AA
29 C09AA
30 C09AA
31 C09AA
32 C09AA
33 C09AA
34 C09AA
35 C09AA
36 C09AA
37 C09AA
38 C09AA
39 C09AA
40 C09AA

Denumire Comerciala

LERIDIP
LERPIN 10 mg
KAPIDIN10 mg
PEGFEL 10 mg
LERCANIDIPINA TEVA 20 mg
LERCANIDIPINA TEVA 20 mg
LERCANIDIPIN ACTAVIS 20 mg
LERCANIDIPIN ACTAVIS 20 mg
LERIDIP 20
LERPIN 20 mg
PEGFEL 20 mg
PRENESSA 2 mg
PRICORON 4 mg
COVEREX (R) 4 mg
PERINDOPRIL TEVA 4 mg
VIDOTIN 4 mg
STOPRESS 4 mg
TREZEN 4 mg
TREZEN 4 mg
PRENESSA 4 mg
PRINDEX 4 mg
PRESTPRIL 4 mg
PRICORON 8 mg
PERINDOPRIL TEVA 8 mg
VIDOTIN 8 mg
STOPRESS 8 mg
TREZEN 8 mg
TREZEN 8 mg
PRINDEX 8 mg
PRESTPRIL 8 mg
PRENESSA 8 mg
PRESTARIUM 10 mg
PERINDOPRIL TOSILAT TEVA 10 mg
PERINDOPRIL TOSILAT TEVA 2,5 mg
PRESTARIUM 5 mg
PERINDOPRIL TOSILAT TEVA 5 mg
CIBACEN (R) 10 mg
CIBACEN (R) 20 mg
CIBACEN (R) 5 mg
GOPTEN (R) 0,5 mg
GOPTEN (R) 2 mg
GOPTEN (R) 4 mg
ZOMEN (R) 30 mg
ZOMEN (R) 7,5 mg
PRINDEX PLUS 2 mg/0,625 mg
CO-PRENESSA 2mg/0,625 mg
INDAPRIL 2 mg/0,625 mg
PRICORON COMBI 2 mg/0,625 mg
DANURIT 2 mg/0,625 mg
PRINDEX PLUS 4 mg/1,25mg
INDAPRIL 4 mg/1,25 mg

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.
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

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

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

concentratie

10mg
10mg
10mg
10mg
20 mg
20 mg
20mg
20mg
20mg
20mg
20mg
2mg
4 mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
4mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
10 mg
10mg
2,5mg
5mg
5mg
10mg
20mg
5mg
0,5mg
2mg
4mg
30mg
7,5mg

Detinator APP

Prescriptie

GERMANI

CUTIE X 4 BLIST. AL/PVC X 15 C

P-6

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. PVC-PVDC/

P-6

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. AL/PVC X 30 CO

P-6

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PVC

P-

CUTIE CU BLIST. DIN P

P-6

CUTIE CU BLIST. DIN P

P-6

CUTIE CU BLIST. AL/PVC X 28 CO

P-6

ACTAVIS GROUP P

ISLANDA
ISLANDA

CUTIE CU BLIST. AL/PVC X 30 CO

P-6

BE

GERMANI

CUTIE X 6 BLIST. AL/PVC X 10 C

P-6

CUTIE CU BLIST. PVC-PVDC/

P-6

DR. REDDY'S L

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PVC

P-

KRKA POLSKA SP. Z

POLONIA

CUTIE CU 1 BLIST. DI

P-6

ZENTIVA K.S.

REPUBLICA SLOVACA

TEVA PHARM
TEVA PHARM

ACTAVIS GROUP P

TORRENT PHARMA S

KRKA POLSKA SP Z

CUTIE CU BLIST. AL/AL X 30 COMPR P6L


UNGARIA CUTIE X 1 BLIST. AL/PVC X 30 COM
P-6
ROMANIA CUT
P-6
ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR P-6
POLONIA CUTIE CU BLIST. ACLAR-PV
P-6
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/
P-6
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COM
P-6
POLONIA CUTIE CU 1 BLIST. PVC-PE
P-6
P-6
REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR
ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COM
P6L
P6L
REPUBLICA SLOVACA CUTIE CU BLIST. AL/AL X 30 COMPR
ROMANIA CUTIE X 1
P-6
ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR P-6
POLONIA CUTIE CU BLIST. ACLAR-PV
P-6
ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/
P-6
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COM
P-6
P-6
REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR
ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COM
P6L
POLONIA CUTIE CU BLIST. PVC-PE-P
P6L

LES LAB. SERVIER I

FRANTA

EGIS PHARMA
TEVA PHARM
GEDEON RIC
PHARMACEUTICAL WORKS POLPHARMA SA

TERAPIA S.A.
TERAPIA S.A.
KRKA POLSKA SP. Z
GLENMARK PHARMACEUTICALS S.R.O.

LABORMED PHARMA

ZENTIVA K.S.
TEVA PHARM
GEDEON RIC
PHARMACEUTICAL WORKS POLPHARMA SA

TERAPIA S.A.
TERAPIA S.A.
GLENMARK PHARMACEUTICALS S.R.O.

LABORMED PHARMA

CUTIE X 1 FLAC. DIN PP X 30 CO

P-6

TEVA PHARM

ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR.


ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR.

P6L
P6L

LES LAB. SERVIER I

FRANTA

P-6

TEVA PHARM

CUTIE X 1 FLAC. DIN PP X 30 CO

ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR.


GERMANI CUTIE X 2 BLIST. X 14 COMPR. FILM
GERMANI CUTIE X 2 BLIST. X 14 COMPR. FILM
GERMANI CUTIE X 2 BLIST. X 14 COMPR. FILM

P6L

P-6

MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

CUTIE X 2 BLIST. X 10 CAPS.


GERMANI CUTIE X 2 BLIST. X 14 CAPS.
GERMANI CUTIE X 2 BLIST. X 14 CAPS.
CUTIE X 4 BLIST. X 7 COMPR. FILM.
LUXEM
CUTIE X 4 BLIST. X 7 COMPR. FILM.
LUXEM

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

P6L

KRKA POLSKA SP ZO

POLONIA

CUTIE CU BLIST. PVC-PE-P

P-6

LABORMED PHARMA
GEDEON RIC

ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COM


REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

LABORMED PHARMA

ROMANIA CUTIE CU 3 BLIST. AL/AL X 10 COM

TEVA PHARM

NOVARTIS PHARM
NOVARTIS PHARM
NOVARTIS PHARM

ABBOTT GMBH&CO.
ABBOTT GMBH&CO.
ABBOTT GMBH&CO.
MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A.

2mg/0,625mg
2mg/0,625mg
2mg/0,625mg
2mg/0,625mg
4 mg/1,25mg
4mg+1.25mg

Ambalaj

BE

DR. REDDY'S L

2 mg/0,625m

tara det.
APP

ZENTIVA K.S.

Pagina 33 din 101

GERMANI

CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR.

P-6
P-6
P-6
P-6
P-6
P-6
P-6

P6L
P6L
P6L
P6L
P6L

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

60
28
30
28
60
30
28
30
60
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
28
28
28
20
28
28
28
28
30
30
30
30
30
30
30

40.07
22.99
17.77
21.76
43.54
32.91
26.44
28.34
64.75
34.95
33.98
13.44
23.14
29.01
25.32
33.45
16.61
25.87
25.87
26.87
26.90
25.87
44.36
49.00
53.44
30.88
49.12
49.12
54.01
49.12
49.45
63.61
42.77
13.81
41.11
27.61
43.66
57.30
21.80
9.71
28.09
46.79
44.47
19.69
16.18
16.18
18.71
16.18
16.18
29.41
31.19

Pret
amanuntul
maximal/UT
(RON)

0.667833
0.821071
0.592333
0.777142
0.725666
1.097000
0.944285
0.944666
1.079166
1.248214
1.213571
0.448000
0.771333
0.967000
0.844000
1.115000
0.553666
0.862333
0.862333
0.895666
0.896666
0.862333
1.478666
1.633333
1.781333
1.029333
1.637333
1.637333
1.800333
1.637333
1.648333
2.120333
1.425666
0.460333
1.370333
0.920333
1.559285
2.046428
0.778571
0.485500
1.003214
1.671071
1.588214
0.703214
0.539333
0.539333
0.623666
0.539333
0.539333
0.980333
1.039666

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.578249
0.578249
0.578249
0.578249
0.725666
1.097000
0.944285
0.944666
1.079166
1.156499
1.156499
0.187023
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.748092
0.748092
0.748092
0.748092
0.748092
0.748092
0.748092
0.748092
0.748092
0.935115
0.935115
0.233778
0.467557
0.467557
0.498728
0.997456
0.249363
0.093511
0.374046
0.748092
0.374046
0.093511
0.539333
0.539333
0.623666
0.539333
0.539333
0.824142
0.824142

0.289124
0.289124
0.289124
0.289124
0.362833
0.548500
0.472142
0.472333
0.539583
0.578249
0.578249
0.093511
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.187023
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.374046
0.467557
0.467557
0.116889
0.233778
0.233778
0.249364
0.498728
0.124681
0.046755
0.187023
0.374046
0.187023
0.046755
0.269666
0.269666
0.311833
0.269666
0.269666
0.412071
0.412071

Nr. crt

DCI

cod ATC

49 C09BA

COMBINATII (PERINDOPRILU

50 C09BA

COMBINATII (PERINDOPRILU

51 C09BA

COMBINATII (PERINDOPRILU

52 C09BA

COMBINATII (PERINDOPRILU

53 C09BA

COMBINATII (PERINDOPRILU

54 C09BA

COMBINATII (PERINDOPRILU

55 C09BA

COMBINATII (PERINDOPRILU

56 C09BA

COMBINATII (PERINDOPRILU

57 C09BA

COMBINATII (PERINDOPRILU

58 C09BA

COMBINATII (QUIN

59 C09BA

COMBINATII (QUIN

60 C09BB

COMBINATII (NITRENDIPINUM

61 C09BB

COMBINATII (VERAPAMILU

62 C09BB

COMBINATII (VERAPAMILU

63 C09BB

COMBINATII (VERAPAMILU

64 C09CA
65 C09CA
66 C09CA
67 C09CA
68 C09CA
69 C09CA
70 C09CA
71 C09CA
72 C09CA
73 C09CA
74 C09CA
75 C09CA
76 C09CA
77 C09CA
78 C09CA
79 C09CA
80 C09CA
81 C09CA
82 C09CA
83 C09CA
84 C09CA
85 C09CA
86 C09CA
87 C09CA
88 C09CA
89 C09CA
90 C09CA
91 C09CA
92 C09CA
93 C09CA
94 C09CA
95 C09CA
96 C09CA
97 C09CA
98 C09CA
99 C09CA

VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM

Denumire Comerciala

PRICORON COMBI 4 mg/1,25 mg


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
NOLIPREL ARG FORTE 5mg/1,25mg
PRESTARIUM ARG PLUS 5mg/1,25mg
ACCUZIDE
ACCUZIDE FORTE
ENEAS
TARKA 240 mg/2 mg
TARKA 240 mg/4 mg
TARKA
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 mg
VALSACOR 160 mg
AVASSAN 160 mg
VALSARTAN ZENTIVA 160 mg
VAPRESS 160 mg
VAPRESS 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg
VALSACOR 80 mg
AVASSAN 80 mg
VALSARTAN ZENTIVA 80 mg
VAPRESS 80 mg
VAPRESS 80 mg
DIOVAN 3 mg/ml
IRBESARTAN AUROBINDO 150 mg
IRBESARTAN AUROBINDO 300 mg
IRBESARTAN GALENICA 150 mg
APROVEL 150mg
IRBESARTAN WINTHROP 150mg
IRBESARTAN TERAPIA 150 mg
IRBESARTAN SANDOZ 150 mg

forma farm.

concentratie

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

Detinator APP

REPUBLICA CEHA

Ambalaj
CUTIE CU BLIST. AL/AL X 30 COMPR P6L

ROMANIA

CUTIE CU BLIST. P

P-6

KRKA POLSKA SP ZO

POLONIA

CUTIE CU BLIST. PVC-PE-P

P-6

GEDEON RIC

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL

P6L

POLONIA
FRANTA
FRANTA
FRANTA
FRANTA

CUTIE CU BLIST. OPA-AL-PVC/A

P-6

CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM.

P-6

CUTIE X 1 FLAC. DIN PRO

P-6

CUTIE X 1 FLAC. DIN PRO

P-6

CUTIE X 1 FLAC. DIN PRO

P-6

CUTIE X 3 BLIST. AL/PVC-

P-6

CUTIE X 3 BLIST. AL/PVC-

P-6

GALENICA S.A.

GRECIA

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

P-6

ABBOTT GMBH & C

GERMANI

CUTIE CU 2

ABBOTT GMBH & C

GERMANI

CUTIE CU 2

P6L
P6L

ABBOTT GMBH&CO.

GERMANI

CUTIE

P-6

4mg+1.25mg
4mg/1, 25mg
4mg/1,25mg
4mg/1,25mg
8mg/2,5mg
COMPR. FILM 10mg/2,5mg

ZENTIVA K.S.
SANDOZ S.R.L.

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

2,5mg/0,625

LES LABORATO

COMPR.

20mg+10mg
240mg/2mg
240mg/4mg
180mg/2mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
3mg/ml
150mg
300mg
150 mg
150mg
150mg
150mg
150mg

COMPR. CU ELIB. MODIF.


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

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

SOL. ORALA
COMPR.
COMPR.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM

5mg/1,25mg
5mg/1,25mg

tara det.
APP

KRKA-POLSKA SP. Z

LES LAB. SERVIER


LES LABORATO
LES LABORATO

10mg/12,5mg PFIZER EUROPE M


20mg/12,5mg PFIZER EUROPE M

Prescriptie

TEVA PHARM

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/

ZENTIVA K.S.

REPUBLICA CEHA

TEVA PHARM

P-6
P-6

CUTIE CU BLIST. PVC-PE

P-6

CUTIE CU

P-6

CUTIE CU

P-6

ROMASTRU TRADI

ROMANIA
ROMANIA

WORWAG

GERMANI

CUTIE CU BLIST. OPA-AL-

P6L

NOVARTIS PHARM

GERMANI

CUTIE CU BLIST. PVC-PE

P-6

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. OPA-AL-

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. PVC-PE

CUTIE CU BLIST. OPA-AL-

P6L
P6L
P6L

CUTIE CU

P-6

CUTIE CU BLIST. PVC-PE

CUTIE CU BLIST. PVC-PCTF

P6L
P6L
P6L
P6L
P6L
P6L

CUTIE CU BLIST. PVC-PE

P-6

CUTIE CU

P-6

CUTIE CU

P-6

ROMASTRU TRADI

TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
NOVARTIS PHARM

GERMANI

TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ZENTIVA K.S.
REPUBLICA CEHA

CUTIE CU BLIST. PVC-PCTF


CUTIE CU BLIST. PVC-PE

CUTIE CU BLIST. OPA-ALCUTIE CU BLIST. PVC-PE

ROMASTRU TRADI

ROMANIA
ROMANIA

WORWAG

GERMANI

CUTIE CU BLIST. OPA-AL-

NOVARTIS PHARM

GERMANI

CUTIE CU BLIST. PVC-PE

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. OPA-AL-

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. PVC-PE

ROMASTRU TRADI

TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
NOVARTIS PHARM

GERMANI

SANOFI PHARMA - BRISTOL MYERS SQUIBB

MALTA
MALTA
GRECIA
FRANTA
FRANTA

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

AUROBINDO PHARMA (MALTA) LIMITED


AUROBINDO PHARMA (MALTA) LIMITED

GALENICA S.A.
SANOFI PHARMA - BRISTOL MYERS SQUIBB

Pagina 34 din 101

CUTIE CU BLIST. OPA-AL-

P6L
P6L
P6L
P6L
P6L

CUTIE CU

P-6

CUTIE CU BLIST. PVC-PE

CUTIE CU BLIST. PVC-PCTF

P6L
P6L

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1

P-6

CUTIE CU BLIST. PV

P6L
P6L
P6L

CUTIE X BLIST PVC/PVDC/AL

P-6

CUTIE X 28 COMPR. FILM. (BL

P-6

CUTIE CU BLIST. PVC-P

P-6

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU BLIST. PVC-PVDC/AL


CUTIE CU BLIST. PVC-PVDC/AL

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

30 29.41
30 21.09
30 29.41
30 29.41
30 29.54
30 75.76
30 57.17
30 61.63
30 61.63
30 21.68
30 31.57
30 96.52
28 55.45
28 72.69
28 52.85
28 32.59
28 20.26
28 22.79
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 22.79
28 32.82
28 32.82
28 71.91
28 42.63
28 11.16
28 11.16
28 14.95
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
28 14.95
28 18.18
28 18.18
1 41.42
28 27.21
28 35.53
28 18.10
28 33.14
28 18.12
28 29.83
28 33.50

Pret
amanuntul
maximal/UT
(RON)

0.980333
0.703000
0.980333
0.980333
0.984666
2.525333
1.905666
2.054333
2.054333
0.722666
1.052333
3.217333
1.980357
2.596071
1.887500
1.163928
0.723571
0.813928
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
0.813928
1.172142
1.172142
2.568214
1.522500
0.398571
0.398571
0.533928
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
0.533928
0.649285
0.649285
41.420000
0.971785
1.268928
0.646428
1.183571
0.647142
1.065357
1.196428

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.824142
0.703000
0.824142
0.824142
0.824142
0.824142
0.824142
0.824142
0.824142
0.722666
0.824142
3.217333
1.887500
1.887500
1.887500
1.163928
0.723571
0.813928
2.110338
2.110338
1.130333
2.110338
2.110338
1.173214
2.110338
0.813928
1.172142
1.172142
0.527584
0.527584
0.398571
0.398571
0.533928
1.055169
1.055169
0.775000
1.055169
1.055169
1.030000
1.055169
0.533928
0.649285
0.649285
6.331014
0.971785
1.268928
0.646428
1.055169
0.647142
1.055169
1.055169

0.412071
0.351500
0.412071
0.412071
0.412071
0.412071
0.412071
0.412071
0.412071
0.361333
0.412071
1.608666
0.943750
0.943750
0.943750
0.581964
0.361785
0.406964
1.055169
1.055169
0.565166
1.055169
1.055169
0.586607
1.055169
0.406964
0.586071
0.586071
0.263792
0.263792
0.199285
0.199285
0.266964
0.527584
0.527584
0.387500
0.527584
0.527584
0.515000
0.527584
0.266964
0.324642
0.324642
3.165507
0.485892
0.634464
0.323214
0.527584
0.323571
0.527584
0.527584

Nr. crt

cod ATC

00 C09CA
01 C09CA
02 C09CA
03 C09CA
04 C09CA
05 C09CA
06 C09CA
07 C09CA
08 C09CA
09 C09CA
10 C09CA

311 C09CA
12 C09CA
13 C09CA
14 C09CA
15 C09CA
16 C09CA
17 C09CA
18 C09CA
19 C09CA
20 C09CA
21 C09CA
22 C09CA
23 C09CA
24 C09CA
25 C09CA
26 C09CA
27 C09CA
28 C09CA
29 C09CA
30 C09CA
31 C09CA
32 C09CA
33 C09CA
34 C09CA
35 C09CA
36 C09CA
37 C09CA
38 C09CA
39 C09CA
40 C09CA
41 C09CA
42 C09CA
43 C09CA
44 C09CA
45 C09CA
46 C09CA
47 C09CA
48 C09CA
49 C09CA
50 C09CA

DCI

IRBESARTANUM
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
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL

Denumire Comerciala

IRPRESTAN 150 mg
IFIRMASTA 150 mg
IRBESARTAN TEVA 150 mg
IRBESARTAN TORRENT 150 mg
ATOKKEN 150 mg
IRBESARTAN ZENTIVA 150mg
IRBESARTAN TEVA 300 mg
IRBESARTAN GALENICA 300 mg
APROVEL 300mg
IRBESARTAN WINTHROP 300mg
IRBESARTAN TERAPIA 300 mg
IRBESARTAN SANDOZ 300 mg
IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBESARTAN TORRENT 300 mg
ATOKKEN 300 mg
IRBESARTAN ZENTIVA 300mg
IRBESARTAN TORRENT 75 mg
ATOKKEN 75 mg
ATACAND
TANDESAR 16 mg

forma farm.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM

COMPR.
COMPR.
COMPR.
CANDESARTAN CILEXETIL ZENTIVA 16
HIPOSTYN 16 mg
COMPR.
CANDESARTAN SANDOZ 16 mg
COMPR.
KARBIS 16 mg
COMPR.
CANDESARTAN TORRENT 16 mg
COMPR.
CLASTINOL 16 mg
COMPR.
CANDEPOL 16 mg
COMPR.
CANZENO 16mg
COMPR.
CANDEGAMMA 16 mg
COMPR.
CANDESARTAN CILEXETIL TEVA 16 mg COMPR.
CANDESARTAN LABORMED 16 mg
COMPR.
ATACAND 32 mg
COMPR.
COMPR.
CANDESARTAN CILEXETIL ZENTIVA 32
HIPOSTYN 32 mg
COMPR.
KARBIS 32 mg
COMPR.
CANDESARTAN TORRENT 32 mg
COMPR.
CLASTINOL 32 mg
COMPR.
CANDEPOL 32 mg
COMPR.
CANZENO 32mg
COMPR.
CANDEGAMMA 32 mg
COMPR.
CANDESARTAN CILEXETIL TEVA 32 mg COMPR.
CANDESARTAN LABORMED 32 mg
COMPR.
ATACAND
COMPR.
TANDESAR 8 mg
COMPR.
CANDESARTAN CILEXETIL ZENTIVA 8 m COMPR.
HIPOSTYN 8 mg
COMPR.
CANDESARTAN SANDOZ 8 mg
COMPR.
KARBIS 8 mg
COMPR.
CANDESARTAN TORRENT 8 mg
COMPR.
CLASTINOL 8 mg
COMPR.

concentratie

150mg
150mg
150mg
150mg
150mg
150mg
300 mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC-PVDC/

P-6

KRKA ,D.D., NOVO

SLOVENI

CUTIE X BLIST. PVC/PE/P

P-6

TEVA PHARMA B.V.

OLANDA

CUTIE X BLIST. PVC/PVDC/AL

P-6

TORRENT PHARMA S

CUTIE CU BLIST. PVC-PVDC/

ROMASTRU TRADI

ROMANIA
ROMANIA

CUTIE CU 2 BLIST. PVC-P

P6L
P6L

SANOFI-AVENTIS

FRANTA/GERMANIA

CUTIE X 28 COMPR. FILM. (BL

P-6

CUTIE X BLIST. PVC/PVDC/AL

P-6

CUTIE CU BLIST. PV

P6L

CUTIE X BLIST PVC/PVDC/AL

P-6

CUTIE X 28 COMPR. FILM. (BL

P-6

CUTIE CU BLIST. PVC-P

P-6

CUTIE CU BLIST. OPA-AL-

P-6

TEVA PHARMA B.V.


GALENICA S.A.
SANOFI PHARMA - BRISTOL MYERS SQUIBB

OLANDA
GRECIA
FRANTA
FRANTA

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC-PVDC/

P-6

KRKA ,D.D., NOVO

SLOVENI

CUTIE X BLIST. PVC/PE/P

P-6

TORRENT PHARMA S

CUTIE CU BLIST. PVC-PVDC/

ROMASTRU TRADI

ROMANIA
ROMANIA

CUTIE CU 2 BLIST. PVC-P

P6L
P6L

SANOFI-AVENTIS

FRANTA/GERMANIA

SANOFI PHARMA - BRISTOL MYERS SQUIBB

TORRENT PHARMA S
ROMASTRU TRADI

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.

CUTIE X 28 COMPR. FILM. (BL

P-6

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PVDC/


CUTIE CU 2 BLIST. PVC-P

P6L
P6L

SUEDIA

CUTIE X 2 BLIST. PVC-PVDC/AL

P-6

ROMANIA

CUTIE CU BLIST. PVC-PE-P

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL

P6L
P6L

SANDOZ SRL

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL


ROMANIA CUTIE CU BLIST. AL/AL

KRKA D.D. NOVO M

SLOVENI

TORRENT PHARMA S
EGIS PHARMA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/A


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

CUTIE CU BLIST. AL/PVC-PVDC

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL

WORWAG

GERMANI

CUTIE CU 3 BLIST.

TEVA PHARM

TEVA PHARM

LABORMED PHARMA

ASTRAZENECA AB
ZENTIVA K.S.

CUTIE CU BLIST. PVC-PVDC/AL

P-6
P-6

ROMANIA CUTIE CU BL
ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/A

P6L
P6L
P6L
P6L
P6L
P6L
P6L

SUEDIA

CUTIE X 2 BLIST. AL-PVC/PVDC

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL

TEVA PHARM

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL

P6L
P6L

KRKA D.D. NOVO M

SLOVENI

P-6

TORRENT PHARMA S
EGIS PHARMA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/A


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL

PHARMACEUTICAL WORKS POLPHARMA SA

POLONIA

CUTIE CU BLIST. AL/PVC-PVDC

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL

WORWAG

GERMANI

CUTIE CU 3 BLIST.

TEVA PHARM

LABORMED PHARMA

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.

CUTIE CU BLIST. PVC-PVDC/AL

ROMANIA CUTIE CU BL
ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/A

P6L
P6L
P6L
P6L
P6L
P6L
P6L

SUEDIA

CUTIE X 2 BLIST. PVC-PVDC/AL

P-6

ROMANIA

CUTIE CU BLIST. PVC-PE-P

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL

P6L
P6L

SANDOZ SRL

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL


ROMANIA CUTIE CU BLIST. AL/AL

KRKA D.D. NOVO M

SLOVENI

TORRENT PHARMA S

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/A


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL

TEVA PHARM

EGIS PHARMA

Pagina 35 din 101

CUTIE CU BLIST. PVC-PVDC/AL

P-6
P-6

P6L
P6L

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

30 23.08
28 37.35
28 21.54
28 21.54
28 44.88
28 18.12
28 29.01
28 29.43
28 43.20
28 29.32
28 38.87
28 64.85
30 31.09
28 60.27
28 29.01
28 60.29
28 29.32
28 16.18
28 40.39
28 66.74
28 44.87
30 29.85
30 42.50
28 39.65
30 43.24
30 48.03
28 44.85
28 44.88
30 29.85
30 39.63
30 29.85
28 41.42
28 117.40
30 36.65
30 71.36
30 81.75
30 81.75
28 69.33
28 76.32
30 36.65
30 72.06
30 36.65
28 56.66
28 56.10
28 36.46
30 16.22
30 24.13
28 33.45
30 33.01
30 39.07
28 36.46

Pret
amanuntul
maximal/UT
(RON)

0.769333
1.333928
0.769285
0.769285
1.602857
0.647142
1.036071
1.051071
1.542857
1.047142
1.388214
2.316071
1.036333
2.152500
1.036071
2.153214
1.047142
0.577857
1.442500
2.383571
1.602500
0.995000
1.416666
1.416071
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
2.003571
1.302142
0.540666
0.804333
1.194642
1.100333
1.302333
1.302142

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.769333
1.055169
0.769285
0.769285
1.055169
0.647142
1.036071
1.051071
1.542857
1.047142
1.388214
2.110338
1.036333
2.110338
1.036071
2.110338
1.047142
0.527584
0.527584
2.110338
1.602500
0.995000
1.416666
1.416071
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
1.055169
1.055169
0.540666
0.804333
1.055169
1.055169
1.055169
1.055169

0.384666
0.527584
0.384642
0.384642
0.527584
0.323571
0.518035
0.525535
0.771428
0.523571
0.694107
1.055169
0.518166
1.055169
0.518035
1.055169
0.523571
0.263792
0.263792
1.055169
0.801250
0.497500
0.708333
0.708035
0.720666
0.800500
0.800892
0.801428
0.497500
0.660500
0.497500
0.739642
2.096428
0.610833
1.189333
1.362500
1.362500
1.238035
1.362857
0.610833
1.201000
0.610833
1.011785
0.527584
0.527584
0.270333
0.402166
0.527584
0.527584
0.527584
0.527584

Nr. crt

DCI

cod ATC

Denumire Comerciala

forma farm.

84 C09CA

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
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM

85 C09DA

COMBINATII (LOS

86 C09DA

COMBINATII (LOS

87 C09DA

COMBINATII (LOS

88 C09DA

COMBINATII (LOS

CANDEPOL 8 mg
CANZENO 8mg
CANDEGAMMA 8 mg
CANDESARTAN CILEXETIL TEVA 8 mg
CANDESARTAN LABORMED 8 mg
TELMISARTAN ACTAVIS 40mg
MICARDIS 40 mg
PRITOR 40 mg
TOLURA 40 mg
TEZEO 40 mg
TELMISARTAN TEVA 40 mg
TELMISARTAN LABORMED 40 mg
TELMISARTAN RANBAXY 40 mg
TELMA 40 mg
TELMISARTAN ACTAVIS 80mg
MICARDIS 80 mg
PRITOR 80 mg
TOLURA 80 mg
TEZEO 80 mg
TELMISARTAN TEVA 80 mg
TELMISARTAN LABORMED 80 mg
TELMISARTAN RANBAXY 80 mg
TELMA 80 mg
TELMARK 20 mg
TELMARK 40 mg
TELMARK 40 mg
TANYDON 40 mg
TELMISARTAN EGIS 40 mg
TELMOTENS 40mg
TELMARK 80 mg
TELMARK 80 mg
TANYDON 80 mg
TELMISARTAN EGIS 80 mg
TELMOTENS 80mg
HYZAAR (R) 50 mg/12,5 mg
LOSARTAN HCT FARMAL 50mg/12,5mg
LORISTA HL 100 mg/12,5 mg
LORISTA H

89 C09DA

COMBINATII (VA

VALSARTAN HIDROCLOROTI

90 C09DA

COMBINATII (VA

VALSARTAN HIDROCLOROTIA

91 C09DA

COMBINATII (VA

VALSARTAN HIDROCLOROTI

92 C09DA

COMBINATII (VA

VALSARTAN HIDROCLOROTIA

93 C09DA

COMBINATII (VA

VALSARTAN HIDROCLOROTIA

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

94 C09DA

COMBINATII

95 C09DA

COMBINATII

COAPROVEL 150mg/12,5mg
COAPROVEL 300mg/12,5mg

COMPR.
COMPR.

96 C09DA

COMBINATII

IRBESARTAN HYD

97 C09DA

COMBINATII

IRBESARTAN HYDROC

98 C09DA

COMBINATII

IRBESARTAN HYD

99 C09DA

COMBINATII

IRBESARTAN HYDROC

00 C09DA

COMBINATII

IRPREZIDE 150 mg/12,5 mg

01 C09DA

COMBINATII

IRBESARTAN/ HYDROCHLOR

51 C09CA
52 C09CA
53 C09CA
54 C09CA
55 C09CA
56 C09CA
57 C09CA
58 C09CA
59 C09CA
60 C09CA
61 C09CA
62 C09CA
63 C09CA
64 C09CA
65 C09CA
66 C09CA
67 C09CA
68 C09CA
69 C09CA
70 C09CA
71 C09CA
72 C09CA
73 C09CA
74 C09CA
75 C09CA
76 C09CA
77 C09CA
78 C09CA
79 C09CA
80 C09CA
81 C09CA
82 C09CA
83 C09CA

concentratie

8mg
8mg
8mg
8mg
8mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80 mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
20mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg

Detinator APP

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 50mg+ 12,5

KRKA D.D. NOVO M

160mg/12,5m

TORRENT PHARMA S

160mg/25mg

TORRENT PHARMA S

320mg/12,5m

TORRENT PHARMA S

320mg/25mg
80mg/12,5mg

TORRENT PHARMA S

150mg/12,5m
300mg/12,5m
150mg/12,5m
150mg/12,5m
300mg/12,5m
300mg/12,5m

POLONIA

CUTIE CU BLIST. AL/PVC-PVDC

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL

WORWAG

GERMANI

CUTIE CU 3 BLIST.

Prescriptie

ACTAVIS GROUP P

ROMANIA CUTIE CU BL
ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/A
ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR

P6L
P6L
P6L
P6L
P6L
P6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE X 28 COMPR. ( BLIST. PA/A

P-6

BAYER SCHER

GERMANI

CUTIE X 28C

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST.OPA-AL-PVC/AL

P-6

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/A

P-6

OLANDA

CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1

LABORMED PHARMA

ZENTIVA, K.S.
TEVA PHARMA B.V.
LABORMED PHARMA

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR

RANBAXY (U.K.) LI

SANDOZ S.R.L.

CUTIE CU BLIST. PA-AL-PVC/AL

P6L
P6L
P6L
P6L
P6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR


ISLANDA CUTIE CU BLIST. AL/AL X 28 COMPR
GERMANI CUTIE X 28COMPR. ( BLIST. PA/AL/

BAYER SCHER

GERMANI

CUTIE X 28C

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST.OPA-AL-PVC/AL

P-6

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/A

P-6

OLANDA

CUTIE CU BLIST. AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE 30X1

ACTAVIS GROUP P

ZENTIVA, K.S.
TEVA PHARMA B.V.

COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM 150 mg/12,5
COMPR. FILM 150mg/12,5m

Ambalaj

PHARMACEUTICAL WORKS POLPHARMA SA

TEVA PHARM

COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM 50mg+12,5m
COMPR. FILM 50mg/12,5mg
COMPR.FILM 100mg/12,5m

tara det.
APP

LABORMED PHARMA

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR

RANBAXY (U.K.) LI

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMP

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMP

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMP

CUTIE CU BLIST. PA-AL-PVC/AL

EGIS PHARMA

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMP


UNGARIA CUTIE CU BLIST. AL/AL X 28 COMP

ALVOGEN IPCO S.AR

LUXEM

CUTIE CU 3 BLIST.

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMP

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMP

GEDEON RIC

P-6

P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L

EGIS PHARMA

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMP


UNGARIA CUTIE CU BLIST. AL/AL X 28 COMP

ALVOGEN IPCO S.AR

LUXEM

MERCK SHARP &

ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM


ROMANIA CUTIE X 2 BLIST. PVC-P

P-6

SLOVENI
SLOVENI

CUTIE CU BLIST. PVC-PVDC/

P-6

CUTIE X 2 BLIST. DIN

P-6

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-

CUTIE CU BLIST. OPA-AL-

P6L
P6L
P6L
P6L
P6L

CUTIE X 2 BLIST. PVC-PVDC/AL

P-6

CUTIE X 2 BLIST. PVC-PVDC/AL

P-6

SANOFI PHARMA - BRISTOL MYERS SQUIBB

FRANTA
FRANTA
FRANTA

CUTIE X 2 BLIST. PVC/PVDC/

P-6

SANOFI-AVENTIS

FRANTA/GERMANIA

CUTIE CU BLIST. PVC/PVDC/

P-6

SANOFI PHARMA - BRISTOL MYERS SQUIBB

FRANTA

CUTIE X 2 BLIST. PVC/PVDC/

P-6

SANOFI-AVENTIS

FRANTA/GERMANIA

CUTIE X 2 BLIST. PVC/PVDC/

P-6

GEDEON RIC

FARMAL INTER

KRKA D.D. NOVO M

TORRENT PHARMA S
SANOFI PHARMA - BRISTOL MYERS SQUIBB
SANOFI PHARMA - BRISTOL MYERS SQUIBB

ACTAVIS GROUP P

TEVA PHARMA B.V.

Pagina 36 din 101

CUTIE CU 3 BLIST.

CUTIE CU BLIST. OPA-ALCUTIE CU BLIST. OPA-ALCUTIE CU BLIST. OPA-AL-

ISLANDA CUTIE CU BLIST. DIN P


OLANDA CUTIE X BLIST. AL/AL X 28 COMPR.

P-6

P6L
P-6

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

28
30
30
30
28
28
28
28
28
30
30
28
28
28
28
28
28
28
30
30
28
28
28
30
28
30
30
28
30
28
30
30
28
30
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
30
28

36.46
16.22
33.77
23.07
33.65
39.46
60.70
64.10
39.46
17.20
42.27
36.43
39.46
17.20
52.99
77.42
77.42
52.99
28.09
56.77
48.91
52.99
22.68
32.36
39.46
42.27
42.27
39.63
42.27
52.99
56.78
56.78
52.98
56.77
79.46
30.06
29.31
18.06
122.45
136.15
132.23
150.44
105.59
39.44
75.22
20.39
20.39
33.70
33.70
28.38
26.49

Pret
amanuntul
maximal/UT
(RON)

1.302142
0.540666
1.125666
0.769000
1.201785
1.409285
2.167857
2.289285
1.409285
0.573333
1.409000
1.301071
1.409285
0.614285
1.892500
2.765000
2.765000
1.892500
0.936333
1.892333
1.746785
1.892500
0.810000
1.078666
1.409285
1.409000
1.409000
1.415357
1.409000
1.892500
1.892666
1.892666
1.892142
1.892333
2.837857
1.073571
1.046785
0.645000
4.373214
4.862500
4.722500
5.372857
3.771071
1.408571
2.686428
0.728214
0.728214
1.203571
1.203571
0.946000
0.946071

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1.055169
0.540666
1.055169
0.769000
1.055169
1.055169
1.055169
1.055169
1.055169
0.573333
1.055169
1.055169
1.055169
0.614285
1.892500
2.110338
2.110338
1.892500
0.936333
1.892333
1.746785
1.892500
0.810000
0.527584
1.055169
1.055169
1.055169
1.055169
1.055169
1.892500
1.892666
1.892666
1.892142
1.892333
1.141071
1.073571
1.046785
0.645000
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
0.728214
0.728214
1.141071
1.141071
0.946000
0.946071

0.527584
0.270333
0.527584
0.384500
0.527584
0.527584
0.527584
0.527584
0.527584
0.286666
0.527584
0.527584
0.527584
0.307142
0.946250
1.055169
1.055169
0.946250
0.468166
0.946166
0.873392
0.946250
0.405000
0.263792
0.527584
0.527584
0.527584
0.527584
0.527584
0.946250
0.946333
0.946333
0.946071
0.946166
0.570535
0.536785
0.523392
0.322500
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.364107
0.364107
0.570535
0.570535
0.473000
0.473035

Nr. crt

DCI

cod ATC

Denumire Comerciala

02 C09DA

COMBINATII

03 C09DA

COMBINATII

IRBEZYD COMBI 150 mg/12,5 mg


IFIRMACOMBI 150mg/12,5mg

04 C09DA

COMBINATII

IRBESARTAN HIDROCLORO

05 C09DA

COMBINATII

IRBESARTAN HIDROCLORO

06 C09DA

COMBINATII

IRPREZIDE 300 mg/12,5 mg

07 C09DA

COMBINATII

IRBESARTAN/ HYDROCHLOR

08 C09DA

COMBINATII

09 C09DA

COMBINATII

10 C09DA

COMBINATII

IRPREZIDE 300 mg/25 mg


IRBEZYD COMBI 300 mg/12,5 mg
IFIRMACOMBI 300mg/12,5mg

411 C09DA

COMBINATII

IRBESARTAN HIDROCLORO

12 C09DA

COMBINATII

IRBESARTAN HIDROCLORO

13 C09DA

COMBINATII

14 C09DA

COMBINATII

15 C09DA

COMBINATII

COAPROVEL 300mg/25mg
IRBEZYD COMBI 300 mg/25 mg
IFIRMACOMBI 300mg/25mg

16 C09DA

COMBINATII

IRBESARTAN HIDROCLOROT

17 C09DA

COMBINATII

IRBESARTAN HIDROCLOROT

18 C09DA

COMBINAT

19 C09DA

COMBINAT

20 C09DA

COMBINAT

21 C09DA

COMBINAT

22 C09DA

COMBINAT

23 C09DA

COMBINAT

24 C09DA

COMBINAT

25 C09DA

COMBINAT

26 C09DB

COMBINATII ( VALSARTANUM+

27 C09DB

COMBINATII ( VALSARTANUM+

28 C09DB

COMBINATII ( VALSARTANUM+

29 C09DB

COMBINATII ( VALSARTANUM+

30 C09DB

COMBINATII ( VALSARTANUM+

31 C09DB

COMBINATII ( VALSARTANUM+

32 C10AA

FLUVASTATINUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

33 C10AA
34 C10AA
35 C10AA
36 C10AA
37 C10AA
38 C10AA
39 C10AA
40 C10AA
41 C10AA
42 C10AA
43 C10AA
44 C10AA
45 C10AA
46 C10AA
47 C10AA
48 C10AA
49 C10AA
50 C10AA
51 C10AA
52 C10AA

ACTELSAR HCT 80 mg/12,5 mg


TOLUCOMBI 80 mg/12,5mg
TOLUCOMBI 80 mg/25mg
ACTELSAR HCT 80 mg/25mg
MICARDISPLUS 80/12,5mg
MICARDISPLUS 80/25mg
PRITOR PLUS 80mg/12,5mg
PRITOR PLUS 80mg/25mg
EXFORGE 10mg/160mg
EXFORGE 10mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/160mg
EXFORGE 5mg/80mg
EXFORGE 5mg/80mg
LESCOL 20 mg
LESCOL 40 mg
LESCOL XL 80 mg
AMICOR 10 mg
TORVALIPIN 10 mg
SORTIS 10 mg
TORVACARD 10 mg
ATORIS 10 mg
GLETOR 10 mg
ASCORD 10 mg
ATORGAMMA 10 mg
TULIP 10 mg
TULIP 10 mg
ATILEN 10 mg
TORVAZIN 10 mg
XAMARA 10 mg
MODLIP 10 mg
VOREDANIN 10 mg
AMICOR 20 mg
TORVALIPIN 20 mg
SORTIS 20 mg

forma farm.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM

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

CAPS.
CAPS.
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

concentratie
Detinator APP
150mg/12,5m PHARMACEUTICAL WORKS POLPHARMA SA
150mg/12,5m KRKA D.D. NOVO M
150mg/12,5m RANBAXY (U.K.) LI
150mg/12,5m RANBAXY (U.K.) LI

Ambalaj

POLONIA

CUTIE CU BLIST. PVC-PCTF

SLOVENI

CUTIE CU BLIST. DIN

CUTIE CU BLIST. OPA-AL-

CUTIE CU BLIST. PVC-ACLA

Prescriptie

P6L
P6L
P6L
P6L
P6L

PHARMACEUTICAL WORKS POLPHARMA SA

ISLANDA CUTIE CU BLIST. DIN P


OLANDA CUTIE X BLIST. AL/AL X 28 COMPR.
IRLANDA CUTIE CU BLIST. DIN P
POLONIA CUTIE CU BLIST. PVC-PCTF

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. DIN

RANBAXY (U.K.) LI

CUTIE CU BLIST. OPA-AL-

RANBAXY (U.K.) LI

CUTIE CU BLIST. PVC-ACLA

P6L
P6L
P6L
P6L
P6L

CUTIE X 2 BLIST. PVC-PVDC

P-6

CUTIE CU BLIST. PVC-PCTF

CUTIE CU BLIST. PVC-ACLA

P6L
P6L
P6L
P6L

CUTIE CU BLISTERE DIN AL

PRF

CUTIE CU BLIST. DI

PRF

CUTIE CU BLIST. DI

PRF

CUTIE CU BLISTERE DIN AL

PRF

CUTIE X 28COMPR. ( BLIST. PA/AL/

P-6

CUTIE X

P-6

CUTIE X 28COMPR.( BLI

P-6

CUTIE X 28COMPR.( BLIST. PA/AL/PVC SAU PA/PA/AL/PVC/AL PERFORATE UNIDOZA)

P-6

CUTIE X 56 COMPR. FILM. (BLIS

P-6

CUTIE X 28 COMPR. FILM.(BLIST

P-6

CUTIE X 56 COMPR. FILM. (BLIS

P-6

CUTIE X 28 COMPR. FILM. (BLIS

P-6

CUTIE X 56 COMPR. FILM.(BLIS

P-6

CUTIE X 28 COMPR. FILM. (BLI

P-6

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


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

P-6

CUTIE X 4 BLIST. AL/AL X 7 CO

P-6

CUTIE CU BLIST. DIN AL/AL X 3

P6L

CUTIE CU BLIST. DIN AL/AL X 3

P-6

CUTIE X 3 BLIST. X 10 COMPR. FILM

P-6

CUTIE CU BLIST. AL/AL X 30 COMP

P-6

CUTIE CU BLIST. DIN

P-6

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE X 3 BLIST. OPA-AL-

P-6

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU BLIST. AL/AL X 30 COMP

P-6

CUTIE CU BLIST. AL/AL X 90 COMP

P-6

CUTIE CU BLIST. AL/AL X 28 COMP

P-6

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU BLIST. OPA-AL-

P-6

300 mg/12,5

ACTAVIS GROUP P

300 mg/12,5

TEVA PHARMA B.V.

300 mg/25 m

ACTAVIS GROUP P

300mg/12,5m
300mg/12,5m
300mg/12,5m
300mg/12,5m

tara det.
APP

300mg/25mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA


300mg/25mg PHARMACEUTICAL WORKS POLPHARMA SA
POLONIA
300mg/25mg KRKA D.D. NOVO M
SLOVENI
300mg/25mg RANBAXY (U.K.) LI
M
300mg/25mg RANBAXY (U.K.) LI
M
ISLANDA
80 mg/12,5
ACTAVIS GROUP P
KRKA D.D.
SLOVENI
80 mg/12,5m
80 mg/25mg KRKA D.D.
SLOVENI
80 mg/25mg ACTAVIS GROUP P
ISLANDA
80/12,5mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANI
80/25mg
GERMANI
BOEHRINGER INGELHEIM INTERNATIONAL GMBH
80mg/12,5mg BAYER SCHER
GERMANI
80mg/25mg BAYER SCHER
GERMANI
10mg/160mg NOVARTIS EURO
M
10mg/160mg NOVARTIS EURO
M
5mg/160mg NOVARTIS EURO
M
5mg/160mg NOVARTIS EURO
M
5mg/80mg NOVARTIS EURO
M
5mg/80mg NOVARTIS EURO
M
20mg
GERMANI
NOVARTIS PHARM
40mg
GERMANI
NOVARTIS PHARM
80mg
GERMANI
NOVARTIS PHARM
10 mg
MEDOCHEMIE LTD. CIPRU
10 mg
ISLANDA
ACTAVIS GROUP P
10mg
PFIZER EUROPE M
M
10mg
ZENTIVA K.S.
CEHIA
10mg
SLOVENI
KRKA D.D. NOVO M
10mg
GLENMARK PHARMACEUTICALS S.R.O.
REPUBLICA CEHA
10mg
TERAPIA SA
ROMANIA
10mg
GERMANI
WORWAG
10mg
SANDOZ S.R.L.
ROMANIA
10mg
SANDOZ S.R.L.
ROMANIA
10mg
ROMANIA
TEVA PHARM
10mg
UNGARIA
EGIS PHARMA
10mg
ROMANIA
DR. REDDY'S L
10mg
ROMANIA
TORRENT PHARMA S
10mg
ROMANIA
LABORMED PHARMA
20 mg
MEDOCHEMIE LTD. CIPRU
20 mg
ISLANDA
ACTAVIS GROUP P
20mg
PFIZER EUROPE M
M

Pagina 37 din 101

CUTIE CU BLIST. DIN

CUTIE CU BLIST. OPA-AL-

P-6

P-6

CUTIE CU BLIST. DIN AL/AL X 3

P6L
P6L
P6L

CUTIE CU BLIST. DIN AL/AL X 3

P-6

CUTIE X 3 BLIST. X 10 COMPR. FILM

P-6

CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

CUTIE CU BLIST. OPA-AL-

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

28
30
28
28
30
28
30
28
30
28
28
28
28
30
28
28
28
30
30
28
28
28
28
28
56
28
56
28
56
28
28
28
28
30
30
30
30
30
30
30
30
30
90
28
30
30
30
30
30
30
30

56.93
39.59
35.50
35.50
46.28
51.49
55.16
73.02
73.91
68.91
68.91
75.22
73.04
73.91
68.91
68.91
52.93
56.77
73.02
69.19
77.42
104.85
79.57
104.85
252.74
128.66
252.74
128.66
214.81
113.26
15.98
29.09
46.24
18.38
16.75
41.50
10.57
19.43
21.14
21.05
16.75
21.23
55.45
19.83
18.77
27.86
27.86
19.43
26.90
24.56
53.41

Pret
amanuntul
maximal/UT
(RON)

2.033214
1.319666
1.267857
1.267857
1.542666
1.838928
1.838666
2.607857
2.463666
2.461071
2.461071
2.686428
2.608571
2.463666
2.461071
2.461071
1.890357
1.892333
2.434000
2.471071
2.765000
3.744642
2.841785
3.744642
4.513214
4.595000
4.513214
4.595000
3.835892
4.045000
0.570714
1.038928
1.651428
0.612666
0.558333
1.383333
0.352333
0.647666
0.704666
0.701666
0.558333
0.707666
0.616111
0.708214
0.625666
0.928666
0.928666
0.647666
0.896666
0.818666
1.780333

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
1.141071
4.162053
4.162053
4.162053
4.162053
3.835892
4.045000
0.482247
0.964494
1.651428
0.612666
0.558333
0.723371
0.352333
0.647666
0.704666
0.701666
0.558333
0.707666
0.616111
0.708214
0.625666
0.723371
0.723371
0.647666
0.896666
0.818666
1.446743

0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
0.570535
2.081026
2.081026
2.081026
2.081026
1.917946
2.022500
0.241123
0.482247
0.825714
0.306333
0.279166
0.361685
0.176166
0.323833
0.352333
0.350833
0.279166
0.353833
0.308055
0.354107
0.312833
0.361685
0.361685
0.323833
0.448333
0.409333
0.723371

Nr. crt

cod ATC

53 C10AA
54 C10AA
55 C10AA
56 C10AA
57 C10AA
58 C10AA
59 C10AA
60 C10AA
61 C10AA
62 C10AA
63 C10AA
64 C10AA
65 C10AA
66 C10AA
67 C10AA
68 C10AA
69 C10AA
70 C10AA
71 C10AA
72 C10AA
73 C10AA
74 C10AA
75 C10AA
76 C10AA
77 C10AA
78 C10AA
79 C10AA
80 C10AA
81 C10AA
82 C10AA
83 C10AA
84 C10AA
85 C10AA
86 C10AA
87 C10AA
88 C10AA
89 C10AA
90 C10AA
91 C10AA
92 C10AA
93 C10AA
94 C10AA
95 C10AA
96 C10AA
97 C10AA
98 C10AA
99 C10AA
00 C10AA
01 C10AA
02 C10AA
03 C10AA

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
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM

Denumire Comerciala

TORVACARD 20 mg
ATORIS 20 mg
GLETOR 20 mg
ASCORD 20 mg
ATORGAMMA 20 mg
TULIP 20 mg
TULIP 20 mg
ATILEN 20 mg
TORVAZIN 20 mg
XAMARA 20 mg
MODLIP 20 mg
VOREDANIN 20 mg
AMICOR 40 mg
AMICOR 40 mg
TORVALIPIN 40 mg
SORTIS 40 mg
TORVACARD 40 mg
ATORIS 40 mg
ATORIS 40 mg
GLETOR 40 mg
ASCORD 40 mg
ATORGAMMA 40 mg
TULIP 40 mg
TULIP 40 mg
ATILEN 40 mg
TORVAZIN 40 mg
XAMARA 40 mg
MODLIP 40 mg
VOREDANIN 40 mg
SORTIS 80 mg
ASCORD 80 mg
ATILEN 80 mg
XAMARA 80 mg
MODLIP 80 mg
TORVACARD 80 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSUVASTATINA TEVA 10 mg
ROXARDIO 10 mg
ROSTAT 10 mg
ROSWERA 10 mg
STARCREST 10 mg
TINTAROS 10 mg
SURVAL 10 mg
ROSUVASTATINA LABORMED 10 mg
CRESTOR 20 mg
ROSUCARD 20 mg
ROSUVASTATINA TEVA 20 mg
ROXARDIO 20 mg
ROSTAT 20 mg
ROSWERA 20 mg

forma farm.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM

concentratie

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40 mg
40 mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
20mg
20mg

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

ZENTIVA K.S.

CEHIA

CUTIE CU BLIST. AL/AL X 30 COMP

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. DIN

P-6

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-

P-6

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-

P-6

WORWAG

GERMANI

CUTIE CU BLIST. OPA-AL-

P-6

SANDOZ S.R.L.
SANDOZ S.R.L.
TEVA PHARM

EGIS PHARMA

DR. REDDY'S L

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMP


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMP
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMP
UNGARIA CUTIE CU BLIST. OPA-ALROMANIA CUTIE CU BLIST. OPA-ALROMANIA
ROMANIA CUTIE CU BLIST. OPA-AL-

P-6
P-6
P-6
P-6
P-6

CUTIE CU BLIST. DIN AL/AL X 3

P6L
P6L
P6L
P6L

CUTIE CU BLIST. DIN AL/AL X 3

P-6

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6

CEHIA

CUTIE CU BLIST. AL/AL X 30 COMP

P-6

CUTIE CU BLIST. DIN

P-6

KRKA D.D. NOVO M

SLOVENI
SLOVENI

CUTIE CU BLIST. DIN

P-6

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-

P-6

TERAPIA SA

ROMANIA

CUTIE X 3 BLIST. OPA-AL-

P-6

WORWAG

GERMANI

CUTIE CU BLIST. OPA-AL-

P-6

TORRENT PHARMA S
LABORMED PHARMA

CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
ISLANDA
ACTAVIS GROUP P

CUTIE CU BLIST. DIN AL/AL X 1

PFIZER EUROPE M

ZENTIVA K.S.
KRKA D.D. NOVO M

SANDOZ S.R.L.
SANDOZ S.R.L.

LABORMED PHARMA

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMP


ROMANIA CUTIE CU BLIST. AL/AL X 90 COMP
ROMANIA CUTIE CU BLIST. AL/AL X 28 COMP
UNGARIA CUTIE CU BLIST. OPA-ALROMANIA CUTIE CU BLIST. OPA-ALROMANIA
ROMANIA CUTIE CU BLIST. OPA-AL-

PFIZER EUROPE M

TEVA PHARM

EGIS PHARMA

DR. REDDY'S L

TORRENT PHARMA S

TERAPIA SA

CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

CUTIE X 2 BLIST. X 7 COMPR. FILM.

P-6
P-6
P-6
P-6
P-6

P6L
P6L
P-6

TORRENT PHARMA S

ROMANIA CUTIE X 3 BLIST. OPA-ALROMANIA CUTIE CU BLIST. AL/AL X 28 COMP


ROMANIA CUTIE CU BLIST. OPA-ALROMANIA

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-

P6L
P6L

ASTRAZENECA UK

CUTIE X 2 BLIST. X 14 COMPR. FILM

P-6

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU B

P-6

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU BLIST. OPA-AL-

P-6

TEVA PHARM

DR. REDDY'S L

CUTIE CU BLIST. OPA-AL-PVC/AL CU CAPSULA DIN POLISTIREN ROSU CE CONTINE GRANULE ABSORBANTE X 30 COMP

P-6
P-6
P-6

GEDEON RICHTER P

ROMANIA
ROMANIA
UNGARIA

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. OPA-AL-

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST. PVC-AL-

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-AL-

P6L
P6L
P6L
P6L

LABORMED PHARMA

ROMANIA

CUTIE CU BLIST. PA-AL-PVC

P-6

ASTRAZENECA UK

CUTIE X 2 BLIST. X 14 COMPR. FILM

P-6

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU B

P-6

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU BLIST. OPA-AL-

P6L

TEVA PHARM

SANDOZ S.R.L.

GEDEON RICHTER P

ROMANIA
ROMANIA
UNGARIA

KRKA D.D. NOVO M

SLOVENI

TEVA PHARM

SANDOZ S.R.L.

Pagina 38 din 101

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

30
30
30
30
30
30
90
28
30
30
30
30
14
30
30
14
30
14
30
30
30
30
30
90
28
30
30
30
30
14
30
28
30
30
30
28
30
30
28
30
30
30
28
30
28
28
30
30
28
30
30

15.82
29.45
31.51
34.71
24.14
30.65
79.50
31.37
28.64
34.71
34.71
29.45
28.58
59.26
50.55
45.27
32.68
25.86
53.61
63.06
56.69
52.86
61.73
152.32
58.84
52.68
63.04
63.04
53.61
72.66
101.21
94.46
101.21
101.21
44.03
105.02
24.08
53.55
45.03
73.16
53.56
59.03
39.44
53.56
39.13
149.38
26.72
92.42
80.72
109.71
92.43

Pret
amanuntul
maximal/UT
(RON)

0.527333
0.981666
1.050333
1.157000
0.804666
1.021666
0.883333
1.120357
0.954666
1.157000
1.157000
0.981666
2.041428
1.975333
1.685000
3.233571
1.089333
1.847142
1.787000
2.102000
1.889666
1.762000
2.057666
1.692444
2.101428
1.756000
2.101333
2.101333
1.787000
5.190000
3.373666
3.373571
3.373666
3.373666
1.467666
3.750714
0.802666
1.785000
1.608214
2.438666
1.785333
1.967666
1.408571
1.785333
1.397500
5.335000
0.890666
3.080666
2.882857
3.657000
3.081000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.527333
0.981666
1.050333
1.157000
0.804666
1.021666
0.883333
1.120357
0.954666
1.157000
1.157000
0.981666
2.041428
1.975333
1.685000
2.893487
1.089333
1.847142
1.787000
2.102000
1.889666
1.762000
2.057666
1.692444
2.101428
1.756000
2.101333
2.101333
1.787000
5.190000
3.373666
3.373571
3.373666
3.373666
1.467666
1.446743
0.802666
1.446743
1.446743
1.446743
1.446743
1.446743
1.408571
1.446743
1.397500
2.893487
0.890666
2.893487
2.882857
2.893487
2.893487

0.263666
0.490833
0.525166
0.578500
0.402333
0.510833
0.441666
0.560178
0.477333
0.578500
0.578500
0.490833
1.020714
0.987666
0.842500
1.446743
0.544666
0.923571
0.893500
1.051000
0.944833
0.881000
1.028833
0.846222
1.050714
0.878000
1.050666
1.050666
0.893500
2.595000
1.686833
1.686785
1.686833
1.686833
0.733833
0.723371
0.401333
0.723371
0.723371
0.723371
0.723371
0.723371
0.704285
0.723371
0.698750
1.446743
0.445333
1.446743
1.441428
1.446743
1.446743

Nr. crt

cod ATC

04 C10AA
05 C10AA
06 C10AA
07 C10AA
08 C10AA
09 C10AA
10 C10AA

511 C10AA
12 C10AA
13 C10AA
14 C10AA
15 C10AA
16 C10AA
17 C10AA
18 C10AA
19 C10AA
20 C10AA
21 C10AA
22 C10AA
23 C10AA
24 C10AB
25 C10AX
26 C10AX
27 C10AX
28 C10AX
29 C10BX
30 C10BX
31 C10BX
32 C10BX
33 C10BX
34 C10BX
35 D01BA
36 D01BA
37 D01BA
38 D01BA
39 D01BA
40 D01BA
41 D01BA
42 D01BA
43 D05AX
44 D05AX
45 D05AX
46 D05BB
47 D06AX
48 D06AX
49 D06BA
50 D06BB
51 D06BB
52 D06BB
53 D07AB
54 D07AB

DCI

ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
BEZAFIBRATUM
ACID OMEGA-3-ESTERI ETILICI 90**
ACID OMEGA-3-ESTERI ETILICI 90**
EZETIMIBUM
EZETIMIBUM

Denumire Comerciala

STARCREST 20 mg
TINTAROS 20 mg
SURVAL 20 mg
ROSUVASTATINA LABORMED 20 mg
ROSUCARD 40 mg
ROSUVASTATINA TEVA 40 mg
ROSTAT 40 mg
ROSWERA 40 mg
TINTAROS 40 mg
SURVAL 40 mg
ROSUVASTATINA LABORMED 40 mg
CRESTOR 5 mg
ROSUVASTATINA TEVA 5 mg
ROXARDIO 5 mg
ROSTAT 5 mg
ROSWERA 5 mg
STARCREST 5 mg
TINTAROS 5 mg
SURVAL 5 mg
ROSUVASTATINA LABORMED 5 mg
REGADRIN (R) B
TEVOCOR 1000 mg
OMACOR (R)
EZETROL (R)
EZETROL (R)
CADUET 10mg/10mg
COMBINATII (ATORVASTATIN
DUPLECOR 10 mg/10 mg
COMBINATII (ATORVASTATIN
DUPLECOR 10 mg/5 mg
COMBINATII (ATORVASTATIN
DUPLECOR 20 mg/10 mg
COMBINATII (ATORVASTATIN
DUPLECOR 20 mg/5 mg
COMBINATII (ATORVASTATIN
CADUET 5mg/10mg
COMBINATII (ATORVASTATIN
TERBINAFINUM
LAMISIL (R)
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINARAN
TERBINAFINUM
TERBINAFINE 250 mg
TERBINAFINUM
TERBINAFINA SLAVIA 250mg
TERBINAFINUM
TERBINAFINA BIOGALENICA 250 mg
TERBINAFINUM
EXIFINE 250 mg
TERBINAFINUM
TERBISIL 250 mg
XAMIOL 50 micrograme/ 0,5 mg/g
COMBINATII (CALCIP
DAIVOBET 50 micrograme/0,5 mg/g
COMBINATII (CALCIP
DAIVOBET 50 micrograme/0,5mg/g
COMBINATII (CALCIP
ACITRETINUM**
NEOTIGASON 10 mg
ACIDUM FUSIDICUM
FUCIDIN 20 mg/g
ACIDUM FUSIDICUM
FUCIDIN 20 mg/g
SULFADIAZINUM
FLAMMAZINE
PODOPHYLLOTOXINUM*
WARTEC 1,5 mg/g
PODOPHYLLOTOXINUM*
CONDYLINE
IMIQUIMODUM*
ALDARA 5%
HYDROCORTISONUM BUTYRATUM LOCOID (R) crema 0,1%
HYDROCORTISONUM BUTYRATUM LOCOID (R) LIPOCREAM 0,1%

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

DRAJ.
CAPS. MOI
CAPS. MOI
COMPR.
COMPR.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL
GEL
UNGUENT
CAPS.
CREMA
UNGUENT
CREMA
CREMA
SOL. CUT.
CREMA
CREMA
CREMA

concentratie

20mg
20mg
20mg
20mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
200mg
1000 mg
1000mg
10mg
10mg
10mg/10mg
10mg/10mg
10mg/5mg
20mg/10mg
20mg/5mg
5mg/10mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
0,5 mg/g

Detinator APP

tara det.
APP

Ambalaj

Prescriptie

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST. PVC-AL-

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-AL-

P6L
P6L
P6L

LABORMED PHARMA

ROMANIA

CUTIE CU BLIST. PA-AL-PVC

P-6

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU B

P-6

CUTIE CU BLIST. OPA-AL-

P-6

GEDEON RICHTER P

ROMANIA
UNGARIA

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. OPA-AL-

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-AL-

P6L
P6L
P6L

LABORMED PHARMA

ROMANIA

CUTIE CU BLIST. PA-AL-PVC

P-6

ASTRAZENECA UK

CUTIE X 2 BLIST. AL/AL X 14 COMP

P-6

CUTIE CU B

P-6

CUTIE CU BLIST. OPA-AL-

P-6

CUTIE CU BLIST. OPA-AL-

P-6

TEVA PHARM

GEDEON RICHTER P

ROMANIA
ROMANIA
UNGARIA

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. OPA-AL-

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST. PVC-AL-

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-AL-

P6L
P6L
P6L
P6L

LABORMED PHARMA

ROMANIA

CUTIE CU BLIST. PA-AL-PVC

P-6

BE

GERMANI

CUTIE X 5 BLIST. X 10 DRAJ.

P-6

TEVA PHARM

ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL

PRONOV

NORVEGI

TEVA PHARM

SANDOZ S.R.L.

FALC. DIN PEID X 28 CAPS. MOI

PRF
P-R
P-R

MERCK SHARP &

ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/A


ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/A

PFIZER EUROPE M

CUTIE X 3 BLIST. PA-A

P-6

MERCK SHARP &

P-R

GEDEON RIC

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

P6L
P6L
P6L
P6L

PFIZER EUROPE M

CUTIE X 3 BLIST. PA-A

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 1 BLIST. X 14 COMPR.

P-R

CUTIE X 3 BLIST. AL/PVDC-PVC

P-R

CUTIE X 4 BLIST. AL/PVDC-PVC X

P-R

GEDEON RIC
GEDEON RIC
GEDEON RIC

RANBAXY UK LIMITE
RANBAXY UK LIMITE

CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.


CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.
CUTIE CU BLIST. ALBE, OPACE DIN PA/AL/PVC/AL X 30 COMPR. FILM.

ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL


SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMP
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COM

P-R
P-R
P-R

GEDEON RIC

ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL


ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 C

LEO P

DANEM

CUTIE CU 1 FLAC. PEID X 15 G GEL

P-R

50m

LEO PHARMA A/S

DANEM

CUTIE CU 1 FLAC. PEID CU DUZA DIN PEJD SI CAPAC DIN PEID X 30 G GEL

PRF

50m

LEO P

DANEM

CUTIE CU 1 TUB DIN A

P-R

ACTAVIS GROUP P

ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X

LEO P

DANEM

CUTIE X 1 TUB DIN AL X 15 G CRE

P-R

LEO P

DANEM

CUTIE X 1 TUB DIN AL X 15 G U

P-R

CN UNIFARM

ROMANIA BORCAN X 500 G CREMA


ROMANIA CUTIE X 1 TUB X 5 G CREMA

10mg
20mg/g
20mg/g
1%
1,5 mg/g
5mg/ml
5%
0,1%
0,1%

DR. REDDY'S L

GLAXOSMITHKL
ASTELLAS

MEDA AB
ASTELLAS
ASTELLAS

Pagina 39 din 101

OLANDA
SUEDIA CUTIE X 12 PLICUR
OLANDA CUTIE X 1 TUB DIN AL X 30 G
OLANDA CUTIE X 1 TUB DIN AL X 30 G

CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE

P-R
P-R

P-R

PRF
P-R
P-R
P-R
P-R
P-R

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

30
28
30
28
30
30
30
30
28
30
28
28
30
28
30
30
30
28
30
28
50
30
28
14
28
30
30
30
30
30
30
14
30
28
28
14
28
14
28
1
1
1
30
1
1
1
1
1
12
1
1

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

95.09
3.169666
2.893487
52.95
1.891071
1.891071
92.43
3.081000
2.893487
69.09
2.467500
2.467500
50.56
1.685333
1.685333
109.71
3.657000
3.657000
109.71
3.657000
3.657000
109.71
3.657000
3.657000
68.64
2.451428
2.451428
109.71
3.657000
3.657000
90.19
3.221071
3.221071
91.37
3.263214
0.723371
50.53
1.684333
0.723371
32.48
1.160000
0.723371
64.78
2.159333
0.723371
50.55
1.685000
0.723371
50.53
1.684333
0.723371
27.73
0.990357
0.723371
50.55
1.685000
0.723371
38.78
1.385000
0.723371
28.55
0.571000
0.571000
70.92
2.364000
2.364000
100.04
3.572857
2.399592
95.45
6.817857
6.552410
180.99
6.463928
6.463928
81.46
2.715333
1.927916
55.75
1.858333
1.858333
48.82
1.627333
1.627333
71.26
2.375333
1.927916
64.10
2.136666
1.927916
71.34
2.378000
1.927916
87.90
6.278571
1.178125
234.95
7.831666
1.178125
107.44
3.837142
1.178125
29.74
1.062142
1.062142
18.21
1.300714
1.178125
31.99
1.142500
1.142500
16.66
1.190000
1.178125
108.77
3.884642
1.178125
81.72 81.720000 67.575000
108.59 108.590000 67.575000
53.43 53.430000 53.430000
74.74
2.491333
2.491333
15.19 15.190000 15.190000
15.19 15.190000 15.190000
105.59 105.590000 105.590000
85.55 85.550000 45.803214
75.96 75.960000 75.960000
265.43 22.119166 22.119166
12.93 12.930000 12.407500
13.39 13.390000 12.407500

1.446743
0.945535
1.446743
1.233750
0.842666
1.828500
1.828500
1.828500
1.225714
1.828500
1.610535
0.361685
0.361685
0.361685
0.361685
0.361685
0.361685
0.361685
0.361685
0.361685
0.285500
1.182000
1.199796
3.276205
3.231964
0.963958
0.929166
0.813666
0.963958
0.963958
0.963958
0.589062
0.589062
0.589062
0.531071
0.589062
0.571250
0.589062
0.589062
33.787500
33.787500
26.715000
1.245666
7.595000
7.595000
52.795000
22.901607
37.980000
11.059583
6.203750
6.203750

Nr. crt

DCI

cod ATC

55 D07AB
56 D07AB
57 D07AC
58 D07AC
59 D07AC
60 D07AC
61 D07AC
62 D07AC
63 D07AC
64 D07AC
65 D07AC
66 D07AC
67 D07AC
68 D07AC
69 D07AC

HYDROCORTISONUM BUTYRATUM
HYDROCORTISONUM BUTYRATUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
MOMETASONUM
METHYLPREDNISOLONUM ACEPO
METHYLPREDNISOLONUM ACEPO
METHYLPREDNISOLONUM ACEPO
METHYLPREDNISOLONUM ACEPO
METHYLPREDNISOLONUM ACEPO
METHYLPREDNISOLONUM ACEPO
METHYLPREDNISOLONUM ACEPO
METHYLPREDNISOLONUM ACEPO

74 D07AD

FLUTICASONUM PROPIONAT
FLUTICASONUM PROPIONAT
CLOBETASOLUM*
CLOBETASOLUM*
CLOBETASOLUM*

75 D07CA

COMBINATII (ACID

76 D07C

COMBINATII (ACID

77 D07XC

COMBINATII (MOMETASONUM

78 D07XC

COMBINATII (MOMETASONUM

79 D10AD

COMBINATII (ISOTRETINOI

80 D10AX

93 G01AF

ACIDUM AZELAICUM
ACIDUM AZELAICUM
ACIDUM AZELAICUM
ISOTRETINOINUM**
ISOTRETINOINUM**
ISOTRETINOINUM**
COMBINATII
COMBINATII
COMBINATII
COMBINATII
FENTICONAZOLUM
FENTICONAZOLUM
FENTICONAZOLUM
BUTOCONAZOLUM

94 G01AF

COMBINATII (METRONI

95 G01AF

COMBINATII (METRONI

96 G01AF

COMBINATII (METRONI

97 G01AF

COMBINATII (METRONI

98 G01AF

COMBINATII (METRONI

70 D07AC
71 D07AC
72 D07AD
73 D07AD

81 D10AX
82 D10AX
83 D10BA
84 D10BA
85 D10BA
86 G01AA
87 G01AA
88 G01AA
89 G01AA
90 G01AF
91 G01AF
92 G01AF

99 G02C
00 G02C
01 G03A
02 G03C
03 G03C
04 G03C
05 G03C

CABERGOLINUM*
CABERGOLINUM*
LEVONORGESTRELUM***#
ESTRIOLUM*
PROMESTRIENUM*
PROMESTRIENUM*
TIBOLONUM**

Denumire Comerciala

LOCOID CRELO (R) 0,1%


LOCOID (R)
ELOCOM
MOMETAZONA ATB 1 mg/g
ELOCOM
ELOCOM
MOMETAZONA ATB 1 mg/g
ADVANTAN
ADVANTAN 1mg/g crema
ADVANTAN 1mg/g crema
ADVANTAN MILK 1mg/g
ADVANTAN MILK 1mg/g
ADVANTAN
ADVANTAN 1mg/g unguent
ADVANTAN 1mg/g unguent
CUTIVATE
CUTIVATE
DERMOVATE 0,5 mg/g
DERMOVATE (R)
DERMOVATE 0,5 mg/g
FUCIDIN H
FUCICORT 20 mg/1mg pe gram
ELOSALIC 1mg+5mg/gram
ELOSALIC 1mg+5mg/gram
ISOTREXIN GEL
SKINOREN
SKINOREN 150mg/g
SKINOREN 150mg/g
ROACCUTANE 10 mg
SOTRET 10 mg
SOTRET 20 mg
MACMIROR COMPLEX
POLYGYNAX
POLYGYNAX
MACMIROR COMPLEX
LOMEXIN 1000 mg
LOMEXIN 600 mg
LOMEXIN CREMA VAGINALA
GYNOFORT 2%
MECLODIN
MECLON
MECLON
MECLON
MECLON
DOSTINEX
DOSTINEX
MIRENA 20 mcg/24 h
OVESTIN
COLPOTROPHINE (R)
COLPOTROPHINE (R)
LIVIAL (R) 2,5 mg

forma farm. concentratie


EMULSIE CUT 0.1%

SOL. CUT.
CREMA
CREMA
SOL. CUT.
UNGUENT
UNGUENT
CREMA
CREMA
CREMA

0,1%
1mg/g
1mg/g
1mg/g
1mg/g
1mg/g
1mg/g
1mg/g
1mg/g
EMULSIE CUT 1mg/g
EMULSIE CUT 1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
UNGUENT
1mg/g
CREMA
0,05%
UNGUENT
0,005%
CREMA
0,5mg/g
SOL. CUT.
0,05%
UNGUENT
0,5mg/g
CREMA
F
CREMA
20mg/1mg
UNGUENT
1mg+5mg/gr
UNGUENT
1mg+5mg/gr
GEL
0,05%/0,2%
CREMA
200mg/g
GEL
150mg/g
GEL
150mg/g
CAPS. MOI 10mg
CAPS. MOI 10mg
CAPS. MOI 20mg

Detinator APP
ASTELLAS
ASTELLAS

SCHERING PLO

ANTIBIOTICE SA
SCHERING PLO
SCHERING PLO

ANTIBIOTICE SA
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

COMPR.
COMPR.

0,5mg
0,5mg
DISPOZITIV INTRAUTERIN 52mg
OVULE
0,5mg
10mg
CAPS. MOI V
CREMA VAG. 1%
COMPR.
2,5mg

Ambalaj

Prescriptie

OLANDA CUTIE X 1 FLACON X 30 G


P-R
OLANDA CUTIE X 1 FLACON PICURATOR
P-R
BELGIA CUTIE X 1 TUB DIN AL X 15 G
P-R
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG P6L
BELGIA CUTIE X 1 FLACON DIN P
P-R
BELGIA CUTIE X 1 TUB DIN AL X 15 G
P-R
ROMANIA CUTIE CU 1 TUB DIN AL X 15 G UNG P6L
GERMANI
GERMANI
GERMANI

CUTIE X 1 TUB DIN AL X 15 G CREM


CUTIE X 1 TUB DIN AL X 15 G CREM
CUTIE X 1 TUB DIN AL X 30 G CREM

CUTIE X 1 TUB X 20 G
GERMANI CUTIE X 1 TUB X 50 G
GERMANI

P-R
P-R
P-R
P-R
P-R

GERMANI

CUTIE X 1 TUB DIN AL X 15 G UN

P-R

GERMANI

CUTIE X 1 TUB DIN AL X 15 G UN

P-R

GERMANI

CUTIE X 1 TUB DIN AL X 30 G UN

P-R

GLAXO WELL

CUTIE X 1 TUB DIN AL X 15 G CREM

P-R

GLAXO WELL

CUTIE X 1 TUB DIN AL X 15 G UN

P-R

GLAXO WELLCOME

CUTIE CU 1 TUB AL X 25 G CREMA

P-R

GLAXO WELLCOME

CUTIE X 1 FLACON CU P

P-R

GLAXO WELLCOME

P-R

LEO P

DANEM

CUTIE CU 1 TUB AL X 25 G UNGUE


CUTIE X 1 TUB DIN AL X 15 G CREM

LEO P

DANEM

CUTIE X 1 TUB DIN AL X 15 G CRE

P-R

MERCK SHARP &


MERCK SHARP &

ROMANIA CUTIE X 1 TUB DIN AL X 45 G


ROMANIA CUTIE X 1 TUB DIN AL X 15 G

STIEFEL LABORATORIES IRELAND LTD.

CUTIE X 1 TUB DIN AL X 30 G GEL

P-R

INTENDIS GMBH
INTENDIS GMBH
INTENDIS GMBH

GERMANI

CUTIE X 1 TUB DIN AL X 30 G CREM

P-R

ROCHE ROMANIA SR

ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC-PE-

P-R

CUTIE X 3 BLIST.

P-R

CUTIE X 3 BLIST.

P-R

LUXEM

CUTIE X 1 BLIST. AL/PVD

P-R

FRANTA
FRANTA

CUTIE X 1 BLIST. AL/PVC X 6 CA

P-R

CUTIE X 2 BLIST. AL/PVC X 6 CA

P-R

LUXEM

CUTIE X 1 TUB DIN AL

P-R

CUTIE X 1 BLIST. PVC/PVDC

P-R

CUTIE X 1 BLIST. PVC/

P-R

CUTIE X 1 TUB AL + APLICATO

P-R

CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG.

P-R

CUTIE X 2 B

P-R

CUTIE X 1 TUB DIN AL X 30 G

P-R

CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA

P-R

CUTIE X 2 FOLII PVC-PE X 5 OVULE

P-R

CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE

P-R

TERAPIA S.A.
TERAPIA S.A.
POLICHEM SA
CAPS. MOI V
500mg/2000
LAB. INNOTECH INT.
CAPS. MOI V
F
LAB. INNOTECH INT.
CAPS. MOI V
F
CREMA VAG. 10g/400000U POLICHEM SA
1000mg
RECORDATI SPA
CAPS. MOI V
600mg
RECORDATI SPA
CAPS. MOI V
CREMA VAG. 2%
RECORDATI SPA
CREMA VAG. F
GEDEON RIC
ARENA GROUP S.A.
COMPR. VAG. 500mg/200m
CREMA
ALFA WASSERMAN
F
CREMA VAG. F
ALFA WASSERMAN
OVULE
ALFA WASSERMAN
F
SOL. VAGIN

tara det.
APP

CUTIE X 1 TUB AL X 50 G GEL


GERMANI CUTIE X 1 TUB AL X 30 G GEL
GERMANI

ITALIA
ITALIA
ITALIA
ROMANIA
ROMANIA

ALFA WASSERMAN

ITALIA
ITALIA
ITALIA
ITALIA

PFIZER EUROPE M

PFIZER EUROPE M

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

BAYER SCHER

FINLAND

CUTIE

ORGANON NV
LAB. THERAMEX
LAB. THERAMEX
ORGANON NV

OLANDA CUTIE X 3 FOLII X 5 OVULE


MONACO CUTIE X 1 BLIST. AL/PVC X 10
MONACO CUTIE X 1 TUB X 15 G
OLANDA CUTIE X 1 BLIST. X 28 COMPR.

Pagina 40 din 101

P-R

P-R
P-R

P-R
P-R

P-R
P-R
P-R
P-R
P-R
P-R
P-R

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

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1 12.80 12.800000 12.407500


6.203750
1 11.23 11.230000 11.230000
5.615000
1 15.69 15.690000 10.180000
5.090000
1 10.18 10.180000 10.180000
5.090000
1 18.78 18.780000 13.573333
6.786666
1 15.69 15.690000 10.180000
5.090000
1 10.18 10.180000 10.180000
5.090000
1 12.70 12.700000 12.013125
6.006562
1 12.70 12.700000 12.013125
6.006562
1 24.16 24.160000 24.026250 12.013125
1 15.75 15.750000 15.750000
7.875000
1 34.03 34.030000 34.030000 17.015000
1 12.99 12.990000 12.013125
6.006562
1 12.99 12.990000 12.013125
6.006562
1 24.16 24.160000 24.026250 12.013125
1 10.31 10.310000 10.310000
5.155000
1 10.31 10.310000 10.310000
5.155000
1 12.08 12.080000
6.354000
3.177000
1
5.21
5.210000
5.210000
2.605000
1
8.91
8.910000
6.354000
3.177000
1 21.74 21.740000 21.740000 10.870000
1 23.82 23.820000 23.820000 11.910000
1 47.00 47.000000 47.000000 23.500000
1 16.66 16.660000 15.915000
7.957500
1 36.22 36.220000 36.220000 18.110000
1 34.10 34.100000 28.492000 14.246000
1 46.69 46.690000 46.690000 23.345000
1 28.97 28.970000 28.492000 14.246000
30 53.29
1.776333
1.087166
0.543583
30 33.09
1.103000
1.087166
0.543583
30 64.28
2.142666
2.142666
1.071333
12 38.11
3.175833
2.404332
1.202166
6 17.46
2.910000
2.404332
1.202166
12 33.74
2.811666
2.404332
1.202166
1 35.47 35.470000 35.470000 17.735000
2 51.21 25.605000 15.644998
7.822499
1 20.09 20.090000
9.386999
4.693499
1 36.01 36.010000 24.406197 12.203098
1 40.29 40.290000
1.564499
0.782249
10 15.01
1.501000
0.850500
0.425250
1
9.63
9.630000
9.630000
4.815000
1 12.87 12.870000 12.870000
6.435000
10 11.17
1.117000
0.850500
0.425250
5 21.99
4.398000
0.850500
0.425250
2 43.59 21.795000
8.262750
4.131375
8 123.74 15.467500
8.262750
4.131375
1 513.53 513.530000 513.530000 256.765000
15 20.62
1.374666
1.374666
0.687333
10 12.08
1.208000
0.663539
0.331769
1 13.87 13.870000
9.953098
4.976549
28 72.82
2.600714
2.600714
1.300357

Nr. crt

cod ATC

06 G03D
07 G03D
08 G03D
09 G03D
10 G03D

611 G03D
12 G03D
13 G03D
14 G03FA
15 G03FA
16 G03FA
17 G03FB
18 G03FB
19 G03FB
20 G03G
21 G03G
22 G03G
23 G03G
24 G03G
25 G03G
26 G03G
27 G03G
28 G03G
29 G03X
30 G04B
31 G04B
32 G04B
33 G04B
34 G04B
35 G04B
36 G04B
37 G04B
38 G04B
39 G04B
40 G04B
41 G04C
42 G04C
43 G04C
44 G04C
45 G04C
46 G04C
47 G04C
48 G04C
49 G04C
50 G04C
51 G04C
52 G04C
53 G04C
54 G04C
55 G04C
56 G04C

DCI

PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
PROGESTERONUM*
DYDROGESTERONUM*
LYNESTRENOLUM*
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM ALFA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
FOLLITROPINUM BETA****#
LUTROPINUM ALFA****#
CLOMIFENUM
RALOXIFENUM
OXYBUTYNINUM
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
TOLTERODINUM**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
TROSPIUM
TROSPIUM
ALFUZOSINUM
ALFUZOSINUM
ALFUZOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
TAMSULOSINUM
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*
FINASTERIDUM*

Denumire Comerciala

forma farm.

UTROGESTAN (R) 100 mg


AREFAM 100 mg
AREFAM 100 mg
UTROGESTAN (R) 200 mg
AREFAM 200 mg
PROGESTOGEL 10 mg/g
DUPHASTON 10 mg
ORGAMETRIL
FEMOSTON CONTI 1 mg/ 5mg
FEMOSTON (R) conti 1/5
ANGELIQ
CYCLO PROGINOVA (R)
FEMOSTON 2/10
FEMOSTON 2/10
GONAL - f 75 UI (5,5 mcg)
GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml)
GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml)
GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml)
PUREGON 100UI/0,5ml
PUREGON 300UI/0,36 ml
PUREGON 900UI/1,08 ml
LUVERIS 75UI
CLOSTILBEGYT
EVISTA 60mg
DRIPTANE ( R ) 5 mg
DETRUSITOL SR 4 mg
UROFLOW 1
TOLTERODINA ACCORD 2 mg
UROFLOW 2
ZEVESIN 10 mg
VESICARE 10 mg
ZEVESIN 5 mg
VESICARE 5 mg
INKONTAN 15 mg
INKONTAN 30 mg
ALFURAN MR 10 mg
XATRAL SR 10 mg
XATRAL LP 5 mg
TAMSOL 0,4 mg
FOKUSIN
CONTIFLO MR
TANYZ
TAMSUNORM 0,4 mg

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
GEL

TAMSULOSIN AUROBINDO 400 microgra

TAMSULOSIN TEVA 400 g


TANYZ 0,4 mg
OMNIC TOCAS (R) 0,4
PROSCAR 5 mg
PROSCAR 5 mg
FINASTERIDE TEVA 5mg
TAREDOX 5 mg

concentratie

100mg
100mg
100mg
200mg
200mg
10mg/g
COMPR. FILM 10mg
COMPR.
5mg
COMPR. FILM 1mg/5mg

Detinator APP
LAB. BESINS I

tara det.
APP

Ambalaj

FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI

LADEE PHARMA KFT. UNGARIA


UNGARIA
MEDICO UNO PHA

Prescriptie

P-6

CUTIE X 2 BLIST. PVC-PVDC/

P-6

CUTIE X 2 BLIST. PVC-PVDC/

P-6

LAB. BESINS I

FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS

P-6

MEDICO UNO PHA

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL

P-6

LABORATOIRES BESINS INTERNATIONAL

FRANTA/GERMANIA

CUTIE CU 1 T

PRF

SOLVAY PHA

OLANDA CUTIE CU 1 BLIST. PVC/AL X 20


OLANDA CUTIE X 1 BLIST. X 30 COMPR.
OLANDA CUTIE CU 1 B
OLANDA CUTIE X 1 BLIST. X 28 COMPR. FILM

BAYER SCHER

GERMANI

CUTIE X 1 BLI

P-R

BAYER SCHER

GERMANI

CUTIE X 1 BLIST. TIP CALE

P-R

SOLVAY PHA

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

P-R

AB

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL

P-R

SERONO EUROPE L
SERONO EUROPE L
SERONO EUROPE L
SERONO EUROPE L

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. X 1 ML SOLV.

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM.

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA

P-RF/R

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA

P-RF/R

CAPS. ELIB

75UI
300UI/0,5ml
450UI/0,75ml
900UI/0,75ml
100UI/0,5ml
300UI/0,36ml
900UI/1,08ml
75UI
50mg
60mg
5mg
4mg
1mg
2mg
2mg
10 mg
10mg
5 mg
5mg
15mg
30mg
10mg
10mg
5mg
0,4mg
0,4mg
0,4mg
0,4mg
0,4mg

CAPS. ELIB

400microgra

COMPR. FILM
COMPR. FILM

DRAJ.
COMPR. FILM
COMPR. FILM
PULB. + SOLV. PT. SOL. INJ.
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SOL. INJ.
SOL. INJ.
SOL. INJ.
P

COMPR.
COMPR. FILM

COMPR.
CAPS. ELIB

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

CAPS. ELI
CAPS. ELI

CAPS. ELIB
CAPS. ELIB

COMPR. CU ELIB. PRELUNGITA

COMPR.
COMPR. FILM. ELIB. PREL.

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

400 g
0,4mg
0,4mg
5mg
5mg
5mg
5mg

AB

ORGANON NV
AB

OLANDA
OLANDA

P-R

P-6
P-6
P-R

N. V. ORGANON
N. V. ORGANON
N. V. ORGANON

OLANDA CUTIE X 1 FLACON DIN STICL


OLANDA CUTIE X 1 CARTUS + 6 ACE
OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 A

SERONO EUROPE L

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.+ 1 FLAC. A 2 ML SAU 3 ML X 1 ML SOLV.

P-RF/R

EGIS PHARMA

UNGARIA

CUTIE X 1 FLAC. DIN STICL

P-R

DAIICHI S

GERMANI

CUTIE X 28 COMPR. FILM. (BLIST.

P-R

LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COM

PR/PRF
PR/PRF
PR/PRF

P-6

PFIZER EUROPE M

CUTIE X 4 BLIST. X 7 CAPS. ELIB.

P-6

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/

P6L

ACCORD HEA

CUTIE CU BLIST. PVC-PVDC/

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/

REPUBLICA CEHA

CUTIE CU BLIST. OPA/AL/P

P6L
P6L

ASTELLAS

OLANDA

CUTIE X 3 BLIST. AL/PVC X 10 C

P-6

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA/AL/P

P6L

OLANDA
AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. AL/PVC X 10 C

P-6

CUTIE X 3 BLIST. AL/PVC X 10 C

P-6

CUTIE X 3 BLIST. AL/PVC X 10 C

P-6

CUTIE X 3 BLIST.

P-6

CUTIE X 3 BLIST. AL/PVCX 1

P-6

CUTIE X 2 BLIST. PV

P-6

CUTIE X 3 BLIST.

P-6

ZENTIVA K.S.
ZENTIVA K.S.

ASTELLAS
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.
PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H.

TERAPIA SA
SANOFI-AVE
SANOFI-AVE

GEDEON RIC

ROMANIA
ROMANIA
ROMANIA
ROMANIA

ZENTIVA KS
RANBAXY UK LTD.

CEHIA

CUTIE X 3 BLIST. PVC-

P-6

CUTIE X 3 BLIST. P

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE X 3 BLIST. P

P-6

ICN POLFA RZESZO

CUTIE CU BLIST. PVC-P

P-6

AUROBINDO PHARMA (MALTA) LIMITED

POLONIA
MALTA

TEVA PHARM

ROMANIA

CUTI

KRKA D.D., NOVO

SLOVENI

CUTIE CU BLIST

P6L
P6L
P6L

ASTELLAS

OLANDA

CUTIE X 3 FOLII AL/AL X

P-6

MERCK SHARP &


MERCK SHARP &
TEVA PHARMAC

DR. REDDY'S L

Pagina 41 din 101

CUTIE CU BLIST. P

ROMANIA CUTIE X 1 BLIST. PVC/PE/


ROMANIA CUTIE X 2 BLIST. PVC/PE/
ROMANIA CUTIE CU BLIST. PVC-PVDC/
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMP

P-6
P-6
P-6
P-6

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

30
30
30
14
30
1
20
30
28
28
28
21
28
28
1
1
1
1
1
1
1
1
10
28
60
28
28
28
28
30
30
30
30
30
30
30
30
28
30
30
30
30
30
30
30
30
30
14
28
30
28

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

30.00
1.000000
0.649666
0.324833
19.49
0.649666
0.649666
0.324833
19.49
0.649666
0.649666
0.324833
30.00
2.142857
1.299332
0.649666
37.74
1.258000
1.258000
0.629000
21.14 21.140000 21.140000 10.570000
21.57
1.078500
1.078500
0.539250
9.12
0.304000
0.304000
0.152000
28.91
1.032500
1.032500
0.516250
28.91
1.032500
1.032500
0.516250
68.38
2.442142
1.032500
0.516250
8.07
0.384285
0.384285
0.192142
30.99
1.106785
0.670981
0.335490
30.99
1.106785
0.670981
0.335490
137.81 137.810000 123.093333 61.546666
527.76 527.760000 492.373333 246.186666
756.26 756.260000 738.560000 369.280000
,441.72 ,441.720000 ,441.720000 720.860000
200.89 200.890000 164.124403 82.062201
517.31 517.310000 492.176384 246.088192
,410.83 ,410.830000 ,410.830000 705.415000
146.72 146.720000 146.720000 73.360000
14.31
1.431000
1.431000
0.715500
124.97
4.463214
4.463214
2.231607
26.63
0.443833
0.443833
0.221916
174.60
6.235714
2.361299
1.180649
22.20
0.792857
0.590324
0.295162
48.46
1.730714
1.180649
0.590324
26.66
0.952142
0.952142
0.476071
147.62
4.920666
4.722599
2.361299
227.12
7.570666
4.722599
2.361299
83.61
2.787000
2.361299
1.180649
183.34
6.111333
2.361299
1.180649
38.11
1.270333
0.885487
0.442743
63.52
2.117333
1.770974
0.885487
36.04
1.201333
1.201333
0.600666
40.59
1.353000
1.353000
0.676500
15.72
0.561428
0.561428
0.280714
36.34
1.211333
1.211333
0.605666
21.00
0.700000
0.700000
0.350000
26.93
0.897666
0.897666
0.448833
21.20
0.706666
0.706666
0.353333
22.96
0.765333
0.765333
0.382666
26.93
0.897666
0.897666
0.448833
20.08
0.669333
0.669333
0.334666
31.90
1.063333
1.063333
0.531666
63.98
2.132666
1.515857
0.757928
33.27
2.376428
1.175357
0.587678
64.36
2.298571
1.175357
0.587678
35.18
1.172666
1.172666
0.586333
32.91
1.175357
1.175357
0.587678

Nr. crt

cod ATC

57 G04C
58 G04C
59 H01AA
60 H01AC
61 H01AC
62 H01AC
63 H01AC
64 H01AC
65 H01AC
66 H01AC
67 H01AC
68 H01AC
69 H01C
70 H01C
71 H02AA
72 H02AB
73 H02AB
74 H02AB
75 H03BB
76 H03BB
77 H03BB
78 H03BB
79 H05BA
80 H05BA
81 H05BA
82 H05BA
83 J01CR
84 J01CR
85 J01CR
86 J01CR
87 J01DD
88 J01DD
89 J01FA
90 J01FA
91 J01FA
92 J01FA
93 J01FA
94 J01FA
95 J01FA
96 J01FA
97 J01FA
98 J01FA
99 J01FA
00 J01FA
01 J01FA
02 J01FA
03 J01FA
04 J01FA
05 J01FA
06 J01FA
07 J01FA

DCI

FINASTERIDUM*
DUTASTERIDUM*
TETRACOSACTIDUM
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
SOMATROPINUM***#
GANIRELIXUM***#
CETRORELIXUM***#
FLUDROCORTISONUM
BETAMETHASONUM
PREDNISOLONUM
PREDNISOLONUM
CARBIMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
CALCITONINUM (SOMON)
AMPICILLINUM + SULBACTAM
AMPICILLINUM + SULBACTAM
SULTAMICILLINUM
SULTAMICILLINUM
CEFTIBUTENUM
CEFTIBUTENUM
SPIRAMYCINUM
SPIRAMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM

Denumire Comerciala

FINASTERIDA BIOGALENICA 5 mg
AVODART 0,5 mg
SYNACHTEN DEPOT
ZOMACTON
GENOTROPIN (R) 16 ui (5,3 mg)
OMNITROPE 15mg/1,5ml
NUTROPINAq 10 mg/2 ml
OMNITROPE 3,3mg/ml
OMNITROPE 6,7mg/ml
NORDITROPIN SIMPLEXx 10 mg/1,5ml
NORDITROPIN FLEXPRO 10 mg/1,5 ml
NORDITROPIN FLEXPRO 5 mg/1,5 ml
ORGALUTRAN 0.25mg/0,5ml
CETROTIDE 0,25 mg
ASTONIN H
DIPROPHOS
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
CARBIMAZOLE 5
THYROZOL 10 mg
THYROZOL 20mg
THYROZOL 5 mg
MIACALCIC (R)
NYLEX 100 UI/doza
NYLEX (R)
NYLEX
AMPIPLUS (R) 1,5 g
AMPIPLUS 1000 mg/500 mg
UNASYN
UNASYN
CEDAX
CEDAX
ROVAMYCINE (R) 1,5 Mil. UI
ROVAMYCINE (R) 3 Mil. UI
AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg
AZITROMICINA SANDOZ 250 mg

AZITROMICINA TERAPIA 250 mg


AZITROMICINA TERAPIA 250 mg
SUMAMED 500 mg
AZITROMICINA SANDOZ 500 m

AZIBIOT 500 mg
AZITROMICINA TERAPIA 500 mg
AZITROMICINA TERAPIA 500 mg
ZITROCIN 500 mg
AZITROX (R) 500
AZITROMICINA TERAPIA 600 mg
AZITROMICINA TERAPIA 600 mg
AZITROX 200 mg/5 ml
AZITROMICINA SANDOZ 100 mg/5 ml

tara det.
forma farm. concentratie
Detinator APP
APP
Ambalaj
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 C
COMPR. FILM 5mg
CAPS. MOI 0,5mg
ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL
GLAXOSMITHKL

SUSP. INJ.

1mg/ml
4mg (12ui)

NOVARTIS PHARM

GERMANI

LIOF. + SOLV. PT. SOL. INJ.

FERING GMBH

GERMANI

PULB. + SOLV. PT. SOL. INJ.

5,3mg/ml (16

PFIZER EUROPE M

SOL INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. IN
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

SOL. INJ.
PULB+SOLV. PT. SOL. INJ.

COMPR.
SUSP. INJ. I.M
LIOF. + SOLV. PT. SOL. INJ.
LIOF. + SOLV. PT. SOL. INJ.

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

SOL. INJ.
SPRAY NAZ.
SPRAY N
SPRAY N

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

COMPR. FILM
PUL

CAPS.
PUL

COMPR. FILM
COMPR. FILM

CAPS.
CAPS.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
PULB. + SOLV. SUSP. ORALA

PUL

15mg/1,5ml
10mg/2ml
3,3mg/ml
6,7mg/ml
10mg/1,5ml
10mg/1,5 ml
5mg/1,5 ml

SANDOZ GMBH
IPSEN PHARMA
SANDOZ GMBH
SANDOZ GMBH
NOVO NORDISK A/S
NOVO NORDISK A/S
NOVO NORDISK A/S
0,25mg/0,5ml N. V. ORGANON
0,25mg
SERONO EUROPE L
0,1mg
MERCK KGAA
7mg/ml
MERCK SHARP &
250mg
MERCK KGAA
50mg
MERCK KGAA
5mg
REMEDICA LTD.
10mg
MERCK KGAA
20mg
MERCK KGAA
5mg
MERCK KGAA
50ui/ml
NOVARTIS PHARM
100UI/doza N
200UI/doza PROEL E.P. CORON
200UI/doza N
1g+500mg ANTIBIOTICE SA
ANTIBIOTICE S.A.
1000mg/500
375mg
PFIZER EUROPE M
250mg/5ml PFIZER EUROPE M
400mg
SCHERING PLO
36mg/ml
SCHERING PLO
1,5 M ui
LAB. AVENTIS
3M ui
LAB. AVENTIS
250mg
BALKANPHARM
250mg
PLIVA LJUBLIJANA
125mg
PLIVA LJUBLJANA D
250mg
SANDOZ S.R.L.
250mg
TERAPIA SA
250mg
TERAPIA SA
500mg
PLIVA LJUBLJANA D
500mg
SANDOZ S.R.L.
500mg
KRKA D.D. NOVO M
500mg
TERAPIA SA
500mg
TERAPIA SA
500mg
LABORMED PHARMA
500mg
ZENTIVA K.S.
600mg
TERAPIA SA
600mg
TERAPIA SA
200mg/5ml ZENTIVA S.A.
100mg/5ml SANDOZ SRL
Pagina 42 din 101

AUSTRIA
FRANTA
AUSTRIA
AUSTRIA
DANEM
DANEM
DANEM

OLANDA
M

GERMANI

BELGIA
GERMANI
GERMANI

CIPRU
GERMANI
GERMANI
GERMANI
GERMANI

GRECIA
GRECIA
GRECIA
ROMANIA
ROMANIA
M
M

BELGIA
BELGIA
FRANTA
FRANTA
BULGARI
SLOVENI
SLOVENI

ROMANIA
ROMANIA
ROMANIA
SLOVENI

ROMANIA
SLOVENI

ROMANIA
ROMANIA
ROMANIA

CEHIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Prescriptie

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

28
30
1
CUTIE X 1 FIOLA DIN STICLA X
S/P-RF
1
P-R
CUTIE X 1 FLAC.
1
CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-R
1
CUTIE X 1 CARTUS X 1,5 ML SOL.INJ PR/PRF
1
CUTIE X 1 CARTUS X 2 ML. SOL. INJ P-RF/R
1
CUTIE X 1CARTUS X 1,5 ML SOL.INJ P-RF/R
1
CUTIE X 1CARTUS X 1,5 ML SOL.INJ P-RF/R
1
P-R
CUTIE X 1
1
P-R
1
P-R
1
CUTIE
P-RF/R
7
P-R
50
CUTIE X 1 FLAC. DIN PP X 50 COMP
P-R
CUTIE X 5 FIOLE X 1 ML
5
P-R
3
P-R
3
P-R
CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT
100
CUTIE X 10 BLIST. AL/PVC X 10
P-6
50
CUTIE CU BLIST. PVC/AL X 50 CO
P-6
50
CUTIE CU BLIST. PVC/AL X 50 CO
P-6
P6L 100
CUTIE CU BLIST. PVC/AL X 100
CUTIE X 5 FIOLE X 1 ML
5
P-R
1
P-R
CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL.
1
P-R
1
P-R
50
CUTIE X 50 FLAC. PULB. PT. SOL.
P-RF/S
50
CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.
12
CUTIE X 2 BLIST. AL/PVC/PVDC X
P-R
1
P-R
CU
CUTIE X 5 BLIST. X 1 CAPS.
5
P-R
1
P-R
16
CUTIE X 2 BLIST. AL/PVC X 8 COM
P-R
10
CUTIE X 2 BLIST. AL/PVC X 5 COM
P-R
CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-R
6
6
CUTIE X 1 BLIST. PVC-PVDC/AL X
P-R
6
CUTIE X 1 BLIST. AL/PVC X 6 COM
P-R
CUTIE X 1 BLIST. X 6 COMPR. FILM. P-R
6
6
CUTIE X 1 BLIST. PVC-ACLA
P-R
6
CUTIE X 1 BLIST. PA-AL-PVC/
P-R
3
CUTIE X 1 BLIST. AL/PVC X 3 COM
P-R
CUTIE X 1 BLIST. X 3 COMPR. FILM. P-R
3
3
CUTIE X 1 BLIST. AL/PVC X 3 COM
P-R
3
CUTIE X 1 BLIST. PVC-ACLA
P-R
3
CUTIE X 1 BLIST. PA-AL-PVC/
P-R
3
CUTIE X 1 BLIST. PVC/AL X 3 COM
P-R
3
CUTIE X 1 BLIST. AL/PVC X 3 COM
P-R
3
CUTIE X 1 BLIST. PVC-ACLA
P-R
3
CUTIE X 1 BLIST. PA-AL-PVC/
P-R
1
P-R
1
P-R
P-6
P-6

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML

PR, PRF

CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC

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

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

32.91
1.175357
1.175357
0.587678
95.62
3.187333
3.187333
1.593666
5.75
5.750000
5.750000
2.875000
434.84 434.840000 396.484000 198.242000
555.63 555.630000 528.645333 264.322666
,653.92 ,653.920000 ,486.815000 743.407500
991.21 991.210000 991.210000 495.605000
484.12 484.120000 484.120000 242.060000
765.73 765.730000 765.730000 382.865000
,320.72 ,320.720000 991.210000 495.605000
,726.64 ,726.640000 991.210000 495.605000
898.74 898.740000 495.605000 247.802500
176.88 176.880000 121.294606 60.647303
845.15 120.735714 120.735714 60.367857
47.78
0.955600
0.955600
0.477800
34.53
6.906000
6.906000
3.453000
95.62 31.873333 31.873333 15.936666
35.71 11.903333
6.981149
3.490574
16.87
0.168700
0.113639
0.056819
21.00
0.420000
0.340920
0.170460
25.52
0.510400
0.510400
0.255200
30.86
0.308600
0.170460
0.085230
34.46
6.892000
6.892000
3.446000
48.36 48.360000 35.645000 17.822500
71.29 71.290000 71.290000 35.645000
71.29 71.290000 71.290000 35.645000
728.96 14.579200 14.579200
7.289600
728.96 14.579200 14.579200
7.289600
33.18
2.765000
2.765000
1.382500
24.41 24.410000 22.692500 11.346250
70.49 14.098000 14.020199
7.010099
43.69 43.690000 43.690000 21.845000
9.85
0.615625
0.615625
0.307812
25.56
2.556000
1.430568
0.715284
25.50
4.250000
3.576424
1.788212
37.99
6.331666
3.576424
1.788212
25.36
4.226666
1.788210
0.894105
48.80
8.133333
3.576424
1.788212
25.52
4.253333
3.576424
1.788212
25.52
4.253333
3.576424
1.788212
38.17 12.723333
7.152849
3.576424
48.80 16.266666
7.152849
3.576424
25.65
8.550000
7.152849
3.576424
25.64
8.546666
7.152849
3.576424
25.64
8.546666
7.152849
3.576424
25.65
8.550000
7.152849
3.576424
22.13
7.376666
7.152849
3.576424
44.61 14.870000
8.583422
4.291711
44.61 14.870000
8.583422
4.291711
16.36 16.360000 16.360000
8.180000
22.45 22.450000 15.055196
7.527598

Nr. crt

cod ATC

08 J01FA
09 J01FA
10 J01FA

711 J01FA
12 J01FF
13 J01FF
14 J01FF
15 J01FF
16 J01FF
17 J01FF
18 J01MA
19 J01MA
20 J01MA
21 J01MA
22 J01MA
23 J01MA
24 J01MA
25 J01MA
26 J01MA
27 J01MA
28 J01MA
29 J01MA
30 J01MA
31 J01MA
32 J02AC
33 J02AC
34 J02AC
35 J02AC
36 J02AC
37 J02AC
38 J02AC
39 J05AB
40 J05AB
41 L01AA
42 L02AE
43 L02AE
44 L02AE
45 L02AE
46 L02AE
47 L02AE
48 L02AE
49 L02AE
50 L04AX
51 M01A
52 M01A
53 M01A
54 M01A
55 M01A
56 M01A
57 M01A
58 M01A

DCI

AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
CLINDAMYCINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
ITRACONAZOLUM*
VALACYCLOVIRUM*
BRIVUDINUM*#
CYCLOPHOSPHAMIDUM*
LEUPRORELINUM***#
LEUPRORELINUM***#
GOSERELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
TRIPTORELINUM***#
AZATHIOPRINUM*
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM

Denumire Comerciala

AZITROMICINA SANDOZ 200 mg/5 ml


SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
DALACIN C 150 mg
DALACIN C 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 300 mg
CLINDAMYCIN - MIP 600 mg
CLINDAMYCIN - MIP 600 mg
FLERADAY 250 mg
LEVOFLOXACINA ACTAVIS 250 mg
TAVANIC 250 mg
LEVOTOR 250 mg
LEVOFLOXACINA ACCORD 250 mg
FLERADAY 500 mg
LEVOFLOXACINA ACTAVIS 500 mg
TAVANIC 500 mg
LEVOTOR 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA BLUEFISH 500 mg
LEVOFLOXACINA ACCORD 500 mg
AVELOX (R) 400 mg
AVELOX 400 mg
ORUNGAL
ITRACONAZOL 100 mg
ITRACONAZOL 100 mg
OMICRAL 100 mg
SPORILIN 100 mg
ITRACONAZOL LPH 100 mg
MICOGAL 100 mg
VALTREX 500 mg
BRIVAL 125mg
ENDOXAN (R) 50 mg
LUCRIN DEPOT 11,25mg
LUCRIN DEPOT 3,75mg
ZOLADEX (R)
DIPHERELINE 0,1 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 3,75 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
GONAPEPTYL ZILNIC 0,1 mg/ml
IMURAN (R)
PIROXSAL 20 mg
FLAMEXIN
FLAMEXIN
PIROXICAM LPH 20 mg
PIROXICAM ARENA 20 MG
PIROXICAM HELCOR 20 mg
FLAMEXIN
FLAMEXIN

forma farm.
PUL
PUL
PUL
PUL

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.
CAPS.
COMPR. FILM

COMPR.
DRAJ.
LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL.

IMPLANT
LIOF. + SOLV. PT. SOL. INJ.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. INJ.
SOL. INJ.
COMPR. FILM

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. EFF.
COMPR. EFF.

PLIVA LJUBLIJANA

tara det.
APP
ROMANIA
SLOVENI
SLOVENI
SLOVENI

PFIZER EUROPE M

PFIZER EUROPE M

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


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

MIP PHARMA GMBH


MIP PHARMA GMBH
MIP PHARMA GMBH
MIP PHARMA GMBH

GERMANI

CUTIE X 2 BLIST. PVC/AL X 8 COM

GERMANI

CUTIE X 5 BLIST. PVC/AL X 6 COM

GERMANI

CUTIE X 2 BLIST. PVC/AL X 8 COM

GERMANI

CUTIE X 5 BLIST. PVC/AL X 6 COM

DR. REDDY'S L

ROMANIA

CUTIE CU BLIST. PVC/PVDC -

ACTAVIS GROUP P

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COM

TERAPIA S.A.
TORRENT PHARMA S

ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COM


ROMANIA CUTIE CU BLIST. PVC/AL X 7 COM

ACCORD HEA

CUTIE CU BLIST. PVC/AL X 7 COM

DR. REDDY'S L

ROMANIA

CUTIE CU BLIST. PVC/PVDC -

ACTAVIS GROUP P

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COM

TERAPIA S.A.

ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMP


ROMANIA CUTIE CU BLIST. PVC/AL X 7 COM

concentratie

200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
150mg
300mg
300mg
300mg
600mg
600mg
250 mg
250mg
250mg
250mg
250mg
500 mg
500mg
500mg
500mg
500mg
500mg
500mg
400mg
400mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
500 mg
125mg
50mg
11,25mg
3,75mg
3,6mg
0,1mg
11,25mg
3,75mg
0,1mg/ml
0,1mg/ml
50mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg

Detinator APP

SANDOZ SRL
PLIVA LJUBLIJANA
PLIVA LJUBLIJANA

TORRENT PHARMA S

Ambalaj

P-R

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-R

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

SUEDIA
SUEDIA

ACCORD HEA

CUTIE CU BLIST. PVC/AL X 7 COM

BAYER HEALTHCAR

GERMANI

CUTIE X 1 BLIST. ALB OPA

CUTIE CU BLIST. PVC/AL X 7 COM


CUTIE CU BLIST. PVC-PVDC

BAYER PHARMA AG GERMANI CUTIE X 1 BLIST. ALB OPA


BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PV
JANSSEN PH
SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
MED
ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
GEDEON RIC
ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
LABORMED PHARMA
ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMP
THE WE

CUT

BE

GERMANI

CUTIE X 1 BLIST. PVC/AL X 7 COMP

BAXTER ONCOLO

GERMANI

CUTIE X 5 BLIST. PVC-PVDC/AL X

ABBOTT LABORA

SPANIA
SPANIA

ASTRAZENECA UK

ABBOTT LABORA

IPSEN PHARMA
IPSEN PHARMA
IPSEN PHARMA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB

CUTIE X 1 PLIC X 1 SER

FERRING A

FRANTA
FRANTA
FRANTA
AUSTRIA

FERRING GMBH

GERMANI

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

THE WE

CUTIE X 4 BLIST. AL/PVC X 25 C

CUTIE X 7 FL
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 B

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COM


ITALIA
CHIESI FARMACEU
CUTIE X 3 BLIST. PV
ITALIA
CHIESI FARMACEU
CUTIE X 1 BLIST. PV
LABORMED PHARMA

ARENA GROUP SA
AC HELCOR PHAR

CHIESI FARMACEU
CHIESI FARMACEU

Pagina 43 din 101

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


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COM
ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 C

ITALIA
ITALIA

1
1
1
P-R
1
P-R
16
P-R
16
P-R
16
P-R
30
P-R
16
P-R
30
P-R
7
PRF
7
P-R
7
P-R
7
P-R
7
PRF
7
PRF
7
P-R
7
P-R
7
P-R
7
PRF
7
PRF
7
PRF
5
P-R
5
P-R
15
P-R
15
P-R
15
P-R
15
P-R
15
P-R
15
P-R
15
P-R
10
PRF
7
P-R
50
P-R
1
S/P-RF
1
S/P-RF
1
S/P-RF
7
S/P-RF
1
S/P-RF
1
S/P-RF
28
S/P-RF
28
S/P-RF
100
S/P-RF
20
P-6
30
P-6
10
P-6
20
P-6
20
P-6
20
P6L
10
P-6
20
P-6

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

BLUEFISH

BLUEFISH

Prescriptie

CUTIE X 1 BLIST. AL-PE/AL X 10


CUTIE X 2 BLIST. AL-PE/AL X 10

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

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

34.36 34.360000 30.110392 15.055196


25.18 25.180000 22.582800 11.291400
48.58 48.580000 45.165600 22.582800
60.36 60.360000 56.456999 28.228499
12.14
0.758750
0.736484
0.368242
23.33
1.458125
1.458125
0.729062
23.31
1.456875
1.456875
0.728437
54.01
1.800333
1.472968
0.736484
52.16
3.260000
2.945937
1.472968
95.84
3.194666
2.945937
1.472968
28.06
4.008571
2.379600
1.189800
17.41
2.487142
2.379600
1.189800
26.78
3.825714
2.379600
1.189800
17.40
2.485714
2.379600
1.189800
17.40
2.485714
2.379600
1.189800
33.85
4.835714
4.759200
2.379600
33.86
4.837142
4.759200
2.379600
52.08
7.440000
4.759200
2.379600
33.65
4.807142
4.759200
2.379600
31.96
4.565714
4.565714
2.282857
31.96
4.565714
4.565714
2.282857
33.40
4.771428
4.759200
2.379600
80.90 16.180000
4.759200
2.379600
80.90 16.180000
4.759200
2.379600
76.92
5.128000
5.128000
2.564000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.56
3.504000
3.504000
1.752000
52.55
3.503333
3.503333
1.751666
56.95
5.695000
4.989460
2.494730
332.58 47.511428 47.511428 23.755714
26.13
0.522600
0.522600
0.261300
994.94 994.940000 994.940000 497.470000
429.71 429.710000 386.739000 193.369500
436.52 436.520000 402.272492 201.136246
134.62 19.231428 10.313031
5.156515
,184.81 ,184.810000 ,160.217013 580.108506
440.58 440.580000 440.580000 220.290000
630.48 22.517142
1.381947
0.690973
630.48 22.517142
1.381947
0.690973
80.90
0.809000
0.525924
0.262962
2.63
0.131500
0.131500
0.065750
29.01
0.967000
0.902700
0.451350
17.58
1.758000
0.902700
0.451350
3.13
0.156500
0.156500
0.078250
2.47
0.123500
0.123500
0.061750
4.44
0.222000
0.222000
0.111000
20.80
2.080000
0.902700
0.451350
39.37
1.968500
0.902700
0.451350

Nr. crt

cod ATC

59 M01A
60 M01A
61 M01A
62 M01A
63 M01A
64 M01A
65 M01A
66 M01A
67 M01A
68 M01A
69 M01A
70 M01A
71 M01A
72 M01A
73 M01A
74 M01A
75 M01A
76 M01A
77 M01A
78 M01A
79 M01A
80 M01A
81 M01A
82 M01A
83 M01A
84 M01A
85 M01A
86 M01A
87 M01A
88 M01A
89 M01A
90 M01A
91 M01A
92 M01A
93 M01A
94 M03B
95 M03B
96 M05B
97 M05B
98 M05B
99 M05B
00 M05B
01 M05B
02 M05B
03 M05B
04 M05B
05 M05B
06 M05B
07 M05B
08 M05B
09 M05B

DCI

PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
PIROXICAMUM
LORNOXICAMUM
LORNOXICAMUM
DEXKETOPROFENUM
DEXKETOPROFENUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
GLUCOSAMINUM
GLUCOSAMINUM
GLUCOSAMINUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
NIMESULIDUM
BACLOFENUM
BACLOFENUM
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM ALENDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*

Denumire Comerciala

FLAMEXIN
FLAMEXIN (R)
HOTEMIN
PIROXICAM ATB 20 mg
PIROXICAM ATB 20 mg
PIROXICAM 20 mg
XEFO RAPID 8 mg
XEFO 8 mg/ 2 ml
TADOR 25 mg
TADOR INJECT
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 30 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
GLUCOZAMINA PHARMATAXIS 1250 mg
SLIDEFLEX 1178mg
DONA (R)
LEMESIL
NIMESULID 100 mg
NIMESULID SLAVIA
APONIL
APONIL
NIMESULID ARENA 100 mg
NIMESULID FARMEX 100 mg
LIORESAL (R)
LIORESAL (R)
ACID ALENDRONIC ACCORD 10 mg
TEVANAT 70 mg
ACID ALENDRONIC ACCORD 70 mg
RANOS 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
ACID ALENDRONIC BLUEFISH 70 mg
FOSAMAX 70 mg
ALENDRONAT SANDOZ 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ACID IBANDRONIC TEVA 150 mg
BONVIVA 150mg
OSSICA 150 mg

forma farm. concentratie


Detinator APP
COMPR. EFF. 20mg
CHIESI FARMACEU
PULB.

SOL. INJ.
SUPOZ.
SUPOZ.
SUPOZ.
COMPR. FILM
PULB. + SOLV. PT. SOL. INJ.

COMPR. FILM
SOL. INJ./CONC. PT. SOL. PERF.

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

COMPR. EFF.
COMPR. FILM
PULB.

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

20mg/plic
20mg/ml
20 mg
20 mg
20mg
8mg
8mg/2ml
25mg
50mg/2ml
100mg
200mg
200mg
120mg
120mg
120mg
120mg
30mg
60mg
60mg
60mg
90mg
90mg
90mg
90mg
1250mg
1178mg
1500mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
10mg
25mg
10mg
70 mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
70mg
150 mg
150mg
150mg

CHIESI FARMACEU

tara det.
APP

ITALIA
ITALIA

Ambalaj

Prescriptie

CUTIE X 3 BLIST. AL-PE/AL X 10

P-6

CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA

P-6
P-R

NYCOMED AUSTRI

UNGARIA CUTIE X 1 BLIST. C-PET/P


ROMANIA CUTIE CU 2 FOLII TERMOSU
ROMANIA CUTIE CU 1 FOLIE TERMOS
ROMANIA CUTIE X 2 FOLII TERMOSUDATE
AUSTRIA CUTIE CU BLIST. AL/AL X 10 COMP
AUSTRIA

CUTIE CU 10 FLAC. DIN STICLA BRUNA CU PULB. PT. SOL. INJ. + 10 FIOLE DIN STICLA INCOLORA X 2 ML SOLV

PRF

BERLIN CHEMIE AG (MENARINI GROUP)

GERMANI

CUTIE X 1 BLIST. PVC/AL X 10 C

P-6

MENARINI INTERNATIONAL OPERATIONS S.A.

LUXE

CUTIE X 5 FIOLE X 2 ML

P-R

PFIZER EUROPE M

P-R

PFIZER EUROPE M

PFIZER EUROPE M

CUTIE X 3 BLIST. AL/PVC X 10 CAPS


CUTIE X 1 BLIST. AL/PVC X 10 CAPS
CUTIE X 3 BLIST. AL/PVC X 10 CAPS
CUTIE X 1 BLIST. PA-AL-PVC/

P-R

CUTIE X2 BLIST. PA-AL-PVC/

P-R

CUTIE X 2 BLIST. PA-AL-PVC

P-R

CUTIE X 1 BLIST. PA-AL-PVC

P-R

CUTIE X 4 BLIST. PA-AL-PVC/

P-R

CUTIE X 2 BLIST. PA-AL-PVC/

P-R

CUTIE X 2 BLIST. PA-AL-PVC

P-R

CUTIE X 1 BLIST. PA-AL-PVC

P-R

CUTIE X 1 BLIST. PA-AL-PVC

P-R

CUTIE X 1 BLIST. PA-AL-PVC/

P-R

CUTIE X 2 BLIST. PA-AL-PVC/

P-R

CUTIE X 2 BLIST. PA-AL-PVC

P-R

CUTIE CU 3 TUBURI

P6L

CUTIE CU BLIST. DIN P

P-6

CUTIE X 20 PLICURI UNIDOZA CU

P-6

CUTIE X 2 BLIST. X 10 COMPR.

P-R

EGIS PHARMA

ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
SINTOFARM SA
NYCOMED AUSTRIA

MERCK SHARP &


MERCK SHARP &
MERCK SHARP &
MERCK SHARP &
MERCK SHARP &
MERCK SHARP &
MERCK SHARP &
MERCK SHARP &
MERCK SHARP &
MERCK SHARP &
MERCK SHARP &
MERCK SHARP &

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

PHARMATAXIS LTD CIPRU


IRLANDA
BLUE BIO PHARMACEUTICALS LIMITED
ROTTAPHARM SPA ITALIA
GRECIA
ANFARM HELLAS S.A. PHARMACEUTICALS
MAGISTRA C & C
ROMANIA
SLAVIA PHARM SRL ROMANIA
MEDOCHEMIE LTD CIPRU
MEDOCHEMIE LTD CIPRU
ARENA GROUP S.A. ROMANIA

P6L
P6L
P-6
P-6

P-R
P-R

TEVA PHARM

CUTIE X 1 BLIST. AL/PVC X 10 COM


CUTIE X 1 BLIST. AL/PVC X 10 COM
CUTIE X 2 BLIST. AL/PVC X 10 COM
CUTIE X 1 BLIST. AL/PVC X 10 COM
CUTIE X 1 BLIST. AL/PVC X 10 COM
ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CO
GERMANI CUTIE X 5 BLIST. AL/PVC X 10 COM
GERMANI CUTIE X 5 BLIST. AL/PVC X 10 COM
CUTIE CU BLIST. PVC/AL X 28 COM
M
ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/A

ACCORD HEA

CUTIE CU BLIST. OPA -AL-PVC/A

P-6

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. DIN PAO-P

P-6

FARMEX COMPANY
NOVARTIS PHARM
NOVARTIS PHARM
ACCORD HEA

SUEDIA
SUEDIA

P-R
P-R
P-R
P-R
P-R
P-R

P-6
P-6
P-6
P-6

CUTIE CU BLIST. AL/AL X 2 COMPR.


CUTIE CU BLIST. AL/AL X 4 COMPR.
ROMANIA CUTIE X 1 BLIST. AL/AL X 2 COMPR.

P-6

SANDOZ S.R.L.
ARENA GROUP S.A.
ARENA GROUP S.A.
ARENA GROUP S.A.
TEVA PHARMA B.V.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST. OPA-AL-P

P-6

CUTIE X 1 BLIST. PVC-PVDC

P-6

CUTIE X 1 BLIST. PVC-PVDC/

P-6

CUTIE X 1 BLIST. PVC-PVDC/

P-6

OLANDA

CUTIE

P6L

ROCHE REGISTRA

CUTIE X 1 COMPR. FILM.( BLIST. AL

P-6

GEDEON RICHTER P

UNGARIA

CUTIE CU 1 BLIST. PVC

P-6

BLUEFISH
BLUEFISH

MERCK SHARP &

Pagina 44 din 101

P-6
P-6

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

30
20
5
6
6
10
10
10
10
5
30
10
30
7
28
14
14
28
14
28
14
14
7
14
28
30
30
20
20
10
10
20
10
10
10
50
50
28
4
4
4
2
4
2
2
12
2
4
1
1
1

Pret
amanuntul
maximal/UT
(RON)

48.42
1.614000
27.37
1.368500
11.77
2.354000
4.44
0.740000
4.44
0.740000
2.85
0.285000
16.61
1.661000
137.31 13.731000
14.05
1.405000
30.51
6.102000
63.57
2.119000
33.03
3.303000
94.10
3.136666
35.09
5.012857
128.69
4.596071
67.83
4.845000
67.83
4.845000
86.14
3.076428
55.68
3.977142
105.76
3.777142
55.68
3.977142
59.15
4.225000
30.54
4.362857
59.15
4.225000
112.36
4.012857
42.05
1.401666
41.65
1.388333
43.20
2.160000
9.72
0.486000
4.87
0.487000
7.24
0.724000
8.20
0.410000
4.51
0.451000
4.78
0.478000
7.20
0.720000
20.37
0.407400
33.50
0.670000
48.27
1.723928
48.27 12.067500
48.27 12.067500
47.66 11.915000
24.93 12.465000
24.71
6.177500
37.13 18.565000
12.82
6.410000
131.92 10.993333
24.78 12.390000
47.97 11.992500
83.20 83.200000
129.32 129.320000
72.31 72.310000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.902700
0.902700
2.354000
0.740000
0.740000
0.285000
0.601799
1.713898
0.496874
4.197999
1.165874
2.331749
2.331749
4.663499
4.596071
4.663499
4.663499
1.165874
2.331749
2.331749
2.331749
3.497624
3.497624
3.497624
3.497624
1.394999
1.388333
1.394999
0.486000
0.487000
0.724000
0.410000
0.451000
0.478000
0.720000
0.293039
0.670000
1.455107
10.185750
10.185750
10.185750
10.185750
6.177500
10.185750
6.410000
10.185750
10.185750
10.185750
43.653214
43.653214
43.653214

0.451350
0.451350
1.177000
0.370000
0.370000
0.142500
0.300899
0.856949
0.248437
2.098999
0.582937
1.165874
1.165874
2.331749
2.298035
2.331749
2.331749
0.582937
1.165874
1.165874
1.165874
1.748812
1.748812
1.748812
1.748812
0.697499
0.694166
0.697499
0.243000
0.243500
0.362000
0.205000
0.225500
0.239000
0.360000
0.146519
0.335000
0.727553
5.092875
5.092875
5.092875
5.092875
3.088750
5.092875
3.205000
5.092875
5.092875
5.092875
21.826607
21.826607
21.826607

Nr. crt

DCI

cod ATC

26 M05B

ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM IBANDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*
ACIDUM RISEDRONICUM*

27 M05B

COMBINAT

28 M05B

COMBINAT

29 M05B

COMBINAT

30 M05B

COMBINAT

10 M05B

811 M05B
12 M05B
13 M05B
14 M05B
15 M05B
16 M05B
17 M05B
18 M05B
19 M05B
20 M05B
21 M05B
22 M05B
23 M05B
24 M05B
25 M05B

52 N02AX

STRONTIUM RANELATUM*
STRONTIUM RANELATUM*
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
OXYCODONUM*#
DIHYDROCODEINUM*
DIHYDROCODEINUM*
DIHYDROCODEINUM*
COMBINATII
COMBINATII

53 N02AX

COMBINATII (TRAMADOLUM

54 N02AX

COMBINATII (TRAMADOLUM

55 N02AX

COMBINATII (TRAMADOLUM

56 N02AX

COMBINATII (TRAMADOLUM

57 N02AX

COMBINATII (TRAMADOLUM

58 N02AX

COMBINATII (TRAMADOLUM

59 N02AX

COMBINATII (TRAMADOLUM

60 N02AX

COMBINATII (TRAMADOLUM

31 M05B
32 M05B
33 N02AA
34 N02AA
35 N02AA
36 N02AA
37 N02AA
38 N02AA
39 N02AA
40 N02AA
41 N02AA
42 N02AA
43 N02AA
44 N02AA
45 N02AA
46 N02AA
47 N02AA
48 N02AA
49 N02AA
50 N02AA
51 N02AX

Denumire Comerciala

QUODIXOR 150 mg
OSAGRAND 150 mg
ACID IBANDRONIC SANDOZ 150 mg
OSSICA 3 mg
ACID IBANDRONIC TEVA 3 mg
OSAGRAND 3 mg/3 ml
BONVIVA 3mg/3ml
ACID IBANDRONIC ALVOGEN 3 mg
RISEDRONAT BLUEFISH 35 mg
RISENDROS 35 mg
RISEDRONAT TEVA 35 mg
LORINE 35mg
OSTEORON 35 mg
OSODENS 35 mg
ACTONEL SAPTAMANAL 35 mg
RISEDRONAT SODIC SANDOZ 35 mg
ACTONEL 75 mg
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/2800UI
FOSAVANCE 70mg/5600UI
FOSAVANCE 70mg/5600UI
OSSEOR 2 g
OSSEOR 2 g
OXYCONTIN 10 mg
OXYCONTIN 20 mg
OXYCONTIN 40 mg
OXYCONTIN 80 mg
OXIDOLOR 10 mg
ALNAGON 10 mg
OXIDOLOR 20 mg
ALNAGON 20 mg
OXIDOLOR 40 mg
ALNAGON 40 mg
OXIDOLOR 80 mg
OXYCONTIN (R) 10 mg
OXYCONTIN (R) 20 mg
OXYCONTIN (R) 40 mg
OXYCONTIN (R) 80 mg
DHC CONTINUS 120 mg
DHC CONTINUS 60 mg
DHC CONTINUS 90 mg
DORETA 37,5mg/325mg
DORETA 37,5mg/325mg
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)
ZALDIAR (R)

forma farm.
COMPR. FILM
COMPR. FILM
COMPR. FILM

concentratie

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

150mg
150mg
150mg
3mg
3mg
3mg/3ml
1mg/1ml
3 mg
35 mg
35mg
35mg
35mg
35mg
35mg
35mg
35mg
75mg

COMPR.
COMPR.
COMPR.
COMPR.

SOL INJ. IN SERINGA PREUMPLUTA

SOL INJ. IN SERINGA PREUMPLUTA

SOL. INJ.
SOL. INJ. IN SERINGA PREUMPLUTA

SOL.INJ. IN SERINGA PREUMPLUTA

Detinator APP
ALVOGEN IPCO S.AR

ZENTIVA K.S.
SANDOZ S.R.L.

tara det.
APP

Ambalaj

Prescriptie

LUXEM

CUTIE CU BLIST. PA-AL-PVC/

P-6

REPUBLICA CEHA

CUTIE CU 1 BLIST. PVC-PVD

TEVA PHARM

ROMANIA
ROMANIA
ROMANIA

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU 1 FIOLA

P6L
P6L
P6L
P6L
P6L

ROCHE REGISTRA

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6

ALVOGEN IPCO S.AR

LUXEM

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA SI 1 AC PT. INJECTARE X 3 ML SOL.INJ.

PR/PRF

CUTIE CU BLIST. DI

P6L

CUTIE X 1 BLIST. OPA-AL-P

P-6

GEDEON RIC

CUTIE CU 1 BLIST. PA-AL-P


CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE
CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTARE

ZENTIVA A.S.

SUEDIA
CEHIA

TEVA PHARMAC

CUTIE X BLIST. PVC-PVDC/AL

P-6

ANTIBIOTICE S.A.

ROMANIA

CUTIE X 1BLIST. PVC- PVDC/

P-6

ACTAVIS GROUP P

ISLANDA

CUTIE X 1 BLIST. PVC- PVDC

P-6

TERAPIA SA

SANOFI -

ROMANIA CUTIE CU BLIST. OPA-AL


ROMANIA CUTIE CU 1 BLIST. PVC/AL X 4 C
ROMANIA CUTIE CU BLIST. PVC/AL X 4 COM
ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 C

70mg/2800UI
70mg/2800UI
70mg/5600UI
70mg/5600UI

MERCK SHARP &

CUTIE X 4 COMPR.

P-6

MERCK SHARP &

CUTIE X 2 COMPR.

P-6

MERCK SHARP &

CUTIE X 2 COMPR.

P-6

MERCK SHARP &

CUTIE X 4 COMPR.

P-6

LES LAB. SERVIER


LES LAB. SERVIER

CUTIE X 14 P

P-R

CUTIE X 28 P

P-R

COMPR.

2g
2g
10 mg
20 mg
40 mg
80mg
10mg
10mg
20mg
20mg
40mg
40mg
80mg
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg

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

37,5mg/325m
37,5mg/325m
37,5mg+325
37,5mg+325
37,5mg+325
37,5mg+325
37,5mg+325
37,5mg+325
37,5mg+325
37,5mg+325

KRKA D.D. NOVO M

GR
GR
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.
COMPR. CU ELIB. MODIF.

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

COMPR.
COMPR.

BLUEFISH

SANOFI -

SANDOZ S.R.L.

LANNA

FRANTA
FRANTA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

ZENTIVA, K.S.

REPUBLICA CEHA

LANNA

P-6
P-6

P6L
P-6

CUTIE CU BLIST. PVC/A

PS
PS
PS
PS

CUTIE CU BLIST. PV

P-T

CUTIE CU BLIST.

P-R

AUSTRIA

CUTIE CU BLIST. PV

P-T

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST.

P-R

LANNA

AUSTRIA

CUTIE CU BLIST. PV

P-T

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST.

P-R

CUTIE CU BLIST. PV

P-T

CUTIE X 4 BLIST. X 14 COMPR

P-T

CUTIE X 4 BLIST. X 14 COMPR

P-T

CUTIE X 4 BLIST. X 14 COMPR

P-T

CUTIE X 4 BLIST. X 14 COMPR

P-T

MUNDIPHARMA GE
MUNDIPHARMA GE
MUNDIPHARMA GE
MUNDIPHARMA GE

LANNA

MUNDIPHARMA GM
MUNDIPHARMA GM
MUNDIPHARMA GM
MUNDIPHARMA GM
MUNDIPHARMA GE
MUNDIPHARMA GE
MUNDIPHARMA GE

KRKA D.D. NOVO M

GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH
GRUNENTHAL GMBH

Pagina 45 din 101

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE CU BLIST. PVC/A


CUTIE CU BLIST. PVC/A
CUTIE CU BLIST. PVC/A

CUTIE X 1 FLAC. DIN PP X 5

PS
PS
PS

SLOVENI
SLOVENI

CUTIE CU BLIST. PVC-PVDC/

P-R

CUTIE CU BLIST. PVC-PVDC/

P-R

GERMANI

CUTIE X 3 BLIST. PP OPAC/AL

P-R

GERMANI

CUTIE X 1 BLIST. PVC OPAC/

P-R

GERMANI

CUTIE X 2 BLIST. PVC OPAC/

P-R

GERMANI

CUTIE X 3 BLIST. PVC OPAC/

P-R

GERMANI

CUTIE X 1 BLIST. PP OPAC/AL

P-R

GERMANI

CUTIE X 5 BLIST. PVC OPAC/

P-R

GERMANI

CUTIE X 5 BLIST. PP OPAC/AL

P-R

GERMANI

CUTIE X 2 BLIST. PP OPAC/AL

P-R

CUTIE X 1 FLAC. DIN PP X 5


CUTIE X 1 FLAC. DIN PP X 5

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

1
1
1
1
1
1
1
1
4
4
4
4
4
4
4
4
2
4
2
2
4
14
28
60
60
60
60
60
56
60
56
60
56
60
56
56
56
56
56
56
56
10
20
30
10
20
30
10
50
50
20

71.46
38.80
52.90
239.77
283.25
271.45
424.57
182.83
35.79
14.31
45.27
36.50
28.35
45.27
67.31
43.00
66.39
89.84
47.30
47.30
89.84
104.74
174.60
64.10
121.02
172.88
309.83
43.09
48.27
78.65
88.08
118.50
132.72
201.38
116.83
214.65
395.50
652.80
128.54
29.34
101.69
7.89
15.58
34.76
12.14
23.96
34.76
12.14
57.78
57.78
23.96

Pret
amanuntul
maximal/UT
(RON)

71.460000
38.800000
52.900000
239.770000
283.250000
271.450000
424.570000
182.830000
8.947500
3.577500
11.317500
9.125000
7.087500
11.317500
16.827500
10.750000
33.195000
22.460000
23.650000
23.650000
22.460000
7.481428
6.235714
1.068333
2.017000
2.881333
5.163833
0.718166
0.861964
1.310833
1.572857
1.975000
2.370000
3.356333
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
0.789000
0.779000
1.158666
1.214000
1.198000
1.158666
1.214000
1.155600
1.155600
1.198000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

43.653214
38.800000
43.653214
239.770000
280.816875
271.450000
280.816875
182.830000
8.947500
3.577500
10.185750
9.125000
7.087500
10.185750
10.185750
10.185750
21.826607
10.185750
10.185750
10.185750
10.185750
6.547142
6.235714
0.585402
1.170804
2.341614
4.683228
0.585402
0.585402
1.170804
1.170804
1.975000
2.341614
3.356333
0.585402
1.170804
2.341614
4.683228
1.504445
0.523928
1.128334
0.710100
0.710100
0.710100
0.710100
0.710100
0.710100
0.710100
0.710100
0.710100
0.710100

21.826607
19.400000
21.826607
119.885000
140.408437
135.725000
140.408437
91.415000
4.473750
1.788750
5.092875
4.562500
3.543750
5.092875
5.092875
5.092875
10.913303
5.092875
5.092875
5.092875
5.092875
3.273571
3.117857
0.292701
0.585402
1.170807
2.341614
0.292701
0.292701
0.585402
0.585402
0.987500
1.170807
1.678166
0.292701
0.585402
1.170807
2.341614
0.752222
0.261964
0.564167
0.355050
0.355050
0.355050
0.355050
0.355050
0.355050
0.355050
0.355050
0.355050
0.355050

Nr. crt

cod ATC

DCI

61 N02AX

COMBINATII (TRAMADOLUM

62 N02AX

COMBINATII (TRAMADOLUM

63 N02AX

COMBINATII (TRAMADOLUM

64 N02AX

COMBINATII (TRAMADOLUM

65 N02AX

COMBINATII (TRAMADOLUM

66 N02AX

COMBINATII (TRAMADOLUM

67 N02AX

COMBINATII (TRAMADOLUM

68 N03AE

CLONAZEPAMUM
CLONAZEPAMUM
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
BIPERIDENUM
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PRAMIPEXOLUM*
PIRIBEDILUM**
TIAPRIDUM
TIAPRIDUM
BUSPIRONUM

69 N03AE
70 N03AX
71 N03AX
72 N03AX
73 N03AX
74 N03AX
75 N03AX
76 N04AA
77 N04BC
78 N04BC
79 N04BC
80 N04BC
81 N04BC
82 N04BC
83 N04BC
84 N04BC
85 N04BC
86 N04BC
87 N04BC
88 N04BC
89 N04BC
90 N04BC
91 N04BC
92 N04BC
93 N04BC
94 N04BC
95 N04BC
96 N04BC
97 N04BC
98 N04BC
99 N04BC
00 N04BC
01 N04BC
02 N04BC
03 N04BC
04 N04BC
05 N04BC
06 N04BC
07 N04BC
08 N04BC
09 N05AL
10 N05AL

911 N05BE

Denumire Comerciala

PADOLTEN 37,5 mg/325 mg


PADOLTEN 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
LINEROL 37,5 mg/325 mg
DORETA 75 mg/650 mg
DORETA 75 mg/650 mg
RIVOTRIL
RIVOTRIL 2 mg
LYRICA 150 mg
LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg
AKINETON 2 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18 mg
MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,18 mg
MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,18 mg
PRAXITAB 0,18mg
PRAMIPEXOL AUROBINDO 0,18 mg
PRAMIPEXOLE ACCORD 0,35mg
MIPARKAN 0,7 mg
PRAMIPEXOL AUROBINDO 0,7 mg
MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 mg
MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7 mg
MIGLASEN 0,7 mg
PRAMIPEXOL TORRENT 0,7 mg
PRAXITAB 0,7 mg
MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
PRONORAN 50 mg
TIAPRIDAL (R) 100 mg
TIAPRIDAL 100 mg/2 ml
SPITOMIN 10 mg

forma farm.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM

concentratie
37,5mg/325m
37,5mg/325m
37,5mg/325m
37,5mg/325m
37,5mg/325m

COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

DRAJ. ELIB

COMPR.
SOL. INJ.
COMPR.

Detinator APP
S.
S.
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA
PHARMACEUTICAL WORKS POLPHARMA SA

75 mg/650 m

KRKA, D.D., NOVO

75 mg/650 m

KRKA, D.D., NOVO

0,5mg
2mg
150mg
150mg
300mg
300mg
75mg
75mg
2mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,52mg
1,05mg
2,1mg
3,15mg
50mg
100mg
100mg/2ml
10mg

ROCHE ROMANIA S.R


ROCHE ROMANIA S.R

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
DESMA GMBH
KRKA D.D.
ZENTIVA, K.S.
BOEHRINGER INGELHEIM INTERNATIONAL GMBH

tara det.
APP
Ambalaj
ROMANIA CUTIE CU BLIST. PVC/AL X 10 CO
ROMANIA CUTIE CU BLIST. PVC/AL X 20 CO

POLONIA CUTIE CU BLIST. PVC/AL X 10 CO


POLONIA CUTIE CU BLIST. PVC/AL X 20 CO
POLONIA CUTIE CU BLIST. PVC/AL X 30 CO

Prescriptie

P-R
P-R
P-R
P-R
P-R

SLOVENI
SLOVENI

CUTIE CU 1 BLIST. PVC-PVD

PRF

CUTIE CU 2 BLIST. PVC-PVD

PRF

ROMANIA
ROMANIA

CUTIE X 1 FLAC. DIN STICL

P-R

CUTIE CU 1 FLAC. DIN STI

P-R

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)

GERMANI

CUTIE CU 5 BLIST. PVC/AL X 10 C

P6L

SLOVENI

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

P-R

REPUBLICA CEHA

CUTIE CU 3 BLIST. OPA-AL-PV

PRF

M
M
M
M
M

GERMANI

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENI

CUTIE X 3 BLIST. X 10 COMPR.


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

P-R
P-R
P-R
P-R
P-R
P-R

P-R
P-R

OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR

P-R

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/A

P-RF/R

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/A

PRF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR

P-R

RANBAXY (UK) LIMI

CUTIE CU BLIST. PA-AL-PVC X 30

P-R

P6L

POLIPHARMA

ROMANIA CUTIE CU 3 BLIST. OPA-AL-PV


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/A
ROMANIA CUTIE CU 3 BLIST. OPA-AL-PV

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PA/AL/PVC-AL

PRF

ACCORD HEA

CUTIE CU 3 BLIST. AL-PVC/AL

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. OPA-AL-PV

PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PA/AL/PVC-AL

PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE X 3 BLIST. X 10 COMPR.


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

ROMASTRU TRADI

TORRENT PHARMA S

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
MEDOCHEMIE LTD.

SLOVENI

P-R

P6L

P-R
P-R

OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR

P-R

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/A

P-RF/R

CIPRU

CUTIE CU BLIST. OPA-AL-PVC/A

PRF

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR

P-R

RANBAXY (UK) LIMI

CUTIE CU BLIST. PA-AL-PVC X 30

P-R

P6L

POLIPHARMA

ROMANIA CUTIE CU 3 BLIST. OPA-AL-PV


ROMANIA CUTIE CU BLIST. OPA-AL-PVC/A
ROMANIA CUTIE CU 3 BLIST. OPA-AL-PV

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 1 BLIST.OPA-AL-PVC

P-R

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST.OPA-AL-PVC

P-R

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST.OPA-AL-PVC

P-R

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST.OPA-AL-PVC

P-R

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST.OPA-AL-PVC

P-R

ROMASTRU TRADI

TORRENT PHARMA S

SANOFI-AVENTIS

FRANTA CUTIE X 2 BLIST. AL/PV


FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COM
FRANTA CUTIE X 2 SUPORTURI PVC X 6 F

EGIS PHARMA

UNGARIA

LES LAB. SERVIER I


SANOFI-SYNT

Pagina 46 din 101

CUTIE X 6 BLIST. AL/OPA-AL-P

P-R

P6L

P-R
P-R
P-R
P-R

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

10
20
10
20
30
10
20
50
30
14
56
56
14
14
56
50
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10
30
30
30
30
30
20
12
60

7.89
15.59
7.90
15.59
23.36
15.78
31.14
6.89
6.56
76.16
288.91
422.67
114.28
53.71
193.52
10.57
19.75
17.43
49.77
20.91
33.41
33.42
27.83
30.35
30.86
14.87
30.20
25.30
23.56
48.92
60.97
83.51
167.86
73.16
115.05
115.05
99.54
108.52
106.21
72.03
107.98
90.45
58.12
314.07
650.35
,229.85
,809.33

28.69
9.23
9.51
17.75

Pret
amanuntul
maximal/UT
(RON)

0.789000
0.779500
0.790000
0.779500
0.778666
1.578000
1.557000
0.137800
0.218666
5.440000
5.159107
7.547678
8.162857
3.836428
3.455714
0.211400
0.658333
0.581000
1.659000
0.697000
1.113666
1.114000
0.927666
1.011666
1.028666
0.495666
1.006666
0.843333
0.785333
1.630666
2.032333
2.783666
5.595333
2.438666
3.835000
3.835000
3.318000
3.617333
3.540333
2.401000
3.599333
3.015000
5.812000
10.469000
21.678333
40.995000
60.311000
0.956333
0.461500
0.792500
0.295833

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.710100
0.710100
0.710100
0.710100
0.710100
0.710100
0.710100
0.067904
0.218666
5.440000
5.159107
7.547678
8.162857
2.782802
2.782802
0.211400
0.135126
0.276395
0.276395
0.276395
0.276395
0.276395
0.276395
0.276395
0.276395
0.276395
0.276395
0.276395
0.276395
0.537435
1.074870
1.074870
1.074870
1.074870
1.074870
1.074870
1.074870
1.074870
1.074870
1.074870
1.074870
1.074870
0.399237
0.798475
1.612305
3.224611
4.836917
0.956333
0.461500
0.792500
0.295833

0.355050
0.355050
0.355050
0.355050
0.355050
0.355050
0.355050
0.033952
0.109333
2.720000
2.579553
3.773839
4.081428
1.391401
1.391401
0.105700
0.067563
0.138197
0.138197
0.138197
0.138197
0.138197
0.138197
0.138197
0.138197
0.138197
0.138197
0.138197
0.138197
0.268717
0.537435
0.537435
0.537435
0.537435
0.537435
0.537435
0.537435
0.537435
0.537435
0.537435
0.537435
0.537435
0.199618
0.399237
0.806152
1.612305
2.418458
0.478166
0.230750
0.396250
0.147916

Nr. crt

DCI

cod ATC

58 N07CA

BUSPIRONUM
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
BUPROPIONUM**#
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**
PRAMIRACETAMUM**#
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
VINPOCETINUM
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
GINKGO BILOBA**
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM

59 N07CA

COMBINATII (CINARIZINUM

60 N07XN

ACIDUM TIOCTICUM (ALFA-LIPOIC

61 N07XN

ACIDUM TIOCTICUM (ALFA-LIPOIC

62 N07X

HIDROLIZAT DE PROTEI

12 N05BE
13 N06AB
14 N06AX
15 N06AX
16 N06AX
17 N06AX
18 N06AX
19 N06AX
20 N06AX
21 N06AX
22 N06AX
23 N06AX
24 N06AX
25 N06AX
26 N06BX
27 N06BX
28 N06BX
29 N06BX
30 N06BX
31 N06DX
32 N06DX
33 N06DX
34 N06DX
35 N07CA
36 N07CA
37 N07CA
38 N07CA
39 N07CA
40 N07CA
41 N07CA
42 N07CA
43 N07CA
44 N07CA
45 N07CA
46 N07CA
47 N07CA
48 N07CA
49 N07CA
50 N07CA
51 N07CA
52 N07CA
53 N07CA
54 N07CA
55 N07CA
56 N07CA
57 N07CA

Denumire Comerciala

SPITOMIN 5 mg
CIPRALEX 10 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
COAXIL (R)
IXEL
IXEL
CYMBALTA 30mg
CYMBALTA 60mg
PRAMISTAR
VIMPOCETIN 5 mg
CAVINTON(R) FORTE
VICEBROL
CAVINTON(R)
GINKOFAR 40 mg (vezi C04AXN1)
GINKOFAR 40 mg (vezi C04AXN1)
GINKOFAR 40 mg (vezi C04AXN1)
GINKO BILOBA BIOFARM 40 mg (vezi
BETAHISTINA DICLORHIDRAT ACCORD

VERTIMED 16 mg
BETAHISTINA LPH 16 mg
EMPERIN 24 mg
BETAHISTINA LPH 24 mg
BETAHISTIN MCC 24 mg
BETAHISTIN MCC 24 mg
BETASERC 24 mg
VERTIMED 24 mg
VERTIMED 24 mg
VESTIBO 24 mg
MARBETA 24 mg
EMPERIN 8 mg
MICROSER
VESTIBO 8 mg
BETAHISTIN MCC 8 mg
BETASERC 8 mg
BETASERC 8 mg
BETAHISTINA LPH 8 mg
BETAHISTINA DICLORHIDRAT ACCORD

forma farm.

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

COMPR. FILM
COMPR. FILM

DRAJ.
CAPS.
CAPS.
CAPS. G
CAPS. G

COMPR. FILM

CAPS.
COMPR.
COMPR.
COMPR.
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.
SOL. ORALA
SOL. ORALA
COMPR.

EGIS PHARMA

tara det.
APP
Ambalaj
UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-P

P-R

H. LUNDBECK A/S

DANEM

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

P-R

CUTIE X 1 BLIST. AL/PVC X

P-R

CUTIE X 6 BLIST. AL/PVC X

P-R

CUTIE X 2 BLIST. AL/PVC X

P-R

CUTIE X 1 BLIST. AL/PVC X

P-R

CUTIE CU 1 FLAC. PEID CU DESICANT X 30 COMPR. ELIB. MODIF.

P-R

CUTIE CU BLIST. DIN P

PRF

CUTIE CU BLIST. DIN P

PRF

concentratie

5mg
10mg
150mg
150mg
75mg
75mg
150mg
12,5 mg
12,5 mg
12,5mg
25mg
50mg
30mg
60mg
600mg
5mg
10mg
5mg
5mg
40mg
40mg
40mg
40mg
16mg
16mg
16mg
24 mg
24 mg
24mg
24mg
24mg
24mg
24mg
24mg
24mg
8 mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza

Detinator APP

ANGELINI FRANC
ANGELINI FRANC
ANGELINI FRANC
ANGELINI FRANC

ITALIA
ITALIA
ITALIA
ITALIA

ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA
GLAXOSMITHKL

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


CUTIE X 4 BLIST. AL/PVC X 14 CAPS
PIERRE FABRE MEDICAMENT PRODUCTION FRANTA
CUTIE X 4 BLIST. AL/PVC X 14 CAPS
PIERRE FABRE MEDICAMENT PRODUCTION FRANTA
OLANDA CUTIE X 28 CAPS
ELI LILLY NEDER
OLANDA CUTIE X 28 CAP
ELI LILLY NEDER
ITALIA
CUTIE X 2 BLIST. PA-AL-PVC
F.I.R.M.
VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS.
ROMANIA CUTIE X 2 BLIST. X 15 COMPR.
GEDEON RIC
BMF PHARM S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COM
LES LAB. SERVIER I

BMF PHARM S.R.L.


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

ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COM


ROMANIA CUTIE X 2 BLIST. PVC-PVDC
ROMANIA CUTIE X 6 BLIST. PVC-PVDC
ROMANIA CUTIE X 9 BLIST. PVC-PVDC
ROMANIA CUTIE X 2 BLIST. PVC-PVDC

ACCORD HEA

GEDEON RIC

MEDOCHEMIE LTD. CIPRU

CUTIE CU 3 BLIST. PVC/PVDC-A


CUTIE CU BLIST. PVC/PE/PVD

Prescriptie

P-R
P-R
P-R
P-R
P-R

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

P6L
P6L

LABORMED PHARMA

ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/A


UNGARIA CUTIE CU BLIST. DIN PVC-PV
ROMANIA CUTIE CU 6 BLIST. DIN PVC
LABORMED PHARMA
MAGISTRA C&C SRL ROMANIA CUTIE
MAGISTRA C&C SRL ROMANIA CUTIE

P-6

EGIS PHARMA

P6L

OLANDA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ISLANDA
ACTAVIS GROUP P
MEDREG S.R.O.
REPUBLICA CEHA

CUTIE CU 1 BLIST. PVC-PVDC/A

P-6

CUTIE CU BLIST. PVC/PE/PVD

P6L
P6L
P6L
P6L
P6L

AB

EGIS PHARMA

UNGARIA

CUTIE CU BLIST. PVC/PE/PVD

CUTIE CU BLIST. PVC-PVDC/AL


CUTIE CU 6 BLIST. PVC-PVDC/A
CUTIE CU BLIST. DIN PVC-P

CUTIE X 5 BLIST. X 10 COMPR.


PRODOTTI FORMENT ITALIA
ISLANDA CUTIE X 10 BLIST. PVC-PVDC/A
ACTAVIS GROUP HF.
MAGISTRA C&C SRL ROMANIA CUTIE

P-6
P-6
P-6

P-6
P-6
P-6

AB

OLANDA
OLANDA

CUTIE CU 4 BLIST. PVC-PVDC/A

P-6

LABORMED PHARMA

ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/A

P-6

ACCORD HEA

CUTIE CU 3 BLIST. PVC/PVDC-A

CIPRU

CUTIE CU BLIST. PVC/PE/PVD

REPUBLICA CEHA

CUTIE CU 10 BLIST. PVC-PVDC

P6L
P6L
P6L

CUTIE X 1 FLAC. STICLA

P-6

CUTIE X 1 FLAC. STICL

P-6

GERMANI

CUTIE X 2 BLIST. PVC-PVDC/AL

P-R

GERMANI

P-6

GERMANI

CUTIE X 1 FLAC. X 30 COMPR. FILM


CUTIE X 1 FLAC. X 100 COMPR. FIL

AUSTRIA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML

AB

VERTIMED 8 mg
MEDOCHEMIE LTD.
MARBETA 8 mg
MEDREG S.R.O.
ACUVER 8 mg/doza
ACUVER 8 mg/doza
ARLEVERT
F
HENNIG ARZNEIMITTEL GMBH & CO.KG
THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM 600mg
MEDA PHARMA
THIOCTACID (R) 600 HR (vezi A16AX01) COMPR. FILM 600mg
MEDA PHARMA
CEREBROLYSIN
215,2mg/ml EVER NEURO
SOL. INJ./PE

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH


CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

Pagina 47 din 101

AUSTRIA
AUSTRIA

CUTIE CU 3 BLIST. PVC-PVDC/A

P-6

P-6
PR/PRF

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

60
28
20
60
30
30
30
30
90
30
56
56
28
28
20
50
30
50
50
20
60
90
30
30
30
30
60
60
20
50
20
30
60
30
60
100
50
100
30
30
100
30
30
30
100
1
1
48
30
100
5

10.82
90.38
24.95
63.31
18.71
18.71
63.54
22.65
63.54
33.74
71.52
117.26
105.39
178.89
71.94
10.29
14.45
10.29
15.82
9.18
26.61
36.73
12.30
19.18
19.17
16.84
34.85
35.79
18.35
39.78
27.97
19.81
38.37
13.53
34.85
19.24
26.66
19.26
9.58
14.76
29.63
9.58
9.58
7.15
19.26
38.11
70.00
26.13
80.78
255.15
124.46

Pret
amanuntul
maximal/UT
(RON)

0.180333
3.227857
1.247500
1.055166
0.623666
0.623666
2.118000
0.755000
0.706000
1.124666
1.277142
2.093928
3.763928
6.388928
3.597000
0.205800
0.481666
0.205800
0.316400
0.459000
0.443500
0.408111
0.410000
0.639333
0.639000
0.561333
0.580833
0.596500
0.917500
0.795600
1.398500
0.660333
0.639500
0.451000
0.580833
0.192400
0.533200
0.192600
0.319333
0.492000
0.296300
0.319333
0.319333
0.238333
0.192600
38.110000
70.000000
0.544375
2.692666
2.551500
24.892000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

0.156020
1.134000
1.199290
1.055166
0.599645
0.599645
2.118000
0.730500
0.706000
0.730500
1.104508
2.093928
3.336830
6.388928
3.597000
0.205800
0.411600
0.205800
0.205800
0.388999
0.388999
0.388999
0.388999
0.355549
0.355549
0.355549
0.533324
0.533324
0.533324
0.533324
0.533324
0.533324
0.533324
0.451000
0.533324
0.177774
0.177774
0.177774
0.177774
0.177774
0.177774
0.177774
0.177774
0.177774
0.177774
13.333123
26.666246
0.544375
2.350875
2.350875
24.892000

0.078010
0.567000
0.599645
0.527583
0.299822
0.299822
1.059000
0.365250
0.353000
0.365250
0.552254
1.046964
1.668415
3.194464
1.798500
0.102900
0.205800
0.102900
0.102900
0.194499
0.194499
0.194499
0.194499
0.177774
0.177774
0.177774
0.266662
0.266662
0.266662
0.266662
0.266662
0.266662
0.266662
0.225500
0.266662
0.088887
0.088887
0.088887
0.088887
0.088887
0.088887
0.088887
0.088887
0.088887
0.088887
6.666561
13.333123
0.272187
1.175437
1.175437
12.446000

Nr. crt

DCI

cod ATC

63 N07X

HIDROLIZAT DE PROTEI

64 N07X

HIDROLIZAT DE PROTEI

65 P01BA

HYDROXYCHLOROQUINUM
BUDESONIDUM*
FLUTICASONUM*
MOMETASONUM*
MOMETASONUM*
FENOTEROLUM

66 R01AD
67 R01AD
68 R01AD

Denumire Comerciala

CEREBROLYSIN
CEREBROLYSIN
PLAQUENIL
RHINOCORT (R) AQUA
FLIXONASE 0,05g/100g
MOMETAZONA FUROAT SANDOZ 50

forma farm.

concentratie

215,2mg/ml EVER NEURO


215,2mg/ml EVER NEURO
SOL. INJ./PE
COMPR. FILM 200mg
SANOFI 32mcg/doza ASTRAZENECA AB
SPRAY N
0,05g/100g GLAXOWELLCOME
SPRAY N
SANDOZ S.R.L.
SPRAY NAZ
50microg
50mcg/doza MERCK SHARP &
SPRAY N
SOL. INJ./PE

77 R03AK

NASONEX 50mcg/doza
BEROTEC N - 100 mcg
BERODUAL (R) N
COMBINATII (FENOTEROLUM +
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250
SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/125 mcg INHALER
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/250 mcg INHALER
SALMETEROLUM+FLUTICASONUM* SERETIDE 25 mcg/50 mcg INHALER C

78 R03AK

COMBINATII (BUDESONIDU

SYMBICORT TURBUHAL

PULB. DE IN

160micrograme/4,5micrograme/in

79 R03AK

COMBINATII (BUDESONIDU

SYMBICORT TURBUHALER

PULB. DE IN

320micrograme/9micrograme/inha

80 R03AK

COMBINATII (BUDESONIDU

SYMBICORT TURBUHALER

PULB. DE IN

80micrograme/4,5micrograme/inh

81 R03BA

FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
FLUTICASONUM PROPIONAT*
MOMETASONUM*
MOMETASONUM*
CICLESONIDUM*
CICLESONIDUM*
TIOTROPIUM*
TIOTROPIUM*
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
AMINOPHYLLINUM
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*

FLIXOTIDE DISKUS 100 mcg


FLIXOTIDE DISKUS 250 mcg
FLIXOTIDE DISKUS 500 mcg
FLIXOTIDE 125 INHALER CFC - Free
FLIXOTIDE (R) 50 INHALER CFC - Free
FLIXOTIDE NEBULES 0,5 mg/2 ml
FLIXOTIDE NEBULES 2 mg/2 ml
ASMANEX TWISTHALER 200 g
ASMANEX TWISTHALER 400 g
ALVESCO 160 INHALER
ALVESCO 80 INHALER
SPIRIVA 18 micrograme
SPIRIVA RESPIMAT 2,5 micrograme
MIOFILIN 100 mg
AMINOFILINA EEL
AMINOFILINA ARENA 100 MG
AMINOFILINA ARENA 200 MG
MIOFILIN
MIOFILIN 24mg/ml
ASTHATOR 10 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 10 mg
MONTELUKAST TEVA 10 mg
SPIROKAST 10 mg
MONTELUKAST ACTAVIS 10 mg
MONTEXAL 10 mg
MONKASTA 10 mg
ASTMASAN 10 mg
MONTELUKAST ALVOGEN 10 mg
STANGEN 10 mg
SOLOK 10 mg
MONART 10 mg

PULB. INHAL. 100mcg/doza


PULB. INHAL. 250mcg/doza
PULB. INHAL. 500mcg/doza
125mcg/doza
SUSP. INHAL. PRESURIZATA

69 R01AD
70 R03AC
71 R03AK
72 R03AK
73 R03AK
74 R03AK
75 R03AK
76 R03AK

82 R03BA
83 R03BA
84 R03BA
85 R03BA
86 R03BA
87 R03BA
88 R03BA
89 R03BA
90 R03BA
91 R03BA
92 R03BB
93 R03BB
94 R03DA
95 R03DA
96 R03DA
97 R03DA
98 R03DA
99 R03DA
1,000

R03D

1,001

R03D

1,002

R03D

1,003

R03D

1,004

R03D

1,005

R03D

1,006

R03D

1,007

R03D

1,008

R03D

1,009

R03D

1,010

R03D

R03D

1,012

R03D

1,013

R03D

Detinator APP

tara det.
APP

AUSTRIA
AUSTRIA

Ambalaj

Prescriptie

CUT

PR/PRF

CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML

PR/PRF

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM

P-6

SUEDIA

CUT

P-R

CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE

P-R

ROMANIA
PRF
ROMANIA CUTIE X 1 FLACON PP X 140 DOZE P-R
CUTIE CU 1 FLAC. PEID PREVAZUT CU O POMPA PULVERIZATOARE NAZALA DIN PE/PP CARE CONTINE 18 G SUSP. NA

SOL. DE INHALAT PRESURIZATA

100mcg/doza

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA

P-6

AEROS

0,020mg+0

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA

P-6

GLAXO WELL

CUTIE X 1DI

P-6

GLAXOWELLCOME

CUTIE X 1

P-6

GLAXOWELLCOME

CUTIE X 1

P-6

PULB. INHAL. 50mg/100mg


PULB. INHAL. 50mg/250mg
PULB. INHAL. 50mg/500mg
SUSP. INHAL. PRESURIZATA

25mcg/125m

GLAXOWELLCOME

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6

SUSP. INHAL. PRESURIZATA

25mcg/250m

GLAXOWELLCOME

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6

SUSP. INHAL. PRESURIZATA

25mcg/50mc

GLAXOWELLCOME

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA

P-6

ASTRAZENECA AB
ASTRAZENECA AB
ASTRAZENECA AB

SUEDIA
SUEDIA
SUEDIA

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

P6L
P6L
P6L

GLAXO WELLCOME

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-R

GLAXO WELLCOME

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-R

GLAXO WELLCOME

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE

P-R

GLAXO WELLCOME

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA

P-R

SUSP. INHAL. PRESURIZATA

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE

P-R

SUSP. INHAL. PRIN NEBULIZATOR

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-R

SUSP. INHAL. PRIN NEBULIZATOR

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB

P-R

50mcg/doza GLAXO WELLCOME


0,5mg/2ml
GLAXO WELL
2mg/2ml
GLAXO WELL
PULB. INHAL. 200g/doza MERCK SHARP &
PULB. INHAL. 400g/doza MERCK SHARP &
160g/doza NYCOMED GMBH
80g/doza NYCOMED GMBH

CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.


CUTIE CU 1 INHALATOR DIN MATERIAL PLASTIC CU 60 DOZE PULB. DE INHAL.

ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X


ROMANIA CUTIE X 1 DISPOZITIV DE ADM. X

P-6

SOL. DE INHALAT PRESURIZATA

GERMANI

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-R

SOL. DE INHALAT PRESURIZATA

GERMANI

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA

P-R

P-6

CAP

18microgram

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER

PRF

SOL. DE IN

2,5microgram

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 1 AMBALAJ UNIC CU UN INHALATOR RESPIMAT SI UN CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MED

PRF

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

100mg
100mg
100mg
200mg
24mg/ml
24mg/ml
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

CUTIE X 2 BLIST. AL/PVC X 10 CAPS

P-R

CUTIE X 2 BLIST. AL/PVC X 25 COM


CUTIE X 4 BLIST. AL/PVC X 10 COM
CUTIE X 2 BLIST. AL/PVC X 10 COM

P-R

TEVA PHARM

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ZENTIVA, K.S.

REPUBLICA CEHA

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

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

ZENTIVA SA
BIO EEL SRL
ARENA GROUP SA
ARENA GROUP SA
ZENTIVA S.A.
ZENTIVA S.A.
TORRENT PHARMA S
MERCK SHARP &
MERCK SHARP &
TEVA PHARM

S/P-RF

CUT

S/P-RF

CUTIE CU BLIST. AL/AL X 28 COMPR P6L


CUTIE X 1 BLIST. OPA-AL-PV
CUTIE X 2 BLIST. OPA-AL-PV

CUTIE CU BLIST. DIN AL/AL X 2


CUTIE CU BLIST. DIN AL/AL X 3

ICN POLFA RZESZO

KRKA D.D., NOVO

SLOVENI

CUTIE CU BLIST. OPA-AL-

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL-

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST. PA-AL-PVC

DR. REDDY'S L

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

Pagina 48 din 101

P-R

CUT

ISLANDA
POLONIA

ACTAVIS GROUP P

P-R

CUTIE CU BLIST. OPA-ALCUTIE CU BLIST. OPA-AL-

CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. FILM.

CUTIE CU BLIST. OPA-AL

CUTIE CU 1 FLAC. PEID X 28 COM

P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L

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

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

86.41
39.22
31.39
25.42
30.65
25.39
47.31
16.66
40.29
117.43
157.36
223.87
164.30
233.63
122.59
120.12
227.81
95.11
40.65
84.46
137.24
44.60
36.40
31.39
90.66
57.33
81.74
124.79
112.34
164.34
171.62
3.62
6.78
6.95
7.72
11.82
11.82
61.93
76.80
145.70
82.04
87.90
42.11
52.34
52.55
63.22
77.66
63.22
63.22
63.10
52.55

Pret
amanuntul
maximal/UT
(RON)

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

17.282000
3.922000
0.523166
25.420000
30.650000
25.390000
47.310000
16.660000
40.290000
117.430000
157.360000
223.870000
164.300000
233.630000
122.590000
120.120000
227.810000
95.110000
40.650000
84.460000
137.240000
44.600000
36.400000
3.139000
9.066000
57.330000
81.740000
124.790000
112.340000
5.478000
171.620000
0.181000
0.135600
0.173750
0.386000
2.364000
2.364000
2.211785
5.485714
5.203571
2.930000
2.930000
1.503928
1.744666
1.876785
2.257857
2.773571
2.257857
2.257857
2.253571
1.876785

14.863999
7.431999
2.972800
1.486400
0.523166
0.261583
25.420000 12.710000
30.650000 15.325000
25.390000 12.695000
30.870000 15.435000
16.660000
8.330000
40.290000 20.145000
45.702450 22.851225
114.256125 57.128062
223.870000 111.935000
114.256125 57.128062
228.512250 114.256125
45.702450 22.851225
117.012500 58.506250
227.810000 113.905000
58.506250 29.253125
31.258800 15.629400
78.147000 39.073500
137.240000 68.620000
39.073500 19.536750
31.258800 15.629400
1.041958
0.520979
4.167838
2.083919
44.984999 22.492499
81.740000 40.870000
124.790000 62.395000
74.881250 37.440625
5.478000
2.739000
166.160000 83.080000
0.181000
0.090500
0.135600
0.067800
0.173750
0.086875
0.386000
0.193000
2.364000
1.182000
2.364000
1.182000
1.876785
0.938392
1.876785
0.938392
1.876785
0.938392
1.876785
0.938392
1.876785
0.938392
1.503928
0.751964
1.744666
0.872333
1.876785
0.938392
1.876785
0.938392
1.876785
0.938392
1.876785
0.938392
1.876785
0.938392
1.876785
0.938392
1.876785
0.938392

Nr. crt

cod ATC

1,014

R03D

1,015

R03D

1,016

R03D

1,017

R03D

1,018

R03D

1,019

R03D

1,020

R03D

1,021

R03D

1,022

R03D

1,023

R03D

1,024

R03D

1,025

R03D

1,026

R03D

1,027

R03D

1,028

R03D

1,029

R03D

1,030

R03D

1,031

R03D

1,032

R03D

1,033

R03D

1,034

R03D

1,035

R03D

1,036

R03D

1,037

R03D

1,038

R03D

1,039

R03D

1,040

R03D

1,041

R03D

1,042

R03D

1,043

R03D

1,044

R03D

1,045

R03D

1,046

R03D

1,047

R03D

1,048

R03D

1,049

R03D

1,050

R03D

1,051

R03D

1,052

R03DX

1,053

R03DX

1,054

R05CB

1,055

R05CB

1,056

R05CB

1,057

R05DA

1,058

R05DA

1,059

R05DA

1,060

R05DA

1,061

R05DA

1,062

R05DA

1,063

R05DA

1,064

R05DA

DCI

MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
MONTELUKASTUM*
FENSPIRIDUM
FENSPIRIDUM
ERDOSTEINUM**
ERDOSTEINUM**
ERDOSTEINUM**
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM
DEXTROMETHORPHANUM

Denumire Comerciala

MONTELUKAST ACCORD 10 mg
MONTELUKAST ACCORD 10 mg
MONTELUKAST AUROBINDO 10 mg
MONTELUKAST CHIESI 10 mg
VIZENDO 10mg
ASTHATOR 4 mg
SINGULAIR
SINGULAIR
MONTELUKAST TEVA 4 mg
MONTELUKAST TEVA 4 mg
SPIROKAST 4 mg
MONTELUKAST ACTAVIS 4 mg
MONKASTA 4 mg
MONTELUKAST ALVOGEN 4 mg
STANGEN 4 mg
SOLOK 4 mg
MONART 4 mg
MONTELUKAST AUROBINDO 4 mg
VIZENDO 4mg
MONTELUKAST CHIESI 4 mg
ASTHATOR 5 mg
SINGULAIR (R)
SINGULAIR (R)
MONTELUKAST TEVA 5 mg
MONTELUKAST TEVA 5 mg
SPIROKAST 5 mg
MONTEXAL 5 mg
MONTELUKAST ACTAVIS 5 mg
MONKASTA 5 mg
MONTELUKAST ALVOGEN 5 mg
STANGEN 5 mg
SOLOK 5 mg
MONART 5 mg
MONTELUKAST CHIESI 5 mg
VIZENDO 5mg
MONTELUKAST AUROBINDO 5 mg
ASTMASAN 4 mg
SINGULAIR 4 mg
EURESPAL 80 mg
EURESPAL 2 mg/ml
ERDOMED 300 mg
ERDOMED 225 mg
ERDOMED 175 mg/5 ml
TUSSIN FORTE
HUMISEC 5mg/5ml
HUMEX
HUMEX 0,133 g/100 ml
ROFEDEX
HUMISEC pentru adulti 20mg/15 ml
TUSSIN 6,5mg/5ml
ROBITUSSIN JUNIOR

forma farm.
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM
COMPR. FILM

concentratie

10mg
10mg
10mg
10mg
10mg
COMPR. MAS 4 mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 4mg
COMPR. MAS 5 mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
COMPR. MAS 5mg
GRANULE
4mg
GRANULE
4mg
80mg
SIROP
2mg/ml
CAPS.
300mg
225mg
GR
175mg/5ml
PUL
COMPR.
20mg
SIROP
0,1%
SIROP
0,1%
SIROP
0,13%
SIROP
15mg/5ml
SIROP
20mg/15 ml
SIROP
6,5mg/5ml
SOL. ORALA 3,75mg/5ml
COMPR. CU ELIBERARE PRELUNGITA

Detinator APP

tara det.
APP

Ambalaj

CUTIE CU BLIST. PA-AL-PVC


CUTIE CU BLIST. PA-AL-PVC

P-6

CUTIE CU BLIST. OPA-AL-

ACCORD HEA

CUTIE CU BLIST. OPA-AL-

AUROBINDO PHARMA (MALTA) LIMITED

CHIESI

MALTA
AUSTRIA

Prescriptie

P6L
P6L
P6L

ACCORD HEA

TEVA PHARM

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMP


ROMANIA CUTIE CU BLIST. AL/AL X 28 COM
ROMANIA CUTIE X 2 BLIST. OPA-A
ROMANIA CUTIE X 2 BLIST. OPA-ALROMANIA CUTIE CU BLIST. DIN AL/AL X
ROMANIA CUTIE CU BLIST. DIN AL/AL X

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. OPA-AL

KRKA D.D., NOVO

SLOVENI

CUTIE CU BLIST. OPA-AL

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST

DR. REDDY'S L

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. PEID X 28 CO

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PV

GLAXOSMITHKL

ROMANIA CUTIE CU BLIST. AL/AL X 28 COM

P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L

CHIESI

AUSTRIA

P-6

GLAXOSMITHKL

TORRENT PHARMA S
MERCK SHARP &
MERCK SHARP &
TEVA PHARM

CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST.

CUTIE CU BLIST. PAPVC/AL X

CUTIE CU BLIST. PA-AL-PV

TEVA PHARM

ROMANIA CUTIE CU BLIST. AL/AL X 28 COM


ROMANIA CUTIE X 1 BLIST. OPA-A
ROMANIA CUTIE X 2 BLIST. OPA-A
ROMANIA CUTIE CU BLIST. DIN AL/AL X
ROMANIA CUTIE CU BLIST. DIN AL/AL X

ZENTIVA, K.S.

REPUBLICA CEHA

P6L
P6L
P-R
P-R

ACTAVIS GROUP P

POLONIA
ISLANDA

KRKA D.D., NOVO

SLOVENI

CUTIE CU BLIST. OPA-AL

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST

DR. REDDY'S L

TERAPIA S.A.

ROMANIA
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. PEID X 28 CO

P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L

CHIESI

AUSTRIA

CUTIE CU BLIST. PA-AL-PV

P-6

GLAXOSMITHKL

ROMANIA CUTIE CU BLIST. AL/AL X 28 COM

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

TORRENT PHARMA S
MERCK SHARP &
MERCK SHARP &
TEVA PHARM

ICN POLFA RZESZO

SANDOZ S.R.L.
MERCK SHARP &

LES LAB. SERVIER I


LES LAB. SERVIER I
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH
CSC PHARMACEUTICALS HANDELS GMBH

EUROPHARM SA
LAB. URGO SA
LAB. URGO SA
LAB. URGO SA
BIOFARM SA
LAB. URGO SA
ROPHARMA S.A.
PFIZER CORPORATION AUSTRIA GMBH

Pagina 49 din 101

ROMANIA
ROMANIA

CUTIE CU BLIST. NY/AL/PVC-AL (FARA INDICAREA ZILELOR SAPTAMANII) X 28 COMPR. MAST.

CUTIE CU BLIST. OPA-AL


CUTIE CU BLIST. OPA-AL

CUTIE CU BLIST. AL/PE-PEID/PE SI DESICANT/AL/OPA X 28 COMPR. MAST.

CUTIE CU BLIST. PA/PVC/AL X

CUTIE CU BLIST. PV
CUTIE CU 28 PLICU
CUTIE CU 28 PLIC

FRANTA/GERMANIA CUTIE

P6L
P6L
P6L
P6L
P-6

FRANTA CUTIE X 1 FLACON PV


AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X
AUSTRIA CUTIE CU 20 PLICURI UNIDO
AUSTRIA

P-6

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

P-R

FRANTA/GERMANIA

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1

P-R

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1

P-R

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-R

CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE

P-R

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 50 G PULB. PT. OBTINEREA A 100 ML SUSP. ORALA + 1 MASURA DOZATOA

FRANTA
FRANTA
ROMANIA

P-6
P-6
P-6

FRANTA/GERMANIA CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA

P-R

ROMANIA

CUTIE X 1 FLAC. X 115ML SIROP + O LINGURITA DOZATOARE GRADATA LA 1,25ML; 2,5ML SI 5 ML

P-R

AUSTRIA

CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M

P-R

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

28 52.55
30 56.29
28 64.30
28 64.39
28 49.04
28 44.47
28 157.51
14 83.04
28 42.84
30 45.90
28 29.97
30 41.75
28 42.84
28 42.84
28 42.84
28 42.32
28 42.32
28 48.83
28 30.06
28 42.84
28 55.28
14 76.63
28 145.31
28 53.46
30 57.27
28 36.31
28 53.41
30 47.72
28 53.46
28 53.46
28 53.46
28 53.25
28 53.46
28 53.46
28 36.43
28 60.94
28 77.86
28 158.93
30 28.09
1 20.02
10 15.81
20 33.14
1 24.95
20
6.78
1
8.46
1
8.46
1 10.82
1
5.27
1 10.82
1
7.87
1
8.61

Pret
amanuntul
maximal/UT
(RON)

1.876785
1.876333
2.296428
2.299642
1.751428
1.588214
5.625357
5.931428
1.530000
1.530000
1.070357
1.391666
1.530000
1.530000
1.530000
1.511428
1.511428
1.743928
1.073571
1.530000
1.974285
5.473571
5.189642
1.909285
1.909000
1.296785
1.907500
1.590666
1.909285
1.909285
1.909285
1.901785
1.909285
1.909285
1.301071
2.176428
2.780714
5.676071
0.936333
20.020000
1.581000
1.657000
24.950000
0.339000
8.460000
8.460000
10.820000
5.270000
10.820000
7.870000
8.610000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

1.876785
1.876333
1.876785
1.876785
1.751428
1.521428
1.521428
1.521428
1.521428
1.521428
1.070357
1.391666
1.521428
1.521428
1.521428
1.511428
1.511428
1.521428
1.073571
1.521428
1.901785
1.901785
1.901785
1.901785
1.901785
1.296785
1.901785
1.590666
1.901785
1.901785
1.901785
1.901785
1.901785
1.901785
1.301071
1.901785
1.521428
1.521428
0.936333
20.019999
1.581000
1.303562
24.950000
0.339000
4.362396
8.460000
9.283183
5.270000
9.283183
5.217428
2.617438

0.938392
0.938166
0.938392
0.938392
0.875714
0.760714
0.760714
0.760714
0.760714
0.760714
0.535178
0.695833
0.760714
0.760714
0.760714
0.755714
0.755714
0.760714
0.536785
0.760714
0.950892
0.950892
0.950892
0.950892
0.950892
0.648392
0.950892
0.795333
0.950892
0.950892
0.950892
0.950892
0.950892
0.950892
0.650535
0.950892
0.760714
0.760714
0.468166
10.009999
0.790500
0.651781
12.475000
0.169500
2.181198
4.230000
4.641591
2.635000
4.641591
2.608714
1.308719

DCI

Nr. crt

cod ATC

1,065

R05DA

1,066

R06AE

1,067

R06AE

1,068

R06AE

1,069

R06AE

1,070

R06AE

1,071

R06AE

1,072

R06AE

1,073

R06AE

1,074

R06AX

1,075

R06AX

1,076

R06AX

1,077

R06AX

1,078

R06AX

1,079

R06AX

1,080

R06AX

1,081

R06AX

1,082

R06AX

1,083

R06AX

1,084

R06AX

1,085

R06AX

1,086

R06AX

1,087

R06AX

1,088

R06AX

1,089

R06AX

1,090

R06AX

1,091

R06AX

1,092

R06AX

1,093

R06AX

1,094

R06AX

1,095

R06AX

1,096

R06AX

1,097

R06AX

1,098

R06AX

1,099

R06AX

1,100

S01AA

1,101

S01AA

1,102

S01AA

1,103

S01AA

1,104

S01AA

1,105

S01AA

1,106

S01AA

1,107

S01AA

1,108

S01AX

1,109

S01AX

S01BA

S01BA

S01BA

S01BA

DEXTROMETHORPHANUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
LEVOCETIRIZINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
FEXOFENADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
DESLORATADINUM
GENTAMICINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
TOBRAMYCINUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
OFLOXACINUM
OFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
BETAMETHASONUM

S01CA

COMBINATII ( NETILMI

S01CA

COMBINATII ( NETILMI

Denumire Comerciala

ROBITUSSIN ANTITUSSICUM
XYZAL (R)
XYZAL (R)
CEZERA 5 mg
LEVOCETIRIZINA SANDOZ 5 mg
ZENARO 5 mg
LEVOCETIRIZINA ACTAVIS 5 mg
XYZAL
ZENARO 0,5 mg/ml
EWOFEX 120 mg
TELFAST 120 mg
EWOFEX 180 mg
TELFAST 180 mg
DYNID 5 mg
DESLORATADINA ACTAVIS
DESLORATADINA ACTAVIS
DESLORATADINA SANDOZ 5 mg
AERIUS 5mg
AERIUS 5mg
AERIUS 5mg
DASSELTA
DESLORATADINAE RATIOPHARM
DESLORATADINA ALVOGEN 5 mg
DESLORATADINA TERAPIA 5 mg
LORDESTIN 5 mg
DESLORATADINA TEVA
AERIUS 2,5mg
AERIUS 5mg
DESLORATADINA TEVA 5 mg
DESLORATADINA SANDOZ 0.5 mg/ml
AERIUS 0,5mg/ml
DESLORATADINA ALVOGEN 0,5 mg/ml
DYNID 0,5 mg/ml
AERIUS 0,5mg/ml
DYNID 0,5 mg/ml
GENTAMICIN SULPHATE
TOBROM 3 mg/ml
TOBREX
TOBREX 2 X
TOBREX (R)
NETTACIN (R)
NETTACIN (R)
NETTAVISC 3mg/g
FLOXAL (R)
FLOXAL (R)
DEXAMETAZONA ROMPHARM 1mg/ml
DEXAMETAZONA ROMPHARM 1mg/ml
MAXIDEX (R)
OPHTAMESONE
NETILDEX
NETILDEX

forma farm.

concentratie

SOL. ORALA 7,5mg/5ml


COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
5mg/ml
PIC. ORALE
SIROP
0,5mg/ml
COMPR. FILM 120mg
COMPR. FILM 120mg
COMPR. FILM 180mg
COMPR. FILM 180mg
COMPR.
5mg
COMPR. FILM 5 mg
COMPR. FILM 5 mg
COMPR. FILM 5 mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. FILM 5mg
COMPR. ORODISPERSABILE 2,5mg
COMPR. ORODISPERSABILE 5mg
COMPR. ORODISPERSABILE 5mg
SOL. ORALA 0,5 mg/ml
SOL. ORALA 0,5mg/ml
SOL. ORALA 0,5mg/ml
SOL. ORALA 0,5mg/ml
SOL. ORALA 0,5mg/ml
SOL. ORALA 0,5mg/ml
0,3%
PIC. OFT., S
3mg/ml
PIC. OFT., S
3mg/ml
PIC. OFT.,SO
0,3%
PICATURI
UNG. OFT.
0,3%
0,3%
PIC. OFT., S
0,3%
PICATURI
UNG. OFT.
3mg/g
0,3%
PICATURI
UNG. OFT.
0,3%
1mg/ml
PIC. OFT. SU
1mg/ml
PIC. OFT. SU
0,1%
PICATU
SOL. OFT.
0,1%
PIC. OFT.,SO

PIC. OFT.SOL. UNIDOZA

Detinator APP
PFIZER CORPORATION AUSTRIA GMBH

tara det.
APP

AUSTRIA

U.C.B. GMBH
U.C.B. GMBH

GERMANI

KRKA D.D. NOVO M

Ambalaj
CUTIE X 1 FL. DIN STICLA BRUNA CU CAPAC SECURIZAT X 100 ML SOL. ORALA + MASURA DOZATOARE PT.2,5ML;5M

Prescriptie

P-R

P-6

GERMANI

CUTIE X 1 BLIST. X 10 COMPR. FILM


CUTIE X 3 BLIST. X 10 COMPR. FILM

SLOVENI

CUTIE CU BLIST. PVC-PVD

P-6

SANDOZ S.R.L.
ZENTIVA K.S.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PVC-ACLA

P-6

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC-PVDC/

P6L

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR

P-6

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 200 ML SIROP + 1 LINGURITA DOZATOARE DE 5 ML GRADATA LA 2,5 ML S

P6L

CUTIE X 1 BLIST. PVC-PVDC

P-6

CUTIE X 1 BLIST. PVC-P

P-6

CUTIE X 1 BLIST. PVC-PVDC

P-6

CUTIE X 1 BLIST. PVC-P

P-6

UCB PHARMA GMBH GERMANI


ZENTIVA, K.S.
REPUBLICA CEHA

SANOFI-AVE

SLOVACI
ROMANIA
SLOVACI
ROMANIA

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

EWOP

SANOFI-AVE
EWOP

P-6

CUTIE CU BLIST. AL/AL X 30 COMPR P6L

ISLANDA CUTIE CU BLIST. DIN OPA/AL/PVCISLANDA CUTIE CU BLIST. DIN OPA/AL/PVC-

PRF

SANDOZ S.R.L.
SP EUROPE
SP EUROPE
SP EUROPE

ROMANIA

CUTIE CU BLISTER NON UNIDOZA PVC-ACLAR/AL X 30 COMPR.FILM.

P6L

CUTIE X 30COMPR. FILM. ( PCTFE

P-R

CUTIE X 10 COMPR. FILM. ( PCTF

P-R

CUTIE X 7 COMPR. FILM. ( PCTFE/

P-R

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE FILMATE

PRF

RATIOPHARM GMBH GERMANI

CUTIE CU B

PRF

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST. PVC-PE

TERAPIA SA

CUTIE CU BLIST. PCTFE-PV

GEDEON RIC

ROMANIA
ROMANIA

TEVA PHARMA B.V.


SP EUROPE
SP EUROPE

OLANDA
BELGIA
BELGIA

ACTAVIS GROUP P
ACTAVIS GROUP P

TEVA PHARM

SANDOZ S.R.L.
SP EUROPE

BELGIA
BELGIA
BELGIA

ROMANIA
ROMANIA

PRF

CUTIE CU BLIST. PVC-PE

P6L
P6L
P6L

CUTIE CU BLIST. DIN

PRF

CUTIE X 30 COMPR

P-R

CUTIE X 30 COMPR

P-R

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 125 ML X 120 ML, SOL. ORALA + LINGURITA DOZATOAR

P6L
P6L
P-R

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

BELGIA

CUTIE X 1 FLACON X 120 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 120 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

P6L
P6L

SP EUROPE

BELGIA

CUTIE X 1 FLACON X 150 ML SOL. ORALA + LIGURITA DOZATOARE DE 2,5 ML SI 5ML

P-R

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLICA CEHA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 150 ML SOL. ORALA + 1 LINGURITA DOZATOARE SAU O SERINGA DOZATOAR

P6L

E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 FLACON X 10ML


ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML P
ROMPHARM COMP

P-R
P-R

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

GERMANI

CUTIE X 1 FLACON D

P-R

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

GERMANI

CUTIE X 1 TUB DIN AL

P-R

CUTIE X 1 FLAC. DIN

P-R

CUTIE X 1 FLAC. DIN P

P-R

CUTIE X 1 FLACON PICURATOR

P-R

ALCON COUVREUR
ALCON COUVREUR
ALCON COUVREUR

CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL.

P-R

CUTIE X 1 FLAC. PEID

P-R

CUTIE X 1 TUB DIN AL

P-R

CUTIE X 1 FLACON X 5ML

P-R

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

P-R

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR

P-R

ROMPHARM COMP

ROMANIA
ROMANIA

ALCON COUVREUR

BELGIA

DAR AL DAWA P

ROMANIA CUTIE X 1 FLACON X 10ML

S.I.F.I. SPA
S.I.F.I. SPA

ITALIA
ITALIA

ROMPHARM COMP

Pagina 50 din 101

P-R

CUTIE X 1 FLACON DIN PEJD

P-R

CUTIE X 2

P-R

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

1
10
30
30
10
20
10
1
1
10
10
10
10
30
10
30
30
30
10
7
30
30
30
30
30
30
30
30
30
1
1
1
1
1
1
1
1
1
1
1
1
15
1
1
1
1
1
1
1
1
20

8.61
16.92
42.17
28.34
10.99
12.80
6.41
36.23
23.91
7.03
10.80
10.03
15.44
25.42
9.35
28.06
33.14
54.55
21.77
17.46
25.45
35.44
35.44
25.45
35.46
28.46
49.67
42.82
19.94
13.31
20.49
13.31
13.31
25.93
16.86
4.71
4.08
11.31
20.80
8.64
14.18
28.94
32.50
14.45
15.38
10.12
5.55
8.55
4.50
31.39
51.31

Pret
amanuntul
maximal/UT
(RON)

8.610000
1.692000
1.405666
0.944666
1.099000
0.640000
0.641000
36.230000
23.910000
0.703000
1.080000
1.003000
1.544000
0.847333
0.935000
0.935333
1.104666
1.818333
2.177000
2.494285
0.848333
1.181333
1.181333
0.848333
1.182000
0.948666
1.655666
1.427333
0.664666
13.310000
20.490000
13.310000
13.310000
25.930000
16.860000
4.710000
4.080000
11.310000
20.800000
8.640000
14.180000
1.929333
32.500000
14.450000
15.380000
10.120000
5.550000
8.550000
4.500000
31.390000
2.565500

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

5.234876
1.459049
1.405666
0.944666
1.099000
0.640000
0.641000
29.180988
23.910000
0.703000
0.848333
1.003000
1.272499
0.847333
0.848333
0.848333
0.848333
0.848333
0.848333
0.848333
0.848333
0.848333
0.848333
0.848333
0.848333
0.848333
0.424166
0.848333
0.664666
12.327500
12.327500
12.327500
12.327500
15.409375
15.409375
4.710000
4.080000
4.080000
4.080000
3.060000
14.180000
1.251059
20.850997
11.302500
15.380000
9.107999
4.553999
4.553999
4.500000
11.920500
0.715230

2.617438
0.729524
0.702833
0.472333
0.549500
0.320000
0.320500
14.590494
11.955000
0.351500
0.424166
0.501500
0.636249
0.423666
0.424166
0.424166
0.424166
0.424166
0.424166
0.424166
0.424166
0.424166
0.424166
0.424166
0.424166
0.424166
0.212083
0.424166
0.332333
6.163750
6.163750
6.163750
6.163750
7.704687
7.704687
2.355000
2.040000
2.040000
2.040000
1.530000
7.090000
0.625529
10.425498
5.651250
7.690000
4.553999
2.276999
2.276999
2.250000
5.960250
0.357615

Nr. crt

DCI

cod ATC

S01CA

COMBINATII (C

S01CA

COMBINATII (TOBRAMYC

S01CA

COMBINATII (TOBRAMYC

S01CA

COMBINATII (TOBRAMYC

1,120

S01GX

1,121

S01XA

OLOPATADINUM
RETINOLUM

Denumire Comerciala

SPERSADEX COMP
DEXATOBROM 3 mg+1 mg/ml
TOBRADEX ( R )
TOBRADEX (R)
OPATANOL 1mg/ml
OCULOTECT

forma farm.

concentratie

Detinator APP
LABORATOIRES THE

PICATURI

5mg/ml+1mg/

PIC. OFT. SU

3mg+1mg/ml ROMPHARM COM


1mg+3mg
ALCON COUVREUR
1mg+3mg
ALCON COUVREUR
1mg/ml
ALCON LABORAT
10mg/g
NOVARTIS PHARM

PICATU

UNG. OFT.
PIC. OFT., SO

GEL OFT.

tara det.
APP
FRANTA/GERMANIA

Ambalaj
CUTIE X 1 FLACON X 5 M

ROMANIA CUTIE CU 1 FLAC. PEJD A 5 ML

BELGIA
BELGIA

P-R

CUTIE X 1 FLACON PICURATOR

P-R

CUTIE X 1 TUB AL,

P-R

CUTIE X 1 FLACON X 5 ML
GERMANI CUTIE X 1 TUB X 10 G GEL. OFT.
M

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 Snt ii i cu aprobarea
comisiilor de la nivelul Caselor Judeene de Asigurri de Sntate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Casei Nationale de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (2) se prescrie numai in etapa pregtitoare pentru colonoscopie;
- Pentru medicamentele corespunztoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

Pagina 51 din 101

Prescriptie

P-R

P-R

P-6

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

1
1
1
1
1
1

12.53
10.00
15.39
13.07
30.49
16.43

Pret
amanuntul
maximal/UT
(RON)

12.530000
10.000000
15.390000
13.070000
30.490000
16.430000

Val suportata
de CNAS/UT
(RON)Legea Val suportata
nr. 95/2006 art
CNAS/UT
213 alin.1 lit.
(RON) pt.
a) si f)
Adulti

11.920500
10.000000
11.920500
8.344350
30.490000
16.430000

5.960250
5.000000
5.960250
4.172175
15.245000
8.215000

ANEXA 3
SECIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREUL DE REFERIN CONFORM
DCI-urilor UTILIZATE N TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII I CONSUMULUI PRIN COMISIILE PARITARE; MEDICAMENTELE
DIN ACEAST SUBLIST SE ELIBEREAZ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZ DE PRESCRIPIE MEDICAL CU REINERE N FARMACIE ( P-RF)
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 IULIE 2013

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37

B01AA
B01AA
C01AA
C01AA
C01AA
C03AA
C03CA
C03CA
C03CA
C03CA
C03CA
C03CA
C03CA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA

C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB

ACENOCUMAROLUM
ACENOCUMAROLUM
DIGOXINUM
DIGOXINUM
DIGOXINUM
HYDROCHLOROTHIAZIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM

TROMBOSTOP 2 mg
SINTROM 4 mg
DIGOXIN 0,25 mg
DIGOXIN ZENTIVA 0,25 mg
DIGOXIN 0,5 mg/2 ml
NEFRIX 25 mg
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON
SPIRONOLACTONA ARENA

SPIRONOLACTONA LPH 25

VEROSPIRON
SPIRONOLACTONA ARENA

SPIRONOLACTONA EEL 25
SPIRONOLACTONA OZONE

SPIRONOLACTONA 25 mg
ALSPIRON 25 mg
ALSPIRON 50 mg
BLOXAN
BETAPROL 100 mg
EGILOK 100 mg
METOPROLOL LPH 100 mg
METOPROLOL LAROPHAR

METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL AL 100
METOPROLOL 100 mg
METOPROLOL TERAPIA 100
METOPROLOL VIM SPE

METOPROLOL ARENA 100

METOPROLOL 100 mg
METOPROLOL TARTRAT I

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

2mg
4mg
0,25mg
0,25mg
0,5mg/2ml
25mg
40mg
40mg
40mg
40mg
40mg
40mg
10mg/ml
100mg
25mg
25mg
50mg
50mg
25mg
25mg
25mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg

TERAPIA SA

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

NOVARTIS PHARM

GERMANI

ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA S.A.
ZENTIVA SA

CUTIE CU 2 BLIST. AL/PVC X 10 C


ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COM
ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COM

PPPP-

AC HELCOR PHARM

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

KRKA D.D. NOVO M

SLOVENI

AC HELCOR PHARM

P-6

LAROPHARM SRL

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


UNGARIA CUTIE X 1 FLAC. DIN STIC
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COM

ALIUD PH

GERMANI

CUTIE X 3 BLIST. DIN PVC-PV

P-6

ALIUD PH

GERMANI

CUTIE X 10 BLIST. DIN PVC-

P-6

ALIUD PH

GERMANI

CUTIE X 5 BLIST. DIN PVC-PV

P-6

MAGISTRA C & C SR

INTA

CUTIE X 3 BLIST. AL/PVC X 10 COM


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

P-6

SLAVIA PHARMA S.R.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

MAGISTRA C&C S.R.L

SLAVIA PHARM SRL


BIO EEL SRL
ZENTIVA SA
LABORMED PHARM

ARENA GROUP S.A.


ZENTIVA SA
GEDEON RIC

ARENA GROUP S.A.


LABORMED PHARMA
GEDEON RIC

ARENA GROUP S.A.


BIO EEL SRL
OZON

TERAPIA SA
AC HELCOR PHARM

EGIS PHARMA

LABORMED PHARM

TERAPIA SA
VIM SPECTRUM SRL

ARENA GROUP SA

Pagina 52 din 101

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

CUTIE X 1 BLIST. AL/PVC X 25 COM


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

CUTIE X 2 BLIST. X 10 COMPR.

S/P-RF

P-6
P-6
P-6
P-6

CUTIE X 1 FLAC. DIN PEID X 20 CO


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

P-6

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

P-

P-6
P-6

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


CUTIE CU 5 BLIST. PVC/AL X 10 CAP P-6
CUTIE CU 6 BLIST. PVC/AL X 10 CAP P6L
CUTIE X 3 BLIST. AL/PVC X 10 CAPS P-6
CUTIE CU 3 BLIST. PVC/AL X 10 CAP P-6
CUTIE X 2 BLIST. AL/PVC X 10 COM
CUTIE X 5 BLIST. AL/PVC X 10 COM

P-6

CUTIE X 5 BLIST. AL/PVC X 10 CO

P-6

CUTIE X 2 BLIST. AL/PVC X 10 CO

P-6

CUTIE X 2 BLIST. AL/PVC X 10 CO

P-6

CUTIE X 3 BLIS

P-6

P-6

P-6
P-6
P-6

P-6
P-6
P-6
P-6

P6L

30
20
25
25
5
25
20
20
20
20
20
20
5
30
50
60
30
30
20
50
50
20
20
30
30
20
30
20
30
100
50
30
30
20
30
20
30

6.53
6.76
3.34
3.34
7.97
4.18
3.02
2.28
5.42
6.02
3.04
6.02
6.07
28.51
16.07
19.46
16.72
16.24
4.30
10.79
16.21
4.30
13.74
14.05
10.94
6.56
7.12
5.86
9.12
19.75
13.00
9.49
15.12
7.38
7.01
8.09
8.09

0.217666
0.338000
0.133600
0.133600
1.594000
0.167200
0.151000
0.114000
0.271000
0.301000
0.152000
0.301000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215800
0.324200
0.215000
0.687000
0.468333
0.364666
0.328000
0.237333
0.293000
0.304000
0.197500
0.260000
0.316333
0.504000
0.369000
0.233666
0.404500
0.269666

0.217666
0.338000
0.133600
0.133600
1.594000
0.167200
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.237000

0.217666
0.338000
0.133600
0.133600
1.594000
0.167200
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.258000
0.215000
0.649599
0.237000
0.237000
0.237000
0.237000
0.237000
0.237000
0.197500
0.237000
0.237000
0.237000
0.237000
0.233666
0.237000
0.237000

NR.CRT

38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

COD ATC

C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07AB
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A

DCI

METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
METOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
BISOPROLOLUM
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
NEBIVOLOLUM**
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM
CARVEDILOLUM

Denumire Comerciala

forma farm.

EGILOK 25 mg
METOPROLOL LPH 25 mg
METOPROLOL 25 mg
METOPROLOL ARENA 25 MG

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
METOPROLOL LAROPHARM
BETAPROL 50 mg
COMPR.
EGILOK 50 mg
COMPR.
METOPROLOL LPH 50 mg
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL AL 50
COMPR.
METOPROLOL 50 mg
COMPR.
METOPROLOL TERAPIA 50 m COMPR.
COMPR.
METOPROLOL VIM SPECT
METOPROLOL ARENA 50 MG COMPR.
METOPROLOL 50 mg
COMPR.
COMPR.
METOPROLOL TARTRAT
METOPROLOL RETARD 100

BETALOC (R) ZOK 100 mg


BETALOC (R) ZOK 50 mg

COMPR. ELIB. P
COMPR. FI
COMPR. FI

METOSUCCINAT SANDOZ 1

COMPR.FILM.

METOSUCCINAT SANDOZ 4

COMPR.FILM.

METOSUCCINAT SANDOZ 9

COMPR.FILM.

BETALOC
CONCOR COR 10 mg
CONCOR COR 2,5 mg
CONCOR COR 5 mg
NEBILET (R)
NEBIVOLOL ACTAVIS 5 mg
X-PRESSOL 5 mg
NOLET 5 mg
NEBIVOLOL TEVA 5 mg
NEBIVOLOL TEVA 5 mg
NEBINORM 5 mg
NEBIVOLOL SANDOZ 5 mg
NEBIVOLOL TERAPIA 5mg
NEBIVOLOL TORRENT 5 mg
NEBICARD 5 mg
CARVEDILOL SANDOZ
DILATREND (R) 12,5 mg
CORYOL 12,5 mg
TALLITON (R) 12,5 mg
CARVEDILOL LPH 12,5 mg

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

CARVEDILOL VIM SPECT

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

DILATREND (R) 25 mg
CORYOL 25 mg

concentratie

25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
50mg
190mg
47,5mg
95mg
5mg/5ml
10mg
2,5mg
5mg
5mg
5mg
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

TARA
DET. APP
UNGARIA
EGIS PHARMA
ROMANIA
LABORMED PHARM
MAGISTRA C & C SR ROMANIA
ARENA GROUP S.A. ROMANIA
LAROPHARM SRL
ROMANIA
ROMANIA
AC HELCOR PHARM
UNGARIA
EGIS PHARMA
ROMANIA
LABORMED PHARM
DETINATOR APP

AMBALAJ

Prescriptie

CUTIE X 1 FLAC. DIN STICLA

P-6

CUTIE X 1 BLIST. AL/PVC X 20 COM


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

P-6

CUTIE X 1 FLAC. DIN STICLA

P-6

CUTIE X 3 BLIST. AL/PVC X 10 COM

P-6

P-6
P-6
P-6
P-6

ALIUD PHARMA GMB

GERMANI

CUTIE X 3 BLIST. DIN PVC-PV

P-6

ALIUD PHARMA GMB

GERMANI

CUTIE X 10 BLIST. DIN PVC-

P-6

ALIUD PHARMA GMB

GERMANI

CUTIE X 5 BLIST. DIN PVC-PV

P-6
P-6

MAGISTRA C & C SR

ROMANIA
TERAPIA SA
ROMANIA
ROMANIA
VIM SPECTRUM SRL
ARENA GROUP S.A. ROMANIA
SLAVIA PHARMA S.R. ROMANIA
INTA

CUTIE X 3 BLIST. AL/PVC X 10 COM


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

TERAPIA SA
ASTRAZENECA AB
ASTRAZENECA AB
HEXAL AG
HEXAL AG
HEXAL AG
ASTRAZENECA AB
MERCK KGAA
MERCK KGAA
MERCK KGAA

ROMANIA

CUTIE X 2

P-6

CUTIE X 1 FLAC. X 30 COMPR.

P-6

CUTIE X 1 FLAC. X 30 COMPR.

P-6

GERMANI

CUTIE X

P-6

GERMANI

CUTIE X

P-6

GERMANI

CUTIE X

P-6

SUEDIA

CUTIE X 5 FIOLE X 5 ML SOL.INJ.

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 CO

P-6

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 CO

P-6

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 C

P-6

SUEDIA
SUEDIA

P-6
P-6
P-6
P-6

P6L

TEVA PHARMA

CUTIE X 4 BLIST. AL/PVC X 7 COMP


ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
ROMANIA CUTIE X 3 BLIST. PVC-PE-PVD
ROMANIA CUTIE X 3 BLIST. PVC- PE- P
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X

REPUBLICA CEHA

SANDOZ S.R.L.
TERAPIA S.A.

ROMANIA CUTIE CU BLIST. PVC/AL X 28 COM


ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COM
ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 C
POLONIA CUTIE CU BLIST. PVC-PE-PVDC

P6L

GERMANI

CUTIE X 3 BLIST. PVC-PVDC/AL

P-6

ROCHE ROMANIA S.R

ROMANIA

CUTIE X 2 BLIST. OPA-AL-PVDC

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE X 4 BLIST. OPA-AL-PVC/A

P-6

CUTIE X 1 FLAC. DIN STICLA

P-6

CUTIE X 3 BLIST. AL/PVC X 10 COM


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

P-6

ROCHE ROMANIA S.R

UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. OPA-AL-PVDC

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE X 2 BLIST. OPA-AL-PVC

P-6

BER

ACTAVIS S.R.L.
LABORMED PHARMA

ANTIBIOTICE S.A.
TEVA PHARMA

TORRENT PHARMA

BIOFARM SP. ZO.O


HEXAL AG

EGIS PHARMA

LABORMED PHARM

VIM SPECTRUM SRL

ANTIBIOTICE S.A.
SLAVIA PHARM S.R.L
AC HELCOR PHARM

Pagina 53 din 101

GERMANI

CUTIE CU BLIST. PVC-PVDC/AL X

P-6
P-6

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

P-6

P6L
P6L

P-6
P-6
P-6
P-6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

20
20
30
30
20
30
20
30
30
100
50
30
30
20
30
20
30
20
30
30
30
30
30
5
30
30
30
28
30
30
30
28
30
30
28
28
30
28
30
28
28
30
30
20
30
30
20
28
28

1.90
1.90
2.85
2.85
3.51
5.27
3.51
4.75
5.27
8.40
7.09
5.27
7.06
3.45
5.27
3.51
5.27
11.12
25.70
15.69
22.71
8.14
13.59
22.16
32.72
14.76
22.31
34.55
23.20
27.09
24.87
22.80
24.44
24.87
13.84
22.65
24.59
22.93
8.74
29.94
12.48
13.30
13.36
6.72
13.10
13.36
8.72
33.45
22.05

0.095000
0.095000
0.095000
0.095000
0.175500
0.175666
0.175500
0.158333
0.175666
0.084000
0.141800
0.175666
0.235333
0.172500
0.175666
0.175500
0.175666
0.556000
0.856666
0.523000
0.757000
0.271333
0.453000
4.432000
1.090666
0.492000
0.743666
1.233928
0.773333
0.903000
0.829000
0.814285
0.814666
0.829000
0.494285
0.808928
0.819666
0.818928
0.291333
1.069285
0.445714
0.443333
0.445333
0.336000
0.436666
0.445333
0.436000
1.194642
0.787500

0.095000
0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.100800
0.757000
0.271333
0.453000
4.432000
0.546799
0.492000
0.300120
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599
0.349599
0.336000
0.349599
0.349599
0.349599
0.367200
0.367200

0.095000
0.095000
0.095000
0.095000
0.100800
0.100800
0.100800
0.100800
0.100800
0.084000
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.100800
0.237000
0.237000
0.100800
0.757000
0.271333
0.453000
4.432000
0.546799
0.492000
0.300120
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.593142
0.494285
0.593142
0.593142
0.593142
0.291333
0.349599
0.349599
0.349599
0.349599
0.336000
0.349599
0.349599
0.349599
0.367200
0.367200

NR.CRT

87
88
89
90
91
92
93
94
95
96
97
98
99

DCI

COD ATC

C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A
C07A

100 C07A
101 C07A
102 C07A
103 C07A
104 C07A
105 C07A
106 C07A
107 C09AA
108 C09AA
109 C09AA
110 C09AA

111 C09AA
112 C09AA
113 C09AA
114 C09AA
115 C09AA
116 C09AA
117 C09AA
118 C09AA
119 C09AA

120 C09AA
121 C09AA
122 C09AA
123 C09AA
124 C09AA
125 C09AA
126 C09AA
127 C09AA
128 C09AA
129 C09AA
130 C09AA
131 C09AA
132 C09AA
133 C09AA
134 C09AA
135 C09AA

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

Denumire Comerciala

TALLITON (R) 25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 25 mg
GLADYCOR 25 mg
MIOCARVIL 25 mg
CARVEDILOL HELCOR 25 mg
DILATREND (R) 6,25 mg
CORYOL (R)
TALLITON 6,25 mg
CARVEDILOL SANDOZ
CARVEDILOL LPH 6,25 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CARVEDILOL VIM SPECT
GLADYCOR 6,25 mg
COMPR.
MIOCARVIL 6,25 mg
COMPR.
CARVEDIGAMMA 12,5 mg
COMPR. FILM.
COMPR. FILM.
CARVEDILOL AUROBINDO 1
CARVEDIGAMMA 25 mg
COMPR. FILM.
COMPR. FILM.
CARVEDILOL AUROBINDO
CARVEDIGAMMA 6,25 mg
COMPR. FILM.
COMPR. FILM.
CARVEDILOL AUROBINDO 6
CAPTOPRIL MCC 12,5 mg
COMPR.
CAPTOPRIL 25 mg
COMPR.
CAPTOPRIL 25 EEL
COMPR.
CAPTOPRIL - AC 25 mg
COMPR.
CAPTOPRIL MCC 25 mg
COMPR.
CAPTOPRIL LPH 25 mg
COMPR.
COMPR.
CAPTOPRIL SINTOFARM 25
CAPTOPRIL ARENA 25 mg COMPR.
CAPTOPRIL ARENA 50 mg COMPR.
CAPTOPRIL 50 mg
COMPR.
CAPTOPRIL 50 EEL
COMPR.
CAPTOPRIL - AC 50 mg
COMPR.
CAPTOPRIL MCC 50 mg
COMPR.
CAPTOPRIL LPH 50 mg
COMPR.
ENALAPRIL 10 mg
COMPR.
ENALAPRIL SANDOZ 10 mg COMPR.
ENALAPRIL LPH 10 mg
COMPR.
ENAP 10 mg
COMPR.
ENALAPRIL FABIOL 10 mg COMPR.
ENALAPRIL SLAVIA 10 mg COMPR.
RENITEC 10 mg
COMPR.
ENALAPRIL TERAPIA 10 mg COMPR.
ENALAPRIL ARENA 10mg
COMPR.
ENALAPRIL ARENA 10mg
COMPR.
ENALAPRIL ARENA 10mg
COMPR.
ENALAPRIL ARENA 10mg
COMPR.
COMPR.
ENALAPRIL VIM SPECTRUM
COMPR.
ENALAPRIL LAROPHARM 10
ENALAPRIL 20 mg
COMPR.

EGIS PHARMA

TARA
DET. APP
UNGARIA

CUTIE X 1 FLAC. DIN STICLA

P-6

HEXAL AG

GERMANI

CUTIE X 3 BLIST. PVC-PVDC/AL

P-6

LABORMED PHARM

CUTIE X 3 BLIST. AL/PVC X 10 COM


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

P-6

ROCHE ROMANIA S.R

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST. OPA-AL-PVDC

P-6

KRKA D.D.

SLOVENI

CUTIE X 4 BLIST. OPA-AL-PVC/A

P-6

EGIS PHARMA

UNGARIA

CUTIE X 1 FLAC. DIN STICLA

P-6

HEXAL AG

GERMANI

CUTIE X 3 BLIST. PVC-PVDC/AL

P-6

LABORMED PHARM

CUTIE X 2 BLIST. AL/PVC X 15 COM


CUTIE X 2 BLIST. AL/PVC X 10 COM
CUTIE X 3 BLIST. PVC/AL X 10 COM
CUTIE X 2 BLIST. PVC/AL X 15 COM

P-6

SLAVIA PHARM S.R.L

ROMANIA
ROMANIA
ROMANIA
ROMANIA

WORWAG

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 CO

P-6

AU

MALTA

CUTIE CU BLIST. PVC-PE

P6L

WORWAG

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 CO

P-6

AU

MALTA

CUTIE CU BLIST. PVC-PE

P6L

WORWAG

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 CO

P-6

AU

MALTA

CUTIE CU BLIST. PVC-PE

P6L

CUTIE X 3 BLIST. AL/PVC X 10 CO

P-6

CUTIE X 3 BLIST. AL/PVC X 10 COM


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

P-6

LABORMED PHARM

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

KRKA D.D. NOVO M

SLOVENI

CUTIE X 2 BLIST. AL/OPA-AL-

concentratie

25mg
25mg
25mg
25mg
25mg
25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
6,25mg
12,5mg
12,5mg
25mg
25mg
6,25mg
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
10mg
20mg

DETINATOR APP

ANTIBIOTICE S.A.
SLAVIA PHARM S.R.L
AC HELCOR PHARM

VIM SPECTRUM SRL

ANTIBIOTICE S.A.

MAGISTRA C & C
TERAPIA SA
BIO EEL SRL
AC HELCOR PHARM

MAGISTRA C & C
LABORMED PHARM

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

MAGISTRA C & C
LABORMED PHARM

MAGISTRA C & C
SANDOZ SRL

AMBALAJ

CUTIE X 2 BLIST. X 10 COMPR.


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

FABIOL SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COM
SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 CO
ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR
MERCK SHARP &
TERAPIA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC-PEARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CO
ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 CO
ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 C
ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMP
VIM SPECTRUM SRL

LAROPHARM SRL
MAGISTRA C & C
Pagina 54 din 101

ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC


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

Prescriptie

P-6
P-6
P-6

P-6
P-6
P-6

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

P6L
P-6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30
30
30
30
30
20
28
28
30
30
30
20
30
30
30
28
30
28
30
28
30
30
20
20
30
30
30
20
20
30
20
20
30
30
20
20
20
20
20
20
28
20
30
50
100
20
20
20
20

23.62
9.18
23.62
23.00
23.62
15.72
16.46
6.44
6.89
6.89
6.89
4.56
6.70
6.89
13.93
14.81
24.30
21.99
9.06
7.32
3.41
4.10
3.02
2.28
3.42
3.42
4.64
2.28
2.67
6.67
3.87
2.67
4.50
3.93
4.39
3.96
4.39
4.39
4.39
4.39
10.52
7.30
6.87
11.25
22.02
11.28
4.10
4.39
7.94

0.787333
0.306000
0.787333
0.766666
0.787333
0.786000
0.587857
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.464333
0.528928
0.810000
0.785357
0.302000
0.261428
0.113666
0.136666
0.151000
0.114000
0.114000
0.114000
0.154666
0.114000
0.133500
0.222333
0.193500
0.133500
0.150000
0.131000
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.375714
0.365000
0.229000
0.225000
0.220200
0.564000
0.205000
0.219500
0.397000

0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.267999
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.349599
0.349599
0.367200
0.367200
0.267999
0.261428
0.113666
0.136666
0.136800
0.114000
0.114000
0.114000
0.136800
0.114000
0.133500
0.157200
0.157200
0.133500
0.150000
0.131000
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.219500
0.394320

0.367200
0.306000
0.367200
0.367200
0.367200
0.367200
0.267999
0.230000
0.229666
0.229666
0.229666
0.228000
0.223333
0.229666
0.349599
0.349599
0.367200
0.367200
0.267999
0.261428
0.113666
0.136666
0.136800
0.114000
0.114000
0.114000
0.136800
0.114000
0.133500
0.157200
0.157200
0.133500
0.150000
0.131000
0.219500
0.198000
0.219500
0.219500
0.219500
0.219500
0.237600
0.237600
0.229000
0.225000
0.220200
0.237600
0.205000
0.219500
0.394320

NR.CRT

DCI

COD ATC

136 C09AA
137 C09AA
138 C09AA
139 C09AA
140 C09AA
141 C09AA
142 C09AA
143 C09AA
144 C09AA
145 C09AA
146 C09AA
147 C09AA
148 C09AA
149 C09AA
150 C09AA
151 C09AA
152 C09AA
153 C09AA
154 C09AA
155 C09AA
156 C09AA
157 C09AA
158 C09AA
159 C09AA
160 C09AA
161 C09AA
162 C09AA
163 C09AA
164 C09AA
165 C09AA
166 C09AA
167 C09AA
168 C09AA
169 C09AA
170 C09AA
171 C09AA
172 C09AA
173 C09AA
174 C09AA
175 C09AA
176 C09AA
177 C09AA
178 C09AA
179 C09AA
180 C09AA
181 C09AA
182 C09AA
183 C09AA
184 C09AA

ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
ENALAPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
LISINOPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM

Denumire Comerciala

ENALAPRIL SANDOZ 20 mg
ENALAPRIL LPH 20 mg
ENAP 20 mg
ENALAPRIL FABIOL 20 mg
RENITEC 20 mg
ENALAPRIL TERAPIA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL ARENA 20 mg
ENALAPRIL SLAVIA 20 mg
ENALAPRIL LAROPHARM 20

ENALAPRIL 5 mg
ENALAPRIL SANDOZ 5 mg
ENAP 5 mg
RENITEC 5 mg
ENALAPRIL LPH (R) 5 mg
ENALAPRIL TERAPIA 5 mg
ENALAPRIL ARENA 5 mg
ENALAPRIL VIM SPECTRUM

ENALAPRIL SLAVIA 5 mg
ENALAPRIL LAROPHARM 5

ENAP (R)
RANOLIP
LISIREN 10 mg
LISINOPRIL SANDOZ 10 mg
LISIGAMMA 10 mg
LISINOPRIL 10 MEDO
LISINOPRIL ACTAVIS 10 mg
LISINOPRIL ATB 10 MG
TONOLYSIN 10 mg
TONOLYSIN 2,5 mg
RANOLIP
LISIREN 20 mg
LISINOPRIL SANDOZ 20 mg
LISIGAMMA 20 mg
LISINOPRIL 20 MEDO
LISINOPRIL ACTAVIS 20 mg
LISINOPRIL ATB 20 MG
TONOLYSIN 20 mg
LISINOPRIL ATB 40 MG
RANOLIP
LISINOPRIL SANDOZ 5 mg
LISIGAMMA 5 mg
LISINOPRIL 5 MEDO
LISINOPRIL ACTAVIS 5 mg
TONOLYSIN 5 mg
VIVACE 10 mg
PIRAMIL 10 mg
RAMIPRIL-AC 10 mg
AMPRIL 10 mg

forma farm.

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

concentratie

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

TARA
DET. APP
SANDOZ SRL
ROMANIA
ROMANIA
LABORMED PHARM
SLOVENI
KRKA D.D. NOVO M
FABIOL SA
ROMANIA
ROMANIA
MERCK SHARP &
TERAPIA SA
ROMANIA
ARENA GROUP SA ROMANIA
ARENA GROUP SA ROMANIA
ROMANIA
SLAVIA PHARM S.R.L
LAROPHARM SRL
ROMANIA
MAGISTRA C & C
ROMANIA
SANDOZ SRL
ROMANIA
SLOVENI
KRKA D.D. NOVO M
ROMANIA
MERCK SHARP &
ROMANIA
LABORMED PHARM
TERAPIA SA
ROMANIA
ARENA GROUP S.A. ROMANIA
ROMANIA
VIM SPECTRUM SRL
ROMANIA
SLAVIA PHARM S.R.L
LAROPHARM SRL
ROMANIA
KRKA D.D.
SLOVENI
DETINATOR APP

AMBALAJ

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. AL/AL X 10 COMPR

Prescriptie

P-6
P-6

CUTIE X 2 BLIST. AL/OPA-AL-

P-6

CUTIE X 2 BLIST. AL/PVC X 10 COM

P-6

CUTIE X 2 BLIST. AL/AL X 14 COMPR

P-6

CUTIE X 2 BLIST. AL/PVC-PE-

P-6

CUTIE X 3 BLIST. PVC/AL X 10 COM


CUTIE X 5 BLIST. PVC/AL X 10 COM
CUTIE CU 2 BLIST. AL/PVC X 10 C
CUTIE CU 2 BLIST. PVC/AL X 10 C

P-6

CUTIE X 2 BLIST. X 10 COMPR.


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

CUTIE X 2 BLIST. AL/AL X 14 COMPR


CUTIE X 2 BLIST. AL/AL X 10 COMPR

P-6

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

CUTIE X 2 BLIST. AL/PVC-PE-

P-6

CUTIE X 3 BLIST. AL/PVC X 10 COM

P-6

CUTIE X 2 BLIST. OPA-AL-PVC

P-6

CUTIE CU 2 BLIST. AL/PVC X 10 C


CUTIE CU 1 BLIST. PVC/AL X 20 C

P6L

CUTIE X 5 FIOLE X 1 ML
CUTIE X 3 BLIST. X 10 COMPR.

P6L
S/P-RF

RANBAXY U.K. LIMI

AC HELCOR SRL
HEXAL AG

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


GERMANI CUTIE X 3 BLIST. AL/PVC X 10 COM

P-6

WORWAG

GERMANI

CUTIE X 3 BLIST. PVC-PVDC/AL

P-6
P-6

GEDEON RIC

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


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COM
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COM
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COM

RANBAXY U.K. LIMI

AC HELCOR SRL
HEXAL AG

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


GERMANI CUTIE X 3 BLIST. AL/PVC X 10 COM

P-6

WORWAG

GERMANI

CUTIE X 3 BLIST. PVC-PVDC/AL

P-6
P-6

ANTIBIOTICE SA

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


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COM
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COM
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM

RANBAXY U.K. LIMI

CUTIE X 3 BLIST. X 10 COMPR.

P-6

HEXAL AG

GERMANI

CUTIE X 3 BLIST. AL/PVC X 10 COM

P-6

WORWAG

GERMANI

CUTIE X 3 BLIST. PVC-PVDC/AL

P-6

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


ISLANDA CUTIE CU BLIST. PVC/AL X 30 COM
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COM

P-6

MEDOCHEMIE RO

ACTAVIS GROUP P

ANTIBIOTICE SA
GEDEON RIC

MEDOCHEMIE RO

ACTAVIS GROUP P

ANTIBIOTICE SA
GEDEON RIC

MEDOCHEMIE RO

ACTAVIS GROUP P
GEDEON RIC

CUTIE X 3 BLIST. X 10 COMPR.

ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDP

P-6

P-6

P-6
P-6
P-6
P-6
P-6

P-6

P-6
P-6
P-6
P-6

P-6
P-6
P-6
P-6

AC HELCOR PHARM

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

P-6

KRKA D.D. NOVO M

SLOVENI

P-6

Pagina 55 din 101

CUTIE X 3 BLIST. OPA-AL-PVC

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

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

10.18
8.75
7.94
7.12
17.12
11.11
11.12
16.43
7.92
7.94
3.67
3.67
3.67
7.87
3.84
3.93
5.58
3.65
3.67
3.67
15.45
14.98
10.74
10.31
8.61
14.44
12.87
11.96
15.47
8.75
23.11
15.65
15.05
12.93
14.44
23.37
23.48
22.90
39.31
7.64
7.15
6.50
8.67
7.37
9.28
9.23
23.28
9.74
24.93

0.509000
0.437500
0.397000
0.356000
0.611428
0.555500
0.370666
0.328600
0.396000
0.397000
0.183500
0.183500
0.183500
0.281071
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.499333
0.537000
0.343666
0.287000
0.481333
0.429000
0.398666
0.552500
0.312500
0.770333
0.782500
0.501666
0.431000
0.722000
0.779000
0.782666
0.817857
1.310333
0.254666
0.238333
0.216666
0.289000
0.245666
0.331428
0.329642
0.831428
0.324666
0.831000

0.394320
0.394320
0.394320
0.356000
0.394320
0.394320
0.370666
0.328600
0.394320
0.394320
0.183500
0.183500
0.183500
0.219000
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.344400
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200
1.310333
0.254666
0.238333
0.216666
0.259999
0.245666
0.259999
0.329642
0.389599
0.324666
0.389599

0.394320
0.394320
0.394320
0.356000
0.394320
0.394320
0.370666
0.328600
0.394320
0.394320
0.183500
0.183500
0.183500
0.219000
0.192000
0.196500
0.186000
0.182500
0.183500
0.183500
3.090000
0.344400
0.344400
0.343666
0.287000
0.344400
0.344400
0.344400
0.344400
0.312500
0.517200
0.517200
0.501666
0.431000
0.517200
0.517200
0.517200
0.517200
1.310333
0.254666
0.238333
0.216666
0.259999
0.245666
0.259999
0.329642
0.389599
0.324666
0.389599

NR.CRT

DCI

COD ATC

185 C09AA
186 C09AA
187 C09AA
188 C09AA
189 C09AA
190 C09AA
191 C09AA
192 C09AA
193 C09AA
194 C09AA
195 C09AA
196 C09AA
197 C09AA
198 C09AA
199 C09AA
200 C09AA
201 C09AA
202 C09AA
203 C09AA
204 C09AA
205 C09AA
206 C09AA
207 C09CA
208 C09CA
209 C09CA
210 C09CA
211 C09CA

212 C09CA
213 C09CA
214 C09CA
215 C09CA
216 C09CA
217 C09CA
218 C09CA
219 C09CA
220 C09CA
221 C09CA
222 C09CA
223 C09CA
224 C09CA
225 C09CA
226 C09CA
227 C09CA
228 C09CA
229 C09CA
230 C09CA
231 C09CA
232 C09CA
233 C09CA

RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
RAMIPRILUM
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**
VALSARTANUM**

Denumire Comerciala

HARTIL 10 mg
ZENRA 10
TRITACE 10
RAMIPRIL AUROBINDO 10 m

AMPRIGEN 10 mg
VIVACE 2,5 mg
PIRAMIL 2,5 mg
RAMIPRIL-AC 2,5 mg
AMPRIL 2,5 mg
HARTIL 2,5 mg
ZENRA 2,5
TRITACE(R) 2,5
AMPRIGEN 2,5 mg
VIVACE 5 mg
PIRAMIL 5 mg
RAMIPRIL-AC 5 mg
AMPRIL 5 mg
HARTIL 5 mg
ZENRA 5
TRITACE 5
RAMIPRIL AUROBINDO 5 mg
AMPRIGEN 5 mg
VALSARTAN TEVA 160 mg
VALSARTAN TEVA 80 mg
CORETON 160 mg
WENZELL 160 mg
WENZELL 160 mg
VALSARGAMMA 160 mg
DIOVAN 160 mg
VALSARTAN TORRENT 160 m

VALSACOR 160 mg
AVASSAN 160 mg
VALSARTAN ZENTIVA 160 mg

VAPRESS 160 mg
VAPRESS 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
CORETON 80 mg
WENZELL 80 mg
WENZELL 80 mg
VALSARGAMMA 80 mg
DIOVAN 80 mg
VALSARTAN TORRENT 80 mg
VALSACOR 80 mg
AVASSAN 80 mg
VALSARTAN ZENTIVA 80 mg
VAPRESS 80 mg

forma farm.

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

P-6

SANOFI -

TARA
DET. APP
AMBALAJ
UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR.
ROMANIA CUTIE X 2 BLIST. X 14 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COM

AU

MALTA

CUTIE CU BLIST. OPA-AL-PVC/

P-6

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU 3 BLIST. PVC-PE-P

P6L

concentratie

10mg
10mg
10mg
10mg
10mg
2,5 mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
2,5mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
160mg
80mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
160mg
40mg
40mg
40mg
40mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg
80mg

DETINATOR APP
EGIS PHARMA

ZENTIVA S.A.

ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR.


SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDP

Prescriptie

P-6
P-6

P-6
P-6

AC HELCOR PHARM

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

P-6

KRKA D.D. NOVO M

SLOVENI

P-6

CUTIE X 3 BLIST. OPA-AL-PVC

SANOFI -

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


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

ALVOGEN IPCO S.A.

LUXEM

EGIS PHARMA

ZENTIVA S.A.

CUTIE CU 3 BLIST. PVC-PE-P

ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR.


SANDOZ SRL
ROMANIA CUTIE X 4 FOLII AL-LDPE/LDP

P-6
P-6
P-6

P6L
P-6
P-6

AC HELCOR PHARM

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

P-6

KRKA D.D. NOVO M

SLOVENI

P-6

CUTIE X 3 BLIST. OPA-AL-PVC

SANOFI -

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


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

AU

MALTA

CUTIE CU BLIST. OPA-AL-PVC/

P-6

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU 3 BLIST. PVC-PE-P

P6L

EGIS PHARMA

ZENTIVA S.A.

P-6
P-6
P-6

P-6

TEVA PHARMA

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/A


ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/A

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PE

P-6

CUTIE CU BLIST

P-6

CUTIE CU BLIST

P-6

TEVA PHARMA

P-6

ROMASTRU TRADI

ROMANIA
ROMANIA

WORWAG

GERMANI

CUTIE CU BLIST. OPA-A

P6L

NOVARTIS PHARM

GERMANI

CUTIE CU BLIST. PVC-PE

P-6

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. OPA-A

P6L

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. PVC-PE

P6L

CUTIE CU BLIST. OPA-A

P6L

CUTIE CU

P-6

CUTIE CU BLIST. PVC-PE

P6L

CUTIE CU BLIST. PVC-PCTFE

P6L

CUTIE CU BLIST. PVC-PE

P6L

CUTIE CU BLIST. OPA-A

P6L

CUTIE CU BLIST. PVC-PE

P6L

CUTIE CU BLIST. PVC-PCTFE

P6L

CUTIE CU BLIST. PVC-PE

P-6

CUTIE CU BLIST

P-6

CUTIE CU BLIST

P-6

ROMASTRU TRADI

TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
NOVARTIS PHARM

GERMANI

TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
ZENTIVA K.S.
REPUBLICA CEHA
ROMASTRU TRADI

ROMANIA
ROMANIA

WORWAG

GERMANI

CUTIE CU BLIST. OPA-A

P6L

NOVARTIS PHARM

GERMANI

CUTIE CU BLIST. PVC-

P6L

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. OPA-A

P6L

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. PVC-PE

P6L

CUTIE CU BLIST. OPA-A

P6L

CUTIE CU

P-6

CUTIE CU BLIST. PVC-PE

P6L

ROMASTRU TRADI

TERAPIA S.A.
ROMANIA
ZENTIVA, K.S.
REPUBLICA CEHA
MEDOCHEMIE LTD. CIPRU
Pagina 56 din 101

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

28
9.21
28
9.23
28 14.19
28
9.49
30 24.04
28
4.65
28
9.37
30
4.87
30 10.02
28
4.62
28
4.65
28
7.15
30
9.92
28
6.70
28 10.17
30
7.18
30 10.85
28
6.69
28
6.70
28 10.31
28
7.10
30 10.75
28 32.59
28 20.26
28 22.79
28 66.00
30 70.74
30 33.91
28 116.60
28 65.71
28 32.85
28 66.00
28 22.79
28 32.82
28 32.82
28 71.91
28 42.63
28 11.16
28 11.16
28 14.95
28 47.37
30 50.79
30 23.25
28 91.88
28 47.00
28 28.84
28 47.40
28 14.95
28 18.18

0.328928
0.329642
0.506785
0.338928
0.801333
0.166071
0.334642
0.162333
0.334000
0.165000
0.166071
0.255357
0.330666
0.239285
0.363214
0.239333
0.361666
0.238928
0.239285
0.368214
0.253571
0.358333
1.163928
0.723571
0.813928
2.357142
2.358000
1.130333
4.164285
2.346785
1.173214
2.357142
0.813928
1.172142
1.172142
2.568214
1.522500
0.398571
0.398571
0.533928
1.691785
1.693000
0.775000
3.281428
1.678571
1.030000
1.692857
0.533928
0.649285

0.328928
0.329642
0.389599
0.338928
0.389599
0.166071
0.194799
0.162333
0.194799
0.165000
0.166071
0.194799
0.194799
0.239285
0.286713
0.239333
0.286713
0.238928
0.239285
0.286713
0.253571
0.286713
0.976713
0.640713
0.813928
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.813928
0.976713
0.976713
0.478285
0.478285
0.398571
0.398571
0.533928
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.533928
0.640713

0.328928
0.329642
0.389599
0.338928
0.389599
0.166071
0.194799
0.162333
0.194799
0.165000
0.166071
0.194799
0.194799
0.239285
0.286713
0.239333
0.286713
0.238928
0.239285
0.286713
0.253571
0.286713
0.976713
0.640713
0.813928
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.976713
0.813928
0.976713
0.976713
0.478285
0.478285
0.398571
0.398571
0.533928
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.640713
0.533928
0.640713

NR.CRT

COD ATC

234 C09CA
235 C09CA
236 C09CA
237 C09CA
238 C09CA
239 C09CA
240 C09CA
241 C09CA
242 C09CA
243 C09CA
244 C09CA
245 C09CA
246 C09CA
247 C09CA
248 C09CA
249 C09CA
250 C09CA
251 C09CA
252 C09CA
253 C09CA
254 C09CA
255 C09CA
256 C09CA
257 C09CA
258 C09CA
259 C09CA
260 C09CA
261 C09CA
262 C09CA
263 C09CA
264 C09CA
265 C09CA
266 C09CA
267 C09CA
268 C09CA
269 C09CA
270 C09CA
271 C09CA
272 C09CA

DCI

VALSARTANUM**
VALSARTANUM**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**

Denumire Comerciala

VAPRESS 80 mg
DIOVAN 3 mg/ml
ATACAND
TANDESAR 16 mg
CANDESARTAN CILEXE

HIPOSTYN 16 mg
CANDESARTAN SANDOZ 16

KARBIS 16 mg
CANDESARTAN TORRENT 1

CLASTINOL 16 mg
CANDEPOL 16 mg
CANZENO 16mg
CANDEGAMMA 16 mg
CANDESARTAN CILEXETI

CANDESARTAN LABORMED

ATACAND 32 mg
CANDESARTAN CILEXE

HIPOSTYN 32 mg
KARBIS 32 mg
CANDESARTAN TORRENT 3

CLASTINOL 32 mg
CANDEPOL 32 mg
CANZENO 32mg
CANDEGAMMA 32 mg
CANDESARTAN CILEXETI

CANDESARTAN LABORMED

ATACAND
TANDESAR 8 mg
CANDESARTAN CILEXET

HIPOSTYN 8 mg
CANDESARTAN SANDOZ 8 m

KARBIS 8 mg
CANDESARTAN TORRENT 8

CLASTINOL 8 mg
CANDEPOL 8 mg
CANZENO 8mg
CANDEGAMMA 8 mg
CANDESARTAN CILEXETI

CANDESARTAN LABORMED

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

COMPR. FILM.
SOL. ORALA
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

80mg
3mg/ml
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
32mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg

MEDOCHEMIE LTD. CIPRU

LABORMED PHARMA

ROMANIA
ROMANIA

COMPR.
COMPR.

2mg
4mg

TERAPIA SA

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

NOVARTIS PHARM

GERMANI

Prescriptie

CUTIE CU BLIST. PVC-PCTFE

P6L

NOVARTIS PHARM

GERMANI

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 160 ML SOL. ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PT. FLAC.+1

P-6

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.

SUEDIA

CUTIE X 2 BLIST. PVC-PVDC/AL

P-6

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X

P6L
P6L

SANDOZ SRL

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X


ROMANIA CUTIE CU BLIST. AL/AL CU

KRKA D.D. NOVO M

SLOVENI

P-6

TORRENT PHARMA S

P6L

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X

P6L

WORWAG

GERMANI

CUTIE CU 3 BLIST. PV

P6L

ROMANIA CUTIE C
ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/A

P6L

TEVA PHARMA

EGIS PHARMA

TEVA PHARMA

LABORMED PHARMA

ASTRAZENECA AB
ZENTIVA K.S.

CUTIE CU BLIST. PVC-PVDC/AL X

P-6

P6L
P6L

P6L

SUEDIA

CUTIE X 2 BLIST. AL-PVC/PVDC

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X

P6L

TEVA PHARMA

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X

P6L

KRKA D.D. NOVO M

SLOVENI

P-6

TORRENT PHARMA S

P6L

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X

P6L

WORWAG

GERMANI

CUTIE CU 3 BLIST. PV

P6L

CUTIE C

P6L

CUTIE CU 2 BLIST. PVC-PVDC/

P6L

SUEDIA

CUTIE X 2 BLIST. PVC-PVDC/AL

P-6

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC

P-6

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X

P6L
P6L

SANDOZ SRL

ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X


ROMANIA CUTIE CU BLIST. AL/AL CU

KRKA D.D. NOVO M

SLOVENI

P-6

TORRENT PHARMA S

P6L

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/


UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X
POLONIA CUTIE CU BLIST. AL/PVC-PVDC X

ZENTIVA K.S.

REPUBLICA SLOVACA

CUTIE CU BLIST. PVC-PVDC/AL X

P6L

WORWAG

GERMANI

CUTIE CU 3 BLIST. PV

P6L

CUTIE C

P6L

CUTIE CU 2 BLIST. PVC-PVDC/

P6L

EGIS PHARMA

TEVA PHARMA

LABORMED PHARMA

ASTRAZENECA AB
TERAPIA SA
ZENTIVA K.S.
TEVA PHARMA

EGIS PHARMA

TEVA PHARMA

ROMANIA
ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X

CUTIE CU BLIST. PVC-PVDC/AL X

P6L
P6L

P-6

P6L
P6L

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

28 18.18
1 41.42
28 66.74
28 44.87
30 29.85
30 42.50
28 39.65
30 43.24
30 48.03
28 44.85
28 44.88
30 29.85
30 39.63
30 29.85
28 41.42
28 117.40
30 36.65
30 71.36
30 81.75
30 81.75
28 69.33
28 76.32
30 36.65
30 72.06
30 36.65
28 56.66
28 56.10
28 36.46
30 16.22
30 24.13
28 33.45
30 33.01
30 39.07
28 36.46
28 36.46
30 16.22
30 33.77
30 23.07
28 33.65

0.649285
41.420000
2.383571
1.602500
0.995000
1.416666
1.416071
1.441333
1.601000
1.601785
1.602857
0.995000
1.321000
0.995000
1.479285
4.192857
1.221666
2.378666
2.725000
2.725000
2.476071
2.725714
1.221666
2.402000
1.221666
2.023571
2.003571
1.302142
0.540666
0.804333
1.194642
1.100333
1.302333
1.302142
1.302142
0.540666
1.125666
0.769000
1.201785

0.640713
41.420000
1.194000
1.194000
0.995000
1.194000
1.194000
1.194000
1.194000
1.194000
1.194000
0.995000
1.194000
0.995000
1.194000
1.465999
1.221666
1.465999
1.465999
1.465999
1.465999
1.465999
1.221666
1.465999
1.221666
1.465999
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799
0.648799
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799

0.640713
41.420000
1.194000
1.194000
0.995000
1.194000
1.194000
1.194000
1.194000
1.194000
1.194000
0.995000
1.194000
0.995000
1.194000
1.465999
1.221666
1.465999
1.465999
1.465999
1.465999
1.465999
1.221666
1.465999
1.221666
1.465999
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799
0.648799
0.648799
0.648799
0.540666
0.648799
0.648799
0.648799

0.217666
0.338000

0.217666
0.338000

0.217666
0.338000

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2


1
2

B01AA
B01AA

ACENOCUMAROLUM*
ACENOCUMAROLUM*

TROMBOSTOP 2 mg
SINTROM 4 mg

Tratamentul se initiaz de ctre medicul n specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

Pagina 57 din 101

CUTIE CU 2 BLIST. AL/PVC X 10 C

PP-

30
20

6.53
6.76

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC
B01AC

CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***
CLOPIDOGRELUM***

PLAVIX 300mg
CLOPIDOGREL TEVA 75 mg
ZYLLT
PLAVIX 75mg
TROMBEX 75 mg
EGITROMB 75 mg
TROMBEX 75 mg
CLOPIDOGREL MYLAN 75m

TROGRAN 75 mg
CLOPIGAMMA 75 mg
CLOPIGAMMA 75 mg
PLAVOCORIN 75 mg
CLOPIDOGREL ACTAVIS 75

DEFROZYP 75 mg
TESSYRON 75 mg
CLORODEN 75 mg
CLORODEN 75 mg
VATOUD 75 mg
LOFRADYK 75 mg
CLOPIDOGREL DR. REDDY

MOYTOR 75 mg
PLATEL 75 mg
PLATEL 75 mg
PLATEL 75 mg
CLOPIDOGREL TERAPIA 75

PLATEL 75 mg
DEPLATT 75 mg
CLOPIDOGREL ACCORD 75

TROMBEX 75 mg
TROMBEX 75 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.

300mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg

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

200mg
200mg
100 mg
100mg
10mg
0,5mg
1mg
30MU/0,5ml
48MU/0,5ml
60MU/ml
96MU/ml

TEVA PHARMA BV

FRANTA
OLANDA

KRKA D.D. NOVO M

SLOVENI

SANOFI PHARMA - BRISTOL MYERS SQUIBB

CUTIE X

P-

CUTIE CU BLIST. AL/AL X 28 X 1

P-

CUTIE CU BLIST. OPA/A

P-

CUTIE X 28 COMPR. FILM. (BLI

P-

ZENTIVA K.S.

FRANTA
CEHIA

CUTIE X 1 FLAC.

P-

EGIS PHARMA

UNGARIA

CUTIE CU BLIST. OPA-AL-

P-

ZENTIVA K.S.
MYLAN S.A.S.

CEHIA
FRANTA

CUTIE X 1 FLAC.

P-

CUTIE CU BLIST. DIN O

P-

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PE

P-

WORWAG

GERMANI

CUTIE CU BLIST. AL/AL X 28 COMP

P-

WORWAG

GERMANI

CUTIE CU BLIST. PVC-PE

P-

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-A

P-

ACTAVIS GROUP P

ISLANDA CUTIE CU BLIST. AL/AL X 28 COMP

LABORMED PHARMA

ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-

P-

CUTIE CU BLIST. PVC

P-

IWA CONSULTING A
IWA CONSULTING A

DANEM

CUTIE CU BLIST. PVC-PE

P-

DANEM

CUTIE CU BLIST. PA

P-

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU BLIST. PVC-PE

P-

CUTIE CU BLIST. OPA-A

P-

CUTIE CU BLIST. OPA-A

P-

CUTIE CU BLIST. PCTFE

P-

SANOFI PHARMA - BRISTOL MYERS SQUIBB

GEDEON RIC

PHARMASWI

DR. REDDY'S L

ROMASTRU TRADI

ROMANIA
ROMANIA
ROMANIA

P-

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TERAPIA S.A.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. AL/AL X 10 COMP

P-

CUTIE CU BLIST. AL/AL X 60 COMP

P-

CUTIE CU BLIST. AL/AL X 90 COMP

P-

ROMANIA

CUTIE CU 3 BLIST. PA-AL-P

PRF

CIPRU

CUTIE CU BLIST. AL/AL X 28 COMP

P-

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. OPA-A

PRF

ACCORD HEAL

CUTIE CU 3 BLIST. AL/AL X 10 CO

PRF

ZENTIVA K.S.
ZENTIVA K.S.

CEHIA
CEHIA

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 30 COMPRIMATE FILMATE

P-

CUTIE CU BLISTERE DIN PVC-PVDC/AL CONTINND 90 COMPRIMATE FILMATE

P-

SP EUROPE

BELGIA

CUTIE X 140CAPS. ( BLIST. PVC/

P-RF/R

ROCHE ROMANIA S

ROMANIA

CUTIE X 1 FLAC. PEID X 168 COM

P-RF/R

CUTIE CU BLIST. PVC/PVDC/A

P-RF/R

CUTIE X 28 COMPR. FILM. (

P-RF/R

30 359.66
28 37.53
28 37.53
28 57.74
30 17.86
28 37.52
90 52.86
28 79.52
28 79.52
28 37.53
28 37.53
28 37.53
28 37.53
28 37.53
30 40.26
28 68.48
28 68.48
28 37.52
28 37.52
30 40.22
28 37.52
10 13.82
60 76.22
90 114.32
30 51.97
28 37.46
30 40.20
30 85.21
30 17.18
90 49.88

11.988666
1.340357
1.340357
2.062142
0.595333
1.340000
0.587333
2.840000
2.840000
1.340357
1.340357
1.340357
1.340357
1.340357
1.342000
2.445714
2.445714
1.340000
1.340000
1.340666
1.340000
1.382000
1.270333
1.270222
1.732333
1.337857
1.340000
2.840333
0.572666
0.554222

11.988666
0.665066
0.665066
0.665066
0.595333
0.665066
0.587333
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.572666
0.554222

11.988666
0.665066
0.665066
0.665066
0.595333
0.665066
0.587333
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.665066
0.572666
0.554222

4.370714
3.960000
6.470333
9.954642
64.299333
58.287666
64.614000
326.020000
514.010000
197.890000
318.520000

4.370714
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000

4.370714
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000

Tratamentul se iniiaz de ctre medicul n specialitatea cardiologie.

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C i D - G4


1
2
3
4
5
6
7
8
9
10
11

J05AB
J05AB
J05AF
J05AF
J05AF
J05AF
J05AF
L03AA
L03AA
L03AA
L03AA

RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

REBETOL 200 mg
COPEGUS 200mg
LAMIVUDINE TEVA 100 mg
ZEFFIX 100 mg
HEPSERA
BARACLUDE 0,5mg
BARACLUDE 1mg
NEUPOGEN (R)
NEUPOGEN (R)
ZARZIO 30MU/0,5ml
ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA


SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

TEVA PHARMA B.V. OLANDA


GLAXO GROUP LTD. M
GILEAD SCIENCE INTERNATIONAL LIMITED

CUTIE X 1 FLAC. DIN PEID X 30 CO

P-RF/R

BRISTOL-MYERS SQUIBB PHARMA EEIG

CUTIE X 30 X 1 COMPR. F

P-RF/R

BRISTOL-MYERS SQUIBB PHARMA EEIG

CUTIE X 30 X 1 COMPR. F

P-RF/R

AMGEN EUROPE B.V

OLANDA
OLANDA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PRE-UMPLUTA

S/P-RF

CUTIE X 1 SERINGA PRE-UMPLUTA

S/P-RF

CUTIE X 1 SERINGA PREUMPL

P-RF/R

CUTIE X 1 SERINGA PREUMPL

P-RF/R

AMGEN EUROPE B.V

SANDOZ GMBH
SANDOZ GMBH

Pagina 58 din 101

140
168
30
28
30
30
30
1
1
1
1

611.90
665.28
194.11
278.73
,928.98
,748.63
,938.42

326.02
514.01
197.89
318.52

NR.CRT

12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

COD ATC

L03AA
L03AA
L03AA
L03AA
L03AA
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB

L03AB
N04BB

DCI

FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

Denumire Comerciala

NIVESTIM 12 MU/0,2ml
TEVAGRASTIM 30MUI/0,5ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 48 MU/0,5 ml
ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

forma farm.

concentratie

DETINATOR APP
120g/0,2ml HOSPIRA UK LIMITE
300mcg/0,5m TEVA GENERICS G
300g/0,5ml HOSPIRA UK LIMITE
480mcg/0,8m TEVA GENERICS G
480g/0,5ml HOSPIRA UK LIMITE

SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ./PERF.
SOL. INJ.
3Mui/0,5ml
SOL. INJ.
9Mui/0,5ml

TARA
DET. APP

Prescriptie

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

P-

GERMANI

CUTIE X 1

S/P-RF/R

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

P-

GERMANI

CUTIE X 1

S/P-RF/R

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

P-

CUTIE X 1 SERINGA PR

S/P-RF

CUTIE X

S/P-RF

ROCHE ROMANIA S.R

ROMANIA
ROMANIA

ROCHE ROMANIA S.R

AMBALAJ

SOL. INJ

18 milioane U

SP EUROPE

BELGIA

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SOL. INJ

18 milioane U

MERCK SHARP &

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SOL. INJ

30 milioane U

SP EUROPE

BELGIA

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SOL. INJ

30 milioane U

MERCK SHARP &

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA

CUTIE X 1 FLAC. C

P-RF/R

CUTIE X 1 FLAC. C

P-RF/R

CUTIE X 1 FLAC. CU PU

P-RF/R

PULB. + S

100mcg
120mcg
150mcg
50mcg

CUTIE X 1 FLAC. C

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5m

ROCHE REGISTRA

CUTIE X 1 SERINGA PRE-UMP

P-RF/R

CAPS.

100mg

EGIS PHARMA

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

PULB. + S
PULB. + S
PULB. + S

P-6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

5
1
5
1
5
1
1
1
1
1
1
1
1
1
1
1
50

494.26 98.852000
261.45 261.450000
,129.37 225.874000
426.08 426.080000
,843.52 368.704000
87.43 87.430000
183.22 183.220000
434.34 434.340000
434.34 434.340000
715.89 715.890000
715.89 715.890000
820.00 820.000000
969.85 969.850000
,193.66

,193.660000

98.852000
237.468000
225.874000
382.224000
368.704000
87.430000
183.220000
434.340000
434.340000
715.890000
715.890000
820.000000
969.850000

98.852000
237.468000
225.874000
382.224000
368.704000
87.430000
183.220000
434.340000
434.340000
715.890000
715.890000
820.000000
969.850000

,193.660000

,193.660000

445.72 445.720000 445.720000 445.720000


975.16 975.160000 975.160000 975.160000
17.07
0.341400
0.341400
0.341400

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)

5. HEPATITA AUTOIMUNA - G5
1
2
3
4
5
6
7
8
9

H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
L04AX
L04AX
L04AX

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISOLONUM
PREDNISOLONUM
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

MEDROL A 16
MEDROL 32
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

COMPR.
COMPR.
LIOF. PT. SOL. IN
LIOF. PT. SOL. IN
LIOF. + SOL
LIOF. + SOL

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

16mg
32mg
125mg
500mg
250mg
50mg
100mg
50mg
75mg

PFIZER EUROPE M

CUTIE X 5 BLIST. A-PVC/PVC X 10

P-

PFIZER EUROPE M

CUTIE X 2 BLIST. AL-PVC/PVC X

P-

STADA HEMOFARM S
STADA HEMOFARM S

MERCK KGAA
MERCK KGAA

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOL

S/P-RF
S/P-RF

GERMANI

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-

GERMANI

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

P-

EBEW

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COM

THE

CUTIE X 4 BLIST. AL/PVC X 25 CO

PR
S/P-RF

EBEW

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 C

PR

50
20
1
1
3
3
50
100
100

32.62
29.65
8.81
31.02
95.62
35.71
55.38
80.90
78.89

0.652400
1.482500
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

0.652400
1.482500
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

0.652400
1.482500
8.810000
31.020000
31.873333
11.903333
1.107600
0.809000
0.788900

100 124.28
50 71.49
50 68.77
60 54.19
20 35.88
50 136.52
100 268.17
1 97.49

1.242800
1.429800
1.375400
0.903166
1.794000
2.730400
2.681700
97.490000

1.242800
1.429800
1.375400
0.903166
1.794000
2.730400
2.681700
97.490000

1.242800
1.429800
1.375400
0.903166
1.794000
2.730400
2.681700
97.490000

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
1
2
3
4
5
6
7
8

A05AA
A05AA
A05AA
A05AA
A05AA
A05AA
A05AA
A05AA

ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)
URSOFALK (R)
URSOSAN
URSOCHOL 150 mg
URSOCHOL 300 mg
URSOFALK 500 mg
URSOFALK 500 mg
URSOFALK 250 mg/5 ml

CAPS.
CAPS.
CAPS.
COMPR.
COMPR.
COMPR. FILM.
COMPR. FILM.
SUSP. ORALA

250mg
250mg
250mg
150mg
300mg
500mg
500mg
250mg/5ml

DR. FALK PHARMA

GERMANI

DR. FALK PHARMA

GERMANI

PRO. MED. CS PRA

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

CEHIA
ITALIA
ITALIA

DR. FALK PHARMA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS P6L


CUTIE X 2 BLIST. AL/PVC X 25 CAPS P-6
CUTIE X 5 BLIST. AL/PVC X 10 CAPS P-6
CUTIE X 6 BLIST. AL/PVC X 10 COM
CUTIE X 2 BLIST. AL/PVC X 10 COM

P-6

GERMANI

CUTIE CU 2 BLIST. PVC-PVD

P6L

DR. FALK PHARMA

GERMANI

CUTIE CU 4 BLIST. PVC-PVD

P6L

DR. FALK PHARMA

GERMANI

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

P6L

Pagina 59 din 101

P-6

NR.CRT

DCI

COD ATC

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

Tratamentul se initiaz de ctre medicul n specialitatea gastroenterologie

7. CIROZA HEPATICA - G7
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

A06AD
A06AD
A06AD
A06AD
A06AD
A06AD
A06AD
A06AD
A07AA
A07AA
A07AA

C03CA
C03CA
C03CA
C03CA
C03CA
C03CA
C03CA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA
C03DA

H02AB
H02AB

J05AB
J05AB
J05AF
J05AF
J05AF
J05AF
J05AF
L03AA
L03AA
L03AA
L03AA
L03AA
L03AA
L03AA

LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
LACTULOSUM*
RIFAXIMINUM*
RIFAXIMINUM*
RIFAXIMINUM*
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
FUROSEMIDUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
SPIRONOLACTONUM
PREDNISOLONUM
PREDNISOLONUM
RIBAVIRINUM****
RIBAVIRINUM****
LAMIVUDINUM****
LAMIVUDINUM****
ADEFOVIRUM DIPIVOXILUM****
ENTECAVIRUM****
ENTECAVIRUM****
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**

DUPHALAC (R)
DUPHALAC (R)
LACTULOSE
LACTULOSE
LACTULOSE-MIP 650 mg/ml
LACTULOSE-MIP 650 mg/ml
LACTULAK 660 mg/ml
LAEVOLAC 670mg/ml
NORMIX 200 mg
NORMIX 200 mg
NORMIX 100mg/5ml
FUROSEMID MCC 40 mg
FUROSEMID SLAVIA
FUROSEMID EEL
FUROSEMID ZENTIVA
FUROSEMID LPH 40 mg
FUROSEMID ARENA 40 mg
FUROSEMID 20 mg/2 ml
VEROSPIRON

LICHID ORAL
LICHID ORAL
SIROP
SIROP
SIROP
SIROP
SOL. ORALA
SOL. ORALA
COMPR. FILM.
COMPR. FILM.

66,7%
66,7%
65%
65%
650mg/ml
650mg/ml
660 mg/ml
670mg/ml
200mg
200mg
100mg/5ml
GRAN. PT.
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
COMPR.
40mg
SOL. INJ.
10mg/ml
CAPS.
100mg
CAPS.
25mg
SPIRONOLACTONA ARENA
CAPS.
25mg
SPIRONOLACTONA LPH 25
VEROSPIRON
CAPS.
50mg
CAPS.
50mg
SPIRONOLACTONA ARENA
COMPR.
25mg
SPIRONOLACTONA EEL 25
COMPR.
25mg
SPIRONOLACTONA OZONE
SPIRONOLACTONA 25 mg COMPR. FILM. 25mg
ALSPIRON 25 mg
COMPR. FILM. 25mg
ALSPIRON 50 mg
COMPR. FILM. 50mg
SOLU - DECORTIN H 250
250mg
LIOF. + SOL
SOLU - DECORTIN H 50
50mg
LIOF. + SOL
REBETOL 200 mg
CAPS.
200mg
COPEGUS 200mg
COMPR. FILM. 200mg
LAMIVUDINE TEVA 100 mg COMPR. FILM. 100 mg
ZEFFIX 100 mg
COMPR. FILM. 100mg
HEPSERA
COMPR.
10mg
BARACLUDE 0,5mg
COMPR. FILM. 0,5mg
BARACLUDE 1mg
COMPR. FILM. 1mg
NEUPOGEN (R)
SOL. INJ.
30MU/0,5ml
NEUPOGEN (R)
SOL. INJ.
48MU/0,5ml
ZARZIO 30MU/0,5ml
60MU/ml
ZARZIO 48MU/0,5ml
96MU/ml
NIVESTIM 12 MU/0,2ml
SOL. INJ./PERF. 120g/0,2ml
TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5m
NIVESTIM 30 MU/0,5 ml
SOL. INJ./PERF. 300g/0,5ml
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA

SOLVAY P
AB

OLANDA
OLANDA

FLACON

P-

FLACON

P-

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 GERMANI


MIP PHARMA GMBH GERMANI
ROMPHARM COMP
FRESENIUS

ALFA WASSERMANN
ALFA WASSERMANN
ALFA WASSERMANN

ROMANIA

AUSTRIA
ITALIA
ITALIA
ITALIA

MAGISTRA C&C S.R.L ROMANIA


SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
ZENTIVA SA
ROMANIA
ROMANIA
LABORMED PHARM
ARENA GROUP S.A. ROMANIA
ZENTIVA SA
ROMANIA
ROMANIA
GEDEON RIC
ARENA GROUP S.A. ROMANIA
ROMANIA
LABORMED PHARMA
ROMANIA
GEDEON RIC
ARENA GROUP S.A. ROMANIA
BIO EEL SRL
ROMANIA
ROMANIA
OZON
TERAPIA SA
ROMANIA
ROMANIA
AC HELCOR PHARM
ROMANIA
AC HELCOR PHARM

P-6
P-6

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

P-6

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

P-6

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

P-6

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

P-

CUTIE X 1 BLIST. AL/PVC X 12 CO

P-

CUTIE X 3 BLIST. AL/PVC A C

P-

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

P-

CUTIE X 2 BLIST. AL/PVC X 10 COM


CUTIE X 2 BLIST. AL/PVC X 10 COM

CUTIE X 2 BLIST. X 10 COMPR.

P-6
P-6
P-6

CUTIE X 1 FLAC. DIN PEID X 20 CO


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

P-6

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

P-

P-6
P-6

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


CUTIE CU 5 BLIST. PVC/AL X 10 CAP P-6
CUTIE CU 6 BLIST. PVC/AL X 10 CAP P6L
CUTIE X 3 BLIST. AL/PVC X 10 CAPS P-6
CUTIE CU 3 BLIST. PVC/AL X 10 CAP P-6
CUTIE X 2 BLIST. AL/PVC X 10 COM
CUTIE X 5 BLIST. AL/PVC X 10 COM

P-6

CUTIE X 5 BLIST. AL/PVC X 10 CO

P-6

CUTIE X 2 BLIST. AL/PVC X 10 CO

P-6

CUTIE X 2 BLIST. AL/PVC X 10 CO

P-6

P-6

MERCK KGAA
MERCK KGAA
SP EUROPE

GERMANI

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-

GERMANI

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

P-

BELGIA

CUTIE X 140CAPS. ( BLIST. PVC/

P-RF/R

ROCHE ROMANIA S

ROMANIA

CUTIE X 1 FLAC. PEID X 168 COM

P-RF/R

CUTIE CU BLIST. PVC/PVDC/A

P-RF/R

CUTIE X 28 COMPR. FILM. (

P-RF/R

TEVA PHARMA B.V. OLANDA


GLAXO GROUP LTD. M
GILEAD SCIENCE INTERNATIONAL LIMITED

CUTIE X 1 FLAC. DIN PEID X 30 CO

P-RF/R

BRISTOL-MYERS SQUIBB PHARMA EEIG

CUTIE X 30 X 1 COMPR. F

P-RF/R

BRISTOL-MYERS SQUIBB PHARMA EEIG

CUTIE X 30 X 1 COMPR. F

P-RF/R

AMGEN EUROPE B.V

CUTIE X 1 SERINGA PRE-UMPLUTA

S/P-RF

CUTIE X 1 SERINGA PRE-UMPLUTA

S/P-RF

SANDOZ GMBH
SANDOZ GMBH

OLANDA
OLANDA
AUSTRIA
AUSTRIA

CUTIE X 1 SERINGA PREUMPL

P-RF/R

CUTIE X 1 SERINGA PREUMPL

P-RF/R

HOSPIRA UK LIMITE

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

P-

TEVA GENERICS G

GERMANI

CUTIE X 1

S/P-RF/R

HOSPIRA UK LIMITE

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

P-

AMGEN EUROPE B.V

Pagina 60 din 101

1
1
1
1
1
1
1
1
12
36
1
20
20
20
20
20
20
5
30
50
60
30
30
20
50
50
20
20
3
3
140
168
30
28
30
30
30
1
1
1
1
5
1
5

10.37
10.37
10.42
3.47
17.23
33.34
7.09
3.57
33.10
91.26
19.11
3.02
2.28
5.42
6.02
3.04
6.02
6.07
28.51
16.07
19.46
16.72
16.24
4.30
10.79
16.21
4.30
13.74
95.62
35.71
611.90
665.28
194.11
278.73
,928.98
,748.63
,938.42

326.02
514.01
197.89
318.52
494.26
261.45
,129.37

10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.151000
0.114000
0.271000
0.301000
0.152000
0.301000
1.214000
0.950333
0.321400
0.324333
0.557333
0.541333
0.215000
0.215800
0.324200
0.215000
0.687000
31.873333
11.903333
4.370714
3.960000
6.470333
9.954642
64.299333
58.287666
64.614000
326.020000
514.010000
197.890000
318.520000
98.852000
261.450000
225.874000

10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.258000
0.215000
0.649599
31.873333
11.903333
4.370714
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000

10.370000
10.370000
10.420000
3.470000
17.230000
33.340000
7.090000
3.570000
2.758333
2.535000
19.110000
0.136800
0.114000
0.136800
0.136800
0.136800
0.136800
1.214000
0.950333
0.258000
0.258000
0.557333
0.541333
0.215000
0.215800
0.258000
0.215000
0.649599
31.873333
11.903333
4.370714
3.960000
6.470333
7.764399
64.299333
58.287666
64.614000
237.468000
382.224000
197.890000
318.520000
98.852000
237.468000
225.874000

NR.CRT

45
46
47
48
49
50
51
52
53
54
55
56
57
58

COD ATC

L03AA
L03AA
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB
L03AB

L03AB
N04BB

DCI

FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2A****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
INTERFERONUM ALFA 2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2B****
PEGINTERFERON ALFA-2A****
AMANTADINUM**

forma farm.

concentratie
DETINATOR APP
TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8m TEVA GENERICS G
NIVESTIM 48 MU/0,5 ml
SOL. INJ./PERF. 480g/0,5ml HOSPIRA UK LIMITE
Denumire Comerciala

ROFERON A
ROFERON A
INTRON A 18 milioane U.I.
INTRON A 18 milioane U.I.
INTRON A 30 milioane U.I.
INTRON A 30 milioane U.I.
PEGINTRON 100 mcg
PEGINTRON 120 mcg
PEGINTRON 150 mcg
PEGINTRON 50 mcg
PEGASYS 180 mcg/0,5ml
VIREGYT (R)- K

TARA
DET. APP

AMBALAJ

Prescriptie

GERMANI

CUTIE X 1

S/P-RF/R

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

P-

CUTIE X 1 SERINGA PR

S/P-RF

CUTIE X

S/P-RF

SOL. INJ.
SOL. INJ.

3Mui/0,5ml
9Mui/0,5ml

ROCHE ROMANIA S.R


ROCHE ROMANIA S.R

ROMANIA
ROMANIA

SOL. INJ

18 milioane U

SP EUROPE

BELGIA

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SOL. INJ

18 milioane U

MERCK SHARP &

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SOL. INJ

30 milioane U

SP EUROPE

BELGIA

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SOL. INJ

30 milioane U

MERCK SHARP &

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

SP EUROPE
SP EUROPE
SP EUROPE
SP EUROPE

BELGIA
BELGIA
BELGIA
BELGIA

CUTIE X 1 FLAC. C

P-RF/R

CUTIE X 1 FLAC. C

P-RF/R

CUTIE X 1 FLAC. CU PU

P-RF/R

PULB. + S

100mcg
120mcg
150mcg
50mcg

CUTIE X 1 FLAC. C

P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

180mcg/0,5m

ROCHE REGISTRA

CUTIE X 1 SERINGA PRE-UMP

P-RF/R

CAPS.

100mg

EGIS PHARMA

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.

PULB. + S
PULB. + S
PULB. + S

P-6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

1
5
1
1
1
1
1
1
1
1
1
1
1
50

426.08 426.080000
,843.52 368.704000
87.43 87.430000
183.22 183.220000
434.34 434.340000
434.34 434.340000
715.89 715.890000
715.89 715.890000
820.00 820.000000
969.85 969.850000

10
10
5
5
5
5
10
10
10
10
10
10
10
10
5
10
5
5
1
1
1
6
6
6
1
6
1
1

19.04
1.904000
1.904000
33.31
3.331000
3.331000
43.75
8.750000
8.750000
23.79
4.758000
4.758000
43.73
8.746000
8.746000
23.79
4.758000
4.758000
287.59 28.759000 17.835600
148.63 14.863000 14.863000
148.63 14.863000 14.863000
178.35 17.835000 17.835000
171.89 17.189000 17.189000
236.15 23.615000 23.615000
271.77 27.177000 27.177000
135.28 13.528000 13.528000
199.30 39.860000 39.860000
394.03 39.403000 39.403000
71.52 14.304000 14.304000
199.86 39.972000 39.972000
66.02 66.020000 47.283600
403.43 403.430000 403.430000
381.18 381.180000 381.180000
,728.54 288.090000 288.090000
218.42 36.403333 36.403333
425.83 70.971666 70.971666
788.23 788.230000 788.230000
603.73 100.621666 100.621666

,193.66

,193.660000

382.224000
368.704000
87.430000
183.220000
434.340000
434.340000
715.890000
715.890000
820.000000
969.850000

382.224000
368.704000
87.430000
183.220000
434.340000
434.340000
715.890000
715.890000
820.000000
969.850000

,193.660000

,193.660000

445.72 445.720000 445.720000 445.720000


975.16 975.160000 975.160000 975.160000
17.07
0.341400
0.341400
0.341400

Tratamentul se iniiaz de ctre medicul in specialitatea gastroenterologie sau boli infectioase

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
A04AA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA

ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
GRANISETRONUM**
PALONOSETRONUM**
PALONOSETRONUM**
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM ALFA***

OSETRON 4 mg
OSETRON 8 mg
OSETRON 8 mg SOLUTI
OSETRON 4 mg SOLUTIE

EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
KYTRIL (R) 1 mg
GRANISETRON ACTAVIS 1 m

GRANEGIS 1 mg
GRANORED 1 mg
SETROGEN 1 mg
GRANISETRON ACTAVIS 2 m

GRANORED 2 mg
GRANISETRON KABI 1 mg/ml
GRANISETRON KABI 1 mg/ml
GRANISETRON KABI 1 mg/ml
GRANISETRON TEVA 1mg/1m
GRANISETRON TEVA 3mg/3m

KYTRIL
ALOXI 500mcg
ALOXI
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml

COMPR. FILM.
COMPR. FILM.
SOL. INJ.
SOL. INJ.
SOL. INJ./PERF.
SOL. INJ./PERF.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

SOL. INJ.
CAPS. MOI
SOL. INJ.

4mg
8mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
1mg
1mg
1mg
1mg
1mg
2mg
2mg
1mg/ml
1mg/ml
1mg/ml
1mg/1ml
3mg/3ml
3mg/3ml
500mcg
250 mcg/5ml

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/1,0m SANDOZ GMBH

CONC. PT.
CONC. PT.
CONC. PT.
CONC. PT.
CONC. PT.

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

DR. REDDY'S L
DR. REDDY'S L
DR. REDDY'S L
DR. REDDY'S L

CIPLA (UK) LIMITED


CIPLA (UK) LIMITED

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 1 BLIST.

P-

CUTIE X 1 BLIST.

P-

CUTIE X 1 BLIST. AL/PVC X 5

S/P-RF

CUTIE 1 BLIST. AL/PVC X 5 FI

S/P-RF

CUTIE X 5

S/P-RF

CUTIE X 5 FI

S/P-RF

ROCHE ROMANIA S.R

ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM

P-

ACTAVIS GROUP P

ISLANDA

P-

CUTIE CU BLIST. PVC/AL X 10 CO

DR. REDDY'S L

UNGARIA CUTIE CU BLIST. PVC/AL X 10 CO


ROMANIA CUTIE CU BLIST. PVC-PVDC/

ALVOGEN IPCO S.A.

LUXEM

CUTIE CU 1 BLIST. PVC/AL X 10

PRF

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC/AL X 10 CO

P-

DR. REDDY'S L

ROMANIA CUTIE CU BLIST. PVC-PVDC/


ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. INJ./PERF.
ROMANIA C
ROMANIA CUTIE X 10 FIOLE STICLA INCOLORA X 3 ML CONC. PT. SOL. INJ./PERF.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ.
ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ.
ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ.

PRF

IRLANDA
IRLANDA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X BLI

PRF

CUTIE X 1 FLAC. DIN STICLA X 5

P-

CUTIE X 6 SERINGI PREUMPLU

S/P-RF/R

CUTIE X 6 SERINGI PREUMPL

S/P-RF/R

CUTIE X 6 SERINGI PREUMPLU

S/P-RF/R

CUTIE X 1 SERINGA PREU

P-RF/R

CUTIE X 6 SERINGI PREUMPL

S/P-RF/R

SLOVENI

CUTIE CU 1 SERINGA PREU

S/P-RF

AUSTRIA

CUTIE X 1 SERINGA PREUMPL

P-RF/R

EGIS PHARMA

FRESENIUS
FRESENIUS
FRESENIUS

TEVA PHARMA
TEVA PHARMA

ROCHE ROMANIA S
HELSINN BIREX PHARMACEUTICALS LTD.
HELSINN BIREX PHARMACEUTICALS LTD.

1000UI/0,5ml SANDOZ GMBH


2000UI/1,0ml SANDOZ GMBH
SANDOZ GMBH
30000UI/0,7
3000UI/0,3ml SANDOZ GMBH
40 000UI/ml JOHNSON & J
40000 UI/1 m SANDOZ GMBH

Pagina 61 din 101

P-

PRF

PR
PR
PR
S
S
PR

,353.47

,353.470000

,193.316000

1.904000
3.331000
8.750000
4.758000
8.746000
4.758000
17.835600
14.863000
14.863000
17.835000
17.189000
23.615000
27.177000
13.528000
39.860000
39.403000
14.304000
39.972000
47.283600
403.430000
381.180000
288.090000
36.403333
70.971666
788.230000
100.621666
,193.316000

994.43 994.430000 994.430000 994.430000

NR.CRT

29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

COD ATC

B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
G03H

H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
J02AC
J02AC
J02AC
J02AC
J02AC
J02AC
J02AC
J02AC
J02AC
J02AC
J02AC
J02AC

J02AX
J02AX
L01XX
L01XX
L04AD
L04AD

DCI

EPOETINUM ALFA***
EPOETINUM ALFA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
EPOETINUM BETA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
DARBEPOETINUM ALFA***
CYPROTERONUM**
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
POSACONAZOLUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
ANAGRELIDUM***
ANAGRELIDUM***
CICLOSPORINUM*
CICLOSPORINUM*

Denumire Comerciala

BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6
NEORECORMON 2000UI/0,3m
NEORECORMON 30000UI/0,6
NEORECORMON 4000UI/0,3m
NEORECORMON 5000UI/0,3m

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

SOL. INJ. IN SERINGA PREUMPLUTA

4000UI/0,4ml SANDOZ GMBH


5000UI/0,5ml SANDOZ GMBH

AUSTRIA
AUSTRIA

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6m ROCHE REGISTRA

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/0,3ml

ROCHE REGISTRA

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA


SOL. INJ. IN SERINGA PREUMPLUTA

NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA


ARANESP 100mcg/0,5ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 10mcg/0,4ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 150mcg/0,3ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 20mcg/0,5ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 300mcg/0,6ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 30mcg/0,3ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 40mcg/0,4ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 500mcg/ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 50mcg/0,5ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 60mcg/0,3ml
SOL. INJ. IN SERINGA PREUMPLUTA
ARANESP 80mcg/0,4ml
SOL. INJ. IN SERINGA PREUMPLUTA
ANDROCUR
COMPR.
DEXAMED
COMPR.
SOL. INJ.
DEXAMETAZONA ROMPHA
SOL. INJ.
DEXAMETAZONA ROMPHA
SOL. INJ.
DEXAMETAZONA ROMPHA
SOL. INJ.
DEXAMETAZONA ROMPHA
SOL. INJ.
DEXAMETAZONA ROMPHA
SOL. INJ.
DEXAMETAZONA ROMPHA
SOL. INJ.
DEXAMETHASONE SO
SOL. INJ.
DEXAMETHASONE SO
DEXAMED
SOL. INJ.
DEXAMED
SOL. INJ.
ORUNGAL
CAPS.
ITRACONAZOL 100 mg
CAPS.
ITRACONAZOL 100 mg
CAPS.
OMICRAL 100 mg
CAPS.
SPORILIN 100 mg
CAPS.
ITRACONAZOL LPH 100 mg CAPS.
MICOGAL 100 mg
CAPS.
VFEND 200mg
COMPR. FILM.
VFEND 50mg
COMPR. FILM.
VFEND 200mg
PULB. PT. SOL.
VFEND 40 mg/ml
PULB. PT. SU
NOXAFIL SP 40mg/ml
SUSP. ORALA
CANCIDAS 50 mg
P
CANCIDAS 70 mg
P
THROMBOREDUCTIN
CAPS.
THROMBOREDUCTIN
CAPS.
EQUORAL (R) 100 mg
CAPS. MOI
EQUORAL 100 mg
CAPS. MOI

AMBALAJ

Prescriptie

CUTIE X 6 SERINGI PREUMPL

S/P-RF/R

CUTIE X 6 SERINGI PREUMPL

S/P-RF/R

CUTIE X 6 SERIN

S/P-RF/R

CUTIE X 6 SERI

S/P-RF/R

ROCHE REGISTRA

CUTIE X 1 SERINGA PRE-UMP

S/P-RF/R

ROCHE REGISTRA

CUTIE X 6 SERIN

S/P-RF/R

ROCHE REGISTRA

CUTIE X 6 SERIN

S/P-RF/R

ROCHE REGISTRA

CUTIE X 6 SERIN

S/P-RF/R

100mcg/0,5m AMGEN EUROPE BV


10mcg/0,4ml AMGEN EUROPE BV
150mcg/0,3m AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6m 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

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 1 SERINGA PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 1 SERINGA PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

50mg
0,5mg
4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
8mg
8mg
8mg/2ml
8mg/2ml
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
50mg
200mg
40mg/ml
40mg/ml
50mg
70mg
0,5mg
0,5mg
100mg
100mg

GERMANI

CUTIE X 1 FLAC. X 50 COMPR.

P-

CN UNIFARM S.A.

CUTIE CU 10 BLISTERE X 10 CO

PRF

ROMPHARM COMP

CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

PRF

CUTIE CU UN SUPORT CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

PRF

CUTIE CU 100 FIOLE D

PRF

CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

PRF

CUTIE CU 25 FIOLE DIN

PRF

CUTIE CU 100 FIOLE D

PRF

CUTIE X 100 FIOLE DIN

P-

CUTIE X 5 FIOLE DIN S

P-

BAYER SCHER

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

MEDOCHEMIE LTD. CIPRU


CUTIE X 100 FIOLE DIN
MEDOCHEMIE LTD. CIPRU
CUTIE X 10 FIOLE DIN ST
BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVD
JANSSEN P
SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
MEDI
ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
GEDEON RIC
ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
LABORMED PHARMA
ROMANIA CUTIE X 3 BLIST. PVC/AL X 5 CAPS.
ROMPHARM COMP
PFIZER LIMITED
CUTIE X 28 COMPR. FILM. (BLIST.
M
PFIZER LIMITED
CUTIE X 28COMPR. FILM. ( BLIST.
M
PFIZER LIMITED
CUTIE X 1 FLAC. UNIDOZA X 30ML
M
PFIZER LIMITED
M

P-RF/S

PPPPPPPPPPP-

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

P-

MERCK SHARP &

CUTIE X 1 FLAC. X 105ML SUSP. O

P-RF/R

MERCK SHARP &

CUTIE X 1 FLAC. PULB.

MERCK SHARP &

CUTIE X 1 FLAC. PULB.

S
S

AUSTRIA
AUSTRIA
CEHIA
CEHIA

CUTIE X 1 FLAC. DIN PE X 42 CAPS.

P-

CUTIE X 1 FLAC. DIN PE X 100 CAPS

P-RF/S

ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH


ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH

IVAX - PHA
TEVA CZE

Pagina 62 din 101

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF
S/P-RF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

6
6
6
6
1
6
6
6
4
4
4
4
1
4
4
1
4
4
4
50
100
10
25
100
10
25
100
100
5
100
10
15
15
15
15
15
15
15
28
28
1
1
1
1
1
42
100
50
50

781.57 130.261666 130.261666 130.261666


959.37 159.895000 159.895000 159.895000
,346.60 391.100000 391.100000 391.100000
526.27 87.711666 87.711666 87.711666
,174.53

,174.530000

,174.530000

,174.530000

981.05 163.508333 163.508333 163.508333


,208.30 201.383333 201.383333 201.383333
143.93 23.988333 23.988333 23.988333
,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000
,708.35

,177.087500

,177.087500

,177.087500

702.64 175.660000 175.660000 175.660000


,208.61

,208.610000

,208.610000

,208.610000

252.367500 252.367500 252.367500


,318.95 329.737500 329.737500 329.737500
,009.47
,633.81

,633.810000

,633.810000

,633.810000

,626.76

537.45

406.690000
484.292500
638.987500
3.246600
0.183800
0.832000
0.816800
0.736400
1.387000
1.327200
1.246200
1.236600
1.396000
1.186000
1.438000
5.128000
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

406.690000
484.292500
638.987500
3.246600
0.183800
0.832000
0.816800
0.736400
1.387000
1.327200
1.246200
1.236600
1.396000
1.186000
1.423200
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

406.690000
484.292500
638.987500
3.246600
0.183800
0.832000
0.816800
0.736400
1.387000
1.327200
1.246200
1.236600
1.396000
1.186000
1.423200
4.203999
3.504000
3.504000
3.504000
3.504000
3.504000
3.503333
139.918571
36.868928
537.450000

,439.99

,439.990000

,439.990000

,439.990000

,750.28

,750.280000

,750.280000

,750.280000

,348.76

,348.760000

,348.760000

,348.760000

,738.70

,738.700000

,738.700000

,738.700000

875.92

20.855238
16.554800
6.152000
6.152000

19.865760
16.554800
6.152000
6.152000

19.865760
16.554800
6.152000
6.152000

,937.17
,555.95

162.33
18.38
8.32
20.42
73.64
13.87
33.18
124.62
123.66
6.98
118.60
14.38
76.92
52.56
52.56
52.56
52.56
52.56
52.55
,917.72
,032.33

,655.48

307.60
307.60

NR.CRT

78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99

COD ATC

L04AD
L04AD
L04AD
L04AD
L04AD
L04AD

N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA
N02AA

100 N02AA
101 N02AA
102 N02AA
103 N02AA
104 N02AA
105 N02AA
106 N02AA
107 N02AA
108 N02AA
109 N02AA
110 N02AA

111 N02AA
112 N02AA
113 N02AA
114 N02AA
115 N02AB
116 N02AB
117 N02AB
118 N02AB
119 N02AB

120 N02AB
121 N02AB
122 N02AB
123 N02AB
124 N02AB
125 N02AB
126 N02AB

DCI

CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
MORPHYNUM
MORPHYNUM
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
DIHYDROCODEINUM
DIHYDROCODEINUM
DIHYDROCODEINUM
PETHIDINUM
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**
FENTANYLUM**

Denumire Comerciala

forma farm.

SANDIMMUN NEORAL (R)


EQUORAL (R) 25 mg
EQUORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
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 10 mg
SEVREDOL 20 mg
SEVREDOL 20 mg

CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI

VENDAL (R) RETARD 100 mg

COMPR. FI

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

FENTANYL TTS SANDOZ 10

PLASTU

25mg
25mg
25mg
50mg
50mg
50mg
100mg
10mg
200mg
30mg
60mg
10mg
10mg
20mg
20mg
100mg
30mg
60mg
20mg/ml
10 mg
20 mg
40 mg
80mg
10mg
10mg
20mg
20mg
40mg
40mg
80mg
10 mg
20 mg
40 mg
80mg
120mg
60mg
90mg
50mg/ml
100mcg/h

FENTANYL ACTAVIS 100mi

PLASTU

100microgr

ACTAVIS GROUP P

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

ALGOGESIC 100 micrograme/

PLASTU

100microg

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS
PS

DOLFORIN 100 g/ORA

PLASTU

P-T

PLASTU

100g/ora
25mcg/h

CUTIE X

FENTANYL TTS SANDOZ 25

CUT

P-T

FENTANYL ACTAVIS 25micr

PLASTU

ALGOGESIC 25 micrograme/o

PLASTU

DOLFORIN 25 g/ORA

PLASTU

FENTANYL TTS SANDOZ 50

PLASTU

25g/ora
50mcg/h

FENTANYL ACTAVIS 50micr

PLASTU

ALGOGESIC 50 micrograme/o

PLASTU

COMPR. ELIB.
COMPR. ELIB.
COMPR. ELIB.
COMPR. ELIB.
COMPR. ELIB.

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

VENDAL (R) RETARD 30 mg COMPR. FI


VENDAL (R) RETARD 60 mg COMPR. FI
MORFINA 20 mg/ml
SOL. INJ.
OXYCONTIN 10 mg
COMPR. CU
OXYCONTIN 20 mg
COMPR. CU
OXYCONTIN 40 mg
COMPR. CU
OXYCONTIN 80 mg
COMPR. CU
OXIDOLOR 10 mg
COMPR. ELIB. P
ALNAGON 10 mg
COMPR. ELIB. P
OXIDOLOR 20 mg
COMPR. ELIB. P
ALNAGON 20 mg
COMPR. ELIB. P
OXIDOLOR 40 mg
COMPR. ELIB. P
ALNAGON 40 mg
COMPR. ELIB. P
OXIDOLOR 80 mg
COMPR. ELIB. P
OXYCONTIN (R) 10 mg
COMPR. F
OXYCONTIN (R) 20 mg
COMPR. F
OXYCONTIN (R) 40 mg
COMPR. F
OXYCONTIN (R) 80 mg
COMPR. F
DHC CONTINUS 120 mg
COMPR. ELIB. P
DHC CONTINUS 60 mg
COMPR. ELIB. P
DHC CONTINUS 90 mg
COMPR. ELIB. P
MIALGIN (R) 100 mg/2 ml
SOL. INJ.

LANNA

CUTIE X 10 BLIST. X 5 CAPS. MOI


CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANI CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
AUSTRIA CUTIE C
AUSTRIA CUTIE C
AUSTRIA CUTIE C
AUSTRIA CUTIE C
AUSTRIA CUTIE C
AUSTRIA CUTIE X 4 BLIST. AL/PVCAUSTRIA CUTIE CU BLIST. AL/PVC-PV
AUSTRIA CUTIE X 4 BLIST. AL/PVC-PV
AUSTRIA CUTIE CU BLIST. AL/PVC-PV
AUSTRIA CUTIE X 3 BLIST. AL/P
AUSTRIA CUTIE X 3 BLIST. AL/P
AUSTRIA CUTIE X 3 BLIST. AL/P
ROMANIA CUTIE X 5 FIOLE X 1 ML
AUSTRIA CUTIE CU BLIST. PVC/AL
AUSTRIA CUTIE CU BLIST. PVC/AL
AUSTRIA CUTIE CU BLIST. PVC/AL
AUSTRIA CUTIE CU BLIST. PVC/AL
AUSTRIA CUTIE CU BLIST. PVC-

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU B

P-

LANNA

AUSTRIA

CUTIE CU BLIST. PVC-

P-T

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU B

P-

LANNA

AUSTRIA

CUTIE CU BLIST. PVC-

P-T

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU B

P-

CUTIE CU BLIST. PVC-

P-T

CUTIE X 4 BLIST. X 14 COMPR

P-T

CUTIE X 4 BLIST. X 14 COMPR

P-T

CUTIE X 4 BLIST. X 14 COMPR

P-T

CUTIE X 4 BLIST. X 14 COMPR

P-T

CUTIE X 1 FLAC. DIN PP X 56

PS
PS
PS

NOVARTIS PHARM

GERMANI

IVAX - PHA
TEVA CZE

NOVARTIS PHARM
IVAX - PHA
TEVA CZE

MUNDIPHARMA GE
MUNDIPHARMA GE
MUNDIPHARMA GE
MUNDIPHARMA GE
MUNDIPHARMA GE

MUNDIPHARMA GMB
MUNDIPHARMA GMB
MUNDIPHARMA GMB
MUNDIPHARMA GMB
LANNA
LANNA
LANNA

ZENTIVA S.A.
MUNDIPHARMA GE
MUNDIPHARMA GE
MUNDIPHARMA GE
MUNDIPHARMA GE

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

P-T
P-T
P-T
P-T
P-T
P-T
P-T
P-T
P-T
P-T
P-T
P-T
P-T

PS
PS
PS
PS
P-T

MUNDIPHARMA GE

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

ZENTIVA SA
SANDOZ S.R.L.

ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML


ROMANIA CUT

P-T

LANNA

MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA
MUNDIPHARMA

GM
GM
GM
GM

MUNDIPHARMA GE
MUNDIPHARMA GE

CUTIE X 1 FLAC. DIN PP X 56


CUTIE X 1 FLAC. DIN PP X 56

P-T

SANDOZ S.R.L.

ROMANIA
ROMANIA

25microgram

ACTAVIS GROUP P

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

25microgra

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS
PS

CUTIE X

P-T

CUT

P-T

GEDEON RIC

SANDOZ S.R.L.

ROMANIA
ROMANIA

50microgram

ACTAVIS GROUP P

ISLANDA

CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC

50microgra

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

GEDEON RIC

Pagina 63 din 101

PS
PS

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

50
50
50
50
50
50
60
60
60
60
60
56
60
56
60
30
30
30
5
60
60
60
60
60
56
60
56
60
56
60
56
56
56
56
56
56
56
5
5
5
5
5
5
5
5
5
5
5
5

137.32
75.17
75.17
292.16
147.58
147.58
205.94
37.61
393.65
65.71
132.81
46.96
50.10
67.34
71.78
71.84
23.04
47.06
8.29
64.10
121.02
172.88
309.83
43.09
48.27
78.65
88.08
118.50
132.72
201.38
116.83
214.65
395.50
652.80
128.54
29.34
101.69
9.35
191.24
190.93
191.24
191.24
71.80
69.07
59.53
69.71
120.78
120.72
113.05

2.746400
1.503400
1.503400
5.843200
2.951600
2.951600
3.432333
0.626833
6.560833
1.095166
2.213500
0.838571
0.835000
1.202500
1.196333
2.394666
0.768000
1.568666
1.658000
1.068333
2.017000
2.881333
5.163833
0.718166
0.861964
1.310833
1.572857
1.975000
2.370000
3.356333
2.086250
3.833035
7.062500
11.657142
2.295357
0.523928
1.815892
1.870000
38.248000
38.186000
38.248000
38.248000
14.360000
13.814000
11.906000
13.942000
24.156000
24.144000
22.610000

1.804080
1.503400
1.503400
3.541920
2.951600
2.951600
2.873599
0.626833
6.560833
0.921600
1.882399
0.752199
0.752199
1.202500
1.196333
2.394666
0.768000
1.568666
1.658000
0.861799
1.572999
2.370000
4.027599
0.718166
0.861799
1.310833
1.572857
1.975000
2.370000
3.356333
0.861799
1.572999
2.370000
4.027599
2.295357
0.523928
1.815892
1.870000
38.248000
38.186000
38.248000
38.248000
14.287200
13.814000
11.906000
13.942000
24.156000
24.144000
22.610000

1.804080
1.503400
1.503400
3.541920
2.951600
2.951600
2.873599
0.626833
6.560833
0.921600
1.882399
0.752199
0.752199
1.202500
1.196333
2.394666
0.768000
1.568666
1.658000
0.861799
1.572999
2.370000
4.027599
0.718166
0.861799
1.310833
1.572857
1.975000
2.370000
3.356333
0.861799
1.572999
2.370000
4.027599
2.295357
0.523928
1.815892
1.870000
38.248000
38.186000
38.248000
38.248000
14.287200
13.814000
11.906000
13.942000
24.156000
24.144000
22.610000

NR.CRT

COD ATC

127 N02AB
128 N02AB
129 N02AB
130 N02AB
131 N02AX
132 N02AX
133 N02AX
134 N02AX
135 N02AX
136 N02AX
137 N02AX
138 N02AX
139 N02AX
140 N02AX
141 N02AX
142 N02AX
143 N02AX
144 N02AX
145 N02AX
146 N02AX
147 N02AX
148 N02AX
149 N02AX
150 N02AX
151 N02AX
152 N02AX
153 N02AX
154 N02AX
155 N02AX
156 N02AX
157 N02AX
158 N02AX
159 N02AX
160 N02AX
161 N02AX
162 N02AX
163 N07BC
164 N07BC
165 R05DA
166 R05DA
167 R05DA
168 R05DA
169 R05DA
170 R05DA
171 V03AC
172 V03AC
173 V03AC
174 V03AC

DCI

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
METHADONUM
METHADONUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
CODEINUM
DEFEROXAMINUM**3)
DEFERASIROXUM***
DEFERASIROXUM***
DEFERASIROXUM***

Denumire Comerciala

forma farm.

concentratie

DOLFORIN 50 g/ORA

PLASTU

FENTANYL TTS SANDOZ 75

PLASTU

50g/ora
75mcg/h

ALGOGESIC 75 micrograme/o

PLASTU

75microgra

DOLFORIN 75 g/ORA
TRALGIT 50
TRAMADOL
MABRON 50 mg
K-ALMA (R)
TRAMACALM
TRAMADOL LPH 50 mg
URGENDOL
TRAMADOL ARENA
TRAMAG 50
TRAMADOL EEL
TRAMADOLOR (R) 100 ID
TRAMADOL (R) RETARD
TRALGIT SR 100
TRALGIT SR 150
TRADOLAN RETARD 150 mg
TRALGIT SR 200
TRADOLAN RETARD 200 mg
TRADOLAN 50 mg
TRAMAL RETARD 100 mg
TRAMAL RETARD 150 mg
TRAMADOL RETARD 150 mg
TRAMAL RETARD 200 mg
TRAMADOL RETARD 200 mg
TRALGIT 50 mg
MABRON
MABRON
TRALGIT 100
TRAMADOL
URGENDOL
TRAMADOL
URGENDOL
TRAMADOL
SINTALGON 2,5 mg
METADON BIOEEL 5 mg
FOSFAT DE CODEINA 15 mg
CODEINA FOSFORICA
FARMACOD
CODEINA FOSFAT
CODEINA FOSFAT LPH 15 mg
CODEINA FOSFAT MCC 15 m

DESFERAL
EXJADE 125mg
EXJADE 250mg
EXJADE 500mg

PLASTU

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

COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P

COMPR. FILM.
COMPR. FI
COMPR. FI
COMPR. FI
COMPR. FI
COMPR. FI
COMPR.

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SUPOZ.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
LIOF. PT. S

COMPR. DISP.
COMPR. DISP.
COMPR. DISP.

DETINATOR APP
GEDEON RIC

SANDOZ S.R.L.
ZENTIVA K.S.

75g/ora
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
100mg
100mg
100mg
150mg
150mg
200mg
200mg
50mg
100mg
150mg
150mg
200mg
200mg
50mg
100mg
100mg
100mg/2ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
2,5mg
5mg
15mg
15mg
15mg
15mg
15mg
15mg
500mg
125mg
250mg
500mg

GEDEON RIC

ZENTIVA A.S.
KRKA D.D.
MEDOCHEMIE LTD.
ANTIBIOTICE SA
AC HELCOR SRL

TARA
DET. APP
ROMANIA
ROMANIA

AMBALAJ

P-T

CUT

P-T

REPUBLICA CEHA

CUTIE CU 5 PLICURI COMPOZITE ALCATUITE DIN PET-ADEZIV-AL-SURLYN X 1 PLASTURE TRANSDERMIC

PS

ROMANIA

CUTIE X

P-T

SLOVACI
SLOVENI

CIPRU

CUTIE X 2 BLIST. AL/PVC X 10 CAPS


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

ROMANIA
ROMANIA
ROMANIA
LABORMED PHARM
ROMANIA
MEDICAROM GROU
ARENA GROUP S.A. ROMANIA
MAGISTRA C & C
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COM
BIO EEL SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COM

HEXAL AG
KRKA D.D.
ZENTIVA AS
ZENTIVA AS

Prescriptie

CUTIE X

PPPPPPPPPP-

GERMANI

CUTIE X 1 BLIST. X 10 COMPR. EL

P-

SLOVENI
SLOVACI
SLOVACI

CUTIE X 3 BLIST. X 10 COMPR. ELI

P-

CUTIE X 3 BLIST. PVC/AL X

P-

CUTIE X 3 BLIST. PVC/AL X

P-

LANNA

AUSTRIA

CUTIE CU 3 BLIST. PVC

PRF

ZENTIVA AS

SLOVACI

CUTIE X 1 BLIST. PVC/AL X

P-

CUTIE CU 3 BLIST. PVC

PRF

CUTIE X 3 BLIST. AL/PVC X 10 CO

P-

CUTIE X 1 BLIS

P-

CUTIE X

P-

CUTIE X 3 BLIST. AL/P

P-

CUTIE X

P-

SLOVENI

CUTIE X 3 BLIST. AL/

P-

REPUBLICA SLOVACA

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

PRF

CUTIE X 5 FIOLE DIN S

S/P-RF

CUTIE X 100 FIOLE DIN

S/P-RF

LANNA
LANNA

AUSTRIA
AUSTRIA

GRUNENTHAL GMBH GERMANI


GRUNENTHAL GMBH GERMANI
KRKA D.D. NOVO M

SLOVENI

GRUNENTHAL GMBH GERMANI


KRKA D.D. NOVO M

ZENTIVA, A.S.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA A.S.
KRKA D.D.

CIPRU
CIPRU
SLOVACI
SLOVENI

MEDICAROM GROU

ROMANIA

KRKA D.D.

SLOVENI

MEDICAROM GROU

ROMANIA

KRKA D.D.
ZENTIVA S.A.
BIO EEL SRL
SINTOFARM SA
BIO EEL SRL
FARMACOM SA
SLAVIA PHARM SRL

SLOVENI

CUTIE X 5 FIOLE X 2 ML SOL. INJ.


CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 5 FIOLE X 2 ML
CUTIE X 1 BLIST. X 5 SUPOZ.

MAGISTRA C & C SR

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

NOVARTIS PHARM

GERMANI

CUTIE X 1

NOVARTIS EURO

CUTIE X 28 COMPR. DISP.(B

NOVARTIS EURO

CUTIE X 28 COMPR. DISP. ( PVC

NOVARTIS EURO

CUTIE X 28 COMPR. DISP. ( PVC

LABORMED PHARM

Pagina 64 din 101

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

P-

CUTIE X 2 BLIST. AL/PVC X 25 COM

P-T

CUTIE X 5 BLIST. AL/PVC-PVDC

P-T

CUTIE X 3 BLIST. AL/PVC X 10 COM


CUTIE X 1 BLIST. AL/PVC X 25 COM

CUTIE X 2 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COM
CUTIE X 1 BLIST. AL/PVC X 20 COM
CUTIE X 2 BLIST. AL/PVC X 10 COM

PPPPPPS/P-RF

PR
PR
PR

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

5
5
5
5
20
20
10
20
10
20
10
20
20
20
10
30
30
30
30
10
30
30
10
10
30
10
30
10
5
100
5
5
5
5
5
5
50
50
30
25
20
20
20
20
10
28
28
28

120.78
154.58
154.58
154.58
5.82
5.82
3.85
7.67
3.85
7.67
3.82
9.00
7.67
7.67
6.30
18.91
18.89
27.55
33.41
10.62
34.30
10.65
9.69
22.03
41.57
28.18
53.20
3.84
9.83
134.56
12.28
4.93
4.90
13.10
7.67
5.58
24.41
15.72
6.01
5.13
3.02
3.02
3.19
3.65
135.07
787.57

24.156000 24.156000 24.156000


30.916000 30.916000 30.916000
30.916000 30.916000 30.916000
30.916000 30.916000 30.916000
0.291000
0.291000
0.291000
0.291000
0.291000
0.291000
0.385000
0.349200
0.349200
0.383500
0.349200
0.349200
0.385000
0.349200
0.349200
0.383500
0.349200
0.349200
0.382000
0.349200
0.349200
0.450000
0.349200
0.349200
0.383500
0.349200
0.349200
0.383500
0.349200
0.349200
0.630000
0.630000
0.630000
0.630333
0.630333
0.630333
0.629666
0.629666
0.629666
0.918333
0.918333
0.918333
1.113666
1.101999
1.101999
1.062000
1.062000
1.062000
1.143333
1.143333
1.143333
0.355000
0.349200
0.349200
0.969000
0.755599
0.755599
2.203000
1.101999
1.101999
1.385666
1.101999
1.101999
2.818000
1.274400
1.274400
1.773333
1.274400
1.274400
0.384000
0.349200
0.349200
1.966000
1.614720
1.614720
1.345600
1.345600
1.345600
2.456000
1.614720
1.614720
0.986000
0.986000
0.986000
0.980000
0.980000
0.980000
2.620000
1.614720
1.614720
1.534000
1.534000
1.534000
1.116000
1.116000
1.116000
0.488200
0.488200
0.488200
0.314400
0.314400
0.314400
0.200333
0.181200
0.181200
0.205200
0.181200
0.181200
0.151000
0.151000
0.151000
0.151000
0.151000
0.151000
0.159500
0.159500
0.159500
0.182500
0.181200
0.181200
13.507000 13.507000 13.507000
28.127500 28.127500 28.127500
,631.03 58.251071 58.251071 58.251071
,937.68 104.917142 104.917142 104.917142

NR.CRT

DCI

COD ATC

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

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
43
44
45

N03AA
N03AA
N03AA
N03AA
N03AB
N03AB
N03AE
N03AE

N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03AF
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A

PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENOBARBITALUM
PHENYTOINUM
PHENYTOINUM
CLONAZEPAMUM
CLONAZEPAMUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
CARBAMAZEPINUM
OXCARBAZEPINUM
OXCARBAZEPINUM
ACIDUM VALPROICUM + SARURI
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

FENOBARBITAL 100 mg
FENOBARBITAL 100 mg

COMPR.
COMPR.
FENOBARBITAL ARENA 100m COMPR.
SOL. INJ.
FENOBARBITAL 200 mg/ 2 ml
COMPR.
FENITOINA RICHTER 100 mg
PHENHYDAN 250 mg/5 ml
SOL. INJ.
RIVOTRIL
COMPR.
RIVOTRIL 2 mg
COMPR.
TEGRETOL (R) 200
COMPR.
COMPR.
CARBAMAZEPINA LPH 200 m
CARBAVIM
COMPR.
CARBEPSIL 200
COMPR.
CARBAMAZEPIN
COMPR.
CARBAMAZEPIN EEL
COMPR.
FINLEPSIN
COMPR.
COMPR.
CARBAMAZEPINA ARENA 20
FINLEPSIN
COMPR.
CARBEPSIL 400
COMPR.
COMPR.
CARBAMAZEPINA ARENA 4
TIMONIL RETARD 150 mg
CO
TIMONIL RETARD 300 mg
COMPR. CU ELIBERARE PRELUNGITA
TIMONIL RETARD 600 mg
COMPR. CU ELIBERARE PRELUNGITA
NEUROTOP (R) RETARD 300
NEUROTOP (R) RETARD 600

TEGRETOL CR 200
FINLEPSIN 200 RETARD
TEGRETOL CR 400
FINLEPSIN 400 RETARD
FINLEPSIN 400 RETARD
FINLEPSIN 200 RETARD
TIMONIL SIROP
TRILEPTAL (R) 300 mg
TRILEPTAL (R) 600 mg
ORFIRIL LONG 150 mg
ORFIRIL LONG 300 mg
CONVULEX (R) 150 mg
CONVULEX (R) 300 mg
CONVULEX (R) 500 mg
DEPAKINE (R) CHRONO 500

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
ORFIRIL LONG 1000 mg

COMPR. ELIB. P
COMPR. ELIB. P
COMPR. FI
COMPR. FI
COMPR. FI
COMPR. FI
COMPR. FI

COMPR.FILM.

SUSP. ORALA
COMPR. FILM.
COMPR. FILM.
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. MOI
CAPS. MOI
CAPS. MOI

COMPR. ELIB. P
COMPR. FILM. ELIB. PREL. DIVIZ.

COMPR.
COMPR.
COMPR.
COMPR.

MINICOMPR.

100 mg
100mg
100mg
10%
100mg
250mg/5ml
0,5mg
2mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
400mg
400mg
150mg
300mg
600mg
300mg
600mg
200mg
200mg
400mg
400mg
400mg
200mg
100mg/5ml
300mg
600mg
150mg
300mg
150mg
300mg
500mg
500mg
300mg
150mg
200mg
300mg
600mg
1000mg

ZENTIVA SA

CUTIE X 1 BLIST. AL/PVC X 25 COM

GEDEON RIC

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

DESITIN ARZ

ROCHE ROMANIA S.R

SC ARENA GROUP S
SC ARENA GROUP S

ZENTIVA S.A

CUTIE X 1 FLAC. X 10 COMPR.


CUTIE X 1 FLAC. X 10 COMPR.

PPP-

CUTIE X 5 FIOLE DIN

P-

CUTIE X 2 BLIST. X 10 COMPR.

P-6

GERMANI

CUTIE CU 5 FIOLE D

P-

CUTIE X 1 FLAC. DIN STICL

P-

ROCHE ROMANIA S.R

ROMANIA
ROMANIA

CUTIE CU 1 FLAC. DIN STI

P-

NOVARTIS PHARM

GERMANI

CUTIE X 5 BLIST. PVC-PE-PVD

P-6

CUTIE X 5 BLIST. AL/PVC X 10 COM


CUTIE X 5 BLIST. AL/PVC X 10 COM

P-6

ROMANIA
ROMANIA
VIM SPECTRUM SRL
AC HELCOR SRL
ROMANIA
SLAVIA PHARM SRL ROMANIA
BIO EEL SRL
ROMANIA
LABORMED PHARM

AWD PHARMA G

GERMANI

CUTIE X 5 BLIST. X 10 COMPR.


CUTIE X 2 BLIST. AL/PVC X 10 COM
CUTIE X 2 BLIST. AL/PVC X 10 COM
CUTIE X 5 BLI

ARENA GROUP SA

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


ROMANIA CUTIE X 5 BLI
S.C.
AC HELCOR SRL
ROMANIA CUTIE X 5 BLIST. X 10 COMPR.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COM

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

DESITIN ARZ

GERMANI

CUTIE X 5 BLIS

P6L

DESITIN ARZ

GERMANI

CUTI

P6L

DESITIN ARZ

GERMANI

CUTI

P6L

CUTIE X 5 BLIST.

P-6

CUTIE X 5 BLIST. AL/

P-6

GEROT PHAR

AUSTRIA
AUSTRIA

NOVARTIS PHARM

GERMANI

CUTIE

P-6

S.C.

ROMANIA

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

P-6

NOVARTIS PHARM

GERMANI

CUTIE

P-6

AWD PHARMA G

GERMANI

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

P-6

S.C.

ROMANIA

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

P-6

AWD PHARMA G

GERMANI

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

P-6

DESITIN ARZ

GERMANI

CUTI

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 5 BLIST. PVC-P

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 5 BLIST. PVC-P

P-6

DESITIN ARZ

GERMANI

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6

DESITIN ARZ

GERMANI

CUTI

P-6

CUTIE X

P-6

CUTIE X

P-6

CUTIE X

P-6

CUTIE X 1 FLAC. PP X 30 CO

P-

CUTIE

P-6

GEROT PHAR

SANOFI-AVENTIS

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

DESITIN ARZ

GERMANI

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6

SANOFI-AVENTIS

FRANTA

CUTIE X 1 FLAC. DI

P-6

DESITIN ARZ

GERMANI

CUTIE X 1 FLAC. D

P-6

DESITIN ARZ

GERMANI

CUTIE X 1 FLAC. DI

P-6

DESITIN ARZ

GERMANI

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6

GEROT PHAR
GEROT PHAR
GEROT PHAR

SANOFI-AVENTIS

Pagina 65 din 101

25
4.39
10
1.14
10
1.14
5 10.96
20
2.77
5 67.73
50
6.89
30
6.56
50 17.38
50 11.31
50 11.31
50 11.31
20
4.42
20
4.50
50 11.31
20
4.96
50 11.31
50 26.26
20 10.51
50 15.16
50 20.62
50 36.53
50 20.68
50 36.59
50 19.17
50 12.43
30 25.35
50 25.27
50 25.27
50 12.43
1 22.51
50 64.73
50 118.30
50 17.52
50 26.76
100 20.26
100 23.10
100 33.65
30 16.06
100 34.40
100 15.41
40 10.72
100 22.39
50 21.57
50 94.92

0.175600
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.347600
0.226200
0.226200
0.226200
0.221000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.383400
0.248600
0.845000
0.505400
0.505400
0.248600
22.510000
1.294600
2.366000
0.350400
0.535200
0.202600
0.231000
0.336500
0.535333
0.344000
0.154100
0.268000
0.223900
0.431400
1.898400

0.136800
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.265200
0.226200
0.226200
0.226200
0.221000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.265200
0.248600
0.606480
0.505400
0.505400
0.248600
22.510000
1.294600
2.366000
0.184920
0.268680
0.184920
0.231000
0.336500
0.403800
0.268680
0.154100
0.268000
0.223900
0.431400
1.898400

0.136800
0.114000
0.114000
2.192000
0.138500
13.546000
0.137800
0.218666
0.265200
0.226200
0.226200
0.226200
0.221000
0.225000
0.226200
0.248000
0.226200
0.525200
0.525500
0.303200
0.412400
0.730600
0.413600
0.731800
0.265200
0.248600
0.606480
0.505400
0.505400
0.248600
22.510000
1.294600
2.366000
0.184920
0.268680
0.184920
0.231000
0.336500
0.403800
0.268680
0.154100
0.268000
0.223900
0.431400
1.898400

NR.CRT

46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94

COD ATC

N03A
N03A
N03A

N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX

N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX

DCI

ACIDUM VALPROICUM + SARURI


ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**
TOPIRAMATUM**

Denumire Comerciala

ORFIRIL LONG 500 mg


ORFIRIL SIROP
DEPAKINE
LAMOTRIX 100 mg
PLEXXO (R) 100 mg
LAMOTRIGINE FARMAL 100

LAMICTAL 100 mg
LAMOTRIGINA SUN 100 mg
LAMOTRIGINE TORRENT 10

LAMOTRIX 200 mg
LAMOTRIGINA SUN 200 mg
LAMOTRIX 25 mg
LAMICTAL 25 mg
PLEXXO (R) 50 mg
LAMOTRIX 50 mg
LAMOTRIGINE FARMAL 50 m

LAMICTAL 50 mg
LAMOTRIGINA SUN 50 mg
LAMOTRIN 100 mg
LAMOTRIN 25 mg
LAMOTRIN 50 mg
TOPAMAX 100 mg
TOPRAN 100 mg
TOPIRAMAT TEVA 100 mg
TOPIRAMAT ACTAVIS 100 mg
TOPILEX 100 mg
LUSITRAX 100mg
TORLEPTA 100 mg
TOPIRAMAT BLUEFISH 100
TOPIRAMAT BLUEFISH 100

TOPIRAMAT EGIS 100 mg


NEXTOP 100 mg
TOPRAN 200 mg
TOPIRAMAT TEVA 200 mg
NEXTOP 200 mg
TOPAMAX 25 mg
TOPRAN 25 mg
TOPIRAMAT TEVA 25 mg
TOPIRAMAT ACTAVIS 25 mg
TOPILEX 25 mg
LUSITRAX 25 mg
TORLEPTA 25 mg
TOPIRAMAT BLUEFISH 25 m

TOPIRAMAT EGIS 25 mg
NEXTOP 25 mg
TOPAMAX 50 mg
TOPRAN 50 mg
TOPIRAMAT TEVA 50 mg
TOPIRAMAT ACTAVIS 50 mg

forma farm.
MINICOMPR.

SIROP
SIROP
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. DISP.
COMPR. DISP.
COMPR. DISP.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

500mg
300mg/5ml
57,64mg/ml
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
200mg
200mg
200mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
25mg
50mg
50mg
50mg
50mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

DESITIN ARZ

GERMANI

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6

DESITIN ARZ

GERMANI

CUTIE X

P-6

FRANTA CUTIE X 1 FLAC


MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COM
GERMANI CUTIE X 3 BLIST. X 10 COMPR.
DESITIN ARZ
SANOFI - AVENTI

THE

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


CUTIE CU BLIST. PVC/AL X 28 COM
M
CUTIE X 4 BLIST. AL/PVC X 14 COM
M
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COM
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COM
CUTIE X 4 BLIST. AL/PVC X 14 COM
M
CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COM
CUTIE CU BLIST. PVC/AL X 28 COM
M

DESITIN ARZ

GERMANI

FARMAL INTER
THE

CIPLA (UK) LIMITED


TORRENT PHARMA S

MEDOCHEMIE LTD.
CIPLA (UK) LIMITED
MEDOCHEMIE LTD.

CUTIE X 3 BLIST. X 10 COMPR.

MEDOCHEMIE LTD. CIPRU

P-6
P-6
P-6
P-

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6

FARMAL INTER

CUTIE X 3 BLIST. AL/PVC X 10 COM


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

THE

CUTIE CU BLIST. PVC/AL X 28 CO

P-6

CIPLA (UK) LIMITED

CUTIE X 4 BLIST. AL/PVC X 14 COM

P-6

ACTAVIS GROUP HF.


ACTAVIS GROUP HF.
ACTAVIS GROUP HF.

ISLANDA
ISLANDA
ISLANDA

CUTIE X 3

P-6

CUTIE X 3

P-6

CUTIE X 3

P-6

JOHNSON & J

SLOVENI

CUTIE X 4 BLIST. OPA-AL-P

P-6

TERAPIA SA

P-6
P-

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60


ROMANIA CUTIE CU BLIST.
ROMANIA CUTIE X 6 BLIST. OPA-AL-P

LANNA

AUSTRIA

CUTIE CU BLIST. PVC-PE

P-6

ROMASTRU TRADI

ROMANIA

CUTIE CU BL

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMP

P-

SUEDIA
SUEDIA

CUTIE CU BLIST. AL/AL X 60 COMP

P-

CUTIE CU 1 FLAC. PEID X 60 COM

P-

CUTIE CU BLIST. PVC/PVDC/A

PRF

CUTIE CU BLIST. OPA-A

P-6

CUTIE X 1 FLAC. DIN PEID X 60

P-6

CUTIE CU BLIST.

P-

TORRENT PHARMA S

UNGARIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-A

P-6

JOHNSON & J

SLOVENI

CUTIE X 4 BLIST. OPA-AL-P

P-6

TEVA PHARMA

BLUEFI
BLUEFI

EGIS PHARMA

TORRENT PHARMA S

TERAPIA SA
TEVA PHARMA

TERAPIA SA

P-6
PP-

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60


ROMANIA CUTIE CU BLIST.
ROMANIA CUTIE X 6 BLIST. OPA-AL-P

LANNA

AUSTRIA

CUTIE CU BLIST. PVC-PE

P-6

ROMASTRU TRADI

ROMANIA

CUTIE CU BL

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMP

P-

BLUEFI

SUEDIA

CUTIE CU BLIST. AL/AL X 60 COMP

P-

CUTIE CU BLIST. PVC/PVDC/A

PRF

TORRENT PHARMA S

UNGARIA
ROMANIA

CUTIE CU BLIST. OPA-A

P-6

JOHNSON & J

SLOVENI

CUTIE X 4 BLIST. OPA-AL-P

P-6

TEVA PHARMA

EGIS PHARMA

TERAPIA SA
TEVA PHARMA

ACTAVIS S.R.L.

Pagina 66 din 101

ROMANIA CUTIE X 1 FLAC. DIN PEID X 60


ROMANIA CUTIE CU BLIST.
ROMANIA CUTIE X 6 BLIST. OPA-AL-P

P-6
PP-

P-6
PP-

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

50
1
1
30
30
30
28
56
30
30
56
30
28
30
30
30
28
56
30
30
30
28
60
30
60
30
30
30
60
60
60
30
60
30
30
28
60
30
60
30
30
30
60
60
30
28
60
30
60

35.24
19.24
17.77
28.86
28.86
28.84
40.13
52.11
28.24
60.33
99.51
7.26
10.40
14.41
14.41
14.42
20.69
26.89
28.84
3.82
16.95
125.11
165.90
90.25
159.80
83.27
87.45
80.21
142.68
142.68
133.79
87.16
310.81
159.08
155.05
40.62
53.96
29.21
55.59
27.57
27.87
26.67
51.29
48.19
27.57
73.20
97.27
53.67
89.22

0.704800
19.240000
17.770000
0.962000
0.962000
0.961333
1.433214
0.930535
0.941333
2.011000
1.776964
0.242000
0.371428
0.480333
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
4.468214
2.765000
3.008333
2.663333
2.775666
2.915000
2.673666
2.378000
2.378000
2.229833
2.905333
5.180166
5.302666
5.168333
1.450714
0.899333
0.973666
0.926500
0.919000
0.929000
0.889000
0.854833
0.803166
0.919000
2.614285
1.621166
1.789000
1.487000

0.403800
19.240000
17.770000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.480333
0.480333
0.480666
0.576213
0.480178
0.961333
0.127333
0.565000
2.675799
2.675799
2.675799
2.663333
2.675799
2.675799
2.673666
2.378000
2.378000
2.229833
2.675799
5.180166
5.302666
5.168333
0.963799
0.899333
0.963799
0.926500
0.919000
0.929000
0.889000
0.854833
0.803166
0.919000
1.495999
1.495999
1.495999
1.487000

0.403800
19.240000
17.770000
0.962000
0.962000
0.961333
1.116642
0.930535
0.941333
2.011000
1.776964
0.152799
0.152799
0.480333
0.480333
0.480666
0.576213
0.480178
0.961333
0.127333
0.565000
2.675799
2.675799
2.675799
2.663333
2.675799
2.675799
2.673666
2.378000
2.378000
2.229833
2.675799
5.180166
5.302666
5.168333
0.963799
0.899333
0.963799
0.926500
0.919000
0.929000
0.889000
0.854833
0.803166
0.919000
1.495999
1.495999
1.495999
1.487000

NR.CRT

95
96
97
98
99

COD ATC

N03AX
N03AX
N03AX
N03AX
N03AX

100 N03AX
101 N03AX
102 N03AX
103 N03AX
104 N03AX
105 N03AX
106 N03AX
107 N03AX
108 N03AX
109 N03AX
110 N03AX

111 N03AX
112 N03AX
113 N03AX
114 N03AX
115 N03AX
116 N03AX
117 N03AX
118 N03AX
119 N03AX

120 N03AX
121 N03AX
122 N03AX
123 N03AX
124 N03AX
125 N03AX
126 N03AX
127 N03AX
128 N03AX
129 N03AX
130 N03AX
131 N03AX
132 N03AX
133 N03AX
134 N03AX
135 N03AX
136 N03AX
137 N03AX
138 N03AX
139 N03AX
140 N03AX
141 N03AX
142 N03AX
143 N03AX

DCI

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***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
GABAPENTINUM***
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**

Denumire Comerciala

TOPILEX 50 mg
LUSITRAX 50 mg
TORLEPTA 50 mg
TOPIRAMAT BLUEFISH 50 m
TOPIRAMAT BLUEFISH 50 m

TOPIRAMAT EGIS 50 mg
NEXTOP 50 mg
GABAPENTIN AUROBINDO

GABAGAMMA 100 mg
GRIMODIN 100 mg
GABAPENTINA PFIZER 100
GABAPENTINA PFIZER 100
GABAPENTIN AUROBINDO

GABAGAMMA 300 mg
GABARAN 300 mg
GABALEPT 300 mg
GRIMODIN 300 mg
GABAPENTINA PFIZER 300
GABAPENTINA PFIZER 300
GABAPENTIN AUROBINDO

GABAGAMMA 400 mg
GABARAN 400 mg
GABALEPT 400 mg
GRIMODIN 400 mg
GABAPENTINA PFIZER 400
GABAPENTINA PFIZER 400

GABARAN 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
GRIMODIN 800 mg
LEVETIRACETAM TORREN
LEVETIRACETAM G.L.

LEVETIRACETAM TERAPIA

LEVETIRACETAM GSK 1000

KEPPRA 1000 mg
LEVETIRACETAM ACCORD
LEVETIRACETAM ACTAVIS
LEVETIRACETAM PH

LEVETIRACETAM TEVA 1000

TRUND 1000 mg
EPILETAM 1000 mg
LEVETIRACETAM DR.

LERETAN 1000 mg
LEVETIRACETAM AUROB

MYAKELL 1000 mg
NORMEG 1000 mg
VETIRA 1000 mg
LEVELANZ 1000 mg
LEVELANZ 1000 mg

forma farm.

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

concentratie

50mg
50mg
50mg
50mg
50mg
50mg
50mg
100 mg
100mg
100mg
100mg
100mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
400 mg
400mg
400mg
400mg
400mg
400mg
400mg
600mg
600mg
800mg
800mg
1000 mg
1000 mg
1000 mg
1000 mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg
1000mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

LANNA

AUSTRIA

CUTIE CU BLIST. PVC-PE

P-6

ROMASTRU TRADI

ROMANIA

CUTIE CU BL

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMP

P-

SUEDIA
SUEDIA

CUTIE CU BLIST. AL/AL X 60 COMP

P-

CUTIE CU 1 FLAC. PEID X 60 COM

P-

CUTIE CU BLIST. PVC/PVDC/A

PRF

TORRENT PHARMA S

UNGARIA
ROMANIA

CUTIE CU BLIST. OPA-A

P-6

AUROBINDO PH

CUTIE CU BLIST. DIIN

P6L

WORWAG

GERMANI

CUTIE X 10 BLIST. AL/PVC X 10 CAP

P-6

EGIS PHARMA

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X

P-6

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X

P6L

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X

P6L

AUROBINDO PH

CUTIE CU BLIST. POLIAMIDA

P6L

WORWAG

GERMANI

CUTIE X 10 BLIST. AL/PVC X 10 CAP

P-6

RANBAXY UK LTD.

CUTIE X 5 BLIST. PVC-PVDC/AL X

P-6

PLIVA LJUBLJANA D

SLOVENI

CUTIE X 10 BLIST. AL/PVC X 10 CAP

P-6

EGIS PHARMA

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X

P-6

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X

P6L

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X

P6L

AUROBINDO PH

CUTIE CU BLIST. POLIAMIDA

P6L

WORWAG

GERMANI

CUTIE X 10 BLIST. AL/PVC X 10 CAP

P-6

RANBAXY UK LTD.

CUTIE X 5 BLIST. PVC-PVDC/AL X

P-6

PLIVA LJUBLJANA D

SLOVENI

CUTIE X 10 BLIST. AL/PVC X 10 CAP

P-6

EGIS PHARMA

UNGARIA

CUTIE CU BLIST. PVC-PVDC/AL X

P-6

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X

P6L

PFIZER EUROPE M

CUTIE CU BLIST. PVC/PVDC/AL X

P6L

RANBAXY UK LTD.

CUTIE X 3 BLIST. AL-PVC-PA

P-6

EGIS PHARMA

UNGARIA

CUTIE CU BLIST. PVC-PVDC/

P-6

RANBAXY UK LTD.

CUTIE X 3 BLIST. AL-PVC-PA

P-6

CUTIE CU BLIST. PVC-PVDC/

P-6

CUTIE CU BLIST. DIN PV

P-

CUTIE CU BLIST. PVC/AL X 30 CO

PRF

CUTIE CU BLIST. OPA-AL-PVC

PRF

BLUEFI
BLUEFI

EGIS PHARMA

EGIS PHARMA

TORRENT PHARMA S

UNGARIA
ROMANIA

G.L. PHARMA GMBH AUSTRIA


TERAPIA S.A.
ROMANIA
GLAXOSMITHKL

ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 C

PRF

UCB PHARMA SA

BELGIA

CUTIE X 30 COMPR. FILM.1 (BLIST

P-

ACCORD HEAL

CUTIE CU BLIST. AL/PVC X 30 CO

PRF

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. DIN AL/PVC X

PRF

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10

PRF

TEVA PHARMA

OLANDA

CUTIE CU BLIST. PVC/PVDC-A

PRF

REPUBLICA CEHA

CUTIE CU 6 BLIST. AL/

PRF

CUTIE CU 3 BLIST. AL/

PRF

CUTIE CU 3 BLIST. PVC-PV

PRF

CUTIE CU BLIST. PVC-PE

PRF

LABORMED PHARMA

UNGARIA
ROMANIA
ROMANIA

AU

MALTA

CUTIE CU BLIST. PVC/PE/

PRF

ROMASTRU TRADI

ROMANIA

CUTIE CU 3 BLIST. PVC

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10

PRF

CHIESI P

AUSTRIA

CUTIE CU BLIST. AL/PVC-PE-P

PRF

ABBOTT LABORA

CUTIE CU BLIST. OPA-A

PRF

ABBOTT LABORA

CUTIE CU BLIST. PVC-PVDC/

PRF

EGIS PHARMA

DR. REDDY'S L

Pagina 67 din 101

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30
30
30
60
60
60
30
50
100
60
50
100
50
100
50
100
60
50
100
50
100
50
100
60
50
100
30
60
30
60
30
30
30
30
30
30
30
30
30
60
30
30
30
30
30
30
30
28
28

47.86
51.21
47.85
84.54
84.54
74.80
50.82
7.20
60.61
33.34
22.54
43.63
21.80
133.56
65.96
133.09
63.62
47.92
91.03
28.81
175.18
72.72
169.16
85.96
64.12
121.79
65.21
123.68
104.24
197.38
114.07
104.85
114.11
114.11
166.48
222.85
101.18
114.11
114.11
216.42
108.21
100.56
120.67
97.77
114.11
114.11
114.11
106.51
106.51

1.595333
1.707000
1.595000
1.409000
1.409000
1.246666
1.694000
0.144000
0.606100
0.555666
0.450800
0.436300
0.436000
1.335600
1.319200
1.330900
1.060333
0.958400
0.910300
0.576200
1.751800
1.454400
1.691600
1.432666
1.282400
1.217900
2.173666
2.061333
3.474666
3.289666
3.802333
3.495000
3.803666
3.803666
5.549333
7.428333
3.372666
3.803666
3.803666
3.607000
3.607000
3.352000
4.022333
3.259000
3.803666
3.803666
3.803666
3.803928
3.803928

1.495999
1.495999
1.495999
1.409000
1.409000
1.246666
1.495999
0.144000
0.172800
0.172800
0.172800
0.172800
0.436000
0.523200
0.523200
0.523200
0.523200
0.523200
0.523200
0.576200
0.691440
0.691440
0.691440
0.691440
0.691440
0.691440
2.173666
2.061333
3.474666
3.289666
3.802333
3.495000
3.803666
0.886800
3.910800
3.910800
3.372666
3.803666
3.803666
3.607000
3.607000
3.352000
3.910800
3.259000
3.803666
3.803666
3.803666
3.803928
3.803928

1.495999
1.495999
1.495999
1.409000
1.409000
1.246666
1.495999
0.144000
0.172800
0.172800
0.172800
0.172800
0.436000
0.523200
0.523200
0.523200
0.523200
0.523200
0.523200
0.576200
0.691440
0.691440
0.691440
0.691440
0.691440
0.691440
2.173666
2.061333
3.474666
3.289666
3.802333
3.495000
3.803666
0.886800
3.910800
3.910800
3.372666
3.803666
3.803666
3.607000
3.607000
3.352000
3.910800
3.259000
3.803666
3.803666
3.803666
3.803928
3.803928

NR.CRT

COD ATC

144 N03AX
145 N03AX
146 N03AX
147 N03AX
148 N03AX
149 N03AX
150 N03AX
151 N03AX
152 N03AX
153 N03AX
154 N03AX
155 N03AX
156 N03AX
157 N03AX
158 N03AX
159 N03AX
160 N03AX
161 N03AX
162 N03AX
163 N03AX
164 N03AX
165 N03AX
166 N03AX
167 N03AX
168 N03AX
169 N03AX
170 N03AX
171 N03AX
172 N03AX
173 N03AX
174 N03AX
175 N03AX
176 N03AX
177 N03AX
178 N03AX
179 N03AX
180 N03AX
181 N03AX
182 N03AX
183 N03AX
184 N03AX
185 N03AX
186 N03AX
187 N03AX
188 N03AX
189 N03AX
190 N03AX
191 N03AX
192 N03AX

DCI

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**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
LEVETIRACETAMUM**
PREGABALINUM***

Denumire Comerciala

forma farm.

COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM TORRENT
COMPR. FILM.
LEVETIRACETAM G.L. P
LEVETIRACETAM GSK 250 m COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM TERAPIA
KEPPRA 250 mg
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM ACTAVIS
COMPR. FILM.
LEVETIRACETAM ACCORD
COMPR. FILM.
LEVETIRACETAM PHA
TRUND 250 mg
COMPR. FILM.
EPILETAM 250 mg
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM AUROBI
MYAKELL 250 mg
COMPR. FILM.
NORMEG 250 mg
COMPR. FILM.
VETIRA 250 mg
COMPR. FILM.
LEVELANZ 250 mg
COMPR. FILM.
LEVELANZ 250 mg
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM TORRENT
COMPR. FILM.
LEVETIRACETAM G.L. P
COMPR. FILM.
LEVETIRACETAM TERAPIA
LEVETIRACETAM GSK 500 m COMPR. FILM.
KEPPRA 500 mg
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM ACCORD
COMPR. FILM.
LEVETIRACETAM ACTAVIS
COMPR. FILM.
LEVETIRACETAM PHA
LEVETIRACETAM TEVA 500
COMPR. FILM.
TRUND 500 mg
COMPR. FILM.
EPILETAM 500 mg
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM DR. RE
LERETAN 500 mg
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM AUROBI
MYAKELL 500 mg
COMPR. FILM.
NORMEG 500 mg
COMPR. FILM.
VETIRA 500 mg
COMPR. FILM.
LEVELANZ 500 mg
COMPR. FILM.
LEVELANZ 500 mg
COMPR. FILM.
COMPR. FILM.
LEVETIRACETAM TORRENT
VETIRA 750 mg
COMPR. FILM.
MYAKELL 750 mg
COMPR. FILM.
LEVETIRACETAM TEVA 250

LEVETIRACETAM DESITIN

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 2

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 5

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETAM DESITIN 7

GRANULE ACOPERITE, IN PLIC UNIDOZA

LEVETIRACETA

KEPPRA 100 mg/ml


TRUND 100 mg/ml
LEVETIRACETAM RATI

VETIRA 100 mg/ml


LYRICA 150 mg

SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
SOL. ORALA
CAPS.

concentratie

250 mg
250 mg
250 mg
250 mg
250 mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500 mg
500 mg
500 mg
500 mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750 mg
750mg
750mg
1000mg
250mg
500mg
750mg
100 mg/ml
100mg/ml
100mg/ml
100mg/ml
100mg/ml
150mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

TEVA PHARMA

OLANDA

CUTIE CU BLIST. PVC/PVDC-A

PRF

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. DIN PV

PRF

CUTIE CU BLIST. PVC/AL X 30 CO

PRF

ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 C


ROMANIA CUTIE CU BLIST. OPA-AL-PV

PRF

G.L. PHARMA GMBH AUSTRIA


GLAXOSMITHKL

TERAPIA S.A.
UCB PHARMA SA

PRF

ACTAVIS GROUP P

BELGIA CUTIE X 30 COMPR. FILM. (BLIST.


ISLANDA CUTIE CU BLIST. DIN AL/PVC X

ACCORD HEAL

CUTIE CU BLIST. AL/PVC X 30 CO

PRF

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10

PRF

REPUBLICA CEHA

CUTIE CU 6 BLIST. AL/

PRF

EGIS PHARMA

UNGARIA

CUTIE CU 3 BLIST. AL/

PRF

AU

MALTA

CUTIE CU BLIST. PVC-PE

PRF

ROMASTRU TRADI

ROMANIA

CUTIE CU 3 BLIST. PVC

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10

PRF

CHIESI P

AUSTRIA

CUTIE CU BLIST. AL/PVC-PE-P

PRF

ABBOTT LABORA

CUTIE CU BLIST. OPA-A

PRF

ABBOTT LABORA

CUTIE CU BLIST. PVC-PVDC/

PRF

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. DIN PV

PRF

CUTIE CU BLIST. PVC/AL X 30 CO

PRF

CUTIE CU BLIST. OPA-AL-PV

PRF

G.L. PHARMA GMBH AUSTRIA


TERAPIA S.A.
ROMANIA

P-

PRF

GLAXOSMITHKL

ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 C

PRF

UCB PHARMA LTD

BELGIA

CUTIE X 30 COMPR. FILM. (BLIST.

P-

ACCORD HEAL

CUTIE CU BLIST. AL/PVC X 30 CO

PRF

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. DIN AL/PVC X

PRF

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10

PRF

TEVA PHARMA

OLANDA

CUTIE CU BLIST. PVC/PVDC-A

PRF

REPUBLICA CEHA

CUTIE CU 6 BLIST. AL/

PRF

CUTIE CU 3 BLIST. AL/

PRF

CUTIE CU 3 BLIST. PVC-PV

PRF

CUTIE CU BLIST. PVC-PE

PRF

LABORMED PHARMA

UNGARIA
ROMANIA
ROMANIA

AU

MALTA

CUTIE CU BLIST. PVC-PE

PRF

ROMASTRU TRADI

ROMANIA

CUTIE CU 3 BLIST. PVC

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. PVC/AL X 10

PRF

CHIESI P

AUSTRIA

CUTIE CU BLIST. AL/PVC-PE-P

PRF

ABBOTT LABORA

CUTIE CU BLIST. OPA-A

PRF

ABBOTT LABORA

CUTIE CU BLIST. PVC-PVDC/

PRF

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. DIN PV

PRF

CHIESI P

AUSTRIA

CUTIE CU BLIST. AL/PVC-PE-P

PRF

ROMASTRU TRADI

ROMANIA

CUTIE CU 3 BLIST. PVC

PRF

DESITIN ARZ

GERMANI

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZ

GERMANI

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZ

GERMANI

CUTIE CU 30 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

DESITIN ARZ

GERMANI

CUTIE CU 60 PLICURI UNIDOZA DIN HARTIE/AL/PE CONTINAND GRANULE ACOPERITE

PRF

ACTAVIS GROUP P

CUTIE CU UN FLACON DIN STICLA BRUNA A 300ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, CU

PRF

UCB PHARMA SA

ISLANDA
BELGIA

CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA

P-

REPUBLICA CEHA

CUTIE CU 1 FLAC DIN STICLA BRUNA X 300 ML SOL. ORALA + 1 SERINGA DOZATOARE (PP,PE) DE 10 ML SI UN AD

PRF

RATIOPHARM GMBH

GERMANI

CUTIE CU UN FLACON DIN STICLA BRUNA A 300 ML, PREVAZUT CU SISTEM DE NCHIDERE SECURIZAT PENTRU COPI

PRF

CHIESI P

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 300 ML SOL. ORALA, + 1 SERINGA GRADATA (PP, PE) X 10 ML SI UN AD

PRF

PFIZER LIMITED

CUTIE X 14 CAPS. (BLIST. PVC/AL)

P-

EGIS PHARMA

DR. REDDY'S L

Pagina 68 din 101

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30
30
30
30
30
30
30
30
30
60
30
30
30
30
30
28
28
30
30
30
30
30
30
30
30
30
60
30
30
30
30
30
30
30
28
28
30
30
30
30
30
30
60
1
1
1
1
1
14

31.08
31.08
29.23
31.08
30.82
46.27
31.08
61.87
31.06
60.15
30.09
22.17
31.08
31.08
31.08
29.00
29.00
59.70
56.63
58.90
59.70
87.23
117.50
49.73
59.70
59.67
113.40
56.71
50.06
60.08
47.42
60.06
59.67
59.64
55.72
55.72
78.51
85.68
94.20
120.67
34.74
59.67
188.00
114.11
166.48
114.03
114.11
114.11
76.16

1.036000
1.036000
0.974333
1.036000
1.027333
1.542333
1.036000
2.062333
1.035333
1.002500
1.003000
0.739000
1.036000
1.036000
1.036000
1.035714
1.035714
1.990000
1.887666
1.963333
1.990000
2.907666
3.916666
1.657666
1.990000
1.989000
1.890000
1.890333
1.668666
2.002666
1.580666
2.002000
1.989000
1.988000
1.990000
1.990000
2.617000
2.856000
3.140000
4.022333
1.158000
1.989000
3.133333
114.110000
166.480000
114.030000
114.110000
114.110000
5.440000

0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.739000
0.886800
0.886800
0.886800
0.886800
0.886800
1.896799
1.887666
1.896799
0.886800
1.896799
1.896799
1.657666
1.896799
1.896799
1.890000
1.890333
1.668666
1.896799
1.580666
1.896799
1.896799
1.896799
1.896799
1.896799
2.617000
2.856000
3.140000
3.910800
0.886800
1.896799
3.133333
114.110000
136.836000
114.030000
114.110000
114.110000
5.440000

0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.886800
0.739000
0.886800
0.886800
0.886800
0.886800
0.886800
1.896799
1.887666
1.896799
0.886800
1.896799
1.896799
1.657666
1.896799
1.896799
1.890000
1.890333
1.668666
1.896799
1.580666
1.896799
1.896799
1.896799
1.896799
1.896799
2.617000
2.856000
3.140000
3.910800
0.886800
1.896799
3.133333
114.110000
136.836000
114.030000
114.110000
114.110000
5.440000

NR.CRT

DCI

COD ATC

193 N03AX
194 N03AX
195 N03AX
196 N03AX
197 N03AX

PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***

Denumire Comerciala

LYRICA 150 mg
LYRICA 300 mg
LYRICA 300 mg
LYRICA 75 mg
LYRICA 75 mg

forma farm.

concentratie

DETINATOR APP

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

150mg
300mg
300mg
75mg
75mg

PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED

COMPR.
COMPR.

2mg
2mg

TERAPIA SA
DESMA GMBH

CAPS. ELIB. MOD

100mg+25mg ROCHE ROMANIA S.R


200mg+50mg ROCHE ROMANIA S

TARA
DET. APP
M
M
M
M
M

AMBALAJ

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)

Prescriptie

PPPPP-

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

56
56
14
14
56

288.91
422.67
114.28
53.71
193.52

50
50
100
30
30
30
20
100
100
7
100
100
100
100
100
100
50
40
30
28
30
28
30
28
28
28
28
28
28
28
28
28
28
28
28
28
21

25.33
10.57
58.87
24.21
15.73
19.21
19.31
62.05
74.57

5.159107
7.547678
8.162857
3.836428
3.455714

5.159107
7.547678
8.162857
3.836428
3.455714

5.159107
7.547678
8.162857
3.836428
3.455714

Tratamentul se initiaz de ctre medicul n specialitatea neurologie

10. BOALA PARKINSON - G12


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37

N04AA

TRIHEXYPHENIDYLUM
BIPERIDENUM

N04BA

COMBINATII (LEVODOPUM+BENSERA

N04BA

COMBINATII (LEVODOPUM+BENSERA

ROMPARKIN (R) 2 mg
AKINETON 2 mg
MADOPAR HBS
MADOPAR 250

N04BA

COMBINATII (LEVODOPUM+BENSERA

LEVODOPA/BENSE

N04BA

COMBINATII (LEVODOPUM+CARBIDO

N04BA

COMBINATII (LEVODOPUM+CARBIDO

N04BA

COMBINATII (LEVODOPUM+CARBIDO

N04BA

COMBINATII (LEVODOPUM+CARBIDO

N04BA

COMBINATII (LEVODOPUM+CARBIDO

ZIMOX
CREDANIL 25/250
NAKOM
ISICOM 250 mg/25 mg
DUODOPA

N04BA

COMBINATII (LEVOD

STALEVO 100 mg/25 mg/200

N04BA

COMBINATII (LEVOD

STALEVO 125 mg/31,25 mg

N04BA

COMBINATII (LEVOD

STALEVO 150 mg/37,5 mg/2

N04BA

COMBINATII (LEVOD

STALEVO 200 mg/50 mg/200

N04BA

COMBINATII (LEVOD

STALEVO 50 mg/12,5 mg/2

N04BA

COMBINATII (LEVOD

STALEVO 75 mg/18,75 mg/

AMANTADINUM**
BROMOCRIPTINUM
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**
ROPINIROLUM**

VIREGYT (R)- K
BROCRIPTIN (N04BC01)
ROPINIROL TEVA 2 mg
ROPINIROL LPH 2 mg
ROPINIROL TEVA 4 mg
ROPINIROL LPH 4 mg
ROPINIROL TEVA 8 mg
ROPINIROL LPH 8 mg
ROLPRYNA EP 2 mg
ROLPRYNA EP 4 mg
ROLPRYNA EP 8 mg

N04AA

N04BB
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
GEL INT.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
CAPS.
DRAJ.
COMPR. CU E
COMPR. CU E
COMPR. CU E
COMPR. CU E
COMPR. CU E
COMPR. CU E
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA
COMPR. CU ELIBERARE PRELUNGITA

ROPINIROL AUROBINDO 2 m

COMPR. ELIB. P

ROPINIROL ACTAVIS 2 mg
NERVAMAT 2 mg

COMPR. ELIB. P

ROPINIROL AUROBINDO 4 m

COMPR. ELIB. P

NERVAMAT 4 mg
ROPINIROL ACTAVIS 4 mg

COMPR. ELIB. P

ROPINIROL AUROBINDO 8 m

COMPR. ELIB. P

COMPR. ELIB. P

COMPR. ELIB. P

NERVAMAT 8 mg
COMPR. ELIB. P
ROPINIROL ACTAVIS 8 mg COMPR. ELIB. P
ROPINIROL ACTAVIS 0,25 mg COMPR. FILM.

200mg/50mg

TEVA PHARMA

ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COM


GERMANI

CUTIE CU 5 BLIST. PVC/AL X 10 C

ROMANIA CUTIE X 1 FLAC. X 100 CAPS. CU


ROMANIA CUTIE X 1 FLAC. DIN STICLA
ROMANIA CUTIE X 1 FLACON PEID X 30 COM

250mg+25mg FARAN LABORATO


250mg+25mg REMEDICA LTD.
250mg+25mg LEK PHARMACEU

GRECIA CUTIE X 3 BLIST. X 10 COMPR.


CIPRU
CUTIE X 2 BLIST. AL/PVC X 10 COM

250mg/25mg

DESITIN ARZ

FAR

100mg/2
125

150mg

200mg/5
50mg/1
75mg/1

100mg
2,5mg
2mg
2mg
4mg
4mg
8mg
8mg
2 mg
4 mg
8 mg
2 mg
2mg
2mg
4 mg
4mg
4mg
8 mg
8mg
8mg
0,25mg

P-6

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

GERMANI

CUTIE X 10 BLIST. AL/PVC X 10 CO


CUTIE X 10 BLIST. PP/AL X 10 COMP

SOLVAY P

GERMANI

CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC

S/P-RF

ORION CORPORATI
ORION CORPORATI
ORION CORPORATI
ORION CORPORATI
ORION CORPORATI
ORION CORPORATI

FINLAND
FINLAND
FINLAND
FINLAND
FINLAND
FINLAND

CUTIE X 1 FLAC. PEID X 100 COM

P-

CUTIE X 1 FLAC. HDPE X 100 COM

PRF

CUTIE X 1 FLAC. PEID X 100 COM

P-

CUTIE X 1 FLAC. PEID X 100 COM

P-

CUTIE X 1 FLAC. PEID X 100 COM

P-

CUTIE X 1 FLAC. HDPE X 100 COM

PRF

EGIS PHARMA

BIOFARM SA
TEVA PHARMA

LABORMED PHARMA
TEVA PHARMA

LABORMED PHARMA
TEVA PHARMA

LABORMED PHARMA

KRKA ,D.D., NOVO


KRKA ,D.D., NOVO
KRKA ,D.D., NOVO

SLOVENI

UNGARIA CUTIE X 1 FLAC. X 50 CAPS.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ
ROMANIA CUTIE CU BL
ROMANIA CUTIE
ROMANIA CUTIE CU BL
ROMANIA CUTIE
ROMANIA CUTIE CU BL
ROMANIA CUTIE
SLOVENI
SLOVENI
SLOVENI

P-6

P-6
P-

PRF
PRF
PRF
PRF
PRF
PRF

CUTIE CU BLIST.

PRF

CUTIE CU BLIST.

PRF

CUTIE CU BLIST.

PRF

CUTIE CU BLIST. PV

PRF

CUTIE CU BLIST. AL/AL X 28 C

PRF

ACTAVIS GROUP P

MALTA
ISLANDA

EGIS PHARMA

UNGARIA

CUTIE CU 4 BLIST.

PRF

AU

MALTA

CUTIE CU BLIST. PV

PRF

EGIS PHARMA

UNGARIA

CUTIE CU 4 BLIST.

PRF

CUTIE CU BLIST. AL/AL X 28 C

PRF

CUTIE CU BLIST. PV

PRF

CUTIE CU 4 BLIST.

PRF

AU

AU

ISLANDA
MALTA

EGIS PHARMA

UNGARIA

ACTAVIS GROUP P

ACTAVIS GROUP P
ACTAVIS GROUP P

Pagina 69 din 101

ISLANDA CUTIE CU BLIST. AL/AL X 28 C


ISLANDA CUTIE CU BLIST. AL/AL X 21 COMP

PRF
P-

,424.76

414.46
414.46
414.46
544.89
414.46
414.46
17.07
21.16
42.74
39.89
81.12
75.71
153.89
143.63
39.89
75.71
143.63
36.96
39.81
39.89
67.67
75.71
75.62
121.86
143.62
143.55
6.32

0.506600
0.506600
0.506600
0.211400
0.211400
0.211400
0.588700
0.588700
0.588700
0.807000
0.629199
0.629199
0.524333
0.524333
0.524333
0.640333
0.640333
0.640333
0.965500
0.744600
0.744600
0.620500
0.620500
0.620500
0.745700
0.744600
0.744600
489.251428 489.251428 489.251428
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
5.448900
5.448900
5.448900
4.144600
4.144600
4.144600
4.144600
4.144600
4.144600
0.341400
0.341400
0.341400
0.529000
0.529000
0.529000
1.424666
1.424666
1.424666
1.424642
1.424642
1.424642
2.704000
2.704000
2.704000
2.703928
2.703928
2.703928
5.129666
5.129666
5.129666
5.129642
5.129642
5.129642
1.424642
1.424642
1.424642
2.703928
2.703928
2.703928
5.129642
5.129642
5.129642
1.320000
1.320000
1.320000
1.421785
1.421785
1.421785
1.424642
1.424642
1.424642
2.416785
2.416785
2.416785
2.703928
2.703928
2.703928
2.700714
2.700714
2.700714
4.352142
4.352142
4.352142
5.129285
5.129285
5.129285
5.126785
5.126785
5.126785
0.300952
0.300952
0.300952

NR.CRT

38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

COD ATC

N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BC
N04BD
N04BD
N04BD
N04BD

DCI

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**
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
ROTIGOTINUM***
SELEGILINUM
SELEGILINUM
SELEGILINUM
RASAGILINUM***

Denumire Comerciala

ROPINIROL ACTAVIS 1 mg
ROPINIROL ACTAVIS 2 mg
ROPINIROL TEVA 2 mg
REQUIP-MODUTAB 2 mg
REQUIP-MODUTAB 4 mg
REQUIP-MODUTAB 8 mg
OPRYMEA 0,088mg
MIPARKAN 0,18 mg
MIRAPEXIN 0,18 mg
OPRYMEA 0,18mg
PRAMIPEXOL TEVA 0,18mg
PRAMIPEXOL SANDOZ 0,18

MEDOPEXOL 0,18 mg
GLEPARK 0,18 mg
PRAMIPEXOL RANBAXY 0,1

MIGLASEN 0,18 mg
PRAMIPEXOL TORRENT 0,1

PRAXITAB 0,18mg
PRAMIPEXOL AUROBINDO 0
PRAMIPEXOLE ACCORD 0

MIPARKAN 0,7 mg
PRAMIPEXOL AUROBINDO 0

MIRAPEXIN 0,7 mg
OPRYMEA 0,7mg
PRAMIPEXOL TEVA 0,7mg
PRAMIPEXOL SANDOZ 0,7 m

MEDOPEXOL 0,7 mg
GLEPARK 0,7 mg
PRAMIPEXOL RANBAXY 0,7

MIGLASEN 0,7 mg
PRAMIPEXOL TORRENT 0,7

PRAXITAB 0,7 mg
MIRAPEXIN 0,26 mg
MIRAPEXIN 0,52 mg
MIRAPEXIN 1,05 mg
MIRAPEXIN 2,1 mg
MIRAPEXIN 3,15 mg
NEUPRO 2mg/24h
NEUPRO 2mg/24h
NEUPRO 4mg/24h
NEUPRO 4mg/24h
NEUPRO 6mg/24h
NEUPRO 6mg/24h
NEUPRO 8mg/24h
NEUPRO 8mg/24h
SELEGOS
SELEGOS
JUMEX 5 mg
AZILECT 1mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FI
COMPR. FI
COMPR. FI

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
PLASTU
PLASTU
PLASTU
PLASTU
PLASTU
PLASTU
PLASTU
PLASTU

COMPR.
COMPR.
COMPR.
COMPR.

concentratie

1mg
2mg
2mg
2mg
4mg
8mg
0,088mg
0,18 mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,18mg
0,35mg
0,7 mg
0,7 mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,7mg
0,26mg
0,52mg
1,05mg
2,1mg
3,15mg
2mg/24h
2mg/24h
4mg/24h
4mg/24h
6mg/24h
6mg/24h
8mg/24h
8mg/24h
5mg
5mg
5mg
1mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

ACTAVIS GROUP P

ISLANDA CUTIE CU BLIST. AL/AL X 21 COMP


ISLANDA CUTIE CU BLIST. AL/AL X 21 COMP

TEVA PHARMA

ROMANIA

CUTIE CU BLIST. OPA-A

P-

SMITHKLINE BEE

CUTIE X

P-

SMITHKLINE BEE

CUTIE X

P-

SMITHKLINE BEE

CUTIE X

P-

KRKA D.D.
ZENTIVA, K.S.

SLOVENI

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

P-

REPUBLICA CEHA

CUTIE CU 3 BLIST. OPA-AL-PV

PRF

ACTAVIS GROUP P

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENI CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR
GERMANI

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

PP-

PPP-

CUTIE CU BLIST. OPA-AL-PVC/

P-RF/R

CUTIE CU BLIST. OPA-AL-PVC/

PRF

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR

P-

RANBAXY (UK) LIMI

CUTIE CU BLIST. PA-AL-PVC X 30

P-

CUTIE CU 3 BLIST. OPA-AL-PV

P6L

CUTIE CU BLIST. OPA-AL-PVC/

P-

POLIPHARMA

ROMANIA
ROMANIA
ROMANIA

CUTIE CU 3 BLIST. OPA-AL-PV

P6L

AU

MALTA

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

PRF

ACCORD HEAL

CUTIE CU 3 BLIST. AL-PVC/AL

PRF

ZENTIVA, K.S.

REPUBLICA CEHA

CUTIE CU 3 BLIST. OPA-AL-PV

PRF

AU

MALTA

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

PRF

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

ROMASTRU TRADI

TORRENT PHARMA S

CUTIE X 3 BLIST. X 10 COMPR.


SLOVENI CUTIE X 30 COMPR. (BLIST. AL/AL)
OLANDA CUTIE CU BLIST. AL/AL X 30 COMPR

KRKA D.D.
TEVA PHARMA BV
SANDOZ S.R.L.
ROMANIA
MEDOCHEMIE LTD. CIPRU

PPP-

CUTIE CU BLIST. OPA-AL-PVC/

P-RF/R

CUTIE CU BLIST. OPA-AL-PVC/

PRF

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 30 COMPR

P-

RANBAXY (UK) LIMI

CUTIE CU BLIST. PA-AL-PVC X 30

P-

CUTIE CU 3 BLIST. OPA-AL-PV

P6L

CUTIE CU BLIST. OPA-AL-PVC/

P-

POLIPHARMA

ROMANIA
ROMANIA
ROMANIA

CUTIE CU 3 BLIST. OPA-AL-PV

P6L

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 1 BLIST.OPA-AL-PVC

P-

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST.OPA-AL-PVC

P-

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST.OPA-AL-PVC

P-

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST.OPA-AL-PVC

P-

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANI

CUTIE CU 3 BLIST.OPA-AL-PVC

P-

CUTIE X 28 PLASTURI TRANSDERMI

P-

CUTIE X 7 PLASTURI TRANSDERMIC

P-

CUTIE X 7 PLASTURI TRANSDERMIC

P-

ROMASTRU TRADI

TORRENT PHARMA S

IRLANDA
IRLANDA
SCHWARZ PHARMA
IRLANDA
SCHWARZ PHARMA
IRLANDA
SCHWARZ PHARMA
IRLANDA
SCHWARZ PHARMA
IRLANDA
SCHWARZ PHARMA
IRLANDA
SCHWARZ PHARMA
IRLANDA
SCHWARZ PHARMA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU
SCHWARZ PHARMA

CUTIE X 28 PLASTURI TRANSDERMI


CUTIE X 28 PLASTURI TRANSDERMI

PP-

CUTIE X 7 PLASTURI TRANSDERMIC

P-

CUTIE X 28 PLASTURI TRANSDERMI

P-

CUTIE X 7 PLASTURI TRANSDERMIC

P-

CUTIE X 5 BLIST. DIN AL/PVC X 1

P-6

CUTIE X 10 BLIST. DIN AL/PVC X

P-6

CHINOIN PRIVATE

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

P-6

TEVA PHARMA GMBH

GERMANI

Pagina 70 din 101

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

P-

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

21
21
21
28
28
28
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
10
30
30
30
30
28
7
7
28
28
7
28
7
50
100
50
30

23.00
30.92
35.77
61.36
116.48
220.96
19.75
17.43
49.77
20.91
33.41
33.42
27.83
30.35
30.86
14.87
30.20
25.30
23.56
48.92
60.97
83.51
167.86
73.16
115.05
115.05
99.54
108.52
106.21
72.03
107.98
90.45
58.12
314.07
650.35
,229.85
,809.33

367.49
98.15
101.65
382.31
477.57
127.57
571.41
154.18
36.31
70.37
38.47
523.59

1.095238
1.472380
1.703333
2.191428
4.160000
7.891428
0.658333
0.581000
1.659000
0.697000
1.113666
1.114000
0.927666
1.011666
1.028666
0.495666
1.006666
0.843333
0.785333
1.630666
2.032333
2.783666
5.595333
2.438666
3.835000
3.835000
3.318000
3.617333
3.540333
2.401000
3.599333
3.015000
5.812000
10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.769400
17.453000

1.095238
1.472380
1.584000
1.584000
2.900142
5.222570
0.658333
0.581000
0.594799
0.594799
0.594799
0.594799
0.594799
0.594799
0.594799
0.495666
0.594799
0.594799
0.594799
1.630666
2.032333
2.438799
2.438799
2.438666
2.438799
2.438799
2.438799
2.438799
2.438799
2.401000
2.438799
2.438799
5.812000
10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.769400
17.453000

1.095238
1.472380
1.584000
1.584000
2.900142
5.222570
0.658333
0.581000
0.594799
0.594799
0.594799
0.594799
0.594799
0.594799
0.594799
0.495666
0.594799
0.594799
0.594799
1.630666
2.032333
2.438799
2.438799
2.438666
2.438799
2.438799
2.438799
2.438799
2.438799
2.401000
2.438799
2.438799
5.812000
10.469000
21.678333
40.995000
60.311000
13.124642
14.021428
14.521428
13.653928
17.056071
18.224285
20.407500
22.025714
0.726200
0.703700
0.769400
17.453000

NR.CRT

87
88
89
90
91

COD ATC

N04BX
N04BX
N04BX
N05AH
N05AH

DCI

ENTACAPONUM***
ENTACAPONUM***
ENTACAPONUM***
CLOZAPINUM**
CLOZAPINUM**

Denumire Comerciala

COMTAN 200mg
COMTAN 200mg
ENTACAPONE TEVA
LEPONEX (R) 100 mg
LEPONEX (R) 25 mg

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

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

200mg
200mg
200mg
100mg
25mg

METHOTREXATE PCH 2,5mg

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

MAGISTRA C&C S.R.L ROMANIA


ARENA GROUP SA ROMANIA
SINTOFARM SA
ROMANIA
ROMANIA
GEDEON RIC
ROMANIA
TEVA PHARMA
ROMANIA
TEVA PHARMA

METHOTREXAT "EBEWE" 50

CONC. PT.

METHOTREXAT "EBEWE" 50

CONC. PT.

METHOTREXAT "EBEWE" 10

CONC. PT.

EMTHEXATE PF

SOL. INJ.
SOL. INJ.

5mg
5mg
5mg
5mg
10mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
25mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
50mg
75mg
15mg
60mg

16mg
32mg
125mg
500mg
5mg
5mg

AMBALAJ

Prescriptie

NOVARTIS EURO

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM.

P-

NOVARTIS EURO

CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM.

P-

TEVA PHARMA B.V.

OLANDA

CUTIE X 1 FLAC. DIN PEID X 10

PRF

NOVARTIS PHARM

GERMANI

NOVARTIS PHARM

CUTIE X 5 BLIST. X 10 COMPR.


GERMANI CUTIE X 5 BLIST. X 10 COMPR.

PP-

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

100
30
100
50
50

391.65
125.26
257.35
106.79
33.65

3.916500
4.175333
2.573500
2.135800
0.673000

3.088200
3.088200
2.573500
2.135800
0.673000

3.088200
3.088200
2.573500
2.135800
0.673000

20
30
30
20
10
30
1
5
1
1
10
1
1
1
1
1
1
1
1
50
100
100
20
20

2.65
2.62
3.71
2.57
28.81
21.62
400.81
241.07
89.66
67.79
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
55.38
80.90
78.89
13.73
16.56

0.132500
0.087333
0.123666
0.128500
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
1.107600
0.809000
0.788900
0.686500
0.828000

0.104799
0.087333
0.104799
0.104799
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
1.107600
0.809000
0.788900
0.686500
0.828000

0.104799
0.087333
0.104799
0.104799
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
1.107600
0.809000
0.788900
0.686500
0.828000

50
20
1
1
20
30

32.62
29.65
8.81
31.02
2.65
2.62

0.652400
1.482500
8.810000
31.020000
0.132500
0.087333

0.652400
1.482500
8.810000
31.020000
0.104799
0.087333

0.652400
1.482500
8.810000
31.020000
0.104799
0.087333

Tratamentul se initiaza de catre medicul in specialitatea neurologie

11. MIASTENIA GRAVIS - G13


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

H02AB
H02AB
H02AB
H02AB
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L04AX
L04AX
L04AX

N07AA
N07AA

PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHOTREXATUM4
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
NEOSTIGMINI BROMIDUM
PYRIDOSTIGMINI BROMIDUM

PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
METHOTREXATE PCH 10mg

METHOTREXAT "EBEWE" 5
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
NEOSTIGMINA LPH 15 mg
MESTINON 60 mg

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.
DRAJ.

CUTIE X 2 BLIST. AL/PVC X 10 COM


CUTIE X 3 BLIST. AL/PVC X 10 COM
CUTIE X 3 BLIST. AL/PVC X 10 COM
CUTIE X 2 BLIST. AL./PVC X 10 CO

PPPP-

P6L

EBEW

CUTIE X 10COMPR.
CUTIE X30 COMPRIMATE
AUSTRIA CUTIE X 1 FLACON X 50 ML
AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN M
ROMANIA CUTIE X 1 FIOLA X 2ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

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

S
S
S
PR
S
PR
PR
PR
PR

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

EBEW

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COM

THE

CUTIE X 4 BLIST. AL/PVC X 25 CO

S/P-RF

EBEW

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 C

PR
P-6

ICN POLFA RZESZO

ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COM


POLONIA CUTIE X 1 FLAC. X 20 DRAJ.

PFIZER EUROPE M

CUTIE X 5 BLIST. A-PVC/PVC X 10

P-

PFIZER EUROPE M

CUTIE X 2 BLIST. AL-PVC/PVC X

P-

EBEWE PHAR
EBEWE PHAR
EBEWE PHAR
TEVA PHARMA
EBEWE PHAR
EBEW
EBEW
EBEW

LABORMED PHARM

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

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

P6L

PR

S/P-RF

Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14


1
2
3
4
5
6

H02AB
H02AB
H02AB
H02AB
H02AB
H02AB

METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM

MEDROL A 16
MEDROL 32
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg

COMPR.
COMPR.
LIOF. PT. SOL. IN
LIOF. PT. SOL. IN

COMPR.
COMPR.

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOL
MAGISTRA C&C S.R.L ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COM
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
STADA HEMOFARM S

S/P-RF

STADA HEMOFARM S

S/P-RF

Pagina 71 din 101

PP-

NR.CRT

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

COD ATC

H02AB
H02AB
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01DB

L04AX
L04AX
L04AX

DCI

PREDNISONUM
PREDNISONUM
METHOTREXATUM4
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
MITOXANTRONUM***
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM

Denumire Comerciala

forma farm.

PREDNISON 5 mg
COMPR.
PREDNISON - RICHTER 5 mg COMPR.
METHOTREXATE PCH 10mg COMPR.
COMPR.
METHOTREXATE PCH 2,5mg
METHOTREXAT "EBEWE" 50

CONC. PT.

METHOTREXAT "EBEWE" 50

CONC. PT.

METHOTREXAT "EBEWE" 10

CONC. PT.

EMTHEXATE PF

SOL. INJ.
SOL. INJ.

METHOTREXAT "EBEWE" 5
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
ONKOTRONE
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

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

CONC. PT. SOL.

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

concentratie

5mg
5mg
10mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
25mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
2mg/ml
100mg
50mg
75mg

DETINATOR APP

SINTOFARM SA
GEDEON RIC

TARA
DET. APP
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AMBALAJ

Prescriptie

CUTIE X 3 BLIST. AL/PVC X 10 COM

P-

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

P-

P6L

EBEW

CUTIE X 10COMPR.
CUTIE X30 COMPRIMATE
AUSTRIA CUTIE X 1 FLACON X 50 ML
AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN M
ROMANIA CUTIE X 1 FIOLA X 2ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

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

S
S
S
PR
S
PR
PR
PR
PR

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

BAXTER ONCOLO

GERMANI

CUTIE X 1 FLACON X 10 ML CON

EBEW

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COM

THE

CUTIE X 4 BLIST. AL/PVC X 25 CO

S/P-RF

EBEW

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 C

PR

TEVA PHARMA
TEVA PHARMA
EBEWE PHAR
EBEWE PHAR
EBEWE PHAR
TEVA PHARMA
EBEWE PHAR
EBEW
EBEW
EBEW

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

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

P6L

S
PR

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30
20
10
30
1
5
1
1
10
1
1
1
1
1
1
1
1
1
50
100
100

3.71
2.57
28.81
21.62
400.81
241.07
89.66
67.79
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
643.62
55.38
80.90
78.89

0.123666
0.128500
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
643.620000
1.107600
0.809000
0.788900

0.104799
0.104799
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
643.620000
1.107600
0.809000
0.788900

0.104799
0.104799
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
643.620000
1.107600
0.809000
0.788900

17.52
26.76
20.26
23.10
33.65
16.06
34.40
15.41
10.72
22.39
21.57
94.92
35.24
19.24
17.77
28.86
28.86
28.84
40.13
52.11

0.350400
0.535200
0.202600
0.231000
0.336500
0.535333
0.344000
0.154100
0.268000
0.223900
0.431400
1.898400
0.704800
19.240000
17.770000
0.962000
0.962000
0.961333
1.433214
0.930535

0.184920
0.268680
0.184920
0.231000
0.336500
0.403800
0.268680
0.154100
0.268000
0.223900
0.431400
1.898400
0.403800
19.240000
17.770000
0.962000
0.962000
0.961333
1.116642
0.930535

0.184920
0.268680
0.184920
0.231000
0.336500
0.403800
0.268680
0.154100
0.268000
0.223900
0.431400
1.898400
0.403800
19.240000
17.770000
0.962000
0.962000
0.961333
1.116642
0.930535

Tratamentul se initiaza de catre medicul in specialitatea neurologie


Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple)

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A
N03A

N03AX
N03AX
N03AX
N03AX
N03AX

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
ACIDUM VALPROICUM + SARURI
ACIDUM VALPROICUM + SARURI
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**

ORFIRIL LONG 150 mg


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

CAPS. ELIB. PRE


CAPS. ELIB. PRE

DEPAKINE (R) CHRONO 500

COMPR. ELIB. P

DEPAKINE CHRONO 300 mg


ORFIRIL 150
DEPAKINE 200 mg
ORFIRIL 300
ORFIRIL 600
ORFIRIL LONG 1000 mg
ORFIRIL LONG 500 mg
ORFIRIL SIROP
DEPAKINE
LAMOTRIX 100 mg
PLEXXO (R) 100 mg

CAPS. MOI
CAPS. MOI
CAPS. MOI

COMPR. FILM. ELIB. PREL. DIVIZ.

COMPR.
COMPR.
COMPR.
COMPR.

MINICOMPR.
MINICOMPR.

SIROP
SIROP
COMPR.
COMPR.
COMPR.
LAMOTRIGINE FARMAL 100
LAMICTAL 100 mg
COMPR.
LAMOTRIGINA SUN 100 mg COMPR.

150mg
DESITIN ARZ
300mg
DESITIN ARZ
150mg
GEROT PHAR
300mg
GEROT PHAR
500mg
GEROT PHAR
500mg
SANOFI-AVENTIS
300mg
SANOFI-AVENTIS
150mg
DESITIN ARZ
200mg
SANOFI-AVENTIS
300mg
DESITIN ARZ
600mg
DESITIN ARZ
1000mg
DESITIN ARZ
500mg
DESITIN ARZ
300mg/5ml DESITIN ARZ
57,64mg/ml SANOFI - AVENTI
100mg
MEDOCHEMIE LTD.
100mg
DESITIN ARZ
100mg
FARMAL INTER
100mg
THE
100mg
CIPLA (UK) LIMITED
Pagina 72 din 101

GERMANI

CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG.

P-6

GERMANI

CUTI

P-6

CUTIE X

P-6

CUTIE X

P-6

CUTIE X

P-6

CUTIE X 1 FLAC. PP X 30 CO

P-

CUTIE

P-6

GERMANI

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ.

P-6

FRANTA

CUTIE X 1 FLAC. DI

P-6

GERMANI

CUTIE X 1 FLAC. D

P-6

GERMANI

CUTIE X 1 FLAC. DI

P-6

GERMANI

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6

GERMANI

CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG.

P-6

GERMANI

CUTIE X

P-6

AUSTRIA
AUSTRIA
AUSTRIA
FRANTA
FRANTA

FRANTA CUTIE X 1 FLAC


CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COM
GERMANI CUTIE X 3 BLIST. X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
CUTIE CU BLIST. PVC/AL X 28 COM
M
CUTIE X 4 BLIST. AL/PVC X 14 COM
M

P-6
P-6
P-6
P-

P-6
P-6

50
50
100
100
100
30
100
100
40
100
50
50
50
1
1
30
30
30
28
56

NR.CRT

21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69

COD ATC

N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N03AX
N04AA
N05AD
N05AD
N05AD
N05AD
N05AD
N05AD
N05AD
N05AD

N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE
N05AE

N05AF
N05AF
N05AF
N05AF
N05AF
N05AF
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH

DCI

LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
LAMOTRIGINUM**
TRIHEXYPHENIDYLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
HALOPERIDOLUM
SERTINDOL**
SERTINDOL**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
ZIPRASIDONUM**
FLUPENTIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
ZUCLOPENTHIXOLUM**
CLOZAPINUM**
CLOZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

forma farm.

COMPR.
LAMOTRIX 200 mg
COMPR.
LAMOTRIGINA SUN 200 mg COMPR.
LAMOTRIX 25 mg
COMPR.
LAMICTAL 25 mg
COMPR.
PLEXXO (R) 50 mg
COMPR.
LAMOTRIX 50 mg
COMPR.
COMPR.
LAMOTRIGINE FARMAL 50 m
LAMICTAL 50 mg
COMPR.
LAMOTRIGINA SUN 50 mg COMPR.
LAMOTRIN 100 mg
COMPR. DISP.
LAMOTRIN 25 mg
COMPR. DISP.
LAMOTRIN 50 mg
COMPR. DISP.
ROMPARKIN (R) 2 mg
COMPR.
COMPR.
HALOPERIDOL LAROPHAR
HALOPERIDOL 1 mg
COMPR.
HALOPERIDOL 2 mg
COMPR.
HALDOL
COMPR.
PIC. OFT., SOL.
HALOPERIDOL ROMPHARM
HALOPERIDOL 2 mg/ml
PIC. ORALE-SOL.
HALOPERIDOL DECANOAT SOL. INJ.
SOL. INJ.
HALOPERIDOL RICHTER 5
SERDOLECT 16 mg
COMPR. FILM.
SERDOLECT 4 mg
COMPR. FILM.
ZELDOX (R) 40 mg
CAPS.
PRAMAXIMA 40 mg
CAPS.
ZIXADOX 40 mg
CAPS.
ZYPSILA 40 mg
CAPS.
ZELDOX (R) 60 mg
CAPS.
PRAMAXIMA 60 mg
CAPS.
ZIXADOX 60 mg
CAPS.
ZYPSILA 60 mg
CAPS.
ZELDOX (R) 80 mg
CAPS.
PRAMAXIMA 80 mg
CAPS.
ZIXADOX 80 mg
CAPS.
ZYPSILA 80 mg
CAPS.
ZELDOX (R) 20 mg/ml
LIOF. PT. S
FLUANXOL DEPOT
SOL. INJ.
CLOPIXOL 10 mg
COMPR. FILM.
CLOPIXOL 25 mg
COMPR. FILM.
CLOPIXOL 20 mg/ml
PIC. ORALE-SOL.
CLOPIXOL (R) DEPOT
SOL. INJ.
CLOPIXOL ACUPHASE (R) SOL. INJ.
LEPONEX (R) 100 mg
COMPR.
LEPONEX (R) 25 mg
COMPR.
ZALASTA 10mg
COMPR.
OLAZAX 10 mg
COMPR.
COMPR.
OLANZAPINA AUROBINDO
COMPR.
OLANZAPINA AUROBINDO
LAMOTRIGINE TORRENT 10

concentratie

100mg
200mg
200mg
25mg
25mg
50mg
50mg
50mg
50mg
50mg
100mg
25mg
50mg
2mg
0,5mg
1mg
2mg
5mg
2 mg/ml
2mg/ml
50mg/ml
5mg/ml
16mg
4mg
40mg
40mg
40mg
40mg
60mg
60mg
60mg
60mg
80mg
80mg
80mg
80mg
20mg/ml
20mg/ml
10mg
25mg
20mg/ml
200mg/ml
50mg/ml
100mg
25mg
10mg
10mg
10mg
15mg

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COM
TORRENT PHARMA S
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COM
CIPLA (UK) LIMITED M
CUTIE X 4 BLIST. AL/PVC X 14 COM
MEDOCHEMIE LTD. CIPRU
CUTIE X 3 BLIST. AL/PVC X 10 COM
CUTIE CU BLIST. PVC/AL X 28 COM
M
THE
DETINATOR APP

DESITIN ARZ

GERMANI

CUTIE X 3 BLIST. X 10 COMPR.

MEDOCHEMIE LTD. CIPRU

Prescriptie

P-6
P-6
P-6
P-6
P-6
P-6

FARMAL INTER

CUTIE X 3 BLIST. AL/PVC X 10 COM


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

THE

CUTIE CU BLIST. PVC/AL X 28 CO

P-6

CIPLA (UK) LIMITED

CUTIE X 4 BLIST. AL/PVC X 14 COM

P-6

ACTAVIS GROUP HF.


ACTAVIS GROUP HF.
ACTAVIS GROUP HF.

ISLANDA
ISLANDA
ISLANDA

CUTIE X 3

P-6

CUTIE X 3

P-6

CUTIE X 3

P-6

TERAPIA SA
LAROPHARM S.R.L.
ARENA GROUP SA
ARENA GROUP SA

ROMANIA
ROMANIA
ROMANIA
ROMANIA

JANSSEN P

BELGIA

ROMPHARM COMP
GEDEON RIC
GEDEON RIC
GEDEON RIC

H. LUNDBECK A/S
H. LUNDBECK A/S

CUTIE X 5 BLIST. AL/PVC X 10 COM


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

ROMANIA CUTIE CU 1 FLACON PEJD CU PICURATOR PEJD X 10 ML PIC. OFT., SOL.


ROMANIA CUTIE
ROMANIA CUTIE X 5 FIOLE X 1 ML
ROMANIA CUTIE X 5 FIOLE DIN

P-6
P-

P-6
PPPP-

PRF
PPP-

DANEM

CUTIE X 2 BLIST. PVC-PVDC/

P-

DANEM

CUTIE X 3 BLIST. PVC-PVDC/

P-

PFIZER EUROPE M

CUTIE X 4 BLIST. X 14 CAPS.

P-

TEVA PHARMA

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL

P-

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE X 6 BLIST. PVC-PVDC/AL X

P-

PFIZER EUROPE M

CUTIE X 4 BLIST. X 14 CAPS.

P-

TEVA PHARMA

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL

P-

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE X 6 BLIST. PVC-PVDC/AL X

P-

PFIZER EUROPE M

CUTIE X 4 BLIST. X 14 CAPS.

P-

TEVA PHARMA

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL

P-

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE X 6 BLIST. PVC-PVDC/AL X

P-

PFIZER EUROPE M

CUTIE X 1 FLAC. LIOF. + 1 FIOL

S/P-RF

DANEM

CUTIE X 10 FIOLE D

P-

DANEM

CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER

P-

DANEM

CUTIE X 1 FLAC. DIN PEJD X 50 COMPR. FILM., INCHIS CU CAPAC CU FILET, PREVAZUT CU SISTEM DE INCHIDER

P-

DANEM

CUTIE X 1 FLAC. + CAP

P-

H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
H. LUNDBECK A/S
NOVARTIS PHARM

CUTIE X 10 FIOLE X 1 ML
CUTIE X 5 FIOLE X 1 ML
DANEM
GERMANI CUTIE X 5 BLIST. X 10 COMPR.
GERMANI CUTIE X 5 BLIST. X 10 COMPR.

KRKA D.D. NOVO M

SLOVENI

CUTIE X 28 COMPR. (BLISTE

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR

P-

CUTIE CU BLIST. PVC-PA-AL/

PRF

CUTIE CU BLIST. PVC-PA-AL/

PRF

NOVARTIS PHARM

AU
AU

Pagina 73 din 101

DANEM

MALTA
MALTA

PPPP-

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30
30
56
30
28
30
30
30
28
56
30
30
30
50
20
30
30
25
1
1
5
5
28
30
56
56
56
60
56
56
56
60
56
56
56
60
1
10
50
50
1
10
5
50
50
28
28
28
28

28.24
60.33
99.51
7.26
10.40
14.41
14.41
14.42
20.69
26.89
28.84
3.82
16.95
25.33
3.24
7.72
10.80
17.94
4.31
6.66
44.52
12.48
484.77
127.86
416.90
274.34
277.12
291.19
542.18
371.47
354.75
358.39
583.10
403.81
403.81
386.47
64.19
71.81
18.98
28.40
32.70
157.82
46.49
106.79
33.65
27.89
134.56
135.95
191.36

0.941333
2.011000
1.776964
0.242000
0.371428
0.480333
0.480333
0.480666
0.738928
0.480178
0.961333
0.127333
0.565000
0.506600
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
7.444642
4.898928
4.948571
4.853166
9.681785
6.633392
6.334821
5.973166
10.412500
7.210892
7.210892
6.441166
64.190000
7.181000
0.379600
0.568000
32.700000
15.782000
9.298000
2.135800
0.673000
0.996071
4.805714
4.855357
6.834285

0.941333
2.011000
1.776964
0.152799
0.152799
0.480333
0.480333
0.480666
0.576213
0.480178
0.961333
0.127333
0.565000
0.506600
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
5.823799
4.898928
4.948571
4.853166
7.167799
6.633392
6.334821
5.973166
7.729399
7.210892
7.210892
6.441166
64.190000
7.181000
0.379600
0.568000
32.700000
15.782000
9.298000
2.135800
0.673000
0.996000
0.996000
0.996000
6.541599

0.941333
2.011000
1.776964
0.152799
0.152799
0.480333
0.480333
0.480666
0.576213
0.480178
0.961333
0.127333
0.565000
0.506600
0.162000
0.257333
0.360000
0.717600
4.310000
6.660000
8.904000
2.496000
17.313214
4.262000
5.823799
4.898928
4.948571
4.853166
7.167799
6.633392
6.334821
5.973166
7.729399
7.210892
7.210892
6.441166
64.190000
7.181000
0.379600
0.568000
32.700000
15.782000
9.298000
2.135800
0.673000
0.996000
0.996000
0.996000
6.541599

NR.CRT

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

DCI

COD ATC

N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH
N05AH

100 N05AH
101 N05AH
102 N05AH
103 N05AH
104 N05AH
105 N05AH
106 N05AH
107 N05AH
108 N05AH
109 N05AH
110 N05AH

111 N05AH
112 N05AH
113 N05AH
114 N05AH
115 N05AH
116 N05AH
117 N05AH
118 N05AH

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

forma farm.

OLANZAPINA DR. REDDY'S

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

OLANZAPINA POLPHARMA 1

COMPR.

OLANZAPINA AUROBINDO

ZALASTA 5mg
OLAZAX 5 mg
OLANZAPINA AUROBINDO 5

ZYPREXA 10 mg
OLANZAPINA ACCORD 10 mg

LAPOZAN 10 mg
LAPOZAN 10 mg
OLANZAPINA ACTAVIS 10 mg
BLOONIS 10 mg
OLANZAPINA DR. REDDY'S

OLANZAPINA MEDANA 10 mg
EGOLANZA 10 mg
NYKOB 10 mg
OLANZAPINA LPH 10 mg
OLANZAPINA LILLY 10 mg
OLANZAPINE GSK 10 mg
OLANZAPINA ACCORD 15 mg
LAPOZAN 15 mg
EGOLANZA 15 mg
NYKOB 15 mg
OLANZAPINA LPH 15 mg
OLANZAPINA ACCORD 2,5 m

OLANZAPINA ACCORD 20 mg
OLANZAPINA DR. REDDY'S

EGOLANZA 20 mg
NYKOB 20 mg
OLANZAPINA LPH 20 mg
ZYPREXA 5 mg
OLANZAPINA ACCORD 5 mg
LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA ACTAVIS 5 mg
BLOONIS 5 mg
OLANZAPINA DR. REDDY'S

OLANZAPINA MEDANA 5 mg
EGOLANZA 5 mg
NYKOB 5 mg
OLANZAPINA LPH 5 mg
OLANZAPINA LILLY 5 mg
OLANZAPINE GSK 5 mg
OLANZAPINA ACCORD 7,5 m

ZYPREXA VELOTAB 10 mg
ZALASTA 10mg
OLANZAPINE TEVA 10mg
OLANZAPINA TERAPIA 10 mg
OLAZAX DISPERZI 10 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

20mg
5mg
5mg
5mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
2,5mg
20mg
20mg
20mg
20mg
20mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
7,5mg
7,5mg
10 mg
10mg
10mg
10mg
10mg
10mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

AU

MALTA

CUTIE CU BLIST. PVC-PA-AL/

PRF

KRKA D.D. NOVO M

SLOVENI

CUTIE X 28 COMPR. (BLISTE

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/AL X 28 COMPR

P-

CUTIE CU BLIST. PVC-PA-AL/

PRF

CUTIE X 28 COMPR.

P-

CUTIE CU BLIST. AL/AL X 28 COMP

P-

ELI LILLY NEDER

MALTA
OLANDA

ACCORD HEAL

AU

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMP
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMP
ISLANDA CUTIE CU BLIST. AL/AL X 30 COMP
ACTAVIS GROUP P

GLAXOSMITHKLINE

ROMANIA CUTIE CU BLIST. OPA-A


ROMANIA CUTIE CU BLIST. AL/AL X 35 COMP
POLONIA CUTIE CU BLIST. OPA-AL/PVC
UNGARIA CUTIE CU BLIST. OPA-A
ROMANIA CUTIE CU BLIST. PA-AL-PVC/
ROMANIA CUTIE CU 4 BLIST. PA-AL-PV
ROMANIA CUTIE CU BLIST. DIN AL X 28 COM
ROMANIA CUTIE CU BLIST. DIN PA

ACCORD HEAL

SANOFI -

DR. REDDY'S L

MEDANA PHARMA S
EGIS PHARMA
PHARMASWI

LABORMED PHARMA

ELI LILLY ROMANIA

MEDOCHEMIE LTD. CIPRU

PPPPPPPP-

PRF
PRF
P-

CUTIE CU BLIST. AL/AL X 28 COMP

P-

CUTIE CU BLIST. AL/AL X 28 COMP

P-

CUTIE CU BLIST. OPA-A

P-

CUTIE CU BLIST. PA-AL-PVC/

P-

CUTIE CU 4 BLIST. PA-AL-PV

PRF

LABORMED PHARMA

UNGARIA
ROMANIA
ROMANIA

ACCORD HEAL

CUTIE CU BLIST. AL/AL X 28 COMP

P-

ACCORD HEAL

CUTIE CU BLIST. AL/AL X 28 COMP

P-

EGIS PHARMA
PHARMASWI

LABORMED PHARMA

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMP


UNGARIA CUTIE CU BLIST. OPA-A
ROMANIA CUTIE CU BLIST. PA-AL-PVC/
ROMANIA CUTIE CU 4 BLIST. PA-AL-PV

ELI LILLY NEDER

OLANDA

CUTIE X 28 COMPR.

P-

ACCORD HEAL

CUTIE CU BLIST. AL/AL X 28 COMP

P-

DR. REDDY'S L
EGIS PHARMA
PHARMASWI

MEDOCHEMIE LTD. CIPRU


CUTIE CU BLIST. AL/AL X 28 COMP
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. AL/AL X 30 COMP
ISLANDA CUTIE CU BLIST. AL/AL X 30 COMP
ACTAVIS GROUP P

GLAXOSMITHKLINE

ROMANIA CUTIE CU BLIST. OPA-A


ROMANIA CUTIE CU BLIST. AL/AL X 35 COMP
POLONIA CUTIE CU BLIST. OPA-AL/PVC
UNGARIA CUTIE CU BLIST. OPA-A
ROMANIA CUTIE CU BLIST. PA-AL-PVC/
ROMANIA CUTIE CU 4 BLIST. PA-AL-PV
ROMANIA CUTIE CU BLIST. DIN AL X 28 COM
ROMANIA CUTIE CU BLIST. DIN PA

ACCORD HEAL

SANOFI -

DR. REDDY'S L

MEDANA PHARMA S
EGIS PHARMA
PHARMASWI

LABORMED PHARMA

ELI LILLY ROMANIA

CUTIE CU BLIST. AL/AL X 28 COMP

PPP-

PRF

PPPPPPPP-

PRF
PRF
PP-

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA CUTIE CU BLIST. AL/AL X 35 COMP


POLONIA CUTIE CU BLIST

ELI LILLY NEDER

OLANDA

CUTIE X 28COMPR. OROD

P-

KRKA D.D. NOVO M

SLOVENI

CUTI

P-

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE CU BLIST. OPA

P-

ROMANIA

CUTIE CU

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/

P-

DR. REDDY'S L

Pagina 74 din 101

P-

PRF

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

28
28
28
28
28
28
28
30
30
28
35
30
28
28
28
28
28
28
28
28
28
28
28
28
35
28
28
28
28
28
28
30
30
28
35
30
28
28
28
28
28
28
35
28
28
28
30
28
28

241.96
14.96
70.95
61.61
208.23
135.34
135.35
145.02
29.74
23.24
169.19
124.82
135.34
114.62
133.72
134.56
135.35
203.00
197.35
205.18
171.62
196.62
37.58
270.68
835.65
274.48
228.83
262.17
109.79
71.36
71.36
76.46
16.02
12.47
89.20
65.77
71.36
60.36
68.89
70.95
71.36
107.05
296.13
131.30
466.24
27.89
142.72
134.53
139.69

8.641428
0.534285
2.533928
2.200357
7.436785
4.833571
4.833928
4.834000
0.991333
0.830000
4.834000
4.160666
4.833571
4.093571
4.775714
4.805714
4.833928
7.250000
7.048214
7.327857
6.129285
7.022142
1.342142
9.667142
23.875714
9.802857
8.172500
9.363214
3.921071
2.548571
2.548571
2.548666
0.534000
0.445357
2.548571
2.192333
2.548571
2.155714
2.460357
2.533928
2.548571
3.823214
8.460857
4.689285
16.651428
0.996071
4.757333
4.804642
4.988928

5.997428
0.534285
0.534428
0.534428
0.996000
0.996000
0.996000
0.996000
0.991333
0.830000
0.996000
0.996000
0.996000
0.996000
0.996000
0.996000
0.996000
6.541599
6.541599
6.541599
6.129285
6.541599
1.342142
5.997428
5.997428
5.997428
5.997428
5.997428
0.534428
0.534428
0.534428
0.534428
0.534000
0.445357
0.534428
0.534428
0.534428
0.534428
0.534428
0.534428
0.534428
3.823214
4.587856
0.996000
0.996000
0.996000
0.996000
0.996000
0.996000

5.997428
0.534285
0.534428
0.534428
0.996000
0.996000
0.996000
0.996000
0.991333
0.830000
0.996000
0.996000
0.996000
0.996000
0.996000
0.996000
0.996000
6.541599
6.541599
6.541599
6.129285
6.541599
1.342142
5.997428
5.997428
5.997428
5.997428
5.997428
0.534428
0.534428
0.534428
0.534428
0.534000
0.445357
0.534428
0.534428
0.534428
0.534428
0.534428
0.534428
0.534428
3.823214
4.587856
0.996000
0.996000
0.996000
0.996000
0.996000
0.996000

NR.CRT

DCI

COD ATC

119 N05AH

120 N05AH
121 N05AH
122 N05AH
123 N05AH
124 N05AH
125 N05AH
126 N05AH
127 N05AH
128 N05AH
129 N05AH
130 N05AH
131 N05AH
132 N05AH
133 N05AH
134 N05AH
135 N05AH
136 N05AH
137 N05AH
138 N05AH
139 N05AH
140 N05AH
141 N05AH
142 N05AH
143 N05AH
144 N05AH
145 N05AH
146 N05AH
147 N05AH
148 N05AH
149 N05AH
150 N05AH
151 N05AH
152 N05AH
153 N05AH
154 N05AH
155 N05AH
156 N05AH
157 N05AH
158 N05AH
159 N05AH
160 N05AH
161 N05AH
162 N05AH
163 N05AH
164 N05AH
165 N05AH
166 N05AH
167 N05AH

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**

Denumire Comerciala

LAPOZAN 10 mg
LAPOZAN 10 mg
BLOONIS 10 mg
OLANZAPINA DR. REDDY'S

NYKOB 10 mg
OLANZAPINA ACTAVIS 10 mg
AEDON 10 mg
IRROPIA 10 mg
OLANZAPINA LILLY 10 mg
OLANZAPINA TORRENT 10 m

OLANZAPINE GSK 10 mg
ZOLASWIFT 10 mg
OLANZAPINA POLPHARMA 1

ZYPREXA VELOTAB 15 mg
ZALASTA 15mg
OLANZAPINE TEVA 15mg
OLANZAPINA TERAPIA 15 mg
OLAZAX DISPERZI 15 mg
LAPOZAN 15 mg
BLOONIS 15 mg
OLANZAPINA DR. REDDY'S

NYKOB 15 mg
OLANZAPINA ACTAVIS 15 mg
AEDON 15 mg
IRROPIA 15 mg
OLANZAPINA LILLY 15 mg

forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

OLANZAPINA TORRENT 15 m

COMPR.

ZOLASWIFT 15 mg

COMPR.

OLANZAPINA POLPHARMA 2

COMPR.

ZYPREXA VELOTAB 20 mg
ZALASTA 20mg
OLANZAPINE TEVA 20mg
OLANZAPINA TERAPIA 20 mg
OLAZAX DISPERZI 20 mg
BLOONIS 20 mg
OLANZAPINA DR. REDDY'S

NYKOB 20 mg
OLANZAPINA ACTAVIS 20 mg
AEDON 20 mg
IRROPIA 20 mg
OLANZAPINA LILLY 20 mg

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

OLANZAPINA TORRENT 20 m

COMPR.

ZOLASWIFT 20 mg

COMPR.

OLANZAPINA POLPHARMA 5

COMPR.

ZYPREXA VELOTAB 5 mg
ZALASTA 5mg
OLANZAPINE TEVA 5mg
OLANZAPINA TERAPIA 5 mg
OLAZAX DISPERZI 5 mg

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

concentratie

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15 mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
5 mg
5mg
5mg
5mg
5mg
5mg

DETINATOR APP

TARA
DET. APP

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
SANOFI -

DR. REDDY'S L
PHARMASWI

ACTAVIS GROUP P
LANNA

ROMASTRU TRADI

ELI LILLY ROMANIA


TORRENT PHARMA S
GLAXOSMITHKLINE

ROMANIA
ROMANIA
ROMANIA

ISLANDA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

AMBALAJ

Prescriptie

CUTIE CU BLIST. AL/

P-

CUTIE CU BLIST. AL/

P-

CUTIE

P-

CUTIE

P-

CUTIE CU

P-

CUTIE

P-

CUTIE CU

P-

CUTIE CU 4 BLIS

PRF

CUTIE CU BLIST. AL X 2

PRF

CUTIE

P-

CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE

P-

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST

PRF

CUTIE X 28COMPR. OROD

P-

ELI LILLY NEDER

AUSTRIA
POLONIA
OLANDA

KRKA D.D. NOVO M

SLOVENI

CUTI

P-

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE CU BLIST. OPA

P-

ROMANIA

CUTIE CU

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/

P-

CUTIE CU BLIST. AL/

P-

CUTIE

P-

CUTIE

P-

CUTIE CU

P-

CUTIE

P-

CUTIE CU

P-

CUTIE CU 4 BLIS

PRF

CUTIE CU BLIST. AL X 2

PRF

CUTIE

P-

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST

PRF

CUTIE X 28COMPR. OROD

P-

CHIESI P
PHARMACEUTICAL WORKS POLPHARMA SA

MEDOCHEMIE LTD. CIPRU


SANOFI -

DR. REDDY'S L
PHARMASWI

ACTAVIS GROUP P
LANNA

ROMASTRU TRADI

ELI LILLY ROMANIA


TORRENT PHARMA S

ROMANIA
ROMANIA
ROMANIA

ISLANDA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA

ELI LILLY NEDER

AUSTRIA
POLONIA
OLANDA

KRKA D.D. NOVO M

SLOVENI

CUTI

P-

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE CU BLIST. OPA

P-

ROMANIA

CUTIE CU

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/

P-

CUTIE

P-

CUTIE

P-

CUTIE CU

P-

CUTIE

P-

CUTIE CU

P-

CUTIE CU 4 BLIS

PRF

CUTIE CU BLIST. AL X 2

PRF

CUTIE

P-

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (4X7) COMPR. ORODISPERSABILE

PRF

CUTIE CU BLIST

PRF

CUTIE X 28COMPR. OROD

P-

CHIESI P
PHARMACEUTICAL WORKS POLPHARMA SA

SANOFI -

DR. REDDY'S L
PHARMASWI

ACTAVIS GROUP P
LANNA

ROMASTRU TRADI

ELI LILLY ROMANIA


TORRENT PHARMA S

ROMANIA
ROMANIA
ROMANIA

ISLANDA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA

ELI LILLY NEDER

AUSTRIA
POLONIA
OLANDA

KRKA D.D. NOVO M

SLOVENI

CUTI

P-

TEVA PHARMA BV
TERAPIA S.A.

OLANDA

CUTIE X 30 COMPR. FILM. (B

P-

ROMANIA

CUTIE CU

P-

REPUBLICA CEHA

CUTIE CU BLIST. AL/

P-

CHIESI P
PHARMACEUTICAL WORKS POLPHARMA SA

Pagina 75 din 101

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30
50
28
35
28
28
30
28
28
28
28
28
28
28
28
30
28
28
30
28
35
28
28
30
28
28
28
28
28
28
28
30
28
28
28
35
28
28
30
28
28
28
28
28
28
28
30
28
28

148.62
247.69
47.21
171.82
114.62
27.73
60.67
27.87
136.15
171.22
137.54
121.63
195.54
616.92
201.43
214.08
203.82
205.88
200.22
170.10
257.36
171.62
167.86
163.54
201.43
205.86
201.43
205.94
262.48
,013.57

167.93
285.43
271.77
274.46
139.94
342.90
228.83
167.86
179.91
167.93
274.48
231.65
274.59
67.78
243.53
14.96
75.25
73.57
73.21

4.954000
4.953800
1.686071
4.909142
4.093571
0.990357
2.022333
0.995357
4.862500
6.115000
4.912142
4.343928
6.983571
22.032857
7.193928
7.136000
7.279285
7.352857
6.674000
6.075000
7.353142
6.129285
5.995000
5.451333
7.193928
7.352142
7.193928
7.355000
9.374285
36.198928
5.997500
9.514333
9.706071
9.802142
4.997857
9.797142
8.172500
5.995000
5.997000
5.997500
9.802857
8.273214
9.806785
2.420714
8.697500
0.534285
2.508333
2.627500
2.614642

0.996000
0.996000
0.996000
0.996000
0.996000
0.990357
0.996000
0.995357
0.996000
0.996000
0.996000
0.996000
6.541599
6.541599
6.541599
6.541599
6.541599
6.541599
6.541599
6.075000
6.541599
6.129285
5.995000
5.451333
6.541599
6.541599
6.541599
6.541599
5.997428
5.997428
5.997428
5.997428
5.997428
5.997428
4.997857
5.997428
5.997428
5.995000
5.997000
5.997428
5.997428
5.997428
5.997428
0.534428
0.534428
0.534285
0.534428
0.534428
0.534428

0.996000
0.996000
0.996000
0.996000
0.996000
0.990357
0.996000
0.995357
0.996000
0.996000
0.996000
0.996000
6.541599
6.541599
6.541599
6.541599
6.541599
6.541599
6.541599
6.075000
6.541599
6.129285
5.995000
5.451333
6.541599
6.541599
6.541599
6.541599
5.997428
5.997428
5.997428
5.997428
5.997428
5.997428
4.997857
5.997428
5.997428
5.995000
5.997000
5.997428
5.997428
5.997428
5.997428
0.534428
0.534428
0.534285
0.534428
0.534428
0.534428

NR.CRT

DCI

COD ATC

168 N05AH
169 N05AH
170 N05AH
171 N05AH
172 N05AH
173 N05AH
174 N05AH
175 N05AH
176 N05AH
177 N05AH
178 N05AH
179 N05AH
180 N05AH
181 N05AH
182 N05AH
183 N05AH
184 N05AH
185 N05AH
186 N05AH
187 N05AH
188 N05AH
189 N05AH
190 N05AH
191 N05AH
192 N05AH
193 N05AH
194 N05AH
195 N05AH
196 N05AH
197 N05AH
198 N05AH
199 N05AH
200 N05AH
201 N05AH
202 N05AH
203 N05AH
204 N05AH
205 N05AH
206 N05AH
207 N05AH
208 N05AH
209 N05AH
210 N05AH
211 N05AH

212 N05AH
213 N05AH
214 N05AH
215 N05AH
216 N05AH

OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
OLANZAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**

Denumire Comerciala

LAPOZAN 5 mg
LAPOZAN 5 mg
OLANZAPINA DR. REDDY'S

NYKOB 5 mg
OLANZAPINA ACTAVIS 5 mg
AEDON 5 mg
IRROPIA 5 mg
OLANZAPINA LILLY 5 mg
OLANZAPINA TORRENT 5 mg
OLANZAPINE GSK 5 mg
ZOLASWIFT 5 mg
ZYPADHERA 210mg
ZYPADHERA 300mg
ZYPADHERA 405mg
ZYPREXA 10 mg
SEROQUEL XR 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
SETININ 100 mg
HEDONIN 100 mg
KVENTIAX 100 mg
QUETROP 100 mg
QUETIAPINE ACCORD 100 m

QUERSUS 100 mg
KATHIRA 100 mg
SETININ 150 mg
QUETIAPINE ACCORD 150 m

KATHIRA 150 mg
KETILEPT 200 mg
QUETIAPINE TEVA 200 mg
SETININ 200 mg
HEDONIN 200 mg
KVENTIAX 200 mg
QUETROP 200 mg
QUETIAPINE ACCORD 200 m

QUERSUS 200 mg
KATHIRA 200 mg
HEDONIN 25 mg
QUETIAPINE ACCORD 25 mg
KATHIRA 25 mg
KETILEPT 300 mg
QUETIAPINE TEVA 300 mg
SETININ 300 mg
KVENTIAX 300 mg
QUETROP 300 mg

forma farm.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.
PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

PULB. PT. SOL. I


COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P

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

concentratie

5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
210mg
300mg
405mg
10mg
150mg
200mg
300mg
400mg
50mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
150mg
150mg
150mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
25mg
25mg
25mg
300mg
300mg
300mg
300mg
300mg

DETINATOR APP

TARA
DET. APP

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU

AMBALAJ

Prescriptie

CUTIE CU BLIST. AL/

P-

CUTIE CU BLIST. AL/

P-

CUTIE

P-

CUTIE CU

P-

CUTIE

P-

CUTIE CU

P-

CUTIE CU 4 BLIS

PRF

CUTIE CU BLIST. AL X 2

PRF

CUTIE

P-

CUTIE CU BLIST. PA-AL-PVC/AL-PETF X 28 COMPR. ORODISPERSABILE

P-

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 (2X14) COMPR. ORODISPERSABILE

PRF

CUTIE X 1 FLAC X

P-RF/R

CUTIE X 1 FLAC X

P-RF/R

CUTIE X 1 FLAC X

P-RF/R

CUTIE X 1 FLAC. X 10 MG PULB.PT

P-

CUTIE CU 6 BLIST

P-

CUTIE CU BLIST

PRF

CUTIE CU BLIST

PRF

CUTIE CU BLIST

PRF

CUTIE CU BLIST

PRF

CUTIE X BLIST. PVC-PVDC/AL

P-

CUTIE CU BLIST. PVC-

P-RF/S

CUTIE CU BLIST. PVC/AL X 60 CO

P-

LANNA

ISLANDA
AUSTRIA

CUTIE CU BLIST. PVC-PE

P-

KRKA D.D., NOVO

SLOVENI

CUTIE CU BLIST. PVC/AL X 60 CO

P-

REPUBLICA CEHA

CUTIE CU 6 BLIST. PVC/AL X 10

P-

ACCORD HEAL

CUTIE CU BLIST. PVC/AL X 60 CO

PRF

CHIESI P

AUSTRIA

CUTIE CU BLIST. PVC/AL X 60 CO

P-

ROMASTRU TRADI

ROMANIA

CUTIE CU 6 BLIST.

PRF

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC/AL X 60 CO

P-

ACCORD HEAL

CUTIE CU BLIST. PVC/AL X 60 CO

PRF

CUTIE CU 6 BLIST.

PRF

CUTIE X BLIST. PVC-PVDC/AL

P-

CUTIE CU BLIST. PVC-

P-RF/S

CUTIE CU BLIST. PVC/AL X 60 CO

P-

LANNA

ISLANDA
AUSTRIA

CUTIE CU BLIST. PVC-PE

P-

KRKA D.D., NOVO

SLOVENI

CUTIE CU BLIST. PVC/AL X 60 CO

P-

REPUBLICA CEHA

CUTIE CU 6 BLIST. PVC/AL X 10

P-

ACCORD HEAL

CUTIE CU BLIST. PVC/AL X 60 CO

PRF

CHIESI P

AUSTRIA

CUTIE CU BLIST. PVC/AL X 60 CO

P-

ROMASTRU TRADI

ROMANIA

CUTIE CU 6 BLIST.

PRF

LANNA

AUSTRIA

CUTIE CU BLIST. PVC-PE

P-

ACCORD HEAL

CUTIE CU BLIST. PVC/AL X 60 CO

PRF

ROMASTRU TRADI

CUTIE CU 6 BLIST.

PRF

CUTIE X BLIST. PVC-PVDC/AL

P-

TEVA PHARMAC

ROMANIA
UNGARIA
ROMANIA

CUTIE CU BLIST. PVC-

P-RF/S

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC/AL X 60 CO

P-

KRKA D.D., NOVO

SLOVENI

CUTIE CU BLIST. PVC/AL X 60 CO

P-

REPUBLICA CEHA

CUTIE CU 6 BLIST. PVC/AL X 10

P-

DR. REDDY'S L
PHARMASWI

ACTAVIS GROUP P
LANNA

ROMASTRU TRADI

ELI LILLY ROMANIA


TORRENT PHARMA S
GLAXOSMITHKLINE

ROMANIA
ROMANIA

ISLANDA
AUSTRIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

ELI LILLY NEDER

AUSTRIA
OLANDA
OLANDA
OLANDA
OLANDA

ASTRAZENECA UK

CHIESI P

ELI LILLY NEDER


ELI LILLY NEDER
ELI LILLY NEDER

TEVA PHARMA
TEVA PHARMA
TEVA PHARMA
TEVA PHARMA

EGIS PHARMA

TEVA PHARMAC

ACTAVIS GROUP P

ROMASTRU TRADI
EGIS PHARMA

TEVA PHARMAC

ACTAVIS GROUP P

EGIS PHARMA

Pagina 76 din 101

ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA
ROMANIA

ROMANIA
UNGARIA
ROMANIA

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30
50
35
28
28
30
28
28
28
28
28
1
1
1
1
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
30
60
60
60
60
60
60
60

78.30
2.610000
0.534428
0.534428
126.00
2.520000
0.534428
0.534428
90.49
2.585428
0.534428
0.534428
60.36
2.155714
0.534428
0.534428
14.95
0.533928
0.533928
0.533928
19.18
0.639333
0.534428
0.534428
14.96
0.534285
0.534285
0.534285
71.80
2.564285
0.534428
0.534428
120.37
4.298928
0.534428
0.534428
72.43
2.586785
0.534428
0.534428
61.24
2.187142
0.534428
0.534428
893.61 893.610000 893.610000 893.610000
,379.83

,379.830000

,379.830000

,716.38

,716.380000

,716.380000

,716.380000

19.95
444.50
241.42
362.08
491.50
63.61
73.82
63.13
43.39
79.63
69.71
84.46
83.49
65.00
52.05
71.93
105.47
86.31
114.86
45.18
71.93
118.36
98.66
108.59
128.64
94.12
86.31
17.00
43.97
34.00
183.06
74.26
94.31
123.81
156.27

19.950000
7.408333
4.023666
6.034666
8.191666
1.060166
1.230333
1.052166
0.723166
1.327166
1.161833
1.407666
1.391500
1.083333
0.867500
1.198833
1.757833
1.438500
1.914333
0.753000
1.198833
1.972666
1.644333
1.809833
2.144000
1.568666
1.438500
0.566666
0.732833
0.566666
3.051000
1.237666
1.571833
2.063500
2.604500

19.950000
7.408333
4.023666
6.034666
8.191666
1.060166
0.867799
0.867799
0.723166
0.867799
0.867799
0.867799
0.867799
0.867799
0.867500
1.198833
1.438599
1.438500
0.903600
0.753000
0.903600
0.903600
0.903600
0.903600
0.903600
0.903600
0.903600
0.566666
0.679999
0.566666
1.485199
1.237666
1.485199
1.485199
1.485199

19.950000
7.408333
4.023666
6.034666
8.191666
1.060166
0.867799
0.867799
0.723166
0.867799
0.867799
0.867799
0.867799
0.867799
0.867500
1.198833
1.438599
1.438500
0.903600
0.753000
0.903600
0.903600
0.903600
0.903600
0.903600
0.903600
0.903600
0.566666
0.679999
0.566666
1.485199
1.237666
1.485199
1.485199
1.485199

,379.830000

NR.CRT

COD ATC

217 N05AH
218 N05AH
219 N05AH
220 N05AH
221 N05AH
222 N05AH
223 N05AH
224 N05AL
225 N05AL
226 N05AL
227 N05AL
228 N05AL
229 N05AL
230 N05AL
231 N05AX
232 N05AX
233 N05AX
234 N05AX
235 N05AX
236 N05AX
237 N05AX
238 N05AX
239 N05AX
240 N05AX
241 N05AX
242 N05AX
243 N05AX
244 N05AX
245 N05AX
246 N05AX
247 N05AX
248 N05AX
249 N05AX
250 N05AX
251 N05AX
252 N05AX
253 N05AX
254 N05AX
255 N05AX
256 N05AX
257 N05AX
258 N05AX
259 N05AX
260 N05AX
261 N05AX
262 N05AX
263 N05AX
264 N05AX
265 N05AX

DCI

QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
QUETIAPINUM**
SULPIRIDUM
SULPIRIDUM
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
AMISULPRIDUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**

Denumire Comerciala

QUETIAPINE ACCORD 300 m

QUERSUS 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 (R) 200 mg
AMISAN 200 mg
AMISULPRIDA LPH 200 mg
MIDORA 200 mg
SOLIAN 200 mg
SOLIAN 400 mg
RILEPTID 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONE TEVA 1 mg
RISPERIDONA ACCORD 1 mg

SPRING 1 mg
RISPERIDONA FARMAL 1 mg

RONYDAL 1 mg
RISPEN 1
RISPERIDONE TORRENT 1 m

RISPEN 2
RILEPTID 2 mg
RISPERIDONE TEVA 2 mg
RISPERIDONE TEVA 2 mg
RISON 2 mg
RISPERIDONA ACCORD 2 mg

SPRING 2 mg
RISPERIDONA FARMAL 2 mg

RONYDAL 2 mg
RISPERIDONE TORRENT 2 m
RISPERIDONA MEDOCHEMI

RILEPTID 3 mg
TORENDO 3 mg
RISPERIDONE TEVA 3 mg
RISPERIDONE TEVA 3 mg
RISON 3 mg
RISPERIDONA ACCORD 3 mg

SPRING 3 mg
RONYDAL 3 mg
XENOMA 3 mg
RISPEN 3
RISPERIDONE TORRENT 3 m

RISPEN 4
RILEPTID 4 mg
TORENDO 4 mg
RISPERIDONE TEVA 4 mg

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FI
COMPR. FI
COMPR. FI
COMPR. FI

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

concentratie

300mg
300mg
300mg
200mg
300mg
400mg
50mg
50mg
200mg
200mg
200mg
200mg
200mg
400mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
2 mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
2mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4 mg
4mg
4mg
4mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

ACCORD HEAL

CUTIE CU BLIST. PVC/AL X 60 CO

PRF

CHIESI P

AUSTRIA

CUTIE CU BLIST. PVC/AL X 60 CO

P-

ROMASTRU TRADI

ROMANIA

CUTIE CU 6 BLIST.

PRF

ASTRAZENECA UK

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

P-

ASTRAZENECA UK

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

P-

ASTRAZENECA U

CUTIE X 6 BLIS

P-

ASTRAZENECA UK

CUTIE X 6 BLIST. OPACE DIN AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL.

P-

SANOFI-SYNT

FRANTA CUTIE X 2 BLIST. X 15 CAPS.


FRANTA CUTIE X 1 BLIST. X 12 COMPR.

PRO. MED. CS PRA

REPUBLICA CEHA

SANOFI-SYNT

LABORMED PHARMA

TERAPIA S.A.

CUTIE CU BLIST. PVC/AL X 30 COM

ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/


ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 C

PPPPP-

FRANTA
FRANTA

CUTIE X 3 BLIST. AL/PVC X 10 CO

P-

CUTIE X 3 BLIST. PVC-PVDC/

P-

CUTIE X 6 BLIST. PVC-PVDC/

P-

CUTIE X 2 BLIST. PVC-PVDC/

P-

TEVA PHARMAC

UNGARIA
ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PVDC/

P-

ACCORD HEAL

CUTIE X 6 BLIST. PVC-PVDC/AL

P-

ANTIBIOTICE S.A.

CUTIE X 3 BLIST. PVC-P

P-

CUTIE X 5 BLIST. PVC-P

P-

ROMASTRU TRADI

ROMANIA
ROMANIA
ROMANIA

CUTIE CU 6 BLIST. PVC

P-

ZENTIVA KS

CEHIA

CUTIE X 5 BLIST. PVC-PVDC/

P-

TORRENT PHARMA S

ROMANIA

CUTIE X 2 BLIST. PVC

P-

ZENTIVA KS

CEHIA

CUTIE X 5 BLIST. PVC-PVDC/

P-

CUTIE X 6 BLIST. PVC-PVDC/

P-

CUTIE X 2 BLIST. PVC-PVDC/

P-

CUTIE X 6 BLIST. PVC-PVDC/

P-

SANOFI-AVENTIS
SANOFI-AVENTIS
EGIS PHARMA

TEVA PHARMAC

FARMAL INTER

TEVA PHARMA

UNGARIA
ROMANIA
ROMANIA

ACTAVIS GROUP HF.

ISLANDA

CUTIE X 2 BLIST. PVC-PVDC/

P-

ACCORD HEAL

CUTIE X 6 BLIST. PVC-PVDC/

P-

ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC-P

P-

CUTIE X 5 BLIST. PVC-P

P-

CUTIE CU 6 BLIST. PVC

P-

CUTIE X 2 BLIST. PVC

P-

CUTIE CU BLIST. PVC-PE

PRF

EGIS PHARMA
TEVA PHARMA

FARMAL INTER

ROMASTRU TRADI

TORRENT PHARMA S

MEDOCHEMIE LTD. CIPRU


EGIS PHARMA

UNGARIA

CUTIE X 6 BLIST. PVC-PVDC/

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE X 3 BLIST. PVC-P

P-

CUTIE X 2 BLIST. PVC-PVDC/

P-

TEVA PHARMA

ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-PVDC/

P-

ACTAVIS GROUP HF.

ISLANDA

CUTIE X 2 BLIST. PVC-PVDC/

P-

ACCORD HEAL

CUTIE X 6 BLIST. PVC-PVDC/

P-

ANTIBIOTICE S.A.

CUTIE X 3 BLIST. PVC-P

P-

CUTIE CU 6 BLIST. PVC

P-

DR. REDDY'S L

ROMANIA
ROMANIA
ROMANIA

CUTIE X 6 BLIST. PVC-P

P-

ZENTIVA KS

CEHIA

CUTIE X 5 BLIST. PVC-PVDC/

P-

TORRENT PHARMA S

ROMANIA

CUTIE X 2 BLIST. PVC

P-

ZENTIVA KS

CEHIA

CUTIE X 5 BLIST. PVC-PVDC/

P-

EGIS PHARMA

UNGARIA

CUTIE X 6 BLIST. PVC-PVDC/

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE X 3 BLIST. PVC-P

P-

TEVA PHARMA

ROMANIA

CUTIE X 6 BLIST. PVC-PVDC/

P-

TEVA PHARMA

ROMASTRU TRADI

Pagina 77 din 101

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

60
60
60
60
60
60
60
30
12
30
30
30
30
30
60
20
60
60
30
50
60
50
20
50
60
20
60
20
60
30
50
60
20
20
60
30
20
60
20
60
30
60
60
50
20
50
60
30
60

159.59
163.04
113.16
444.50
576.10
743.17
232.04
7.94
8.07
49.82
49.82
59.64
72.80
107.23
51.35
8.34
24.62
23.54
15.45
23.94
24.02
23.64
6.96
45.73
101.34
16.07
46.70
17.15
44.78
26.19
44.47
53.40
16.21
17.60
145.26
34.62
27.18
75.48
27.44
69.74
41.45
82.53
74.79
66.32
27.50
86.87
194.33
47.61
100.81

2.659833
2.717333
1.886000
7.408333
9.601666
12.386166
3.867333
0.264666
0.672500
1.660666
1.660666
1.988000
2.426666
3.574333
0.855833
0.417000
0.410333
0.392333
0.515000
0.478800
0.400333
0.472800
0.348000
0.914600
1.689000
0.803500
0.778333
0.857500
0.746333
0.873000
0.889400
0.890000
0.810500
0.880000
2.421000
1.154000
1.359000
1.258000
1.372000
1.162333
1.381666
1.375500
1.246500
1.326400
1.375000
1.737400
3.238833
1.587000
1.680166

1.485199
1.485199
1.485199
4.828399
7.241599
9.829999
1.272199
0.264666
0.672500
1.660666
1.660666
1.988000
1.992799
3.574333
0.417600
0.417000
0.410333
0.392333
0.417600
0.417600
0.400333
0.417600
0.348000
0.895599
0.895599
0.803500
0.778333
0.857500
0.746333
0.873000
0.889400
0.890000
0.810500
0.880000
1.384800
1.154000
1.359000
1.258000
1.372000
1.162333
1.381666
1.375500
1.246500
1.326400
1.375000
1.737400
1.904400
1.587000
1.680166

1.485199
1.485199
1.485199
4.828399
7.241599
9.829999
1.272199
0.264666
0.672500
1.660666
1.660666
1.988000
1.992799
3.574333
0.417600
0.417000
0.410333
0.392333
0.417600
0.417600
0.400333
0.417600
0.348000
0.895599
0.895599
0.803500
0.778333
0.857500
0.746333
0.873000
0.889400
0.890000
0.810500
0.880000
1.384800
1.154000
1.359000
1.258000
1.372000
1.162333
1.381666
1.375500
1.246500
1.326400
1.375000
1.737400
1.904400
1.587000
1.680166

NR.CRT

COD ATC

266 N05AX
267 N05AX
268 N05AX
269 N05AX
270 N05AX
271 N05AX
272 N05AX
273 N05AX
274 N05AX
275 N05AX
276 N05AX
277 N05AX
278 N05AX
279 N05AX
280 N05AX
281 N05AX
282 N05AX
283 N05AX
284 N05AX
285 N05AX
286 N05AX
287 N05AX
288 N05AX
289 N06AB
290 N06AB
291 N06AB
292 N06AB
293 N06AB
294 N06AB
295 N06AX
296 N06AX
297 N06AX
298 N06AX
299 N06AX
300 N06AX
301 N06AX
302 N06AX
303 N06AX
304 N06AX
305 N06AX
306 N06AX
307 N06AX
308 N06AX
309 N06AX
310 N06AX
311 N06AX

312 N06AX
313 N06AX
314 N06AX

DCI

RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
RISPERIDONUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
CITALOPRAMUM**
ESCITALOPRAMUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TRAZODONUM**
TIANEPTINUM**
TIANEPTINUM**
TIANEPTINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**

Denumire Comerciala

forma farm.

RISPERIDONE TEVA 4 mg
RISON 4 mg
SPRING 4 mg

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
RISPERIDONA FARMAL 4 mg
RONYDAL 4 mg
COMPR. FILM.
RISPERIDONE TORRENT 4 m COMPR. FILM.
COMPR. FILM.
RISPERIDONA MEDOCHEMI
TORENDO Q-TAB 1 mg
COMPR.
ESSENS OD 1 mg
COMPR.
TORENDO Q-TAB 2 mg
COMPR.
ESSENS OD 2 mg
COMPR.
ESSENS OD 3 mg
COMPR.
RISPOLEPT CONSTA (R) 25

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

RISPOLEPT CONSTA 25 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

RISPOLEPT CONSTA (R) 37

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

RISPOLEPT CONSTA 37,5 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

RISPOLEPT CONSTA (R) 50

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

RISPOLEPT CONSTA 50 mg
RISPOLEPT
RISPOLEPT
ABILIFY 10mg
ABILIFY 15mg
ABILIFY 7,5mg/ml
LINISAN 10 mg
DALSAN 10 mg
LINISAN 20 mg
DALSAN 20 mg
DALSAN 40 mg
CIPRALEX 10 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
COAXIL (R)
IVRYX 150mg
EFECTIN EP 150 mg
ELIFY EP 150 mg
EFECTIN ER 150 mg
VELAXIN 150 mg
ALVENTA 150mg
FOBILESS 150 mg
ADOXA EP 150 mg
VENLAFAXINA ACTAVIS 150

VENLAFAXINA ARENA EP 15
VENLAFAXINA TERAPIA 150
VENLAFAXINA TERAPIA 150

FOBILESS 37,5 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL.

SOL. ORALA
SOL. ORALA
COMPR.
COMPR.
SOL. INJ.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P
COMPR. ELIB. P

COMPR. FILM.
COMPR. FILM.
DRAJ.
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE

concentratie

4mg
4mg
4mg
4mg
4mg
4mg
4mg
1mg
1mg
2mg
2mg
3mg
25mg
25mg
37,5mg
37,5mg
50mg
50mg
1mg/ml
1mg/ml
10mg
15mg
7,5mg/ml
10mg
10mg
20mg
20mg
40mg
10mg
150mg
150mg
75mg
75mg
12,5 mg
12,5 mg
12,5mg
150 mg
150 mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
37,5mg

TEVA PHARMA

TARA
DET. APP
ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/

P-

ACTAVIS GROUP HF.

ISLANDA

CUTIE X 2 BLIST. PVC-PVDC/

P-

ANTIBIOTICE S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X 3 BLIST. PVC-P

P-

CUTIE X 5 BLIST. PVC-P

P-

CUTIE CU 6 BLIST. PVC

P-

CUTIE X 2 BLIST. PVC

P-

CUTIE CU BLIST. PVC-PE

PRF

DETINATOR APP

FARMAL INTER

ROMASTRU TRADI

TORRENT PHARMA S

MEDOCHEMIE LTD. CIPRU

AMBALAJ

Prescriptie

KRKA D.D. NOVO M

SLOVENI

CUTIE

P-

TERAPIA SA

ROMANIA

CUTIE

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE

P-

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

CUTIE

P-

CUTIE

P-

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

S/P-RF

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

S/P-RF

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

S/P-RF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. CU ELIB. PREL. + 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2 ML SOLV.+2 ACE STERILE PT. RECONSTITUIRE+ 1 AC PT.INJECTARE INTRAMUSCULARA

S/P-RF

CUT IE CU UN FLAC.DIN ST ICLA INCOLORA CU PULB. PENT RU SUSP. INJ. CU ELIB. PREL., O SERINGA PRE-UMPLUT A DIN ST ICLA INCOLORA CU 2 ML SOLVENT , UN DISPOZIT IV ALARIS SMART SIT E +2 ACE PENT RU INJECT ARE I.M. N MUSCHIUL DELT OID SI IN MUSCHIUL GLUT EAL

S/P-RF

CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA

P-

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA

P-

OTSUKA PHARMACEUTICAL EUROPE LTD. M

CUTIE X

P-

OTSUKA PHARMACEUTICAL EUROPE LTD. M

CUTIE X

P-

OTSUKA PHARMACEUTICAL EUROPE LTD. M

CUTIE X 1FLAC. X 1,3ML SOL.INJ

P-

JANSSEN P
JANSSEN P
JANSSEN P
JANSSEN P
JANSSEN P
JANSSEN P
JANSSEN P
JANSSEN P

BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA

EGIS PHARMA

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


UNGARIA CUTIE X 2 BLIST. AL-PVC/PV
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CO
UNGARIA CUTIE X 2 BLIST. AL-PVC/PV
UNGARIA CUTIE X 2 BLIST. AL-PVC/PV

H. LUNDBECK A/S

DANEM

GEDEON RIC
EGIS PHARMA
GEDEON RIC
EGIS PHARMA

ANGELINI FRANC
ANGELINI FRANC
ANGELINI FRANC
ANGELINI FRANC

ITALIA
ITALIA
ITALIA
ITALIA

PPPPP-

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

P-

CUTIE X 1 BLIST. AL/PVC X

P-

CUTIE X 6 BLIST. AL/PVC X

P-

CUTIE X 2 BLIST. AL/PVC X

P-

CUTIE X 1 BLIST. AL/PVC X

P-

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PV


ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. DIN PV
FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ
LES LAB. SERVIER I

PRF
PRF
P-

ROMASTRU TRADI

ROMANIA

CUTIE X 2 BLIST.

P-

PFIZER EUROPE M

CUTIE CU BL

PRF

CUTIE CU BLIST PVC/AL X 3

PRF

CUTIE X 1 BLIST.

P-

MEDOCHEMIE LTD. CIPRU


AUSTRIA
WYETH LED
EGIS PHARMA

UNGARIA

CUTIE X 2 BLIST. P

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. PVC-PV

P-

LANNA

AUSTRIA

CUTIE X BLIST. PVC/AL X 30

P-

RANBAXY (UK) LIMI

CUTIE CU BLIST. PVC/AL

P-

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC/AL

P-

CUTIE X

P-

CUTIE CU BLIST. PVC-A

PRF

CUTIE CU BLIST. PVC-PV

PRF

CUTIE X BLIST. PVC/AL X 30

P-

ARENA GROUP S.A. ROMANIA


TERAPIA S.A.
ROMANIA
TERAPIA S.A.
ROMANIA
AUSTRIA
LANNA
Pagina 78 din 101

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

20
20
30
50
60
20
20
30
30
30
30
30
1
1
1
1
1
1
1
1
28
28
1
30
28
30
28
28
28
20
60
30
30
30
90
30
28
28
30
28
28
30
30
30
28
30
30
30
30

35.38
37.41
56.66
93.52
110.91
33.34
34.94
12.34
12.56
26.86
26.86
41.56
424.25
424.25
597.43
597.43
719.03
719.03
52.14
156.63
483.22
483.22
21.00
7.12
7.40
39.54
10.72
33.59
90.38
24.95
63.31
18.71
18.71
22.65
63.54
33.74
23.22
58.69
40.87
58.69
38.14
40.87
40.87
40.87
23.11
40.71
40.87
40.87
24.38

1.769000
1.870500
1.888666
1.870400
1.848500
1.667000
1.747000
0.411333
0.418666
0.895333
0.895333
1.385333
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.237333
0.264285
1.318000
0.382857
1.199642
3.227857
1.247500
1.055166
0.623666
0.623666
0.755000
0.706000
1.124666
0.829285
2.096071
1.362333
2.096071
1.362142
1.362333
1.362333
1.362333
0.825357
1.357000
1.362333
1.362333
0.812666

1.769000
1.870500
1.888666
1.870400
1.848500
1.667000
1.747000
0.411333
0.417600
0.895333
0.895333
1.384800
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.237333
0.264285
0.459428
0.382857
1.199642
3.227857
1.247500
1.055166
0.623666
0.623666
0.755000
0.706000
0.847200
0.829285
0.829599
0.829599
0.829599
0.829599
0.829599
0.829599
0.829599
0.825357
0.829599
0.829599
0.829599
0.812666

1.769000
1.870500
1.888666
1.870400
1.848500
1.667000
1.747000
0.411333
0.417600
0.895333
0.895333
1.384800
424.250000
424.250000
597.430000
597.430000
719.030000
719.030000
52.140000
156.630000
17.257857
17.257857
21.000000
0.237333
0.264285
0.459428
0.382857
1.199642
3.227857
1.247500
1.055166
0.623666
0.623666
0.755000
0.706000
0.847200
0.829285
0.829599
0.829599
0.829599
0.829599
0.829599
0.829599
0.829599
0.825357
0.829599
0.829599
0.829599
0.812666

NR.CRT

DCI

COD ATC

315 N06AX
316 N06AX
317 N06AX
318 N06AX
319 N06AX
320 N06AX
321 N06AX
322 N06AX
323 N06AX
324 N06AX
325 N06AX
326 N06AX
327 N06AX
328 N06AX
329 N06AX
330 N06AX
331 N06AX
332 N06AX
333 N06AX
334 N06AX
335 N06AX
336 N06AX
337 N06AX

VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
VENLAFAXINUM**
MILNACIPRANUM**
MILNACIPRANUM**
DULOXETINUM**
DULOXETINUM**

Denumire Comerciala

VENLAFAXINA ARENA EP 37

IVRYX 75mg
EFECTIN EP 75 mg
ELIFY EP 75 mg
EFECTIN ER 75 mg
VELAXIN 75 mg
ALVENTA 75 mg
FOBILESS 75 mg
ADOXA EP 75 mg
VENLAFAXINA ACTAVIS 75 m

VENLAFAXINA ARENA EP 75

VENLAFAXINA TERAPIA 75 m
VENLAFAXINA TERAPIA 75 m
VENLAFAXINA ARENA 37,5 m

forma farm.
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE

COMPR.
VENLAFAXINA ARENA 50 mg COMPR.
VENLAFAXINA ARENA 75 mg COMPR.
ARGOFAN 150 SR
COMPR. ELIB. P
ARGOFAN 75 SR
COMPR. ELIB. P
COMPR. FILM.
VENLAFAXINA ACTAVIS 37,5
IXEL
CAPS.
IXEL
CAPS.
CYMBALTA 30mg
CAPS. GASTROR
CYMBALTA 60mg
CAPS. GASTROR

concentratie

37,5mg
75 mg
75 mg
75 mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
75mg
37,5mg
50mg
75mg
150mg
75mg
37,5 mg
25mg
50mg
30mg
60mg

TARA
DET. APP
ARENA GROUP S.A. ROMANIA
ROMANIA
ROMASTRU TRADI
DETINATOR APP

PFIZER EUROPE M

MEDOCHEMIE LTD. CIPRU


AUSTRIA
WYETH LED

AMBALAJ

Prescriptie

CUTIE X

P-

CUTIE X 2 BLIST.

P-

CUTIE CU BL

PRF

CUTIE CU BLIST. PVC/AL

PRF

CUTIE X 1 BLIST.

P-

EGIS PHARMA

UNGARIA

CUTIE X 2 BLIST. P

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. PVC-PV

P-

LANNA

AUSTRIA

CUTIE X BLIST. PVC/AL X 30

P-

RANBAXY (UK) LIMI

CUTIE CU BLIST. PVC/AL

P-

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC/AL

P-

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.
ACTAVIS S.R.L.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE X

P-

CUTIE CU BLIST. PVC-A

PRF

CUTIE CU BLIST. PVC-PV

PRF

CUTIE X 3 BLIST. PVC-PE- PV

P-

CUTIE X 3 BLIST. PVC-PE- PV

P-

CUTIE X 3 BLIST. PVC-PE- PV

P-

CUTIE CU BLIST. PVC-

P-

CUTIE CU BLIST. PVC-

P-

PIERRE FABRE MEDICAMENT PRODUCTION


PIERRE FABRE MEDICAMENT PRODUCTION

SLOVACI
SLOVACI

ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 CO


FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS
FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS

PPP-

ELI LILLY NEDER

OLANDA
OLANDA

KRKA D.D. NOVO M

SLOVENI

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.

EGIS PHARMA

ROMANIA CUTIE CU BLIST. PVC/AL X 28 CO


ROMANIA CUTIE X 3 BLIST. PVC-PVDC/
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CO
ROMANIA CUTIE X 3 BLIST. PVC-P
ROMANIA CUTIE CU BLIST. PVC-PE
UNGARIA CUTIE CU BLIST. PVC-PVDC/
UNGARIA CUTIE CU BLIST. PVC-PVDC/
UNGARIA CUTIE CU BLIST. OPA-A
UNGARIA CUTIE CU BLIST. OPA-A

ACTAVIS GROUP P

ISLANDA CUTIE X BLIST. PVC/AL X 28 COMP

P-

BMF PHARM S.R.L.

ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 COM

P-

REPUBLICA CEHA

CUTIE X 4 BLIST. AL/PVC X 7 COM

P-

TEVA PHARMA

ROMANIA

CUTIE CU BLIST. OPA-A

P-

ACCORD HEAL

CUTIE CU BLIST. PVC/AL X 28 CO

P-

MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.

CIPRU
CIPRU
CIPRU
CIPRU

CUTIE CU BLIST. PVC/AL X 28 CO

P-

CUTIE CU BLIST. PVC/AL X 50 CO

P-

CUTIE CU BLIST. PVC/AL X 56 CO

P-

CUTIE CU BLIST. PVC/AL X 60 CO

P-

ELI LILLY NEDER

CUTIE X 28 CAPS.

P-

CUTIE X 28 CAPS

P-

CUTIE CU BLIST.

P-

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30 24.04
28 17.89
28 35.58
30 25.61
28 35.58
28 23.88
30 25.59
30 25.59
30 25.61
28 17.72
30 25.42
30 25.61
30 25.61
30 24.04
30 24.50
30 25.42
30 20.74
30 15.98
56 38.11
56 71.52
56 117.26
28 105.39
28 178.89

0.801333
0.638928
1.270714
0.853666
1.270714
0.852857
0.853000
0.853000
0.853666
0.632857
0.847333
0.853666
0.853666
0.801333
0.816666
0.847333
0.691333
0.532666
0.680535
1.277142
2.093928
3.763928
6.388928

0.801333
0.638928
0.639199
0.639199
0.639199
0.639199
0.639199
0.639199
0.639199
0.632857
0.639199
0.639199
0.639199
0.801333
0.816666
0.639199
0.691333
0.532666
0.680535
1.277142
2.093928
3.763928
6.388928

0.801333
0.638928
0.639199
0.639199
0.639199
0.639199
0.639199
0.639199
0.639199
0.632857
0.639199
0.639199
0.639199
0.801333
0.816666
0.639199
0.691333
0.532666
0.680535
1.277142
2.093928
3.763928
6.388928

28
28
30
30
30
28
28
56
28
56
28
28
28
30
28
28
50
56
60

1.863928
6.136428
2.157333
2.157333
2.176666
2.236071
3.884285
3.683392
3.884285
3.683392
2.183571
4.802142
2.236071
7.732666
6.105000
2.041785
1.939000
1.938750
1.938833

1.863928
2.184799
2.157333
2.157333
2.176666
2.184799
2.184799
2.184799
2.184799
2.184799
2.183571
2.184799
2.184799
2.184799
2.184799
2.041785
1.939000
1.938750
1.938833

1.863928
2.184799
2.157333
2.157333
2.176666
2.184799
2.184799
2.184799
2.184799
2.184799
2.183571
2.184799
2.184799
2.184799
2.184799
2.041785
1.939000
1.938750
1.938833

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie

14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***

YASNAL 10 mg
ZILDON 10mg
DAVIA 10 mg
DAVIA 10 mg
TUADIN 10 mg
PRIDIA 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
ALZEPIL 10 mg
DONECEPT 10 MG
COGITON 10 mg
COGNEZIL 10 mg
DONEPEZIL TEVA 10 mg
DONEPEZIL ACCORD 10 mg
DOSPELIN 10 mg
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.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

LABORMED PHARMA
EGIS PHARMA
EGIS PHARMA
EGIS PHARMA

Pagina 79 din 101

PPPPPPPPP-

52.19
171.82
64.72
64.72
65.30
62.61
108.76
206.27
108.76
206.27
61.14
134.46
62.61
231.98
170.94
57.17
96.95
108.57
116.33

NR.CRT

20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68

COD ATC

N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA

DCI

DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
DONEPEZILUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***

Denumire Comerciala

forma farm.

DOSPELIN 10 mg
COMPR. FILM.
DOSPELIN 10 mg
COMPR. FILM.
DONEPEZIL BLUEFISH 10 mg COMPR. FILM.
COMPR. FILM.
DONEPEZIL TORRENT 10 mg
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.
PRIDIA 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
ALZEPIL 5 mg
COMPR. FILM.
DONECEPT 5 MG
COMPR. FILM.
COGITON 5 mg
COMPR. FILM.
COGNEZIL 5 mg
COMPR. FILM.
DONEPEZIL TEVA 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 ACCORD 5 mg COMPR. FILM.
DONEPEZIL TORRENT 5 mg COMPR. FILM.
DONEPEZIL BLUEFISH 5 mg COMPR. FILM.
XALINAT 5 mg
COMPR. FILM.
YASNAL 10 mg
COMPR.
ARICEPT EVESS
COMPR.
DONEPEZIL TEVA 10 mg
COMPR.
COGNEZIL 10 mg
COMPR.
DONECTIL 10 mg
COMPR.
DARIZOL 10 mg
COMPR.
DONEPEZIL STADA HEMO

COMPR.

DONEPEZIL STADA HEMO

COMPR.

YASNAL 5 mg
ARICEPT EVESS
DONEPEZIL TEVA 5 mg
COGNEZIL 5 mg
DONECTIL 5 mg
DARIZOL 5 mg

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

DONEPEZIL STADA HEM

COMPR.

DONEPEZIL STADA HEM

COMPR.

RIVASTIGMINA TEVA 1,5mg CAPS.


CAPS.
RIVASTIGMINA RATIOPHAR
EVERTAS 1,5 mg
CAPS.
CAPS.
RIVASTIGMINE SANDOZ1,5
RIDAXIN 1,5 mg
CAPS.

concentratie

10mg
10mg
10mg
10mg
10mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
5 mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
1,5mg
1,5mg
1,5mg
1,5mg
1,5mg

DETINATOR APP

TARA
DET. APP

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
SUEDIA
BLUEFI

AMBALAJ

Prescriptie

CUTIE CU BLIST. PVC/AL X 98 CO

P-

CUTIE CU BLIST. PVC/AL X 100

P-

CUTIE CU BLIST. PVC/AL X 28 CO

P-

TORRENT PHARMA S

ROMANIA CUTIE CU BLIST. PVC/AL X 30 CO

PRF

GALENICA S.A.

GRECIA

CUTIE X 2 BLIST. PVC-P

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BLIST. DI

P-

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
ANTIBIOTICE S.A.

EGIS PHARMA

ROMANIA CUTIE CU BLIST. PVC/AL X 28 CO


ROMANIA CUTIE X 3 BLIST. PVC-PVDC/
ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CO
ROMANIA CUTIE X 3 BLIST. PVC-P
ROMANIA CUTIE CU BLIST. PVC-PE
UNGARIA CUTIE CU BLIST. PVC-PVDC/
UNGARIA CUTIE CU BLIST. OPA-A
UNGARIA CUTIE CU BLIST. OPA-A

ACTAVIS GROUP P

ISLANDA CUTIE X BLIST. PVC/AL X 28 COMP

P-

BMF PHARM S.R.L.

ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 COM

P-

REPUBLICA CEHA

CUTIE X 4 BLIST. AL/PVC X 7 COM

P-

TEVA PHARMA

ROMANIA

CUTIE CU BLIST. OPA-A

P-

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 CO

P-

CUTIE CU BLIST. PVC/AL X 50 CO

P-

CUTIE CU BLIST. PVC/AL X 56 CO

P-

CUTIE CU BLIST. PVC/AL X 60 CO

P-

CUTIE CU BLIST. PVC/AL X 98 CO

P-

CUTIE CU BLIST. PVC/AL X 100

P-

ACCORD HEAL

CUTIE CU BLIST. PVC/AL X 28 CO

P-

TORRENT PHARMA S

ROMANIA CUTIE CU BLIST. PVC/AL X 30 CO

LABORMED PHARMA
EGIS PHARMA
EGIS PHARMA

SUEDIA
GRECIA

PPPPPPPP-

PRF

CUTIE CU BLIST. PVC/AL X 28 CO

P-

CUTIE X 2 BLIST. PVC-P

P-

SLOVENI

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL TIP "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PRF

PFIZER EUROPE M

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

P-

TEVA PHARMA

ROMANIA

CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

P-

REPUBLICA CEHA

CUTIE

P-

CUTIE CU BLIST. AL/

P-

CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE

PRF

CUTIE C

PRF

CUTIE CU BLIST. AL/

PRF

BLUEFI

GALENICA S.A.
KRKA D.D.

STADA HEMOFARM

POLONIA
ROMANIA
ROMANIA
ROMANIA

KRKA D.D.

SLOVENI

CUTIE CU BLIST. OPA/AL/PVC SI FOLIE PET-AL "PEEL-OPEN" A CATE 28 COMPR. ORODISP.

PRF

PFIZER EUROPE M

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

P-

TEVA PHARMA

ROMANIA

CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 28 COMPR. ORODISP.

P-

REPUBLICA CEHA

CUTIE

P-

ICN POLFA RZESZO


ROMASTRU TRADI

STADA HEMOFARM

TEVA PHARMA BV

POLONIA CUTIE CU BLIST. AL/


ROMANIA
ROMANIA CUTIE C
ROMANIA CUTIE CU BLIST. AL/
OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 C

RATIOPHARM GMBH

GERMANI

CUTIE CU BLIST. PVC-PVDC/AL X

P-RF/R

ZENTIVA K.S.
SANDOZ S.R.L.

CEHIA

CUTIE X 3 BLIST. PVC-PVDC/AL X

P-RF/R

ICN POLFA RZESZO


ROMASTRU TRADI

STADA HEMOFARM
STADA HEMOFARM

ROMASTRU TRADI

Pagina 80 din 101

CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE

ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS.


ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAP

P-

PRF
PRF
PRF
P-RF/R

P-RF/R
P-RF/R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

98
100
28
30
28
28
28
30
30
30
28
28
28
56
28
28
28
30
28
50
56
60
98
100
28
30
28
28
28
28
28
28
30
28
28
28
28
28
28
28
30
28
28
28
56
56
30
56
56

180.19
183.87
150.35
54.62
64.86
37.28
145.89
47.72
47.72
45.18
44.73
106.21
106.21
201.43
41.75
118.91
44.73
175.19
41.29
71.26
78.43
84.02
132.50
135.21
143.02
37.78
52.03
47.94
52.19
379.17
143.78
62.61
128.38
62.61
238.90
238.90
37.28
305.48
130.00
41.99
116.07
44.72
125.98
125.98
194.50
79.35
41.08
70.74
63.91

1.838673
1.838700
5.369642
1.820666
2.316428
1.331428
5.210357
1.590666
1.590666
1.506000
1.597500
3.793214
3.793214
3.596964
1.491071
4.246785
1.597500
5.839666
1.474642
1.425200
1.400535
1.400333
1.352040
1.352100
5.107857
1.259333
1.858214
1.712142
1.863928
13.541785
5.135000
2.236071
4.279333
2.236071
8.532142
8.532142
1.331428
10.910000
4.642857
1.499642
3.869000
1.597142
4.499285
4.499285
3.473214
1.416964
1.369333
1.263214
1.141250

1.838673
1.838700
2.184799
1.820666
2.184799
1.331428
1.511199
1.511199
1.511199
1.506000
1.511199
1.511199
1.511199
1.511199
1.491071
1.511199
1.511199
1.511199
1.474642
1.425200
1.400535
1.400333
1.352040
1.352100
1.511199
1.259333
1.511199
1.511199
1.863928
2.184799
2.184799
2.184799
2.184799
2.184799
2.184799
2.184799
1.331428
1.511199
1.511199
1.499642
1.511199
1.511199
1.511199
1.511199
1.368856
1.368856
1.368856
1.263214
1.141250

1.838673
1.838700
2.184799
1.820666
2.184799
1.331428
1.511199
1.511199
1.511199
1.506000
1.511199
1.511199
1.511199
1.511199
1.491071
1.511199
1.511199
1.511199
1.474642
1.425200
1.400535
1.400333
1.352040
1.352100
1.511199
1.259333
1.511199
1.511199
1.863928
2.184799
2.184799
2.184799
2.184799
2.184799
2.184799
2.184799
1.331428
1.511199
1.511199
1.499642
1.511199
1.511199
1.511199
1.511199
1.368856
1.368856
1.368856
1.263214
1.141250

NR.CRT

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

N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA
N06DA

100 N06DA
101 N06DA
102 N06DA
103 N06DA
104 N06DA
105 N06DA
106 N06DA
107 N06DA
108 N06DA
109 N06DA
110 N06DA

111 N06DA
112 N06DX
113 N06DX
114 N06DX
115 N06DX
116 N06DX
117 N06DX

DCI

RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
RIVASTIGMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
GALANTAMINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***
MEMANTINUM***

Denumire Comerciala

forma farm.

RISTIDIC 1,5 mg

CAPS.
CAPS.
RIVASTIGMINA ACTAVIS 1,5
CAPS.
RIVASTIGMINA TORRENT 1,
NIMVASTID 1.5mg
CAPS.
RIVASTIGMINA TEVA 3mg
CAPS.
NIMVASTID 3mg
CAPS.
CAPS.
RIVASTIGMINA RATIOPHAR
RIVASTIGMINE SANDOZ 3mg CAPS.
RIDAXIN 3 mg
CAPS.
RISTIDIC 3 mg
CAPS.
EVERTAS 3 mg
CAPS.
RIVASTIGMINA ACTAVIS 3 m CAPS.
CAPS.
RIVASTIGMINA TORRENT 3
RIVASTIGMINA TEVA 4,5mg CAPS.
EVERTAS 4,5 mg
CAPS.
RIDAXIN 4,5 mg
CAPS.
CAPS.
RIVASTIGMINA ACTAVIS 4,5
RIVASTIGMINA TEVA 6mg
CAPS.
EVERTAS 6 mg
CAPS.
RIDAXIN 6 mg
CAPS.
RIVASTIGMINA ACTAVIS 6 m CAPS.
NIMVASTID 1.5 mg
COMPR.
NIMVASTID 3mg
COMPR.
NIMVASTID 4.5 mg
COMPR.
NIMVASTID 6mg
COMPR.
EXELON 13,3mg/24h
PLASTU
EXELON 4,6mg/24h
PLASTU
RIVASTIGMINA TORRENT

PLASTU

RIVASTIGMINA TEVA 4,6 mg

PLASTU

EXELON 9,5mg/24h

PLASTU

RIVASTIGMINA TORRENT

PLASTU

RIVASTIGMINA TEVA 9,5 mg

PLASTU

RIVASTIGMINA TEVA 2 mg/ml


REMINYL 16 mg
GALSYA 16 mg
GALANTAMINA TEVA 16 mg
REMINYL 24 mg
GALSYA 24 mg
GALANTAMINA TEVA 24 mg
REMINYL 8 mg
GALSYA 8 mg
GALANTAMINA TEVA 8 mg
REMINYL (R) 4 mg/ml
EBIXA 10 mg
MEMANTINA TORRENT 10 m
MARUXA
NEMDATINE 10mg
MEMANTINA TORRENT 20 m
NEMDATINE 20mg

SOL. ORALA
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE
CAPS. ELIB. PRE

SOL. ORALA
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

1,5mg
1,5mg
1,5mg
1.5mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
3mg
4,5mg
4,5mg
4,5mg
4,5mg
6mg
6mg
6mg
6mg
1.5mg
3mg
4.5mg
6mg
13,3/24h
4,6mg/24h
4,6mg/24ore
4,6mg/24ore
9,5mg/24h
9,5mg/24ore
9,5mg/24ore
2mg/ml
16mg
16mg
16mg
24mg
24mg
24mg
8mg
8mg
8mg
4mg/ml
10mg
10mg
10mg
10mg
20mg
20mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

TORRENT PHARMA S

POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS


ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X

KRKA ,D.D., NOVO

SLOVENI

TEVA PHARMA BV

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 C

P-RF/R

KRKA ,D.D., NOVO

SLOVENI

CUTIE X BLIST. PVC/PVDC/AL X

P-RF/R

RATIOPHARM GMBH

GERMANI

CUTIE CU BLIST. PVC-PVDC/AL X

P-RF/R

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST.PVC/AL X 56 CAPS.


ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAP
POLONIA CUTIE CU BLIST. PVC/AL X 56 CAPS

ICN POLFA RZESZO


ACTAVIS GROUP P

ROMASTRU TRADI
ICN POLFA RZESZO

ZENTIVA K.S.

CUTIE X BLIST. PVC/PVDC/AL X

P-RF/R

PR
P-RF/R
P-RF/R

P-RF/R
P-RF/R
P-RF/R

CUTIE X 3 BLIST. PVC-PVDC/AL X

P-RF/R

ACTAVIS GROUP P

CEHIA
ISLANDA

CUTIE CU BLIST. DIN PVC/AL X 56

PR

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X

P-RF/R

TEVA PHARMA BV
ZENTIVA K.S.

OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 C


CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X

ROMASTRU TRADI

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAP

ACTAVIS GROUP P

TEVA PHARMA BV
ZENTIVA K.S.

ISLANDA CUTIE CU BLIST. DIN PVC/AL X 56


OLANDA CUTIE CU BLIST.PVC/ACLAR X 56 C
CEHIA
CUTIE X 3 BLIST. PVC-PVDC/AL X

ROMASTRU TRADI

ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAP

P-RF/R

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. DIN PVC/AL X 56

PR

KRKA ,D.D., NOVO

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

KRKA ,D.D., NOVO

SLOVENI
SLOVENI
SLOVENI
SLOVENI

CUTIE X BLIST.UNIDOZA OPA/AL/PVC/PET/AL X (28 X 1) COMPR. ORODISPESABILE

P-RF/R

NOVARTIS EURO

CUTIE X 30 PLICURI X 1 P

NOVARTIS EURO

CUTIE X 30 PLICURI X 1 P

PR
PR

TORRENT PHARMA

ROMANIA
ROMANIA

CUTIE CU 30 PLICURI MULTILAMINATE, REZISTENTE LA ACTIUNEA COPIILOR, DIN HARTIE/PET/AL/PAN X 1 PLASTU

PRF

TEVA PHARMA

CUTIE CU 30 PLICURI MULTILAMINATE, REZISTENTE LA ACTIUNEA COPIILOR, DIN HARTIE/PET/AL/PAN X 1 PASTUR

PRF

NOVARTIS EURO

CUTIE X 30 PLICURI X 1 P

PR

TORRENT PHARMA

CUTIE CU 30 PLICURI MULTILAMINATE, REZISTENTE LA ACTIUNEA COPIILOR, DIN HARTIE/PET/AL/PAN X 1 PLASTU

PRF

CUTIE CU 30 PLICURI MULTILAMINATE, REZISTENTE LA ACTIUNEA COPIILOR, DIN HARTIE/PET/AL/PAN X 1 PASTUR

PRF

TEVA PHARMA

ROMANIA
ROMANIA
ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 125 ML SOL. ORALA + 1 SERINGA DOZATOARE

P-RF/R

JANSSEN P

BELGIA

CUTIE X 4 BLIST. P

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BL

PRF

TEVA PHARMA

ROMANIA

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

PRF

JANSSEN P

BELGIA

CUTIE X 4 BLIST. P

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BL

PRF

TEVA PHARMA

ROMANIA

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

PRF

JANSSEN P

BELGIA

CUTIE X 4 BLIST. P

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE CU BL

PRF

TEVA PHARMA

ROMANIA

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

PRF

JANSSEN-PHA

BELGIA

CUTIE X 1 FLACON X 1

P-

H. LUNDBECK A/S

DANEM

CUTIE X 56 COMPR. FILM. (BLIST.

P-RF/R

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. PVC-PVDC/

KRKA D.D.

SLOVENI

CUTIE C

ACTAVIS GROUP P

ISLANDA

CUTI

TORRENT PHARMA S

ROMANIA

CUTIE CU BLIST. PVC-PVDC/

ACTAVIS GROUP P

ISLANDA

CUTI

KRKA ,D.D., NOVO


KRKA ,D.D., NOVO

TEVA PHARMA

Pagina 81 din 101

P-RF/R
P-RF/R
P-RF/R

PR
P-RF/R
P-RF/R

PR
PR
PR
PR
PR

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

56
56
56
28
56
28
56
56
56
56
30
56
56
56
30
56
56
56
30
56
56
28
28
28
28
30
30
30
30
30
30
30
1
28
30
30
28
30
30
28
30
30
1
56
56
56
28
56
28

70.74
1.263214
1.263214
1.263214
63.88
1.140714
1.140714
1.140714
72.39
1.292678
1.292678
1.292678
37.89
1.353214
1.353214
1.353214
215.96
3.856428
2.787000
2.787000
78.01
2.786071
2.786071
2.786071
150.48
2.687142
2.687142
2.687142
133.98
2.392500
2.392500
2.392500
130.32
2.327142
2.327142
2.327142
133.98
2.392500
2.392500
2.392500
83.75
2.791666
2.787000
2.787000
130.06
2.322500
2.322500
2.322500
143.02
2.553928
2.553928
2.553928
323.93
5.784464
2.587500
2.587500
96.65
3.221666
2.587500
2.587500
120.75
2.156250
2.156250
2.156250
150.15
2.681250
2.587500
2.587500
407.51
7.276964
3.299142
3.299142
109.54
3.651333
3.299142
3.299142
153.96
2.749285
2.749285
2.749285
169.85
3.033035
3.033035
3.033035
37.89
1.353214
1.353214
1.353214
78.01
2.786071
2.786071
2.786071
89.80
3.207142
2.587500
2.587500
101.04
3.608571
3.299142
3.299142
589.06 19.635333 19.635333 19.635333
390.58 13.019333 10.262799 10.262799
256.57
8.552333
8.552333
8.552333
256.57
8.552333
8.552333
8.552333
390.58 13.019333 10.262799 10.262799
256.57
8.552333
8.552333
8.552333
256.57
8.552333
8.552333
8.552333
420.26 420.260000 420.260000 420.260000
374.39 13.371071
1.458799
1.458799
84.97
2.832333
1.458799
1.458799
36.47
1.215666
1.215666
1.215666
417.57 14.913214
1.458799
1.458799
113.29
3.776333
1.458799
1.458799
36.47
1.215666
1.215666
1.215666
201.08
7.181428
1.458799
1.458799
59.64
1.988000
1.458799
1.458799
36.47
1.215666
1.215666
1.215666
254.22 254.220000 254.220000 254.220000
417.38
7.453214
5.946213
5.946213
277.49
4.955178
4.955178
4.955178
277.51
4.955535
4.955535
4.955535
139.66
4.987857
4.987857
4.987857
519.49
9.276607
9.276607
9.276607
265.89
9.496071
9.496071
9.496071

NR.CRT

DCI

COD ATC

118 N06DX
119 N06DX

MEMANTINUM***
MEMANTINUM***

forma farm.

Denumire Comerciala

EBIXA 5mg/doza

PICATURI ORA

MEMANTINA TEVA 5 mg/do

SOL. ORALA

concentratie

5mg/doza
5mg/doza

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

H LUNDBECK A/S

DANEM

CUTIE X 1 FLACON DIN STICLA BRUNA CU POMPA DOZATOARE X 50 ML SOLUTIE

P-RF/R

TEVA PHARMA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA + POMPA DOZATOARE A 50 ML SOL. ORALA

PR

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

1 352.22 352.220000 274.740000 274.740000


1 228.95 228.950000 228.950000 228.950000

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie

15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMIOZITA, VASCULITE SISTEMICE) - G 17
1
2
3
4
5
6
7
8

H02AB
H02AB
L01AA
L01AA
L04AX
L04AX
L04AX

P01BA

METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
CYCLOPHOSPHAMIDUM*
CYCLOPHOSPHAMIDUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
HYDROXYCHLOROQUINUM

MEDROL A 16
MEDROL 32
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
PLAQUENIL

COMPR.
COMPR.
DRAJ.
PULB.

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

16mg
32mg
50mg
200mg
100mg
50mg
75mg
200mg

PFIZER EUROPE M

CUTIE X 5 BLIST. A-PVC/PVC X 10

P-

PFIZER EUROPE M

CUTIE X 2 BLIST. AL-PVC/PVC X

P-

BAXTER ONCOLO

GERMANI

CUTIE X 5 BLIST. PVC-PVDC/AL X

P-

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. P

EBEW

AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COM

THE

CUTIE X 4 BLIST. AL/PVC X 25 CO

S/P-RF

EBEW

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 C

PR

SANOFI -

ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM

P-6

KRKA D.D. NOVO M

SLOVENI

CUTIE X 5 BLIST.

P-6

AC HELCOR PHARM

ROMANIA

CUTIE CU 5 BLIST. PVC

P6L

MERCK SHARP &

BELGIA

CUTIE X 5 FIOLE X 1 ML

P-

PFIZER EUROPE M

CUTIE X 5 BLIST. A-PVC/PVC X 10

P-

PFIZER EUROPE M

CUTIE X 2 BLIST. AL-PVC/PVC X

P-

S
PR

50
20
50
1
50
100
100
60

32.62
29.65
26.13
15.89
55.38
80.90
78.89
31.39

0.652400
1.482500
0.522600
15.890000
1.107600
0.809000
0.788900
0.523166

0.652400
1.482500
0.522600
15.890000
1.107600
0.809000
0.788900
0.523166

0.652400
1.482500
0.522600
15.890000
1.107600
0.809000
0.788900
0.523166

50
50
5
50
20
10
30
1
5
1
1
10
1
1
1
1
1
1
1
1
30
30
30
30
30

28.24
28.20
34.53
32.62
29.65
28.81
21.62
400.81
241.07
89.66
67.79
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
182.03
80.27
160.47
54.93
133.74

0.564800
0.564000
6.906000
0.652400
1.482500
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
6.067666
2.675666
5.349000
1.831000
4.458000

0.564800
0.564000
6.906000
0.652400
1.482500
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
2.197200
2.197200
2.197200
1.831000
2.197200

0.564800
0.564000
6.906000
0.652400
1.482500
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
2.197200
2.197200
2.197200
1.831000
2.197200

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie si boli infectioase.

16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

A07EC
A07EC
H02AB
H02AB
H02AB
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L04AA
L04AA
L04AA
L04AA
L04AA

SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
METHYLPREDNISOLONUM5)
METHYLPREDNISOLONUM5)
METHOTREXATUM4
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**

SULFASALAZIN EN
SALAZIDIN GR 500 mg
DIPROPHOS
MEDROL A 16
MEDROL 32
METHOTREXATE PCH 10mg

COMPR.

COMPR. GAST

METHOTREXATE PCH 2,5mg

SUSP. INJ. I.M.


COMPR.
COMPR.
COMPR.
COMPR.

METHOTREXAT "EBEWE" 50

CONC. PT.

METHOTREXAT "EBEWE" 50

CONC. PT.

METHOTREXAT "EBEWE" 10

CONC. PT.

EMTHEXATE PF

SOL. INJ.
SOL. INJ.

METHOTREXAT "EBEWE" 5
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
LEFLUNOMIDA SANDOZ 10

ARAVA 10mg
LEFLUNOMIDA RATIOPHA

LEFLUNOMIDE WINTHROP

LEFLUNOMIDA MEDAC 10 m

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. FILM.
COMPR. FILM.

500mg
500mg
7mg/ml
16mg
32mg
10mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
25mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
10 mg
10mg
10mg
10mg
10mg

ROMANIA CUTIE X 10COMPR.


ROMANIA CUTIE X30 COMPRIMATE

P6L

EBEW

AUSTRIA CUTIE X 1 FLACON X 50 ML


AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN M
ROMANIA CUTIE X 1 FIOLA X 2ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

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

S
S
S
PR
S
PR
PR
PR
PR

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLACON PEID CU CAPAC PP CU DESICANT X 30 COMPR. FILM.

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANI

CUTIE X 1 FLAC. PEID X 30 COMPR

PR
PR

RATIOPHARM GMBH

GERMANI

CUTIE X 1 FLAC. PEID X 30 COMPR

P-RF/R

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANI

CUTIE X 1 FLAC. PEID X 30 COMPR

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

CUTIE CU 1 FLACON DIN PEID

TEVA PHARMA
TEVA PHARMA
EBEWE PHAR
EBEWE PHAR
EBEWE PHAR
TEVA PHARMA
EBEWE PHAR
EBEW
EBEW
EBEW

Pagina 82 din 101

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

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

P6L

PR
PR

NR.CRT

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

L04AA
L04AA
L04AA
L04AA
L04AA
L04AA
L04AA
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD

L04AX
L04AX
L04AX
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A

P01BA

DCI

LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
LEFLUNOMIDUM**
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
HYDROXYCHLOROQUINUM

Denumire Comerciala

LEFLON 10 mg

forma farm.

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

SANDOZ S.R.L.

TARA
DET. APP
ROMANIA
ROMANIA

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANI

CUTIE X 1 FLAC. PEID X 30 COMPR

PR
PR
PR

RATIOPHARM GMBH

GERMANI

CUTIE X 1 FLAC. PEID X 30 COMPR

P-

SANOFI- AVENTIS DEUTSCHLAND GMBH

GERMANI

CUTIE X 1 FLAC. PEID X 30 COMPR

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

CUTIE CU 1 FLACON DIN PEID

ROMASTRU TRADI

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL

PR
PR
PR

concentratie

10mg
20 mg
LEFLUNOMIDA SANDOZ 20
ARAVA 20mg
20mg
20mg
LEFLUNOMIDA RATIOPHA
20mg
LEFLUNOMIDE WINTHROP
20mg
LEFLUNOMIDA MEDAC 20 m
LEFLON 20 mg
20mg
EQUORAL (R) 100 mg
100mg
EQUORAL 100 mg
100mg
SANDIMMUN NEORAL (R)
25mg
EQUORAL (R) 25 mg
25mg
EQUORAL 25 mg
25mg
SANDIMMUN NEORAL (R)
50mg
EQUORAL (R) 50 mg
50mg
EQUORAL 50 mg
50mg
IMMUNOPRIN 100 mg
100mg
IMURAN (R)
50mg
IMMUNOPRIN 75 mg
75mg
DICLOREUM 150 mg
CAPS. ELIB. PRE 150mg
CAPS. ELIB. PRE 75mg
DICLOFENAC DUO
TRATUL 50
50mg
CAPS. MOI
DICLOTARD 100 mg
100mg
COMPR. CU E
DICLAC (R) 75 ID
75mg
COMPR. ELIB.
VOLTAREN (R) RETARD
100mg
COMPR. FI
REFEN (R) RETARD
100mg
COMPR. FI
RHEUMAVEK
25mg
COMPR.
VOLTAREN (R) 50
50mg
COMPR.
DICLOFENAC 50 mg
50mg
COMPR.
CLAFEN 50 mg
50mg
COMPR.
DICLOFENAC 50 mg
50mg
COMPR.
VOLTAREN RAPID (R)
DRAJ.
50mg
DICLOFENAC ARENA 25 mg DRAJ. GASTRO
25mg
N - DICLOFENAC
50mg
DRAJ. GASTRO
DICLOFENAC ARENA 50 mg DRAJ. GASTRO
50mg
DICLOFENAC ARENA 50 mg DRAJ. GASTRO
50mg
VOLTAREN (R)
SOL. INJ.
25mg/ml
RHEUMAVEK
SOL. INJ.
25mg/ml
TRATUL (R)
SOL. INJ.
30mg/ml
DICLAC
SOL. INJ.
75mg
DICLOFENAC 75 mg
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
REFEN 75 mg
SOL. INJ./PERF. 25mg/ml
CLAFEN 100 mg
SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
100mg
DICLOFENAC 100 mg
SUPOZ.
100mg
SUPOZ.
100mg
DICLOFENAC SODIC 100 mg
VOLTAREN (R)
SUPOZ.
50mg
PLAQUENIL
COMPR. FILM. 200mg

DETINATOR APP
ROMASTRU TRADI

AMBALAJ
CUTIE CU BLIST. PA-AL-PVC/AL
CUTIE CU 1 FLACON PEID CU CAPAC PP DESICANT X 30 COMPR. FILM.

EBEW

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANI CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANI CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COM

THE

IVAX - PHA
TEVA CZE

NOVARTIS PHARM
IVAX - PHA
TEVA CZE

NOVARTIS PHARM
IVAX - PHA
TEVA CZE

EBEW

ALFA WASSERMANN
PHARMASWISS CESKA REPUBLIKA S.R.O.

GEROT PHAR

CEHIA
CEHIA

AUSTRIA
ITALIA
CEHIA
AUSTRIA

Prescriptie

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

PR

CUTIE X 4 BLIST. AL/PVC X 25 CO

S/P-RF

CUTIE CU 1 FLAC. PEID X 100 C

PR

CUTIE X 2 BLIST. AL/PVC X 10

P-6

CUTIE X 3 BLIST. PVC/P

P-6

CUTIE X 3 BLIS

P-6

TERAPIA SA
HEXAL AG

ROMANIA

CUTIE X

P-6

GERMANI

CUTIE X 1 BLIST. AL/PP X 10

P-6

NOVARTIS PHARM

GERMANI

CUTIE

P-6

STADA HEMOFARM S

ROMANIA

CUTIE X 2 BLIST. PVC/

P-6

FARAN LABORATO

GRECIA

CUTIE X

P-6

NOVARTIS PHARM

GERMANI

CUTI

P-6

TERAPIA SA
ANTIBIOTICE SA

CUTIE X 2 BLIST.

P-6

CUTIE X 2 BLIST. X 10 COM

P-6

AC HELCOR PHARM

ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST.

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 1 BLIST. PVC-PE-PVDC/

P-6

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X


ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ.
ROMANIA CUTIE X 2 BLIST. AL/PVC X
ROMANIA CUTIE X 1 BLIST. AL/PVC X

P-6

NOVARTIS PHARM

GERMANI

FARAN LABORATO

GRECIA
AUSTRIA

GEROT PHAR

P-6
P-6
P-6

CUTIE X 5 FIOLE CU PUNCT DE

P-

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-

CUTI

P-

HEXAL AG
TERAPIA SA

GERMANI

CUTIE X 5 FIOLE X 3 ML SOL. INJ.

P-

ROMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-

ALIUD PHARMA GMB

GERMANI

CUTIE X 5 FIOLE DIN S

P-

ALIUD PHARMA GMB

GERMANI

CUTIE X 10 FIOLE DIN

P-

STADA HEMOFARM S

ANTIBIOTICE SA

ROMANIA CUTIE CU
ROMANIA CUTIE X 2 FOLII TERMOSUDANT

NOVARTIS PHARM

GERMANI

SINTOFARM SA
MAGISTRA C & C

ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.


ROMANIA CUTIE X 2 FOLII TERMOSU
GERMANI CUTIE X 2 FOLII PVC/PEJD X 5 SUP
ROMANIA CUTIE X 6 BLIST. X 10 COMPR. FILM

NOVARTIS PHARM
SANOFI -

Pagina 83 din 101

CUTIE X 1 FOLIE PVC/PE-JD X 5 S

P-

P-6
P-6
P-6
P-6
P-6
P-6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

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

54.93
190.22
152.20
190.22
104.33
190.22
104.33
307.60
307.60
137.32
75.17
75.17
292.16
147.58
147.58
55.38
80.90
78.89
47.70
20.49
6.39
8.21
3.93
6.56
8.55
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
6.38
9.45
31.39

1.831000
6.340666
5.073333
6.340666
3.477666
6.340666
3.477666
6.152000
6.152000
2.746400
1.503400
1.503400
5.843200
2.951600
2.951600
1.107600
0.809000
0.788900
2.385000
0.683000
0.213000
0.410500
0.393000
0.656000
0.427500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.638000
0.945000
0.523166

1.831000
4.173199
4.173199
4.173199
3.477666
4.173199
3.477666
6.152000
6.152000
1.804080
1.503400
1.503400
3.541920
2.951600
2.951600
1.107600
0.809000
0.788900
2.385000
0.471600
0.136200
0.410500
0.393000
0.492600
0.427500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.656666
0.765600
0.695000
0.638000
0.945000
0.523166

1.831000
4.173199
4.173199
4.173199
3.477666
4.173199
3.477666
6.152000
6.152000
1.804080
1.503400
1.503400
3.541920
2.951600
2.951600
1.107600
0.809000
0.788900
2.385000
0.471600
0.136200
0.410500
0.393000
0.492600
0.427500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.656666
0.765600
0.695000
0.638000
0.945000
0.523166

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie, medicina interna sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii pt
specialitatea recuperare, medicina fizica balneofizioterapie )

17. SPONDILITA ANKILOZANTA - G 19


1
2
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

A07EC
A07EC
H02AB
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A
M01A

SULFASALAZINUM
SULFASALAZINUM
BETAMETHASONUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM
DICLOFENACUM

SULFASALAZIN EN
SALAZIDIN GR 500 mg
DIPROPHOS
DICLOREUM 150 mg

500mg
500mg
SUSP. INJ. I.M. 7mg/ml
CAPS. ELIB. PRE 150mg
CAPS. ELIB. PRE 75mg
DICLOFENAC DUO
TRATUL 50
50mg
CAPS. MOI
DICLOTARD 100 mg
100mg
COMPR. CU E
DICLAC (R) 75 ID
75mg
COMPR. ELIB.
VOLTAREN (R) RETARD
100mg
COMPR. FI
REFEN (R) RETARD
100mg
COMPR. FI
RHEUMAVEK
25mg
COMPR.
VOLTAREN (R) 50
50mg
COMPR.
DICLOFENAC 50 mg
50mg
COMPR.
CLAFEN 50 mg
50mg
COMPR.
DICLOFENAC 50 mg
50mg
COMPR.
VOLTAREN RAPID (R)
DRAJ.
50mg
DICLOFENAC ARENA 25 mg DRAJ. GASTRO
25mg
N - DICLOFENAC
50mg
DRAJ. GASTRO
DICLOFENAC ARENA 50 mg DRAJ. GASTRO
50mg
DICLOFENAC ARENA 50 mg DRAJ. GASTRO
50mg
VOLTAREN (R)
SOL. INJ.
25mg/ml
RHEUMAVEK
SOL. INJ.
25mg/ml
TRATUL (R)
SOL. INJ.
30mg/ml
DICLAC
SOL. INJ.
75mg
DICLOFENAC 75 mg
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
DICLOFENAC AL I.M.
SOL. INJ.
75mg/3ml
REFEN 75 mg
SOL. INJ./PERF. 25mg/ml
CLAFEN 100 mg
SUPOZ.
100mg
VOLTAREN (R)
SUPOZ.
100mg
DICLOFENAC 100 mg
SUPOZ.
100mg
SUPOZ.
100mg
DICLOFENAC SODIC 100 mg
VOLTAREN (R)
SUPOZ.
50mg
COMPR.

KRKA D.D. NOVO M

SLOVENI

CUTIE X 5 BLIST.

P-6

COMPR. GAST

AC HELCOR PHARM

ROMANIA

CUTIE CU 5 BLIST. PVC

P6L

MERCK SHARP &

BELGIA CUTIE X 5 FIOLE X 1 ML


ITALIA
CUTIE X 2 BLIST. AL/PVC X 10
CEHIA
CUTIE X 3 BLIST. PVC/P
AUSTRIA CUTIE X 3 BLIS

ALFA WASSERMANN
PHARMASWISS CESKA REPUBLIKA S.R.O.

GEROT PHAR

P-

P-6
P-6
P-6

TERAPIA SA
HEXAL AG

ROMANIA

CUTIE X

P-6

GERMANI

CUTIE X 1 BLIST. AL/PP X 10

P-6

NOVARTIS PHARM

GERMANI

CUTIE

P-6

STADA HEMOFARM S

ROMANIA

CUTIE X 2 BLIST. PVC/

P-6

FARAN LABORATO

GRECIA

CUTIE X

P-6

NOVARTIS PHARM

GERMANI

CUTI

P-6

TERAPIA SA
ANTIBIOTICE SA

CUTIE X 2 BLIST.

P-6

CUTIE X 2 BLIST. X 10 COM

P-6

AC HELCOR PHARM

ROMANIA
ROMANIA
ROMANIA

CUTIE X 2 BLIST.

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 1 BLIST. PVC-PE-PVDC/

P-6

ARENA GROUP SA
MEDUMAN SA
ARENA GROUP SA
ARENA GROUP SA

ROMANIA CUTIE X 3 BLIST. AL/PVC X


ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ.
ROMANIA CUTIE X 2 BLIST. AL/PVC X
ROMANIA CUTIE X 1 BLIST. AL/PVC X

P-6

NOVARTIS PHARM

GERMANI

FARAN LABORATO

GRECIA
AUSTRIA

GEROT PHAR

P-6
P-6
P-6

CUTIE X 5 FIOLE CU PUNCT DE

P-

CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML

P-

CUTI

P-

HEXAL AG
TERAPIA SA

GERMANI

CUTIE X 5 FIOLE X 3 ML SOL. INJ.

P-

ROMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML

P-

ALIUD PHARMA GMB

GERMANI

CUTIE X 5 FIOLE DIN S

P-

ALIUD PHARMA GMB

GERMANI

CUTIE X 10 FIOLE DIN

P-

STADA HEMOFARM S

ANTIBIOTICE SA

ROMANIA CUTIE CU
ROMANIA CUTIE X 2 FOLII TERMOSUDANT

NOVARTIS PHARM

GERMANI

SINTOFARM SA
MAGISTRA C & C

ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ.


ROMANIA CUTIE X 2 FOLII TERMOSU
GERMANI CUTIE X 2 FOLII PVC/PEJD X 5 SUP

NOVARTIS PHARM

CUTIE X 1 FOLIE PVC/PE-JD X 5 S

P-

P-6
P-6
P-6
P-6
P-6

50
50
5
20
30
30
20
10
10
20
30
20
20
20
20
10
30
20
20
30
5
5
5
5
5
5
10
5
6
5
10
10
10

Tratamentul se initiaza si se monitorizeaza de catre medicul in specialitatea reumatologie sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii pt specialitatea
recuperare, medicina fizica balneofizioterapie )

Pagina 84 din 101

28.24
28.20
34.53
47.70
20.49
6.39
8.21
3.93
6.56
8.55
5.72
6.56
4.25
3.04
2.27
2.34
5.72
2.54
2.65
3.98
9.40
6.10
14.24
6.10
6.10
6.10
12.22
4.05
3.94
5.47
6.95
6.38
9.45

0.564800
0.564000
6.906000
2.385000
0.683000
0.213000
0.410500
0.393000
0.656000
0.427500
0.190666
0.328000
0.212500
0.152000
0.113500
0.234000
0.190666
0.127000
0.132500
0.132666
1.880000
1.220000
2.848000
1.220000
1.220000
1.220000
1.222000
0.810000
0.656666
1.094000
0.695000
0.638000
0.945000

0.564800
0.564000
6.906000
2.385000
0.471600
0.136200
0.410500
0.393000
0.492600
0.427500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.656666
0.765600
0.695000
0.638000
0.945000

0.564800
0.564000
6.906000
2.385000
0.471600
0.136200
0.410500
0.393000
0.492600
0.427500
0.190666
0.136200
0.136200
0.136200
0.113500
0.136200
0.190666
0.127000
0.132500
0.132666
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.972000
0.810000
0.656666
0.765600
0.695000
0.638000
0.945000

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARENALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI NEUROENDOCRINE) - G 22
1
2
3
4
5
6
7
8
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

G02C
G02C

H01AX
H01AX
H01BA
H01BA
H01BA
H01BA
H01BA
H01CB
H01CB
H01CB
H01CB
H01CB
H01CB
H01CB

H02AA
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA
H03AA

CABERGOLINUM**
CABERGOLINUM**
PEGVISOMANTUM****
PEGVISOMANTUM****
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
OCTREOTIDUM****
LANREOTIDUM****
LANREOTIDUM****
LANREOTIDUM****
FLUDROCORTISONUM
PREDNISOLONUM
PREDNISOLONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
HYDROCORTISONUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM

DOSTINEX
DOSTINEX
SOMAVERT 10 mg
SOMAVERT 20 mg
DESMOPRESINA TEVA 0,2mg
MINIRIN 0,2 mg
MINIRIN MELT 120 mcg
MINIRIN MELT 60 mcg
MINIRIN MELT 60 mcg
SANDOSTATIN LAR 20 mg
SANDOSTATIN LAR 10 mg
SANDOSTATIN LAR 30 mg
SANDOSTATIN (R)
SOMATULINE (R) PR 30 mg
SOMATULINE PR 30 mg

COMPR.
COMPR.

SOMATULINE AUTOGEL 120

SOL. INJ. CU

ASTONIN H
SOLU - DECORTIN H 250
SOLU - DECORTIN H 50
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg

COMPR.

LIOF. + SOL
LIOF. + SOL

COMPR.
COMPR.
LIOF. ORAL
LIOF. ORAL
LIOF. ORAL
PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

SOL. INJ.
LIOF. PT. S
LIOF. PT. S

LIOF. + SOL
LIOF. + SOL

HYDROCORTISONE ROUSS

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.

HYDROCORTISONE SUCC

LIOF. + SOL

HYDROCORTISONE 500 mg
HIDROCORTIZON HF 500 mg
HIDROCORTIZON HF 100 mg
HIDROCORTIZON HEMISUC
L-THYROXIN 100 BERLIN -

EUTHYROX 100mcg
LEVOTIROXINA TEVA 100

EUTHYROX 100g
LEVOTIROXINA TEVA 125
LEVOTIROXINA TEVA 150
LEVOTIROXINA TEVA 175

EUTHYROX 200mcg
LEVOTIROXINA TEVA 200

EUTHYROX 200g
EUTHYROX 25mcg
LEVOTIROXINA TEVA 25 mi

EUTHYROX 25g
L-THYROXIN 50
EUTHYROX 50mcg
LEVOTIROXINA TEVA 50 mi

EUTHYROX 50g

LIOF. PT. S
PULB. + SOLV. PT. SOL. INJ./PERF.
PULB. SI SOLV. PT. SOL. INJ./PERF.

SOL. INJ. I.V.


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

0,5mg
0,5mg
10mg
20mg
0,2mg
0,2mg
120mcg
60mcg
60mcg
20mg
10mg
30mg
0,1mg/ml
30mg
30mg
120mg
0,1mg
250mg
50mg
5mg
5mg
5mg
5mg
10mg
100mg
500mg
500mg
100mg
25mg/5ml
100mcg
100mcg

PFIZER EUROPE M

PFIZER EUROPE M

CUTIE X 1 FLAC. X 2 COMPR.


CUTIE X 1 FLAC. X 8 COMPR.

CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE

P-RF/R

ROMANIA

CUTIE CU BLIST. OPA-AL- PVC/

P-

FERRING GMBH
FERRING GMBH
FERRING GMBH
FERRING GMBH

GERMANI

CUTIE X 1 FLAC. DIN PEID X 30 CO

P-

GERMANI

CUTIE X 3 BLIST. AL/

P-

GERMANI

CUTIE X 1 BLIST AL/AL

P-

GERMANI

CUTIE X 3 BLIST AL/AL

P-

NOVARTIS PHARM

GERMANI

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARM

GERMANI

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARM

GERMANI

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

NOVARTIS PHARM

GERMANI

CUTIE X 5 FIOLE X 1 ML

S/P-RF

BEAUFOUR IPSE

FRANTA

CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE

FRANTA/GERMANIA

CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE

S
S

FRANTA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC

S/P-RF

GERMANI

CUTIE X 1 FLAC. DIN PP X 50 COMP

P-

GERMANI

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV.

P-

GERMANI

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

P-

100microgra

TEVA PHARMA

100g

MERCK KGAA

125microgra

TEVA PHARMA

150microgra

TEVA PHARMA

175microgra

TEVA PHARMA

200mcg

MERCK KGAA

200microgra

TEVA PHARMA

200g
25mcg

MERCK KGAA
MERCK KGAA

25microgram

TEVA PHARMA

25g
50mcg
50mcg

MERCK KGAA

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL


GERMANI CUTIE X 4 BLIST. PVC/AL X 25 COM
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL
GERMANI CUTIE X 4 BLIST. AL/PP X 25 COMPR
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL
GERMANI CUTIE X 4 BLIST. AL/PVC X 25 COM
GERMANI CUTIE X 4 BLIST. PP/AL X 25 COMPR
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL
GERMANI CUTIE X 4 BLIST. PVC/AL X 25 COM

BER

GERMANI

CUTIE X 4 BLIST. PVC-PVDC/AL

MERCK KGAA

GERMANI

CUTIE X 4 BLIST. PP/AL X 25 COMPR

P-6

50microgram

TEVA PHARMA

50g

MERCK KGAA

PFIZER LIMITED
PFIZER LIMITED
TEVA PHARMAC

IPSEN PHARMA
IPSEN PHARMA
MERCK KGAA
MERCK KGAA
MERCK KGAA

MAGISTRA C&C S.R.L ROMANIA


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

CUTIE X 2 BLIST. AL/PVC X 10 COM


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

PP-

PPP-

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

P-

CUTIE X 1 FLAC. 25 COMPR.

PRF

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML

S/P-RF

CUTIE X 1 FLAC. LIOF. + 1 FIOLA

P-

CUTIE X 1 FLAC. DIN STICLA X 20 ML, INCCHIS CU DOP DIN CAUCIUC GRI, ETANSAT CU CAPSA DIN ALUMINIU, C

PR/PRF

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

PR/PRF

CUTIE X 5 FIOLE X 1 ML

S/P-RF

BER

GERMANI

CUTIE X 4 BLIST. PVC-PVDC/AL

P-6

MERCK KGAA

GERMANI

CUTIE X 4 BLIST. PP/AL X 25 COMPR

P-6

Pagina 85 din 101

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL


GERMANI CUTIE X 4 BLIST. PVC/AL X 25 COM

P6L
P-6

P6L
P6L
P6L
P-6

P6L
P-6
P-6

P6L
P-6

P6L
P-6

2
8
30
30
30
30
30
10
30
1
1
1
5
1
1
1
50
3
3
20
30
30
20
25
1
1
1
1
5
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100

43.59
123.74
,603.01
135.17

128.50
120.65
184.89
34.06
97.02

21.795000 18.561000 18.561000


15.467500 15.467500 15.467500
286.767000 286.767000 286.767000
571.172333 571.172333 571.172333
4.283333
4.283333
4.283333
4.021666
4.021666
4.021666
6.163000
6.163000
6.163000
3.406000
3.406000
3.406000
3.234000
3.234000
3.234000

,829.62

,829.620000

,829.620000

,829.620000

,400.54

,400.540000

,400.540000

,400.540000

,288.92

,288.920000

,288.920000

,288.920000

152.62

30.524000

30.524000

30.524000

,572.80

,572.800000

,572.800000

,572.800000

,572.80

,572.800000

,572.800000

,572.800000

,089.12

,089.120000

,089.120000

,089.120000

47.78
95.62
35.71
2.65
2.62
3.71
2.57
12.20
3.91
11.91
11.91
7.09
21.33
12.48
11.69
7.60
11.69
9.49
11.40
13.30
24.14
15.70
24.14
9.51
6.18
9.51
8.40
8.27
5.38
8.27

0.955600
31.873333
11.903333
0.132500
0.087333
0.123666
0.128500
0.488000
3.910000
11.910000
11.910000
7.090000
4.266000
0.124800
0.116900
0.076000
0.116900
0.094900
0.114000
0.133000
0.241400
0.157000
0.241400
0.095100
0.061800
0.095100
0.084000
0.082700
0.053800
0.082700

0.955600
31.873333
11.903333
0.104799
0.087333
0.104799
0.104799
0.488000
3.910000
11.910000
11.910000
4.692000
4.266000
0.091200
0.091200
0.076000
0.091200
0.094900
0.114000
0.133000
0.188400
0.157000
0.188400
0.074160
0.061800
0.074160
0.064560
0.064560
0.053800
0.064560

0.955600
31.873333
11.903333
0.104799
0.087333
0.104799
0.104799
0.488000
3.910000
11.910000
11.910000
4.692000
4.266000
0.091200
0.091200
0.076000
0.091200
0.094900
0.114000
0.133000
0.188400
0.157000
0.188400
0.074160
0.061800
0.074160
0.064560
0.064560
0.053800
0.064560

NR.CRT

47
48
49
50
51
52

COD ATC

H03AA
H03CA
H03CA
H03CA
H03CA
N04BC

DCI

LEVOTHYROXINUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
KALII IODIDUM
BROMOCRIPTINUM

Denumire Comerciala
LEVOTIROXINA TEVA 75 mi

JODID 100
JODID 100
JODID 200
JODID 200
BROCRIPTIN (N04BC01)

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
DRAJ.

concentratie

DETINATOR APP

75microgram

TEVA PHARMA

100mcg
100mcg
200mcg
200mcg
2,5mg

MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
BIOFARM SA

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

Pagina 86 din 101

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL
P6L
GERMANI CUTIE X 4 BLIST. AL/PP X 25 COMPR PGERMANI CUTIE X 4 BLIST. AL/PVC X 25 COM
PGERMANI CUTIE X 4 BLIST. PP/AL X 25 COMPR PGERMANI CUTIE X 4 BLIST. PVC/AL X 25 COM
PROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ
P-

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

100
100
100
100
100
40

8.07
12.33
12.33
19.23
19.23
21.16

0.080700
0.123300
0.123300
0.192300
0.192300
0.529000

0.080700
0.123300
0.123300
0.192300
0.192300
0.529000

0.080700
0.123300
0.123300
0.192300
0.192300
0.529000

NR.CRT

DCI

COD ATC

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

19. BOALA WILSON - G23


1
2

M01C
M01C

PENICILLAMINUM**4
PENICILLAMINUM**4

CUPRENIL
CUPRENIL

COMPR. FILM.
COMPR. FILM.

250mg
250mg

CN UNIFARM
CN UNIFARM

ROMANIA CUTIE X 1FLAC. X 100 COMPR. FILM


ROMANIA CUTIE X 30 CPR.FILM.

PP-

100 124.30
30 44.78

1.243000
1.492666

1.243000
1.491600

1.243000
1.491600

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

20. BOALA CRONICA DE RINICHI - faza predializa - G 25


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

A11CC

PARICALCITOLUM**
PARICALCITOLUM**

B03AC

COMPLEX DE HIDROXID DE FER (II

B03XA

EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**

A11CC

B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
B03XA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA

ZEMPLAR 1mcg
ZEMPLAR 2mcg
VENOFER (R)
BINOCRIT 10000UI/1,0ml
BINOCRIT 1000UI/0,5ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 3000UI/0,3ml
EPREX 40000 UI/ml
BINOCRIT 40000 UI/1 ml
BINOCRIT 4000UI/0,4ml
BINOCRIT 5000UI/0,5ml
NEORECORMON 10000UI/0,6
NEORECORMON 2000UI/0,3m
NEORECORMON 30000UI/0,6
NEORECORMON 4000UI/0,3m
NEORECORMON 5000UI/0,3m

NEORECORMON 500UI/0,3ml
ARANESP 100mcg/0,5ml
ARANESP 10mcg/0,4ml
ARANESP 150mcg/0,3ml
ARANESP 20mcg/0,5ml
ARANESP 300mcg/0,6ml
ARANESP 30mcg/0,3ml
ARANESP 40mcg/0,4ml
ARANESP 500mcg/ml
ARANESP 50mcg/0,5ml
ARANESP 60mcg/0,3ml
ARANESP 80mcg/0,4ml
IRBESARTAN AUROBINDO
IRBESARTAN AUROBINDO

IRBESARTAN GALENICA 150

APROVEL 150mg
IRBESARTAN WINTHROP 1

IRBESARTAN TERAPIA 150 m


IRBESARTAN SANDOZ 150 m

IRPRESTAN 150 mg
IFIRMASTA 150 mg

CAPS. MOI
1mcg
CAPS. MOI
2mcg
SOL. INJ./PERF. 20mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

SPANIA CUTIE X 4 BLIST.


SPANIA CUTIE X 4 BLIST. PVC/F
VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 6 SERINGI PREUMPLU
10000UI/1,0m SANDOZ GMBH
1000UI/0,5ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPL
2000UI/1,0ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPLU
SANDOZ GMBH
AUSTRIA CUTIE X 1 SERINGA PREU
30000UI/0,7
3000UI/0,3ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPL
40 000UI/ml JOHNSON & J
SLOVENI CUTIE CU 1 SERINGA PREU
AUSTRIA CUTIE X 1 SERINGA PREUMPL
40000 UI/1 m SANDOZ GMBH
4000UI/0,4ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPL
5000UI/0,5ml SANDOZ GMBH
AUSTRIA CUTIE X 6 SERINGI PREUMPL

SOL. INJ. IN SERINGA PREUMPLUTA

10000UI/0,6m ROCHE REGISTRA

CUTIE X 6 SERIN

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

2000UI/0,3ml

ROCHE REGISTRA

CUTIE X 6 SERI

S/P-RF/R

SOL. INJ. IN SERINGA PREUMPLUTA

30000 UI/0,6

ROCHE REGISTRA

CUTIE X 1 SERINGA PRE-UMP

S/P-RF/R

4000UI/0,3ml
5000UI/0,3ml
500UI/0,3ml

ROCHE REGISTRA

CUTIE X 6 SERIN

S/P-RF/R

ROCHE REGISTRA

CUTIE X 6 SERIN

S/P-RF/R

ROCHE REGISTRA

CUTIE X 6 SERIN

S/P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 1 SERINGA PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 1 SERINGA PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE X 4 SERINGI PREUMPLU

P-RF/R

CUTIE CU BLIST. PVC-PVDC/AL X

P6L

CUTIE CU BLIST. PVC-PVDC/AL X

P6L

CUTIE CU BLIST. PVC/

P6L

CUTIE X BLIST PVC/PVDC/AL X

P-6

CUTIE X 28 COMPR. FILM. (BLI

P-6

CUTIE CU BLIST. PVC-PE

P-6

CUTIE CU BLIST. OPA-A

P-6

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

ABBOTT LABORA

P-

ABBOTT LABORA

P-

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

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

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

S/P-RF/R

ROMANIA
ROMANIA

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC-PVDC/

P-6

KRKA ,D.D., NOVO

SLOVENI

CUTIE X BLIST. PVC/PE

P-6

150mg
300mg
150 mg
150mg
150mg
150mg
150mg
150mg
150mg

SOL. INJ. IN SERINGA PREUMPLUTA

S/P-RF/R

TERAPIA S.A.
SANDOZ S.R.L.

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

SOL. INJ. IN SERINGA PREUMPLUTA

S/P-RF/R

SANOFI PHARMA - BRISTOL MYERS SQUIBB

SOL. INJ. IN SERINGA PREUMPLUTA

SOL. INJ. IN SERINGA PREUMPLUTA

S/P-RF/R

OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
OLANDA
MALTA
MALTA
GRECIA
FRANTA
FRANTA

100mcg/0,5m AMGEN EUROPE BV


10mcg/0,4ml AMGEN EUROPE BV
150mcg/0,3m AMGEN EUROPE BV
20mcg/0,5ml AMGEN EUROPE BV
300mcg/0,6m 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

SOL. INJ. IN SERINGA PREUMPLUTA

S/P-RF

AU
AU

GALENICA S.A.
SANOFI PHARMA - BRISTOL MYERS SQUIBB

Pagina 87 din 101

28
28
5
6
6
6
1
6
1
1
6
6
6
6
1
6
6
6
4
4
4
4
1
4
4
1
4
4
4
28
28
28
28
28
28
28
30
28

468.00
931.18
149.77
,728.54

218.42
425.83
788.23
603.73
,353.47

16.714285 16.714285 16.714285


33.256428 33.256428 33.256428
29.954000 29.954000 29.954000
288.090000 288.090000 288.090000
36.403333 36.403333 36.403333
70.971666 70.971666 70.971666
788.230000 788.230000 788.230000
100.621666 100.621666 100.621666
,353.470000

,193.316000

,193.316000

994.43 994.430000 994.430000 994.430000


781.57 130.261666 130.261666 130.261666
959.37 159.895000 159.895000 159.895000
,346.60 391.100000 391.100000 391.100000
526.27 87.711666 87.711666 87.711666
,174.53

,174.530000

,174.530000

,174.530000

981.05 163.508333 163.508333 163.508333


,208.30 201.383333 201.383333 201.383333
143.93 23.988333 23.988333 23.988333
,173.01 793.252500 793.252500 793.252500
391.56 97.890000 97.890000 97.890000
,708.35

,177.087500

,177.087500

,177.087500

702.64 175.660000 175.660000 175.660000


,208.61

,208.610000

,208.610000

,208.610000

252.367500 252.367500 252.367500


,318.95 329.737500 329.737500 329.737500
,009.47
,633.81
,626.76
,937.17
,555.95

27.21
35.53
18.10
33.14
18.12
29.83
33.50
23.08
37.35

,633.810000

,633.810000

,633.810000

406.690000 406.690000 406.690000


484.292500 484.292500 484.292500
638.987500 638.987500 638.987500
0.971785
0.775713
0.775713
1.268928
1.243285
1.243285
0.646428
0.646428
0.646428
1.183571
0.775713
0.775713
0.647142
0.647142
0.647142
1.065357
0.775713
0.775713
1.196428
0.775713
0.775713
0.769333
0.769333
0.769333
1.333928
0.775713
0.775713

NR.CRT

39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74

DCI

COD ATC

C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA
C09CA

H02AB
H02AB
H02AB
H02AB
H05BX
H05BX
L01AA
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD

L04AX
L04AX
L04AX
V06D

IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
IRBESARTANUM**
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PARICALCITOLUM**
PARICALCITOLUM**
CYCLOPHOSPHAMIDUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
COMBINATII (AMINOACIZI)**

Denumire Comerciala

IRBESARTAN TEVA 150 mg


IRBESARTAN TORRENT 150

ATOKKEN 150 mg
IRBESARTAN ZENTIVA 150m

IRBESARTAN TEVA 300 mg


IRBESARTAN GALENICA 300

APROVEL 300mg
IRBESARTAN WINTHROP 3

IRBESARTAN TERAPIA 300 m


IRBESARTAN SANDOZ 300 m

IRPRESTAN 300 mg
IFIRMASTA 300mg
IRBESARTAN TORRENT 300

ATOKKEN 300 mg
IRBESARTAN ZENTIVA 300m
IRBESARTAN TORRENT 75 m

ATOKKEN 75 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
ZEMPLAR
ZEMPLAR
ENDOXAN (R) 50 mg
EQUORAL (R) 100 mg
EQUORAL 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
EQUORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
EQUORAL 50 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg
KETOSTERIL

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.
COMPR.
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
CAPS. MOI
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

150mg
150mg
150mg
150mg
300 mg
300 mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
5mg
5mg
5mg
5mg
5 mcg/ml
5 mcg/ml
50mg
100mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg
50mg
75mg

TEVA PHARMA B.V.

OLANDA

CUTIE X BLIST. PVC/PVDC/AL

P-6

TORRENT PHARMA S

CUTIE CU BLIST. PVC-PVDC/

P6L

ROMASTRU TRADI

ROMANIA
ROMANIA

CUTIE CU 2 BLIST. PVC-PV

P6L

SANOFI-AVENTIS

FRANTA/GERMANIA

CUTIE X 28 COMPR. FILM. (BLI

P-6

CUTIE X BLIST. PVC/PVDC/AL

P-6

CUTIE CU BLIST. PVC/

P6L

CUTIE X BLIST PVC/PVDC/AL X

P-6

CUTIE X 28 COMPR. FILM. (BLI

P-6

CUTIE CU BLIST. PVC-PE

P-6

CUTIE CU BLIST. OPA-A

P-6

FAR

TEVA PHARMA B.V.


GALENICA S.A.
SANOFI PHARMA - BRISTOL MYERS SQUIBB

OLANDA
GRECIA
FRANTA
FRANTA

TERAPIA S.A.
SANDOZ S.R.L.

ROMANIA
ROMANIA

ACTAVIS GROUP P

ISLANDA

CUTIE CU BLIST. PVC-PVDC/

P-6

KRKA ,D.D., NOVO

SLOVENI

CUTIE X BLIST. PVC/PE

P-6

TORRENT PHARMA S

CUTIE CU BLIST. PVC-PVDC/

P6L

ROMASTRU TRADI

ROMANIA
ROMANIA

CUTIE CU 2 BLIST. PVC-PV

P6L

SANOFI-AVENTIS

FRANTA/GERMANIA

CUTIE X 28 COMPR. FILM. (BLI

P-6

CUTIE CU BLIST. PVC-PVDC/

P6L

CUTIE CU 2 BLIST. PVC-PV

P6L

SANOFI PHARMA - BRISTOL MYERS SQUIBB

ROMANIA
ROMANIA
ROMASTRU TRADI
MAGISTRA C&C S.R.L ROMANIA
ARENA GROUP SA ROMANIA
SINTOFARM SA
ROMANIA
ROMANIA
GEDEON RIC
TORRENT PHARMA S

CUTIE X 2 BLIST. AL/PVC X 10 COM


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

PPP-

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

P-

ABBOTT LABOR

SPANIA
SPANIA

CUTIE X 5 FIOLE X 2 ML SOL. INJ.


CUTIE X 5 FIOLE X 1 ML SOL. INJ.

S
S

BAXTER ONCOLO

GERMANI

CUTIE X 5 BLIST. PVC-PVDC/AL X

P-

ABBOTT LABOR

EBEW

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANI CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANI CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COM

THE

CUTIE X 4 BLIST. AL/PVC X 25 CO

S/P-RF

EBEW

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 C

PR

FRESENIUS KABI DEUTSCHLAND GMBH

GERMANI

CUTIE X 5 BLIST. DIN PVC/AL

P-

IVAX - PHA
TEVA CZE

NOVARTIS PHARM
IVAX - PHA
TEVA CZE

NOVARTIS PHARM
IVAX - PHA
TEVA CZE

CEHIA
CEHIA

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

PR

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

28
28
28
28
28
28
28
28
28
28
30
28
28
28
28
28
28
20
30
30
20
5
5
50
50
50
50
50
50
50
50
50
50
100
100
100

21.54
0.769285
0.769285
0.769285
21.54
0.769285
0.769285
0.769285
44.88
1.602857
0.775713
0.775713
18.12
0.647142
0.647142
0.647142
29.01
1.036071
1.036071
1.036071
29.43
1.051071
1.051071
1.051071
43.20
1.542857
1.243285
1.243285
29.32
1.047142
1.047142
1.047142
38.87
1.388214
1.243285
1.243285
64.85
2.316071
1.243285
1.243285
31.09
1.036333
1.036333
1.036333
60.27
2.152500
1.243285
1.243285
29.01
1.036071
1.036071
1.036071
60.29
2.153214
1.243285
1.243285
29.32
1.047142
1.047142
1.047142
16.18
0.577857
0.577857
0.577857
40.39
1.442500
0.693428
0.693428
2.65
0.132500
0.104799
0.104799
2.62
0.087333
0.087333
0.087333
3.71
0.123666
0.104799
0.104799
2.57
0.128500
0.104799
0.104799
902.02 180.404000 180.404000 180.404000
474.83 94.966000 94.966000 94.966000
26.13
0.522600
0.522600
0.522600
307.60
6.152000
6.152000
6.152000
307.60
6.152000
6.152000
6.152000
137.32
2.746400
1.804080
1.804080
75.17
1.503400
1.503400
1.503400
75.17
1.503400
1.503400
1.503400
292.16
5.843200
3.541920
3.541920
147.58
2.951600
2.951600
2.951600
147.58
2.951600
2.951600
2.951600
55.38
1.107600
1.107600
1.107600
80.90
0.809000
0.809000
0.809000
78.89
0.788900
0.788900
0.788900
233.98
2.339800
2.339800
2.339800

Tratamentul se initiaza de catre medicul in specialitatea nefrologie. Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de supleere a functiei renale la bolnavii cu insuficienta renala
cronica.

21. GLAUCOM - G 26
1
2
3
4
5

S01EC
S01EC
S01EC
S01ED
S01ED

DORZOLAMIDUM
DORZOLAMIDUM
BRINZOLAMIDUM
TIMOLOLUM
TIMOLOLUM

DORZOPT 20 mg/ml
TRUSOPT
AZOPT 10mg/ml
NYOLOL GEL
TIMOLOL ROMPHARM 0,25%

PIC. OFT., SOL


SOL. OFT.
PICATURI OFT.-

GEL OFT.
PIC. OFT., SOL.

20mg/ml
20mg/ml
10mg/ml
1mg/g
2,5mg/ml

MERCK SHARP &

ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC


ROMANIA CUTIE X 1 FLA

ALCON LABORATO

CUTIE X 1 FLACON PEJD X 5 ML

P-6

NOVARTIS PHARM

GERMANI

CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR

P-6

ROMPHARM COMP

ROMANIA

CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.

P-6

ROMPHARM COMP

Pagina 88 din 101

P-

P-6

1
1
1
1
1

27.37
40.75
50.95
15.39
3.11

27.370000
40.750000
50.950000
15.390000
3.110000

27.370000
32.844000
50.950000
15.390000
3.110000

27.370000
32.844000
50.950000
15.390000
3.110000

NR.CRT

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

DCI

COD ATC

forma farm.

Denumire Comerciala

S01ED

TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
TIMOLOLUM
BETAXOLOLUM
BETAXOLOLUM
BETAXOLOLUM
CARTEOLOLUM
CARTEOLOLUM
CARTEOLOLUM

S01ED

COMBINATII (BIMATOPROSTUM + T

S01ED

COMBINATII (DORZOLAMIDUM+TIMO

TIMOLOL ROMPHARM 0,5%


TIMOPTIC
TIMOLOL 0,25%
TIMOLOL 0,5%
BETAX
BETOPTIC
BETOPTIC - S
FORTINOL EP 2%
CARTEOL 2%
CARTEOL 2%
GANFORT
COSOPT

S01ED

COMBINATII (LATANOPROSTUM+TIM

LATANOPROST/TIMOLOL STADA HEMOFARM 50 micrograme/ml si 5 mg/ml

PIC. OFT.,SOL.
PIC. OFT.-SOL.
PIC. OFT., SOL

S01ED

COMBINATII (LATANOPROSTUM+TIM

XALOPTIC COMBI 5

PIC. OFTALMIC

S01ED

COMBINATII (LATANOPROSTUM+TIM

XALCOM (R)

S01ED

COMBINATII (TAVOPROSTUM+TIMOLO

S01EE

LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
LATANOPROSTUM
BIMATOPROSTUM
BIMATOPROSTUM
TRAVOPROSTUM

S01ED
S01ED
S01ED
S01ED
S01ED
S01ED
S01ED
S01ED
S01ED

S01EE
S01EE
S01EE
S01EE
S01EE
S01EE
S01EE
S01EE
S01EE

PIC. OFT.,SOL.
PIC. OFT.-SOL.
PICATURI OFT.PICATURI OFT.-

PIC. OFT.-SOL.
PIC.OFTALMICE
PICATURI OFT.P

PICATURI OFT.PICATURI OFT.-

SOL. OFT.
DUOTRAV 40mcg/ml + 5mg/m PIC. OFT.-SOL.
XALAPROST 50 micrograme/m PIC. OFT., SOL
SIFITAN 50 micrograme/ml
PIC. OFT., SOL
PIC. OFT., SOL.
LATANOPROST STADA
UNILAT 50 micrograme/ml
PIC. OFT., SOL.
GLAUTAN 0,05 mg/ml
PIC. OFT.,SOL.
XALATAN (R)
PICATURI OFT.XALOPTIC
PICATURI OFT.LUMIGAN 0,1mg/ml
PIC. OFT.,SOL.
LUMIGAN 0,3mg/ml
PIC. OFT.,SOL.
TRAVATAN 40mcg/ml
PICATURI OFT.S

concentratie

5mg/ml
5mg/ml
0,25%
0,5%
5mg/ml
5mg/ml
0,25%
20mg/ml
2%
20mg/ml

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL.
ROMPHARM COMP
ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL.
MERCK SHARP &
E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 FLACO
E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 FLACON CU PICURATOR
ROMPHARM SRL
ROMANIA CUTIE X 1 FLACON
BELGIA CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL.
ALCON COUVREUR
BELGIA CUTIE X 1 FLACON DIN PEJD
ALCON COUVREUR
DETINATOR APP

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

S.I.F.I. SPA
S.I.F.I. SPA

GERMANI

ITALIA
ITALIA
IRLANDA

Prescriptie

P-6
P-6
P-6
P-6
P-6
P-6
P-6

CUTIE

P-6

CUTIE X 30 FLACOANE UNID

CUTIE X 1 FLACON

P-6

CUTIE X 1 FLAC. DIN PEJD X 3

P-

CUTI

P-6

CUTIE CU 1 FLAC. TRANSPARENT PEJD + PICURATOR TRANSPARENT PEJD X 2,5 ML PIC. OFT., SOL.

P6L

CUTIE CU 1 FLAC. PEJD X 2,5 M

P6L

300mcg/m

ALLERGAN PHARMACEUTICALS IRELAND

FAR

MERCK SHARP &

50micrograme/ml+5mg/ml

STADA HEMOFARM S

50micrograme/ml+5mg/ml

PHARMACEUTICAL WORKS POLPHARMA SA

ROMANIA
ROMANIA
POLONIA

FAR

PFIZER EUROPE M

CUTIE X 1 FLACON X 2,5 ML

P-6

40mcg/ml

ALCON LABO

CUTIE X 1 FLAC. D

P-

50microgra

ICN POLFA RZESZO

CUTIE CU 1 FLAC. PEJD CU PICURATOR PEJD X 2,5 ML PIC. OFT., SOL.

P-6

50microgra

NTC S.R.L.

CUTIE CU 1 FLAC. PEJD X 2,5 M

P6L

50 microgr

STADA HEMOFARM S

POLONIA
ITALIA
ROMANIA

CUTIE CU 1 FLAC. DIN PEJD CU CAPAC DIN PEID X 2,5 ML PIC. OFT. PT. APROX. 80 PIC. SOL.

P6L

50microgra

UNIMED PHARM

REPUBLICA SLOVACA

CUTIE CU 1 FLAC. P

P-6

0,05mg/ml
0,005%
0,005%
0,1mg/ml
0,3mg/ml
40mcg/ml

ROMPHARM COMP

ROMANIA

CUTIE CU 1 FLAC. PEJD CU CAPACITATEA DE 5 ML+PICURATOR DIN PEJD, CU CAPAC DE SIGURANTA DIN PEJD X 2,

P6L

PFIZER EUROPE M

CUTIE X 1 FLACON PICURATOR PE

P-6

CUTIE X 1 FLAC

P-6

CUTIE X 1 FLAC. DIN PEJD X 3

P-

CUTIE X 1 FLAC. DIN PEJD X 3

P-

CUTIE X 1 FLACON X 2,5 ML

P-6

0,5mg
4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
4mg/ml
8mg
8mg
8mg/2ml
8mg/2ml
16mg
32mg
125mg
500mg
5mg
5mg

CN UNIFARM S.A.

CUTIE CU 10 BLISTERE X 10 CO

PRF

ROMPHARM COMP

CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

PRF

CUTIE CU UN SUPORT CU 25 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

PRF

CUTIE CU 100 FIOLE D

PRF

CUTIE CU UN SUPORT CU 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

PRF

CUTIE CU 25 FIOLE DIN

PRF

CUTIE CU 100 FIOLE D

PRF

CUTIE X 100 FIOLE DIN

P-

CUTIE X 5 FIOLE DIN S

P-

CUTIE X 100 FIOLE DIN

P-RF/S

CUTIE X 10 FIOLE DIN ST

P-

ALLERGAN PHARMACEUTICALS IRELAND

POLONIA
IRLANDA
IRLANDA

ALCON LABORATO

PHARMACEUTICAL WORKS POLPHARMA SA

ALLERGAN PHARMACEUTICALS IRELAND

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

4.98
10.12
3.13
5.41
5.32
15.32
15.32
13.59
33.74
15.95
81.85
69.75
36.58
56.71
82.84
88.49
50.73
27.04
27.77
51.50
51.47
75.25
46.18
76.07
68.27
72.03

4.980000
10.120000
3.130000
5.410000
5.320000
15.320000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
36.580000
56.710000
82.840000
88.490000
50.730000
27.040000
27.770000
51.500000
51.470000
75.250000
46.180000
76.070000
68.270000
72.030000

4.980000
5.976000
3.130000
5.410000
5.320000
6.384000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
36.580000
43.896000
43.896000
88.490000
32.448000
27.040000
27.770000
32.448000
32.448000
32.448000
32.448000
76.070000
68.270000
72.030000

4.980000
5.976000
3.130000
5.410000
5.320000
6.384000
15.320000
13.590000
33.740000
15.950000
81.850000
69.750000
36.580000
43.896000
43.896000
88.490000
32.448000
27.040000
27.770000
32.448000
32.448000
32.448000
32.448000
76.070000
68.270000
72.030000

100 18.38
10
8.32
25 20.42
100 73.64
10 13.87
25 33.18
100 124.62
100 123.66
5
6.98
100 118.60
10 14.38
50 32.62
20 29.65
1
8.81
1 31.02
20
2.65
30
2.62

0.183800
0.832000
0.816800
0.736400
1.387000
1.327200
1.246200
1.236600
1.396000
1.186000
1.438000
0.652400
1.482500
8.810000
31.020000
0.132500
0.087333

0.183800
0.832000
0.816800
0.736400
1.387000
1.327200
1.246200
1.236600
1.396000
1.186000
1.423200
0.652400
1.482500
8.810000
31.020000
0.104799
0.087333

0.183800
0.832000
0.816800
0.736400
1.387000
1.327200
1.246200
1.236600
1.396000
1.186000
1.423200
0.652400
1.482500
8.810000
31.020000
0.104799
0.087333

Tratamentul se iniiaz de ctre medicul n specialitatea oftalmologie.

22. PEMFIGUS - G 27
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB
H02AB

DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
PREDNISONUM
PREDNISONUM

DEXAMED
DEXAMETAZONA ROMPHA
DEXAMETAZONA ROMPHA
DEXAMETAZONA ROMPHA
DEXAMETAZONA ROMPHA
DEXAMETAZONA ROMPHA
DEXAMETAZONA ROMPHA
DEXAMETHASONE SO
DEXAMETHASONE SO

DEXAMED
DEXAMED
MEDROL A 16
MEDROL 32
LEMOD SOLU 125 mg
LEMOD SOLU 500 mg
PREDNISON MCC 5 mg
PREDNISON ARENA 5 mg

COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
LIOF. PT. SOL. IN
LIOF. PT. SOL. IN

COMPR.
COMPR.

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

MEDOCHEMIE LTD. CIPRU


MEDOCHEMIE LTD. CIPRU
PFIZER EUROPE M

CUTIE X 5 BLIST. A-PVC/PVC X 10

P-

PFIZER EUROPE M

CUTIE X 2 BLIST. AL-PVC/PVC X

P-

ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA


ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOL
STADA HEMOFARM S
MAGISTRA C&C S.R.L ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COM
ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
STADA HEMOFARM S

Pagina 89 din 101

S/P-RF
S/P-RF

PP-

NR.CRT

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

DCI

COD ATC

H02AB
H02AB

J04BA
L01AA
L01AA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L01BA
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD
L04AD

L04AX
L04AX
L04AX

PREDNISONUM
PREDNISONUM
DAPSONUM4)
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
METHOTREXATUM4
METHOTREXATUM4
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
CICLOSPORINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*
AZATHIOPRINUM*

forma farm.

Denumire Comerciala

PREDNISON 5 mg
PREDNISON - RICHTER 5 mg
DISULONE
ENDOXAN (R) 50 mg
ENDOXAN 200 mg
METHOTREXATE PCH 10mg

COMPR.
COMPR.
COMPR.
DRAJ.
PULB.

METHOTREXATE PCH 2,5mg

COMPR.
COMPR.

METHOTREXAT "EBEWE" 50

CONC. PT.

METHOTREXAT "EBEWE" 50

CONC. PT.

METHOTREXAT "EBEWE" 10

CONC. PT.

EMTHEXATE PF

SOL. INJ.
SOL. INJ.

METHOTREXAT "EBEWE" 5
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg
METOTREXAT EBEWE 10 mg

METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
EQUORAL (R) 100 mg
EQUORAL 100 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 25 mg
EQUORAL 25 mg
SANDIMMUN NEORAL (R)
EQUORAL (R) 50 mg
EQUORAL 50 mg
IMMUNOPRIN 100 mg
IMURAN (R)
IMMUNOPRIN 75 mg

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

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

P-

CN UNIFARM

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COM
ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 CO
ROMANIA CUTIE X 100 COMPR.

BAXTER ONCOLO

GERMANI

P-

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. P


ROMANIA CUTIE X 10COMPR.
ROMANIA CUTIE X30 COMPRIMATE

EBEW

AUSTRIA CUTIE X 1 FLACON X 50 ML


AUSTRIA CUTIE X 5 FIOLE X 5 ML
AUSTRIA CUTIE X 1 TUB DIN M
ROMANIA CUTIE X 1 FIOLA X 2ML
AUSTRIA CUTIE X 10 FIOLE X 1 ML
AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

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

S
S
S
PR
S
PR
PR
PR
PR

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRPARATE

GERMANI

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

P-

concentratie

DETINATOR APP

5mg
5mg
100mg
50mg
200mg
10mg
2,5mg
100mg/ml
100mg/ml
100mg/ml
25mg/ml
5mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
50mg/ml
50mg/ml
50mg/ml
50mg/ml
100mg
100mg
25mg
25mg
25mg
50mg
50mg
50mg
100mg
50mg
75mg

SINTOFARM SA

200U
400U

GEDEON RIC

TEVA PHARMA
TEVA PHARMA
EBEWE PHAR
EBEWE PHAR
EBEWE PHAR
TEVA PHARMA
EBEWE PHAR
EBEW
EBEW
EBEW

CUTIE X 5 BLIST. PVC-PVDC/AL X

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

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

PP-

P6L
P6L

EBEW

CUTIE X 5 BLIST. X 10 CAPS. MOI


CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANI CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
GERMANI CUTIE X 10 BLIST. X 5 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
CUTIE X 5 BLIST. X 10 CAPS. MOI
AUSTRIA CUTIE CU 1 FLAC. PEID X 50 COM

THE

CUTIE X 4 BLIST. AL/PVC X 25 CO

S/P-RF

EBEW

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 C

PR

GENZYME EUROPE
GENZYME EUROPE

OLANDA
OLANDA

CUTIE X 1 FLAC. PULB. PT. C

PR
PR

IVAX - PHA
TEVA CZE

NOVARTIS PHARM
IVAX - PHA
TEVA CZE

NOVARTIS PHARM
IVAX - PHA
TEVA CZE

CEHIA
CEHIA

Prescriptie

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

PR

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30
20
100
50
1
10
30
1
5
1
1
10
1
1
1
1
1
1
1
1
50
50
50
50
50
50
50
50
50
100
100

3.71
2.57
32.97
26.13
15.89
28.81
21.62
400.81
241.07
89.66
67.79
23.82
78.67
59.64
122.50
110.09
124.21
78.67
74.80
109.54
307.60
307.60
137.32
75.17
75.17
292.16
147.58
147.58
55.38
80.90
78.89

0.123666
0.128500
0.329700
0.522600
15.890000
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
74.800000
109.540000
6.152000
6.152000
2.746400
1.503400
1.503400
5.843200
2.951600
2.951600
1.107600
0.809000
0.788900

0.104799
0.104799
0.329700
0.522600
15.890000
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
6.152000
6.152000
1.804080
1.503400
1.503400
3.541920
2.951600
2.951600
1.107600
0.809000
0.788900

0.104799
0.104799
0.329700
0.522600
15.890000
2.881000
0.720666
400.810000
48.214000
89.660000
67.790000
2.382000
78.670000
59.640000
122.500000
110.090000
124.210000
78.670000
71.568000
109.540000
6.152000
6.152000
1.804080
1.503400
1.503400
3.541920
2.951600
2.951600
1.107600
0.809000
0.788900

1 ,492.21
1 ,907.43

,492.210000

,492.210000

,492.210000

,907.430000

,907.430000

,907.430000

0.401000
0.350000

0.401000
0.350000

0.401000
0.350000

Tratamentul se iniiaz de ctre medicul n specialitatea dermatologie.

23. BOALA GAUCHER - G 29


1
2

A16AB
A16AB

IMIGLUCERASUM****
IMIGLUCERASUM****

CEREZYME 200U
CEREZYME 400U

PUL
PUL

CUTIE X 1 FLAC. PULB. PT. C

Dup precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de ctre medicul in specialitatea gastroenterologie, hematologie, neurologie si pediatrie.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30


1
2

J01AA
J01AA

DOXYCYCLINUM
DOXYCYCLINUM

DOXICICLINA ATB 100 mg


DOXICICLINA

CAPS.
CAPS.

100 mg
100mg

ANTIBIOTICE S.A.
ARENA GROUP SA
Pagina 90 din 101

ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAP


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

PRF
P-

10
20

4.01
7.00

NR.CRT

3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

COD ATC

J01AA
J01AA
J01AA
J01AA
J01CE
J01CE
J01CE
J01CE
J01CE
J01CE
J01CE
J01CE
J01CE
J01CE
J01CE
J01CE
J01DD
J01DD

J01FA0
J01FA0
J01FA0
J01FA0
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01FA1
J01MA
J01MA
J01MA
J01MA
J01MA

DCI

DOXYCYCLINUM
DOXYCYCLINUM
TETRACYCLINUM
TETRACYCLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
BENZYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
PHENOXYMETHYLPENICILLINUM
BENZATHINI BENZYLPENICILLINUM
BENZATHINI BENZYLPENICILLINUM
CEFIXIMUM
CEFIXIMUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

Denumire Comerciala

forma farm.

CAPS.
UNIDOX SOLUTAB
COMPR. DISP.
TETRACICLINA ARENA 250 m CAPS.
TETRACICLINA ATB 250 mg CAPS.
PENICILINA G SODICA
PULB. PT. SOL. I
PENICILINA G SODICA
PULB. PT. SOL. I
PENICILINA G POTASICA
PULB. PT. SOL. I
PENICILINA G POTASICA
PULB. PT. SOL. I
PENICILINA G SODICA
PULB. PT. SOL. I
PENICILINA G SODICA
PULB. PT. SOL. I
OSPEN (R) 1000
COMPR. FILM.
OSPEN (R) 1500
COMPR. FILM.
OSPEN (R) 500
COMPR. FILM.
OSPEN 400
SIROP
MOLDAMIN 1200000 UI
PULB. PT. SUSP.
MOLDAMIN 1200000 UI
PULB. PT. SUSP.
EFICEF 100 mg
CAPS.
EFICEF (R) 200 mg
CAPS.
ERITROMAGIS 200 mg
COMPR.
ERITROMICINA 200 mg
COMPR.
COMPR.
ERITROMICINA
DOXICICLINA SANDOZ 100

ERITROMICINA SANDOZ 20

PULB. PT. SU

AZATRIL 250 mg
SUMAMED 250 mg
SUMAMED 125 mg

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.

AZITROMICINA TERAPIA 250


AZITROMICINA TERAPIA 250

SUMAMED 500 mg
AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

AZIBIOT 500 mg
AZITROMICINA TERAPIA 500
AZITROMICINA TERAPIA 500

ZITROCIN 500 mg
AZITROX (R) 500
AZITROMICINA TERAPIA 600
AZITROMICINA TERAPIA 600

SUMAMED (R)
AZITROX 200 mg/5 ml

LIOF. PT. SOL.

AZITROMICINA SANDOZ 10

PULB. PT. SU

AZITROMICINA SANDOZ 20

PULB. PT. SU

SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
CIPROFLOXACINA ARENA 1
CIPROFLOXACINA ARENA 1

CIPROCIN 250 mg
CIPRINOL 250 mg
CIPROLEN (R) 250 mg

PULB. +

PULB. PT. SU
PULB. PT. SU
PULB. PT. SU

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

concentratie

100mg
100mg
250mg
250mg
1 000 000ui
1 000 000ui
1000000ui
1000000ui
400 000ui
400 000ui
1000000ui
1500000ui
500000ui
400000ui/5ml
1200000UI
1200000UI
100mg
200mg
200mg
200mg
200mg
200mg/5ml
250mg
250mg
125mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
600mg
600mg
500mg
200mg/5ml
100mg/5ml
200 mg/5 ml
200mg/5ml
200mg/5ml
200mg/5ml
100mg
100mg
250mg
250mg
250mg

SANDOZ SRL

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS

P-

ASTELLAS

OLANDA

P-

DETINATOR APP

CUTIE X 1 BLIST. DIN AL/PVC X

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

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


ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAP
ROMANIA CUTIE X 100 FLAC. DIN S
ROMANIA CUTIE X 1 FLAC. DIN STICLA
ROMANIA CUTIE X 1 FLAC. DIN STICLA
ROMANIA CUTIE X 100 FLAC. DIN S
ROMANIA CUTIE X 100 FLAC. DIN S
ROMANIA CUTIE X 1 FLAC. DIN STICLA

BALKANPHARM

PLIVA LJUBLIJANA D

AUSTRIA CUTIE X 1 BLIST. AL/PVC-PV


AUSTRIA CUTIE X 1 BLIST. AL/PVC-PV
AUSTRIA CUTIE X 1 BLIST. AL/PVC-PV
AUSTRIA CUTIE X 1 FLACON X 60ML
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

Prescriptie

P-

PRF
P-RF/S

PPP-RF/S
P-RF/S

PPPPP-

P-

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SUSP. INJ. I.M.

S/P-RF

CUTIE CU 1 BLIST. PVC/AL X 10 CAP


CUTIE X 1 BLIST. AL/PVC X 10 CAPS

PRF

CUTIE X 2 BLIST. X 10 COMPR.


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

PPPP-

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

P-

BULGARI

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

P-

CUTIE X 1 BLIST. PVC-PVDC/AL X

P-

PLIVA LJUBLJANA D

SLOVENI
SLOVENI

CUTIE X 1 BLIST. AL/PVC X 6 COM

P-

SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM.


ROMANIA CUTIE X 1 BLIST. PVC-ACLAR
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/

PLIVA LJUBLJANA D

SLOVENI

SANDOZ S.R.L.

ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-

KRKA D.D. NOVO M

SLOVENI

P-

TERAPIA SA
TERAPIA SA

ROMANIA CUTIE X 1 BLIST. PVC-ACLAR


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

LABORMED PHARMA

CUTIE X 1 BLIST. AL/PVC X 3 COM


CUTIE X 1 BLIST. AL/PVC X 3 COM

PPPP-

PPP-

ZENTIVA K.S.
TERAPIA SA
TERAPIA SA

CEHIA

CUTIE X 1 BLIST. AL/PVC X 3 COM

P-

ROMANIA
ROMANIA

CUTIE X 1 BLIST. PVC-ACLAR

P-

CUTIE X 1 BLIST. PA-AL-PVC/

P-

PLIVA LJUBLJANA D

SLOVENI

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

S/P-RF

ZENTIVA S.A.
SANDOZ SRL
SANDOZ SRL

ROMANIA
ROMANIA
ROMANIA

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

P-

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P-

PLIVA LJUBLIJANA D

SLOVENI
SLOVENI
SLOVENI

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-

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

P-

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

P-

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 CO

P-

CUTIE X 2 BLIST. AL/PVC X 10 CO

P-

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

CUTIE X 1 BLIST. AL/PVC-PV

P-

CUTIE X 1 BLIST. AL/PVC-PV

P-

PLIVA LJUBLIJANA D
PLIVA LJUBLIJANA D

KRKA D.D. NOVO M

SLOVENI

AC HELCOR SRL

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CO

Pagina 91 din 101

P-

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

10
10
20
20
100
1
1
100
100
1
12
12
12
1
1
100
10
10
20
20
20
1
6
6
6
6
6
6
3
3
3
3
3
3
3
3
3
5
1
1
1
1
1
1
10
20
10
10
10

3.61
6.83
2.99
6.47
401.74
4.68
4.67
401.74
274.48
3.14
3.47
6.10
2.62
9.51
5.39
451.96
21.56
34.77
7.09
9.60
8.44
11.46
25.50
37.99
25.36
48.80
25.52
25.52
38.17
48.80
25.65
25.64
25.64
25.65
22.13
44.61
44.61
161.75
16.36
22.45
34.36
25.18
48.58
60.36
37.31
65.61
6.83
6.83
6.83

0.361000
0.683000
0.149500
0.323500
4.017400
4.680000
4.670000
4.017400
2.744800
3.140000
0.289166
0.508333
0.218333
9.510000
5.390000
4.519600
2.156000
3.477000
0.354500
0.480000
0.422000
11.460000
4.250000
6.331666
4.226666
8.133333
4.253333
4.253333
12.723333
16.266666
8.550000
8.546666
8.546666
8.550000
7.376666
14.870000
14.870000
32.350000
16.360000
22.450000
34.360000
25.180000
48.580000
60.360000
3.731000
3.280500
0.683000
0.683000
0.683000

0.361000
0.420000
0.149500
0.179400
4.017400
4.680000
4.670000
4.017400
2.744800
3.140000
0.289166
0.508333
0.218333
9.510000
5.390000
4.519600
2.156000
3.477000
0.354500
0.425400
0.422000
11.460000
4.250000
5.100000
4.226666
5.100000
4.253333
4.253333
8.851999
8.851999
8.550000
8.546666
8.546666
8.550000
7.376666
14.870000
14.870000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
3.731000
3.280500
0.571200
0.571200
0.571200

0.361000
0.420000
0.149500
0.179400
4.017400
4.680000
4.670000
4.017400
2.744800
3.140000
0.289166
0.508333
0.218333
9.510000
5.390000
4.519600
2.156000
3.477000
0.354500
0.425400
0.422000
11.460000
4.250000
5.100000
4.226666
5.100000
4.253333
4.253333
8.851999
8.851999
8.550000
8.546666
8.546666
8.550000
7.376666
14.870000
14.870000
32.350000
16.360000
22.450000
34.360000
17.844000
48.580000
60.360000
3.731000
3.280500
0.571200
0.571200
0.571200

NR.CRT

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

COD ATC

J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA
J01MA

DCI

CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM

forma farm.

Denumire Comerciala

CUMINOL 250 mg
CUMINOL 250 mg
CIPROFLOXACINA ALKALO

CIFRAN
CIPROFLOXACINA ARENA 2
CIPROFLOXACINA ARENA 2

ALVEBAR 250 mg
CIPRINOL 500 mg
CIPROCIN 500 mg
CIPROLEN (R) 500 mg
CUMINOL 500 mg
CIPROFLOXACINA ALKALO

CIFRAN
CIPRO QUIN (R)
CIPROFLOXACINA ARENA
CIPROFLOXACINA ARENA

ALVEBAR 500 mg
CIPRINOL 750 mg
CIPROFLOXACINA ARENA 7

CIPROBAY XR 1000 mg
CIPROBAY XR 1000 mg
CIPROBAY XR 500 mg
CIPROBAY XR 500 mg
CIPRINOL (R)
CIPRINOL (R)

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FI
COMPR. FI
COMPR. FI
COMPR. FI

CONC. PT. SOL


CONC. PT. SOL

CIPROFLOXACINA 100 mg/10

CONC. PT. SOL

CIPRINOL
CIPRINOL
UFEXIL 2 mg/ ml

SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.
SOL. PERF.

CIPROFLOXACINA INFOME
CIPROFLOXACINA INFOME

CIPRINOL (R)

concentratie

250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
750mg
750mg
1000 mg
1000 mg
500 mg
500 mg
100mg/10ml
100mg/10ml
100mg/10ml
100mg/50ml

ALKALOID D.O.O.

TARA
DET. APP
AMBALAJ
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CO
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CO
SLOVENI CUTIE X 1 FLAC. DIN

RANBAXY UK LIMITE

DETINATOR APP
GEDEON RIC
GEDEON RIC

PP-

CUTIE X 1 BLIST. PVC/PVDC-

P-

CUTIE X 1 BLIST. AL/PVC X 10 CO

P-

CUTIE X 2 BLIST. AL/PVC X 10 CO

P-

DR. REDDY'S L

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CO

P-

KRKA D.D. NOVO M

SLOVENI

P-

ARENA GROUP S.A. ROMANIA


ARENA GROUP S.A. ROMANIA

CUTIE X 1 BLIST. AL/PVC-PV

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 CO
ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CO
GEDEON RIC

PPP-

ALKALOID D.O.O.

SLOVENI

CUTIE X 1 FLAC. DIN S

P-

RANBAXY UK LIMITE

CUTIE X 1 BLIST. PVC/PVDC-

P-

CUTIE X 1 BLIST. AL/PVC X 10 CO

P-

CUTIE X 1 BLIST. AL/PVC X 10 CO

P-

CUTIE X 2 BLIST. AL/PVC X 10 CO

P-

DR. REDDY'S L

ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CO

P-

KRKA D.D. NOVO M

SLOVENI

CUTIE X 1 BLIST. AL/PVC-PV

P-

CUTIE X 1 BLIST. AL/PVC X 10 CO

P-

GERMANI

CUTIE X 1 BLIST. D

P-

BAYER PHARMA AG GERMANI

CUTIE X 1 BLIST. D

P-

ANTIBIOTICE SA
ROMANIA
ARENA GROUP S.A. ROMANIA
ARENA GROUP S.A. ROMANIA

ARENA GROUP S.A. ROMANIA


BAYER HEALTHCAR

BAYER HEALTHCAR

GERMANI

CUTIE X 1 BLIST.

P-

BAYER PHARMA AG
KRKA D.D.
KRKA D.D.
ZENTIVA S.A.

GERMANI

CUTIE X 1 BLIST. D

P-

SLOVENI
SLOVENI

CUTIE X 50 FIOLE X 10 ML
CUTIE X 5 FIOLE X 10 ML

ROMANIA

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

S/P-RF

KRKA D.D. NOVO M

SLOVENI
SLOVENI

CUTIE X

S/P-RF

CUTIE X 1

S/P-RF

200mg/100ml KRKA D.D. NOVO M

2mg/ml
2mg/ml
2mg/ml

Prescriptie

P-

S/P-RF

DEMO SA

GRECIA CUTIE X 10 PUNGI PP X 100 ML SO

INFOMED FLUIDS SR
INFOMED FLUIDS SR

ROMANIA CUTIE X 10 PUNGI PVC PLASTIFI


ROMANIA CUTIE X 10 PUNGI PVC PLASTIFI

S
S
S

SLOVENI

CUTIE X 1 FLACON DIN STICLA X

S/P-RF

JANSSEN BIOLOGIC

OLANDA

CUTIE X 3

PR

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R

400mg/200ml KRKA D.D.

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

10
6.83
20 12.30
10
7.87
10
6.93
10
6.56
20 12.30
10
4.76
10 13.22
10 13.22
10 13.22
10 13.22
10 15.12
10
8.78
10 13.22
10
9.23
20 16.43
10
6.49
10 38.50
10 37.31
7 84.70
7 84.70
3 27.63
3 27.63
50 136.56
5 16.79
5 16.79
1
4.79
1
9.58
10 162.58
10 87.49
10 157.33
1 19.31

0.683000
0.615000
0.787000
0.693000
0.656000
0.615000
0.476000
1.322000
1.322000
1.322000
1.322000
1.512000
0.878000
1.322000
0.923000
0.821500
0.649000
3.850000
3.731000
12.100000
12.100000
9.210000
9.210000
2.731200
3.358000
3.358000
4.790000
9.580000
16.258000
8.749000
15.733000
19.310000

0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
3.850000
3.731000
12.100000
12.100000
0.778800
0.778800
2.731200
3.277440
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600

0.571200
0.571200
0.571200
0.571200
0.571200
0.571200
0.476000
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.778800
0.649000
3.850000
3.731000
12.100000
12.100000
0.778800
0.778800
2.731200
3.277440
3.277440
3.277440
9.580000
10.498800
8.749000
15.733000
18.879600

3 ,662.76
2 ,784.50
2 ,749.13

,220.920000

,220.920000

,220.920000

,392.250000

,392.250000

,392.250000

,374.565000

,374.565000

,374.565000

Tratamentul se iniiaz de ctre medicul n specialitatea dermatologie i obstetric-ginecologie (pentru gonoree i infecia cu Chlamidia).

IMUNOSUPRESOARE SELECTIVE - G31


25. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a
1
2
3

L04AB
L04AB
L04AB

INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

SO
SOL. INJ. IN SERINGA PREUMPLUTA

100mg
40mg
40mg

Tratamentul se prescrie i se monitorizeaz de ctre medicul n specialitatea gastro-enterologie i medicin intern (unit i sanitare nominalizate de ctre Ministerul Snt ii Publice)

Pagina 92 din 101

NR.CRT

COD ATC

DCI

forma farm.

Denumire Comerciala

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

26. POLIARTITRITA REUMATOIDA - G31b


1
2
3
4
5
6
7
8
9
10
11

L01XC
L01XC

L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB

RITUXIMABUM****
RITUXIMABUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

MABTHERA 100 mg
MABTHERA 500 mg

CONC. PT. SOL

ENBREL 10mg de uz pediatric

PULB+SOLV.

ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

CONC. PT. SOL


PULB+SOLV.PT
PULB. + S
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SO
SOL. INJ. IN SERINGA PREUMPLUTA

10mg/ml
10mg/ml
10mg
50mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

ROCHE REGISTRA

CUTIE X 2 FLACOANE X 10 ML

ROCHE REGISTRA

CUTIE

PFIZER LIMITED

CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX

S
S
PR

WYETH EUROPA L

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA L

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA LI

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

JANSSEN BIOLOGIC

OLANDA

CUTIE X 3

PR

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R

2
1
4
4
4
4
4
4
3
2
2

,459.64

,229.820000

,229.820000

,229.820000

,043.00

,043.000000

,043.000000

,043.000000

826.13 206.532500 206.532500 206.532500


,565.66

,141.415000

,141.415000

,141.415000

568.800000 568.800000 568.800000


,270.01 567.502500 567.502500 567.502500
,275.20

,469.17

,117.292500
,117.292500

,117.292500
,117.292500

,117.292500
,117.292500

,662.76

,220.920000

,220.920000

,220.920000

,784.50

,392.250000

,392.250000

,392.250000

,749.13

,374.565000

,374.565000

,374.565000

,469.17

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienii cu afectare renal), medicina interna sau recuperare medicina fizica i
balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)

27. ARTROPATIA PSORIAZICA - G31c


1
2
3
4
5
6
7
8
9

L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 10mg de uz pediatric

ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.

PULB+SOLV.PT
PULB. + S
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SO
SOL. INJ. IN SERINGA PREUMPLUTA

10mg
50mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

PFIZER LIMITED

CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX

PR

WYETH EUROPA L

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA L

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA LI

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

JANSSEN BIOLOGIC

OLANDA

CUTIE X 3

PR

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R

4
4
4
4
4
4
3
2
2

826.13 206.532500 206.532500 206.532500

4
4
4
4
4
4
3
2
2

826.13 206.532500 206.532500 206.532500

,565.66

,141.415000

,141.415000

,141.415000

568.800000 568.800000 568.800000


,270.01 567.502500 567.502500 567.502500
,275.20

,469.17

,117.292500
,117.292500

,117.292500
,117.292500

,117.292500
,117.292500

,662.76

,220.920000

,220.920000

,220.920000

,784.50

,392.250000

,392.250000

,392.250000

,749.13

,374.565000

,374.565000

,374.565000

,469.17

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)

28. SPONDILITA ANKILOZANTA - G 31d


1
2
3
4
5
6
7
8
9

L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 10mg de uz pediatric

ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.

PULB+SOLV.PT
PULB. + S
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SO
SOL. INJ. IN SERINGA PREUMPLUTA

10mg
50mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

PFIZER LIMITED

CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX

PR

WYETH EUROPA L

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA L

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA LI

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

JANSSEN BIOLOGIC

OLANDA

CUTIE X 3

PR

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul
Sanatatii)
Pagina 93 din 101

,565.66

,141.415000

,141.415000

,141.415000

568.800000 568.800000 568.800000


,270.01 567.502500 567.502500 567.502500
,275.20

,469.17

,117.292500
,117.292500

,117.292500
,117.292500

,117.292500
,117.292500

,662.76

,220.920000

,220.920000

,220.920000

,784.50

,392.250000

,392.250000

,392.250000

,749.13

,374.565000

,374.565000

,374.565000

,469.17

NR.CRT

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul
Sanatatii)

Pagina 94 din 101

NR.CRT

COD ATC

DCI

forma farm.

Denumire Comerciala

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

29. ARTRITA JUVENILA - G 31e


1
2
3
4
5
6

L04AB
L04AB
L04AB
L04AB
L04AB
L04AB

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****

ENBREL 10mg de uz pediatric

ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg

PULB+SOLV.

PULB+SOLV.PT
PULB. + S
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

10mg
50mg
25mg
25mg
50mg
50mg

PFIZER LIMITED

CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX

PR

WYETH EUROPA L

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA L

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA LI

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

4
4
4
4
4
4

826.13 206.532500 206.532500 206.532500

4
4
4
4
4
4
3
2
2

826.13 206.532500 206.532500 206.532500

,565.66

,141.415000

,141.415000

,141.415000

568.800000 568.800000 568.800000


,270.01 567.502500 567.502500 567.502500
,275.20
,469.17
,469.17

,117.292500
,117.292500

,117.292500
,117.292500

,117.292500
,117.292500

Tratamentul se prescrie si se monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica i balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii)

30. PSORIAZIS CRONIC SEVER - G 31f


1
2
3
4
5
6
7
8
9

L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB
L04AB

ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
ETANERCEPTUM****
INFLIXIMABUM****
ADALIMUMABUM****
ADALIMUMABUM****

ENBREL 10mg de uz pediatric

ENBREL 50 mg
ENBREL 25mg
ENBREL 25mg
ENBREL 50mg
ENBREL 50mg
REMICADE 100 mg
HUMIRA 40 mg
HUMIRA 40 mg

PULB+SOLV.

PULB+SOLV.PT
PULB. + S
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN SERINGA PREUMPLUTA
SOL. INJ. IN STILOU INJECTOR PREUMPLUT

SO
SOL. INJ. IN SERINGA PREUMPLUTA

10mg
50mg
25mg
25mg
50mg
50mg
100mg
40mg
40mg

PFIZER LIMITED

CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOX

PR

WYETH EUROPA L

CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA

P-RF/R

WYETH EUROPA L

CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA L

CUTIE X

P-RF/R

WYETH EUROPA LI

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL

P-RF/R

JANSSEN BIOLOGIC

OLANDA

CUTIE X 3

PR

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 PEN PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL

P-RF/R

ABBOTT LABORA

CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii)
NOTA:
- Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1-INSUFICIENTA
CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Caselor Judetene de Asigurari de Sanatate;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Casei Nationale de Asigurari de Sanatate;
Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;
- Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MS;
- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.

NOT: Medicamentele din aceast sublist se elibereaz prin farmacii cu circuit deschis pe baz de prescrip ie medical cu re inere n farmacie (P-RF).

Pagina 95 din 101

,565.66

,141.415000

,141.415000

,141.415000

568.800000 568.800000 568.800000


,270.01 567.502500 567.502500 567.502500
,275.20

,469.17

,117.292500
,117.292500

,117.292500
,117.292500

,117.292500
,117.292500

,662.76

,220.920000

,220.920000

,220.920000

,784.50

,392.250000

,392.250000

,392.250000

,749.13

,374.565000

,374.565000

,374.565000

,469.17

ANEXA 4

SECIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% - CONFORM DCI-URILOR DIN CANAMED, ALTELE DECT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII
PN LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENI SAU UCENICI DAC NU REALIZEAZ VENITURI, PRECUM I GRAVIDE I LUZE
DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE
VALABIL NCEPND CU 01 IULIE 2013

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

cod
ATC

DCI

Denumire Comerciala

DROTAVERINUM
ATROPINUM

NO - SPA 40 mg/2 ml

A03BA
A03BB

BUTYLSCOPOLAMMONII BRO

SCOBUTIL 10 mg/ml
PIAFEN
ALGIFEN COMPRIMATE

A03A

A03D
A03D
A03D

A05B
A06A
A06A
A07AX

A11CA
A11CA
A11CA
A11CC
A11CC
A11CC
A11CC
A11CC
A11CC
A11CC

A11DA
A11DA
A11DA
A11DB
A11DB
A11DB
A11DB
A11DB
A11DB
A11DB
A11DB
A11DB
A11DB
A11DB
A11GA
A11GA
A11GA

A11HA
A11HA

COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
NIFUROXAZIDUM
RETINOLUM
RETINOLUM
RETINOLUM
CALCITRIOLUM
COLECALCIFEROLUM
COLECALCIFEROLUM
COLECALCIFEROLUM
COLECALCIFEROLUM
COMBINATII
COMBINATII
THIAMINUM
BENFOTIAMINUM
BENFOTIAMINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
ACIDUM ASCORBICUM
ACIDUM ASCORBICUM
ACIDUM ASCORBICUM
PYRIDOXINUM
PYRIDOXINUM

SULFAT DE ATROPINA

ALGIFEN SOLUTIE INJECTA

ASPATOFORT (R)
ENDOFALK
FORTRANS
ERCEFURYL (R) 200 mg
VITAMINA A FORTE
VITAMIN A 50000 ui

forma farm.

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

40mg/2ml
1mg/ml
10mg/ml

Prescriptie

P-R

GERMANI

CUTIE

GERMANI

CUTIE X 5 F

P-R

FAR

PUL

FAR

DR. FALK PHARMA

GERMANI

PUL

FAR

IPSEN PHARMA

CAPS.
CAPS. MOI
CAPS. MOI

200mg
50000ui
50000ui
20mg/ml
0,25mcg
1000UI
500UI
0,45mg/ml
0,5mg/ml

FRANTA CUTIE CU 4 PLI


FRANTA CUTIE X 2 BLIST. X 14 CAPS.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI
ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI

CAPS. MOI
COMPR.
COMPR.

VITAMINA D3 BIOFARM 1800

PIC. ORALE

VIGANTOL OIL

PIC. ORALE

COMPR.
COMPR.
SOL. INJ.
DRAJ.
DRAJ.
CAPS. MOI
CAPS. MOI
CAPS. MOI
DRAJ.
DRAJ.
DRAJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

FAR
FAR
FAR

FAR
FAR

100mg/2ml
50mg
50mg

SANOFI-SYNTHE

BIOFARM SA
PHARCO IMPEX 93 S

BIOFARM SA
ROCHE ROMANIA S.R

MERCK KGAA
MERCK KGAA
BIOFARM S.A.
MERCK KGAA
MERCK KGAA
MERCK KGAA
ZENTIVA SA

ROMANIA CUTIE X 2 BLIST. X 10 COMPR.


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 5 F
ROMANIA CUTIE X 10 FIOLE X 10 ML
CUTIE X 6 P

P-R
P-R
P-R
P-R
P-R
P-R
P-R

P-6
P-6

ROMANIA CUTIE X 1 FLAC. DIN STICLA


ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA

P-6

CUTIE X 1 BLIST. AL/PVC X 30 COMPR.


GERMANI CUTIE X 1 BLIST. AL/PVC X 30 COMPR.

P-6

ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE,

P-6

GERMANI

P-6

GERMANI

CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR

P-R

P-6

CUTIE X 1 BLIST. AL/PVC X 30 COMPR.


GERMANI CUTIE X 1 BLIST. AL/PVC X 30 COMPR.

P-6

ROMANIA

CUTIE

P-R

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


CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ
CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS.

P-6

CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS


CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS.

P-6
P-6

GERMANI

P-6

WORWAG

GERMANI

WORWAG

GERMANI

FAR

WORWAG

GERMANI

FAR

WORWAG

GERMANI

FAR

WORWAG

GERMANI

FAR

WORWAG

GERMANI

FAR

WORWAG

GERMANI

FAR

WORWAG

GERMANI

CUTIE X 2 BLIST. PVC-PVDC/AL X 15 DRAJ


CUTIE X 4 BLIST. PVC-PVDC/AL X 25 DRAJ
CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ

FAR

WORWAG

GERMANI

CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-R

FAR

WORWAG

GERMANI

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

P-R

FAR

WORWAG

GERMANI

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML

P-R

COMPR. FILM

FAR

LANN

COMPR. FILM

FAR

LANN

750mg
500mg/ml
750mg
250 mg
250mg

ARENA GROUP S.A. ROMANIA CUTIE CU 5 FIOLE DIN STICLA BRUNA


ITALIA
CUTIE X 5 FIOLE DIN STICLA BRUNA X 5
SALF / S.C. IMECO S
ARENA GROUP S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X
ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR.
ZENTIVA SA
ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR.

SOL INJ.
SOL. INJ.
VITAMINA C ARENA 750 mg SOL. INJ.
VITAMINA B6 250 mg
COMPR.
COMPR.
VITAMINA B6 ZENTIVA 250 m
ACID ASCORBIC ARENA 750
VITAMINA C SALF 500mg/5ml

Ambalaj

UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ.

ROCALTROL
VIGANTOLETTEN 1000
VIGANTOLETTEN 500

BENFOGAMMA
BENFOGAMMA
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) 100
MILGAMMA (R) N
MILGAMMA (R) N
MILGAMMA (R) NA
NEUROMULTIVIT
NEUROMULTIVIT

tara det.
APP

NYCOMED GMBH
NYCOMED GMBH
ANTIBIOTICE SA
ZENTIVA SA
ZENTIVA SA
TERAPIA SA

PIC. ORALE

VITAMINA B1 ZENTIVA 100 m

Detinator APP
CHINOIN PRIVATE

VITAMINA A BIOFARM 20mg/

FLUOR VIGANTOLETTEN 10
FLUOR VIGANTOLETTEN 50

concentratie

AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR.


AUSTRIA CUTIE CU 5 BLIST. PVC/AL X 20 COMPR.

Pagina 96 din 101

P-6
P-6
P-6
P-6
P-6

P-6
P-6

PRF
PRF
P-R

P-6
P-6

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

25 24.50
5
2.99
5
3.36
20
6.49
20
7.23
5 12.23
10 28.51
6 45.93
4 38.77
28 11.40
30
5.52
24
1.68
1
2.96
100 76.98
30
8.27
30
6.70
1
5.05
1
6.36
30
8.01
30
6.44
5
6.98
50 28.72
100 52.14
20 20.28
100 84.34
50 46.88
30 49.86
100 139.08
60 89.95
25 83.55
5 18.52
5 18.52
20 11.17
100 44.47
5
9.86
5
9.86
5 25.30
20
9.11
20
9.11

0.980000
0.598000
0.672000
0.324500
0.361500
2.446000
2.851000
7.655000
9.692500
0.407142
0.184000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
0.574400
0.521400
1.014000
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.558500
0.444700
1.972000
1.972000
5.060000
0.455500
0.455500

0.980000
0.598000
0.672000
0.324500
0.361500
2.446000
2.851000
7.655000
9.186000
0.407142
0.084000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
0.574400
0.521400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.533640
0.444700
1.972000
1.972000
2.366400
0.455500
0.455500

0.980000
0.598000
0.672000
0.324500
0.361500
2.446000
2.851000
7.655000
9.186000
0.407142
0.084000
0.070000
2.960000
0.769800
0.275666
0.223333
5.050000
6.360000
0.267000
0.214666
1.396000
0.574400
0.521400
1.012080
0.843400
0.937600
1.662000
1.390800
1.499166
3.342000
3.704000
3.704000
0.533640
0.444700
1.972000
1.972000
2.366400
0.455500
0.455500

Nr. crt

40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87

cod
ATC
A11HA
A11HA
A11HA
A12AA
A12AA
A14AA
A16AA
A16AA

A16AX
A16AX
B02BX
B02BX
B02BX
B03AA
B03AA

B03A
B03A
B03A
B03A
B03A
B03AE
B03AE
B03AE
B03BA
B03BA
B03BA
B03BA
B03BA
B03BA
B03BA
C01E
C04A
C04A
C05A
C05A
C05A
C05A
C05A

C05AD
C05BX

C05CA
C07N

C08CA
C08CA
C08CA
D01AC
D01AC
D01AC

DCI
PYRIDOXINUM
PYRIDOXINUM
TOCOFEROLUM
CALCII GLUCONAS
CALCII GLUCONAS
METANDIENONUM
LEVOCARNITINUM
LEVOCARNITINUM
DIVERSE
DIVERSE
ETAMSYLATUM
ETAMSYLATUM
CARBAZOCHROMI SALICYLAS
FERROSI GLUCONAS
FERROSI GLUCONAS
FERROCHOLINATUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CYANOCOBALAMINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
ALPROSTADILUM**
CODERGOCRINUM
CODERGOCRINUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
CALCII DOBESILAS
TROXERUTINUM (COMBINATII)
COMBINATII
NIMODIPINUM
NIMODIPINUM
NIMODIPINUM
ISOCONAZOLUM
KETOCONAZOLUM
KETOCONAZOLUM

Denumire Comerciala

forma farm.

concentratie

SOL. INJ.
SOL. INJ.
VITAMINA B6 ZENTIVA 50 mg
VITAMINA E 400 mg
CAPS. MOI
SOL. INJ.
GLUCONAT DE CALCIU 94mg
GLUCONAT DE CALCIU
SOL. INJ.
NAPOSIM 5 mg
COMPR.
MIOCOR
SOL. ORALA
CARNIL (R)
SOL. ORALA
ACTOVEGIN (R)
DRAJ.
ACTOVEGIN (R)
SOL. INJ.
ETAMSILAT 250mg/2ml
SOL. INJ.
ETAMSILAT ZENTIVA 250mg SOL. INJ.
ADRENOSTAZIN
SOL. INJ.
ASCOFER
COMPR.
ALOFER 80,5 mg
COMPR. EFF.
FER-SOL
S
FERRETAB (R)
CAPS. ELIB
FERRETAB (R)
CAPS. ELIB
TARDYFERON FOL (R)
DRAJ. ELIB
MALTOFER FOL
COMPR. MAS
FERRO - FOLGAMMA (R)
CAPS. MOI
FERRO - FOLGAMMA (R)
CAPS. MOI
TOT'HEMA
SOL. ORALA
SOL. INJ.
VITAMINA B12 ZENTIVA 50g
MILGAMMA (R) (vezi B03BA51 DRAJ.
MILGAMMA (R) (vezi B03BA51 DRAJ.
MILGAMMA (R) (vezi B03BA51 DRAJ.
MILGAMMA (R) (vezi B03BA51 DRAJ.
MILGAMMA (R) (vezi B03BA51 DRAJ.
MILGAMMA (R) (vezi B03BA51 DRAJ.

250mg/5ml
50mg/2ml
400mg
94mg/ml

ALPROSTADIL "PINT" 500 mc

VITAMINA B6 ZENTIVA 250 m

REDERGIN 1 mg/ml
SECATOXIN
HEMORZON
HEMORZON

CONC.
PIC
S

FAR

5mg
10%
100mg/ml
200mg
200mg/5ml
250mg/2ml
250mg/2ml
0,3mg/ml
FAR

ECOBI PHARMACEU
ANFARM HELLAS S.A. PHARMACEUTICALS

NYCOMED AUSTRI
NYCOMED AUSTRI

ZENTIVA S.A
ZENTIVA S.A
TERAPIA SA
ARENA GROUP SA

ITALIA
CUTIE X 10 FLACOANE X 10ML
GRECIA CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML
AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X
AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5
ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ.
ROMANIA CUTIE X 5 FIOLE X 5 ML
ROMANIA CUTIE X 1 FLAC. X 20 COMPR.
ROMANIA CUTIE X 1 TUB DIN PP X 20 COMPR. EFF.

CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ.

P-6
P-6
P-6
P-R
P-R
P-R
P-R

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-R
P-R

P-6
P-R

FAR

WORWAG

GERMANI

FAR

WORWAG

CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ.


GERMANI CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.

FAR

WORWAG

GERMANI

FAR

WORWAG

GERMANI

FAR

WORWAG

500mcg
0,1%
1mg/ml

TARUS MEDIA S.R.L. ROMANIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL.


SLOVENI CUTIE X 1 FLACON X 50 ML
LEK PHARMACEU
CEHIA
CUTIE X 1 FLACON X 10 ML + PICATOR
IVAX ANTIBIOTICE SA
ROMANIA CUTIE CU 2 FOLII TERMOFORMATE PV
ANTIBIOTICE SA
ROMANIA CUTIE X 1 TUB X 18 G
INTENDIS GMBH
GERMANI CUTIE X 2 FOLII X 5 SUPOZ.
INTENDIS GMBH
GERMANI CUTIE X 1 TUB AL X 30 G + 1 CANULA PE
INTENDIS GMBH
GERMANI CUTIE X 1 TUB X 15 G + 1 CANULA RECT
OM PHARMA S.A.
PORTUG
CUTIE X 1 T
SLOVENI CUTIE X 3 BLIST. AL/PVC. X 10 CAPS.
LEK PHARMACEU
IPSEN PHARMA
FRANTA/GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
ZENTIVA S.A.
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FI
BAYER HEALTHCAR
GERMANI CUTIE X 10 BLIST. X 10 COMPR. FILM.
BAYER PHARMA AG GERMANI CUTIE CU 10 BLIST. AL/PP X 10 COMPR.

BAYER HEALTHCAR

GERMANI

INTENDIS GMBH

GERMANI

FAR

ULTRAPROCT UNGUENT R

UNGUENT

FAR

UNGUENT

FAR

CAPS.
CAPS.

500mg

SOL. PERF.
CREMA
CREMA
CREMA

ZENTIVA SA
TERAPIA SA

GERMANI

UNGUENT

COMPR. FILM

B. BRAUN MELSU

WORWAG

ULTRAPROCT UNGUENT R

COMPR. FILM

PHARCO IMPEX 93 S

Prescriptie

FAR

ULTRAPROCT SUPOZITOAR

COMPR. FILM

ZENTIVA SA
ZENTIVA SA

tara det.
Ambalaj
APP
ROMANIA CUTIE
P-R
ROMANIA CUTIE
P-R
ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6
GERMANI CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL.
P-R
ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ.
P-R
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
P-R

80,5mg
RECORDATI ROMA
24mg Fe/ml E.I.P.I.CO. MED S.R.L ROMANIA CUTIE X 1 FLACON X 15 ML + DI
AUSTRIA CUTIE X 5 BLIST. AL/PVC X 20 CAPS. EL
FAR
LANN
AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. EL
FAR
LANN
LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PV
FAR
VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10
FAR
GERMANI CUTIE X 10 BLIST. X 10 CAPS. MOI
FAR
WORWAG
GERMANI CUTIE X 5 BLIST. X 10 CAPS. MOI
FAR
WORWAG
LAB. INNOTHERA
FRANTA CUTIE X 20 FIOLE X 10 ML
FAR
50g/ml
ZENTIVA SA
ROMANIA CUTIE

SUPOZ.
UNGUENT
SUPOZ.

DOXIPROCT
DOXILEK
GINKOR FORT
DISTONOCALM (R)
NIMOTOP (R)
NIMOTOP 30 mg
NIMOTOP (R)
TRAVOGEN
NIZORAL
KETOCONAZOL

Detinator APP

FAR
FAR
FAR

FAR
FAR

30mg
30mg
10mg/50ml
10mg/1g
2%
2%

JANSSEN PH

TIS FARMACEUTIC S

CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ.

CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ.


GERMANI CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.

CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA

CUTIE X 1 TUB DIN AL X 20 G CREMA


BELGIA CUTIE X 1 TUB X 15 G
ROMANIA CUTIE X 1 TUB PEJD X 15 G

Pagina 97 din 101

P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-6
P-R
P-R
P-R

P-6
P-6
P-6
P-6
P

P-R

P-R
P-R
P-R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

5
5
24
20
5
20
10
10
50
5
5
5
5
20
1
1
100
30
30
30
100
50
20
5
100
20
50
100
20
50
5
1
1
6
1
10
1
1
1
30
30
30
100
100
5
1
1
1

10.34
6.98
9.35
16.87
15.92
5.10
18.32
29.89
145.08
108.72
6.73
6.73
11.56
7.72
21.00
3.34
27.57
10.69
15.02
17.87
43.20
24.30
17.73
6.98
84.34
20.28
46.88
84.34
20.28
46.88
,603.19

11.82
2.20
6.55
11.56
12.93
30.91
14.58
22.31
21.46
25.73
7.10
70.00
70.00
303.73
11.62
9.12
5.38

2.068000
2.068000
2.068000
1.396000
1.396000
1.396000
0.389583
0.389583
0.389583
0.843500
0.843500
0.843500
3.184000
1.012200
1.012200
0.255000
0.255000
0.255000
1.832000
1.832000
1.832000
2.989000
2.198400
2.198400
2.901600
2.901600
2.901600
21.744000 21.744000 21.744000
1.346000
1.346000
1.346000
1.346000
1.346000
1.346000
2.312000
2.312000
2.312000
0.386000
0.386000
0.386000
21.000000 21.000000 21.000000
3.340000
3.340000
3.340000
0.275700
0.275700
0.275700
0.356333
0.330840
0.330840
0.500666
0.500666
0.500666
0.595666
0.595666
0.595666
0.432000
0.432000
0.432000
0.486000
0.486000
0.486000
0.886500
0.886500
0.886500
1.396000
1.396000
1.396000
0.843400
0.843400
0.843400
1.014000
1.012080
1.012080
0.937600
0.937600
0.937600
0.843400
0.843400
0.843400
1.014000
1.012080
1.012080
0.937600
0.937600
0.937600
320.638000 320.638000 320.638000
11.820000 11.820000 11.820000
2.200000
2.200000
2.200000
1.091666
1.091666
1.091666
11.560000 11.560000 11.560000
1.293000
1.293000
1.293000
30.910000 30.910000 30.910000
14.580000 14.580000 14.580000
22.310000 22.310000 22.310000
0.715333
0.715333
0.715333
0.857666
0.857666
0.857666
0.236666
0.236666
0.236666
0.700000
0.700000
0.700000
0.700000
0.700000
0.700000
60.746000 60.746000 60.746000
11.620000 11.620000 11.620000
9.120000
6.456000
6.456000
5.380000
5.380000
5.380000

Nr. crt

88
89
90
91
92
93
94
95
96
97
98
99

cod
ATC

D07XC

DCI
KETOCONAZOLUM
COMBINATII
FLUOCINOLONI ACETONIDUM
FLUOCORTOLONUM
FLUOCORTOLONUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII
COMBINATII

D07XC

COMB

D01AC
D05A

D07AC
D07AC
D07AC
D07CB
D07CB
D07CC
D07XB

D07XC

109 G03DB

COMBINATII
TRETINOINUM
ERYTHROMYCINUM
ERYTHROMYCINUM
COMBINATII
METRONIDAZOLUM
CICLOPIROXUM
COMBINATII
COMBINATII
NOMEGESTROLUM

110 G03G

GONADOTROPHINUM CHORI

111 G03G

113 H03A

MENOTROPINUM
COMBINATII
COMBINATII

114 J01DD

COMBINATII (CE

115 J01DD

COMBINATII (CE

116 J01DD

COMBINATII (CE

117 J01DD

COMBINATII (CE

118 J01DE

133 M01A

CEFPIROMUM
CEFPIROMUM
SULFAFURAZOLUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
COLISTINUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
PHENYLBUTAZONUM
COMBINATII
COMBINATII
COMBINATII
COMBINATII

134 M01A

DICLOFENACUM+MISOPROST

135 M01A

IBUPROFENUM

100 D07XC
101 D10AD
102 D10AF
103 D10AF
104 D10AF
105 G01AF
106 G01AX
107 G01A
108 G01B

112 G04B

119 J01DE
120 J01EB
121 J01GB
122 J01GB
123 J01GB
124 J01GB
125 J01XB
126 J02AC
127 J02AC
128 J02AC
129 M01A
130 M01A
131 M01A
132 M01A

Denumire Comerciala
KETOCONAZOL CREMA
ASORIAN
FLUOCINOLON ACETONID

ULTRALAN CREMA
ULTRALAN UNGUENT
NIDOFLOR
PANDERM
FLUOCINOLON N
TRIAMCINOLON S
DIPROSALIC
DIPROSALIC
SAL-EKARZIN 0,50 mg/30

TRAVOCORT
RETIN - A (R)
ERYFLUID
ERYFLUID
ZINERYT
FLAGYL
DAFNEGIN
COLPOSEPTINE (R)
TERGYNAN
LUTENYL (R)
PREGNYL 5000
MENOPUR
URALYT-U
NOVOTHYRAL (R) 100
SULCEF 1000 mg/1000 mg
SULCEF 1000 mg/1000 mg
SULCEF 1000 mg/1000 mg
SULCEF 1000 mg/1000 mg
CEFROM (R) 1 g
CEFROM (R) 2 g
SULFAFURAZOL
GENTAMICIN KRKA
GENTAMICIN KRKA
GENTAMICIN KRKA
PAN - GENTAMICINE
COLISTINA ANTIBIOTICE 1

VFEND 200mg
VFEND 50mg
VFEND 40 mg/ml
FENILBUTAZONA 250 mg
TRATUL PLUS
TRATUL PLUS
NEODOLPASSE
ACECLOFEN
ARTHROTEC 75
PADUDEN (R) SR 300 mg

forma farm.

CREMA
SOL. CUT.
UNGUENT
CREMA
UNGUENT
CREMA
UNGUENT
UNGUENT
CREMA
SOL. CUT.
UNGUENT
UNGUENT
CREMA
CREMA
SOL. CUT.
SOL. CUT.

concentratie

20mg/g

Detinator APP

FAR

SC HYPERION SA
BIOFARM SA
LAROPHARM SRL
INTENDIS GMBH
INTENDIS GMBH
ANTIBIOTICE SA

FAR

GULF PHARMACEUTICAL IND. (JUPHAR)

FAR

0,025%
0,25%
0,25%

FAR

ANTIBIOTICE SA
ANTIBIOTICE SA

FAR

SCHERING-PLO

FAR

SCHERING-PLO

FAR

0,50m
FAR

0,05%
4g/30ml
4g/30ml

PIERRE FAB
ASTELLAS P

FAR

LAB. AVENTIS
POLICHEM SA
LAB. THERAMEX

FAR

LAB. BOUCHAR

LIOF. + SOLV. PT. SOL. INJ.

5mg
5000ui/ml

LIOF. + SOLV. PT. SOL. INJ.

FAR

LAB. THERAMEX
NV ORGANON
FERRING GMBH
MADAUS GMBH
MERCK KGAA
MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
MEDOCHEMIE S.R.L.
LAB. AVENTIS
LAB. AVENTIS
ARENA GROUP SA

100mcg+20

PULB. PT. SOL. INJ./PERF.

1000mg/10

PULB. PT. SOL. INJ./PERF.

1000mg/10

PULB. PT. SOL. INJ./PERF.

1000mg/10

PULB. PT. SOL. INJ./PERF.

1000mg/10

BELGIA
BELGIA

SLOVENI

PIERRE FAB

500mg
100mg

FAR

ROMANIA
ROMANIA
ROMANIA
ROMANIA

JOHNSON & JO

40mg/12mg/m

GRANULE
COMPR.

GERMANI

ROMANIA

OVULE
OVULE

COMPR.

GERMANI

ANTIBIOTICE S.A.
INTENDIS GMBH

PU

COMPR. VAG.
COMPR. VAG.

tara det.
Ambalaj
APP
ROMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA
ROMANIA CUTIE X 1 FLACON X 100 ML
ROMANIA CUTIE X 1 TUB AL X 20 G

GERMANI

FRANTA
FRANTA
OLANDA
FRANTA
LUXEM

MONACO
FRANTA
MONACO
OLANDA
GERMANI
GERMANI
GERMANI

ROMANIA
ROMANIA
ROMANIA
ROMANIA

SUPOZ.

1g
2g
500mg
40mg/ml
80mg/2ml
80mg/2ml
80mg/2ml
1000000ui
200mg
50mg
40mg/ml
250mg

CAPS. G

FAR

LANN

CAPS. G

FAR

LANN

FAR

FRESENI

AUSTRIA
AUSTRIA
AUSTRIA

FAR

ANTIBIOTICE SA

ROMANIA

COMP

75mg+0,200

PFIZER EUROPE M

CAPS. ELIB

300mg

TERAPIA SA

ROMANIA

PULB. PT. SOL. INJ./PERF.


PULB. PT. SOL. INJ./PERF.

COMPR.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL.INJ.
PULB. PT. SOL. INJ./PERF.

COMPR. FILM
COMPR. FILM
PUL

SOL. PERF.
SUPOZ.

KRKA D.D. NOVO M


KRKA D.D. NOVO M
KRKA D.D. NOVO M

LAB. PANPHARMA
ANTIBIOTICE SA
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
SINTOFARM SA

FRANTA
FRANTA
ROMANIA
SLOVENI
SLOVENI
SLOVENI

FRANTA
ROMANIA
M
M
M

ROMANIA

Pagina 98 din 101

Prescriptie

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

1
1
1
P-R
CUTIE X 1 TUB X 15 G
1
P-R
CUTIE X 1 TUB X 15 G UNGUENT
1
P-R
CUTIE X 1 TUB X 15 G
1
P-R
CUTIE X 1 TUB X 15 G
1
P-R
CUTIE X 1 TUB X 18 G
1
P-R
CUTIE X 1 TUB X 15 G
1
P-R
1
P-R
CUTIE X
CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-R
1
CUTIE CU 1 TUB AL X 15 G UNGUENT
1
P-R
CUTIE X 1 TUB DIN AL X 30 G CREMA
1
P-R
CUTIE X 1 TUB X 30 G
1
P-R
CUTIE X 1 FLACON X 100 ML SOL. CUT. P-R
1
CUTIE X 1 FLACON X 30 ML SOL. CUT.
1
P-R
1
P-R
CUTIE X 2 BLIST. X 5 OVULE
10
P-R
6
P-6
CUTIE X 1 FOLIE. TERMOSUDATA DIN PVC/PE X 6 OVULE + 6 APLICATOARE DIN PE
CUTIE X 3 BLIST. X 6 COMPR. VAG.
18
P-R
10
CUTIE X 1 FOLIE HARTIE/PE/AL/PE X
P-R
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P6L
10
1
S/P-RF
10
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF
1
P-6
CUTIE X 4 BLIST. AL/PP X 25 COMPR.
100
P-6
1
C
S/P-RF
10
CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
50
CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF
S
100
CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.
1
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PER
S/P-RF
1
CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PER
S/P-RF
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-R
20
10
CUTIE X 10 FIOLE DIN STICLA INC
P-R
50
CUTIE X 50 FIOLE DIN STICLA INC
P-RF/S
10
CUTIE X 10 FIOLE DIN STICLA INC
P-R
10
CUTIE X 10 FIOLE DIN STICLA INC
P-R
S
10
CUTIE X 10 FLAC.
28
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-R
28
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL P-R
1
P-R
10
CUTIE X 2 FOLII TERMOSUDATE PVC/
P-6
30
CUTIE X 3 BLIST. PVC-PVDC/AL X
P-6
50
CUTIE X 5 BLIST. PVC-PVDC/AL X
P-6
CUTIE X 10 FLACOANE X 250 ML
S
10
6
CUTIE X 2 FOLII TERMOSUDATE AL/PE
P-6
20
CUTIE X 2 BLIST. AL X 10 COMPR. GA
P-6
10
CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-6
CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA

CUTIE X 1 FIOLA CU LIOF. PREVAZUTA CU INEL DE RUPERE + 1 FIOLA X 1 ML SOLV. PREVAZUTE CU INEL DE RUPERE

CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO

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

P-R
P-R

7.94
10.17
7.40
12.30
12.79
8.47
7.66
8.20
8.20
16.15
10.75
7.00
25.21
14.01
21.02
8.09
32.50
8.57
38.11
17.64
21.91
31.51
15.04
825.12
56.93
28.94
25.24
219.94
963.48
,856.12

75.78
127.27
9.72
7.13
41.48
9.58
6.76
211.79
,917.72
,032.33

7.940000
7.940000
7.940000
10.170000 10.170000 10.170000
7.400000
7.400000
7.400000
12.300000 12.300000 12.300000
12.790000 12.790000 12.790000
8.470000
8.470000
8.470000
7.660000
7.660000
7.660000
8.200000
8.200000
8.200000
8.200000
8.200000
8.200000
16.150000 16.150000 16.150000
10.750000 10.750000 10.750000
7.000000
7.000000
7.000000
25.210000 25.210000 25.210000
14.010000 14.010000 14.010000
21.020000 21.020000 21.020000
8.090000
8.090000
8.090000
32.500000 32.500000 32.500000
0.857000
0.857000
0.857000
6.351666
6.351666
6.351666
0.980000
0.980000
0.980000
2.191000
2.191000
2.191000
3.151000
3.151000
3.151000
15.040000 15.040000 15.040000
82.512000 82.512000 82.512000
56.930000 56.930000 56.930000
0.289400
0.289400
0.289400
25.240000 22.273440 22.273440
21.994000 21.994000 21.994000
19.269600 19.269600 19.269600
18.561200 18.561200 18.561200
75.780000 75.780000 75.780000
127.270000 127.270000 127.270000
0.486000
0.486000
0.486000
0.713000
0.713000
0.713000
0.829600
0.811200
0.811200
0.958000
0.811200
0.811200
0.676000
0.676000
0.676000
21.179000 21.179000 21.179000
139.918571 139.918571 139.918571
36.868928 36.868928 36.868928

,439.99

,439.990000

,439.990000

,439.990000

9.57
15.79
24.95
219.12
4.61
28.57
14.01

0.957000
0.526333
0.499000
21.912000
0.768333
1.428500
1.401000

0.957000
0.526333
0.499000
21.912000
0.768333
1.428500
1.401000

0.957000
0.526333
0.499000
21.912000
0.768333
1.428500
1.401000

cod
ATC

163 M09AX

DCI
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
IBUPROFENUM
NAPROXENUM
NAPROXENUM
NAPROXENUM
NAPROXENUM
NAPROXENUM
NAPROXENUM
ACIDUM MEFENAMICUM
PARECOXIBUM
PARECOXIBUM
CHLORZOXAZONUM
CHLORZOXAZONUM
TOLPERISONUM
TOLPERISONUM
TOLPERISONUM
ACIDUM HIALURONICUM

164 N02A

COMBINATII ( PARACE

165 N02A

COMBINATII ( PARACE

166 N02A

COMBINATII ( PARACE

167 N02B

METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
METAMIZOLUM NATRIUM
TOFISOPAMUM
MIDAZOLAMUM

Nr. crt

136 M01A
137 M01A
138 M01A
139 M01A
140 M01A
141 M01A
142 M01A
143 M01A
144 M01A
145 M01A
146 M01A
147 M01A
148 M01A
149 M01A
150 M01A
151 M01A
152 M01A
153 M01A
154 M01A
155 M01A
156 M01A
157 M01A
158 M03B
159 M03B
160 M03BX
161 M03BX
162 M03BX

168 N02B
169 N02B
170 N02B
171 N02B
172 N02B
173 N02B
174 N02B
175 N02B
176 N02B
177 N02B
178 N02B
179 N02B
180 N02B
181 N02B
182 N05B
183 N05CD

Denumire Comerciala
BRUFEN RETARD 800 mg
IBUPROFEN 400
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
BRUFEN 400 mg
PROFINAL
IBUPROFEN 600
FASPIC 600
IBALGIN BABY
BRUFEN 20 mg/ml
REUXEN 250 mg
REUXEN 500 mg
NALDOREX 275 mg
NALDOREX 275 mg
NALDOREX 550 mg
NALDOREX 550 mg
VIDAN
DYNASTAT 40mg
DYNASTAT 40mg
CLORZOXAZON 250 mg
CLORZOXAZONA 250 mg
MYDOCALM
MYDOCALM
MYDOCALM
HYALGAN (R)
PARADOREN 500mg/30mg
ULTRACOD
PARADOREN 500mg/60mg
ALGOZONE
ALGOCALMIN (R) 500 mg
ALINDOR
SINTOCALMIN
ALGOREMIN
NOVOCALMIN
METAMIZOL FARMACOM 500

FABOCALM
ALGIOTOP
CENTRALGIN 500 mg
ALGOBLOCK
ALGOZONE 500mg
ALGOCALMIN (R) 1 g/2 ml
SINTOCALMIN 300 mg
NOVOCALMIN 300 mg
GRANDAXIN
DORMICUM (R)

forma farm.

concentratie

800mg
400mg
COMPR. FILM
400mg
COMPR. FILM
400mg
COMPR. FILM
400mg
COMPR. FILM
400mg
COMPR. FILM
400mg
COMPR. FILM
400mg
COMPR. FILM
600mg
COMPR. FILM
600mg
COMPR. FILM
600mg
GRAN
SUSP. ORALA 100mg/5ml
SUSP. ORALA 20mg/ml
COMPR.
250mg
COMPR.
500mg
275mg
COMPR. FILM
275mg
COMPR. FILM
550mg
COMPR. FILM
550mg
COMPR. FILM
500mg
COMPR. FILM
PULB. + SOLV. PT. SOL. INJ. 40mg
40mg
PULB. PT.
COMPR.
250mg
COMPR.
250mg
150mg
COMPR. FILM
150mg
COMPR. FILM
50mg
COMPR. FILM
SOL. INJ.
20mg/2ml
COMPR.
30mg+500mg
COMPR.
500mg+30mg
COMPR.
60mg+500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
COMPR.
500mg
SOL. INJ.
1g/2ml
SUPOZ.
300mg
SUPOZ.
300mg
COMPR.
50mg
7,5mg
COMPR. FILM
CO

tara det.
APP

Detinator APP
ABBOTT SCANDINA

SUEDIA

CIPLA (UK) LIMITED

ABBOTT SCANDINA
ABBOTT SCANDINA
ABBOTT SCANDINA
ABBOTT SCANDINA
ABBOTT SCANDINA
ABBOTT SCANDINA

SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA
SUEDIA

Ambalaj

Prescriptie

CUTIE CU BLIST. PVC/PVDC-AL

P6L

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


CUTIE CU BLIST. AL/PVC X 20 COMPR. FI
CUTIE CU BLIST. AL/PVC X 30 COMPR. FI

P-6

CUTIE CU BLIST. PVC-PVDC/AL X 20 C

P-6

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

P-6

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

P-6

CUTIE CU 1 FLAC. PEID X 100 COMPR. FI

P-6
P-6

ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM.


CIPLA (UK) LIMITED M
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FI

P-6

ZAMBON S.P.A.
ZENTIVA K.S.

CUTIE X 30 PLICURI UNIDOZA X

P-6

CUTIE X 1 FLAC. DIN STICLA X 100 ML SUSP. ORALA + PIPETA DOZATOARE GRADATA

P-R

CUTIE CU 1 FLAC. DE 100 ML SUSP. ORALA, DIN PET DE CULOARE BRUNA CU CAPAC DIN PP SI SIGILIU DIN PEJD

P6L

GULF PHARMACEUTICAL IND. (JUPHAR)

ABBOTT SCANDINA
AC HELCOR PHAR
AC HELCOR PHAR
KRKA, D.D., NOVO
KRKA, D.D., NOVO
KRKA, D.D., NOVO
KRKA, D.D., NOVO

VIANEX SA
PFIZER LIMITED
PFIZER LIMITED
GEDEON RIC

ARENA GROUP SA
GEDEON RIC
GEDEON RIC
GEDEON RIC

ITALIA
CEHIA
SUEDIA

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


ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SLOVENI CUTIE CU BLIST. PVC/AL X 10 COMPR. FI
SLOVENI CUTIE CU BLIST. PVC/AL X 20 COMPR. FI
SLOVENI CUTIE CU BLIST. PVC/AL X 10 COMPR. FI
SLOVENI CUTIE CU BLIST. PVC/AL X 20 COMPR. FI

P-6

GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FIL

P-6

EGIS PHARMA

ROCHE ROMANIA S.R

P6L
P6L
P6L
P6L

CUTIE X 5 FLAC. PULB. X 40 MG +

S/P-RF

CUTIE X 10 FLAC. X 40 MG PULB. PT. SO

S/P-RF

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

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


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

P-6

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


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

P-6

AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML


ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
ZENTIVA K.S.
CEHIA
CUTIE CU BLIST. PVC-PVDC/AL X 30 CO
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.
OZONE LABORAT
M
ZENTIVA S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
LAROPHARM SRL
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
SINTOFARM SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
REMEDIA SRL
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ANTIBIOTICE SA
ROMANIA CUTIE X 2 BLIST. X 10 COMPR.
FARMACOM SA
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
FABIOL S.A.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SANTA SA
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
SC CENTROFARM S.
BIOFARM S.A.
ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
ZENTIVA S.A.
SINTOFARM SA
ANTIBIOTICE S.A.

P-6

CSC PHARMACEUTICALS HANDELS GMBH

LABORMED PHARMA

P-6

ROMANIA CUTIE X 2 BLIST.PVC-PVDC/AL A CATE


ROMANIA CUTIE X 5 F
ROMANIA CUTIE X 2 BLIST. PVC/PE X 3 SUPOZ.
ROMANIA CUTIE CU 2 FOLII TER
UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA
ROMANIA CUTIE X 1 BLIST. PVC/PVDC/AL X 10

Pagina 99 din 101

P-6
P-6
P-6
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R
P-R

PRF
P-R
P-R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

30 18.17
0.605666
0.605666
0.605666
20
4.56
0.228000
0.228000
0.228000
20 10.25
0.512500
0.273600
0.273600
30
9.18
0.306000
0.273600
0.273600
20 10.25
0.512500
0.273600
0.273600
30
9.18
0.306000
0.273600
0.273600
60 18.38
0.306333
0.273600
0.273600
100 30.62
0.306200
0.273600
0.273600
20 13.33
0.666500
0.439200
0.439200
20
7.32
0.366000
0.366000
0.366000
30 25.61
0.853666
0.439200
0.439200
1
9.89
9.890000
9.890000
9.890000
1 14.61 14.610000 11.868000 11.868000
20
9.28
0.464000
0.464000
0.464000
20 16.78
0.839000
0.839000
0.839000
10 10.31
1.031000
1.031000
1.031000
20 17.40
0.870000
0.870000
0.870000
10 15.50
1.550000
1.550000
1.550000
20 26.26
1.313000
1.313000
1.313000
24 10.00
0.416666
0.416666
0.416666
5 147.23 29.446000 29.446000 29.446000
10 290.33 29.033000 29.033000 29.033000
20
4.42
0.221000
0.221000
0.221000
30
6.18
0.206000
0.206000
0.206000
30 14.58
0.486000
0.486000
0.486000
20
9.82
0.491000
0.491000
0.491000
30
7.30
0.243333
0.243333
0.243333
1 143.42 143.420000 143.420000 143.420000
20 12.74
0.637000
0.637000
0.637000
30 29.15
0.971666
0.764400
0.764400
20 19.83
0.991500
0.991500
0.991500
20
6.80
0.340000
0.340000
0.340000
20
8.26
0.413000
0.361200
0.361200
20
6.89
0.344500
0.344500
0.344500
20
6.84
0.342000
0.342000
0.342000
20
6.02
0.301000
0.301000
0.301000
20
6.80
0.340000
0.340000
0.340000
20
6.52
0.326000
0.326000
0.326000
20
6.27
0.313500
0.313500
0.313500
20
6.89
0.344500
0.344500
0.344500
20
6.87
0.343500
0.343500
0.343500
20
6.18
0.309000
0.309000
0.309000
20
6.80
0.340000
0.340000
0.340000
5
5.92
1.184000
1.184000
1.184000
6
7.57
1.261666
1.261666
1.261666
12 14.50
1.208333
1.208333
1.208333
20
5.36
0.268000
0.268000
0.268000
10
5.58
0.558000
0.558000
0.558000

Nr. crt

cod
ATC

184 N05CD
185 N05CD
186 N05CD
187 N05CD
188 N05CD
189 N05CD
190 N06B
191 N06B
192 N06B
193 N06B
194 N06B
195 N06B
196 N06B
197 N06B
198 N06B
199 N06B
200 N06B
201 N06BX
202 N06BX
203 N06BX
204 N06BX
205 N06BX
206 N06BX
207 N06BX
208 N06BX
209 N06BX
210 N06BX

211 N06BX
212 N06BX
213 N06BX
214 N06BX
215 N06BX
216 N06BX
217 N06BX
218 N06BX
219 N06BX
220 N06BX
221 N06BX
222 N06BX
223 N06BX
224 N06BX
225 N06BX
226 N07CA
227 N07CA
228 N07CA
229 P01AX
230 P02CC
231 P02CC

DCI
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
MIDAZOLAMUM
CINOLAZEPAMUM
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
METHYLFENIDATUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
ATOMOXETINUM***
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PYRITINOLUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
PIRACETAMUM
CINNARIZINUM
CINNARIZINUM
CINNARIZINUM
TENONITROZOLUM
PYRANTELUM
PYRANTELUM

Denumire Comerciala
DORMICUM (R) 7,5 mg
DORMICUM (R)
MIDAZOLAM TORREX 1 mg/m
MIDAZOLAM TORREX 1 mg/m
MIDAZOLAM TORREX 5 mg/m

GERODORM (R)
MEDIKINET EM 10 mg
MEDIKINET EM 20 mg
CONCERTA 18 mg
CONCERTA 36 mg
CONCERTA 54 mg
STRATTERA 10 mg
STRATTERA 18 mg
STRATTERA 25 mg
STRATTERA 40 mg
STRATTERA 60 mg
STRATTERA 80 mg
PIRITINOL ARENA 100 mg
ENCEPHABOL 100 mg
ENCEPHABOL 200 mg
ENCEPHABOL (R) SUSPENS

PIRACETAM ARENA 400 mg


N - PIRACETAM
MEMOTAL 400mg
PIRACETAM SLAVIA 400 mg
PIRACETAM LAROPHARM 4

PIRACETAM
PIRACETAM FARMEX 400 mg
PIRACETAM MCC 400mg
PIRACETAM SINTOFARM 40
PIRACETAM SINTOFARM 40

LUCETAM (R) 1200 mg


NOOTROPIL 1200 mg
PIRACETAM 400 mg
PIRACETAM LPH (R) 400 mg
LUCETAM
PIRACETAM HELCOR 400mg

PIRACETAM 800 mg
LUCETAM
NOOTROPIL 800 mg
PIRACETAM HELCOR 800mg

MEMOTAL1 g/5 ml
CINARIZINA ARENA 25 mg
STUGERON 25 mg
CINARIZIN 25 mg
ATRICAN 250 mg
HELMINTOX (R) 125 mg
HELMINTOX (R) 250 mg

forma farm.

concentratie

7,5mg
SOL. INJ.
1mg/ml
SOL. INJ.
1mg/ml
SOL. INJ.
1mg/ml
SOL. INJ.
5mg/ml
COMPR.
40mg
10mg
CAPS. ELI
20mg
CAPS. ELI
COMPR. FILM. ELIB. PREL. 18mg
COMPR. FILM. ELIB. PREL. 36mg
COMPR. FILM. ELIB. PREL. 54mg
CAPS.
10mg
CAPS.
18mg
CAPS.
25mg
CAPS.
40mg
CAPS.
60mg
CAPS.
80mg
DRAJ.
100mg
DRAJ.
100mg
DRAJ.
200mg
SUSP. ORALA 80,5mg/5ml
CAPS.
400mg
COMPR.
400mg
COMPR.
400mg
COMPR.
400mg
COMPR.
400mg
COMPR.
400mg
COMPR.
400mg
COMPR.
400mg
COMPR.
400mg
COMPR.
400mg
1200mg
COMPR. FILM
1200mg
COMPR. FILM
400mg
COMPR. FILM
400mg
COMPR. FILM
400mg
COMPR. FILM
400mg
COMPR. FILM
800mg
COMPR. FILM
800mg
COMPR. FILM
800mg
COMPR. FILM
800mg
COMPR. FILM
SOL. INJ.
1g/5ml
CAPS.
25mg
COMPR.
25mg
COMPR.
25mg
250mg
CAPS. MOI GASTROREZ.
125mg
COMPR. FILM
250mg
COMPR. FILM
COMPR. FILM

Detinator APP

TERAPIA SA
ROCHE ROMANIA S.R

tara det.
Ambalaj
APP
ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X
ROMANIA CUTIE X 10 FIOLE X 5 ML

Prescriptie

P-R
S/P-RF

CUTIE X 10 FIOLE X 5 ML SOL. INJ.


CUTIE X 10 FIOLE X 2 ML SOL. INJ.
CUTIE X 10 FIOLE X 3 ML SOL. INJ.

GEROT PHAR

AUSTRIA
AUSTRIA
AUSTRIA
AUSTRIA

CUTIE X 3 BLIST. AL/PVDC-PVC X 10 CO

P-R

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANI

CUTIE CU BLIST. PVC/PVDC/AL X 30

MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG

GERMANI

CUTIE CU BLIST. PVC/PVDC/AL X 30

PR
PR

CUTIE X 1 FLAC. DIN PEID X

PR, PS

CUTIE X 1 FLAC. DIN PEID X

PR, PS

CUTIE X 1 FLAC. DIN PEID X

PR, PS

CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7


CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7
CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7
CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7
CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7
CUTIE X 4 BLIST. PCTFE-PE-PVC/AL X 7

P-R

TORREX CHI
TORREX CHI
TORREX CHI

JANSSEN PH

BELGIA
BELGIA
BELGIA

ELI LILLY AND

ELI LILLY AND

ELI LILLY AND

ELI LILLY AND

ELI LILLY AND

ELI LILLY AND

ARENA GROUP S.A.


MERCK KGAA
MERCK KGAA
MERCK KGAA
ARENA GROUP SA
MEDUMAN SA
ZENTIVA S.A
SLAVIA PHARM SRL
LAROPHARM SRL
FABIOL SA

ROMANIA CUTIE X 3 BLIST. X 10 DRAJ.

JANSSEN PH
JANSSEN PH

FARMEX COMPANY

MAGISTRA C & C
SINTOFARM SA
SINTOFARM SA
EGIS PHARMA

GERMANI
GERMANI
GERMANI

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
UNGARIA

U.C.B. PHARMA S.A. BELGIA


GEDEON RIC

LABORMED PHARMA
EGIS PHARMA

AC HELCOR PHAR
GEDEON RIC
EGIS PHARMA

ROMANIA
ROMANIA
UNGARIA
ROMANIA
ROMANIA
UNGARIA

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

P-R
P-R
P-R
P-R
P-RF/R

P-6

CUTIE CU 5 BLIST. PVC/AL X 10 DRAJ.


CUTIE CU 5 BLIST. PVC/AL X 10 DRAJ.
CUTIE X 1 FLACON X 200 ML
CUTIE X 3 BLIST. AL/PVC X 10 CAPS.
CUTIE X 1 FLAC. PE X 40 COMPR.
CUTIE X 2 BLIST. X 10 COMPR.

P6L
P6L

CUTIE X 4 BLIST. DIN PVC/AL X 10 COMP

P-6

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


CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
CUTIE X 4 BLIST. AL/PVC X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 2 BLIST. PVC/AL X 10 COMPR.
CUTIE X 4 BLIST. PVC/AL X 10 COMPR.
CUTIE X 1 FLAC. X 20 COMPR. FILM.

P-6

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

P6L

CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FI

P-6

CUTIE X 1 FLAC. DIN STICLA BR

P-6

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

P-6

CUTIE X 2 BLIST. X 10 COMPR. FILM.

P-6

CUTIE X 1 FLAC. DIN STICLA BR

P-6

P-6
P-6
P-6
P-6

P-6
P-6
P-6
P-6
P-6
P-6

U.C.B. PHARMA S.A. BELGIA

P6L

AC HELCOR PHAR

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


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

P-6

ROMANIA CUTIE
ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS.
ROMANIA CUTIE X 4 BLIST. X 10 COMPR.
ROMANIA CUTIE X 3 BLIST. X 20 COMPR.

P-R

ZENTIVA SA
ARENA GROUP SA
TERAPIA SA
LAROPHARM SRL
LAB. INNOTECH INT.
LAB. INNOTECH INT.
LAB. INNOTECH INT.

FRANTA CUTIE X 1 BLIST. AL/PVC X 8 CAPS.


FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FI
FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM.

Pagina 100 din 101

P-6
P-6
P-6
P-R
P-R
P-R

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

10
10
10
10
10
30
30
30
30
30
30
7
7
28
28
28
28
30
50
50
1
30
40
20
40
20
30
40
20
20
40
20
100
20
60
60
20
20
30
90
20
5
40
40
60
8
6
3

10.57
29.14
33.06
23.88
64.04
23.05
47.84
95.80
192.42
229.23
296.84
103.33
103.33
388.16
388.16
388.16
555.80
18.01
33.34
60.67
40.59
10.57
4.04
8.34
4.64
1.94
2.93
4.44
3.10
3.45
6.46
6.72
50.00
3.50
6.33
7.04
2.36
6.76
6.63
33.27
4.41
8.97
3.30
7.04
4.51
11.56
3.47
3.47

1.057000
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
1.213400
40.590000
0.352333
0.101000
0.417000
0.116000
0.097000
0.097666
0.111000
0.155000
0.172500
0.161500
0.336000
0.500000
0.175000
0.105500
0.117333
0.118000
0.338000
0.221000
0.369666
0.220500
1.794000
0.082500
0.176000
0.075166
1.445000
0.578333
1.156666

0.669600
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
1.213400
40.590000
0.116400
0.101000
0.116400
0.116000
0.097000
0.097666
0.111000
0.116400
0.116400
0.116400
0.336000
0.403200
0.116400
0.105500
0.116400
0.116400
0.264600
0.221000
0.264600
0.220500
1.794000
0.082500
0.090199
0.075166
1.445000
0.578333
1.156666

0.669600
2.914000
3.306000
2.388000
6.404000
0.768333
1.594666
3.193333
6.414000
7.641000
9.894666
14.761428
14.761428
13.862857
13.862857
13.862857
19.850000
0.600333
0.666800
1.213400
40.590000
0.116400
0.101000
0.116400
0.116000
0.097000
0.097666
0.111000
0.116400
0.116400
0.116400
0.336000
0.403200
0.116400
0.105500
0.116400
0.116400
0.264600
0.221000
0.264600
0.220500
1.794000
0.082500
0.090199
0.075166
1.445000
0.578333
1.156666

cod
ATC

DCI
PYRANTELUM
TIXOCORTOLUM
COMBINATII

Denumire Comerciala
HELMINTOX (R)
PIVALONE 1%
BIORINIL

235 R01B

COMBINA

AERINAZE (vezi R06AX27

236 R01B

COMBINATII (L

237 R02A

FUSAFUNGINUM

238 R03CA

EPHEDRINI HYDROCHLORIDU
EPHEDRINI HYDROCHLORIDU

Nr. crt

232 P02CC
233 R01AD
234

R01A

239 R03CA

CLARINASE 5 mg/120 mg
BIOPAROX
EFEDRINA ARENA
EFEDRINA 50 mg/ ml
XOLAIR 150 mg
XOLAIR 75 mg
ACC INJECT 300mg/3ml
FLUIMUCIL 2% PEDIATRIC
FLUIMUCIL

SIFICETINA
FUCITHALMIC 10mg/g
KANAMICINA SULFAT 1%
ANTIBIOPTAL
COLBIOCIN
FLUMETOL S

247 R05CB
248 R06AD
249 R06A
250 R06AX
251 R06AX
252 R06AX
253 R06AX
254 R06AX
255 R06AX

259 S01AA
260 S01AA
261 S01AA
262 S01AA
263 S01BA
264 S01BA
265 S01B
266 S02C

SPRAY NAZ

FAR

THEA FARMA SPA

ITALIA

CUTI

P-R

COMPR. FILM. ELIB. MODIF.

2,5mg/120mg MERCK SHARP &

CUTIE X 10 COMPR.FILM.ELIB.

P-R

MERCK SHARP &

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

P-6

LES LABORATO

FRANTA

P-R

ARENA GROUP SA
ZENTIVA S.A.

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


ROMANIA CUTIE X 5 FIOLE CU INEL DE RUPERE

NOVARTIS EU

CUTIE CU 1 SERINGA PR

NOVARTIS EU

CUTIE CU 1 SERI

S
PR
PR

HEXAL AG
ZAMBON S.P.A.
ZAMBON S.P.A.
LAB. URGO

GERMANI

CUTIE X 5 FIOLE DIN STICLA BRUNA

S/P-RF

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SOL. ORALA + MASURA DOZATOARE (5 SI 10 ML)

P-R

CUTIE X 5 FIOLE DIN STICLA X 3 ML SOL.INJ/SOL.PT.INHALAT PRIN NEBULIZATOR/SOL.PT.INSTILATIE ENDOTRAH

S/P-RF

CUTIE X 1 FLACON X 12

P-R

CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE

P-R

CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML

P-R

CUTIE X

P-R

2,5mg/120mg SP EUROPE

CHLORAMPHENICOLUM
ACIDUM FUSIDICUM
KANAMYCINUM
COMBINATII
COMBINATII
FLUOROMETHOLONUM
FLUOROMETHOLONUM
INDOMETACINUM
COMBINATII

246 R05CB

P-R

COMPR. FILM. ELIB. MODIF.

258 S01AA

245 R05CB

CUTIE X 1 FLACO

SUSP. ORALA
SUSP. ORALA

AERINAZE (vezi R06AX27

244 R05CB

FLONIDAN
LORATADINA LEK 5mg/5ml

COMBINA

243 R05CB

PFIZER EUROPE M

LORATADINA BIOFARM 5mg/

257 R06AX

242 R05CB

HUMEX EXPECTORANT

RHINATHIOL 2% pentru copii

FLUIDOL 100mg/5ml
ROMERGAN
EMETOSTOP
PERITOL
CIPROHEPTADINA 4 mg
BIOHEPT
CLARITINE

Prescriptie

P-R

1%

SIROP
SIROP
SOL. ORALA
SIROP
COMPR.
COMPR.
COMPR.
SIROP
SIROP
SIROP

256 R06AX

241 R03DX

Ambalaj
CUTIE X 1 FLACON X 15 ML

SUSP. NAZAL

5mg/120mg
50mg/10ml
50mg
50mg/ml
150mg
75mg
300mg/3ml
2%
300mg/3ml
100mg/5ml
2%
100mg/5ml
5mg/5ml
30mg
4mg
4mg
2mg/5ml
1mg/ml
5mg/5ml
5mg/5ml
5mg/5ml

OMALIZUMABUM**
OMALIZUMABUM**
ACETYLCYSTEINUM
ACETYLCYSTEINUM
ACETYLCYSTEINUM
CARBOCISTEINUM
CARBOCISTEINUM
CARBOCISTEINUM
PROMETHAZINUM
MECLOZINUM
CYPROHEPTADINUM
CYPROHEPTADINUM
CYPROHEPTADINUM
LORATADINUM
LORATADINUM
LORATADINUM
LORATADINUM

240 R03DX

tara det.
forma farm. concentratie
Detinator APP
APP
SUSP. ORALA 125mg/2,5ml LAB. INNOTECH INT. FRANTA

COMPR.
SPRAY BUCOFARINGIAN SI NAZAL-SOL.

COMPR.
SOL. INJ.
SOL INJ.
SOL INJ.
SOL. INJ.
SOL. ORALA
SOL.INJ./INHAL.NEBULIZ./INSTILATIE ENDOTRAHEOBRON.

GEL OFT.
UNG. OFT.

0,4%
10mg/g
1%

PICATURI

FAR

PULB. + SOLV. PT. SOL. OFT.

FAR

PULB. + SOLV. PT. SOL. OFT.

FLUMETOL S UNGUENT OF

UNG. OFT.

INDOCOLLYRE (R) 0,1%

PICATURI

2mg/ml
1mg/g
0,1%

SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON

SOL. AUR

FAR

PICATUR

SANOFI-AVENTIS O

TIS FARMACEUTIC S

BIOFARM S.A.
SPECIFAR SA
EGIS PHARMA

ARENA GROUP SA
BIOFARM S.A.
MERCK SHARP &

BIOFARM S.A.
LEK PHARMACEU
LEK PHARMACEU

ITALIA
ITALIA
FRANTA
FRANTA
ROMANIA
ROMANIA

CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC.

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


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

P-R

P-6
P-6

CUTIE

P-6

CUTIE X 1 FLACON X 120 ML + LIN

P-6

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2

P-R

CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE

P-6

CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE

P-6

CUTIE X 10 COMPR.FILM.ELIB.

P-R

CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR

P-R

CUTIE X 1 TUB AL

P-6

S.I.F.I. SPA

BELGIA
ITALIA

LEO PH

DANEM

ANTIBIOTICE SA
THEA FARMA SPA
S.I.F.I. SPA
THEA FARMA SPA
THEA FARMA SPA
LAB. CHAUVIN
BIOFARM SA

ROMANIA CUTIE X 1 TUB AL X 6 G

ITALIA
CUTIE X 1 FLACON PICURATOR X 10 ML
ITALIA
CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE
ITALIA
CUTIE X 1 FLACON PEJD X 10ML PIC.
ITALIA
CUTIE X 1 TUB X 5G
FRANTA CUTIE X 1 FLACON PICURATOR DIN
ROMANIA

P-R

CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA

P-R
P-R
P-R
P-R
P-R

P-6
P-R

Nota:
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;
Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se face pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul
Caselor Judetene de Asigurari de Sanatate;
Medicamentele din aceast sublist corespund DCI-urilor din CANAMED altele dect cele din sublistele A, B si C1. Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele
corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru care
sunt prevazute in aceste subliste .

Pagina 101 din 101

VAL.SUPORT
PRET
ATAT CNAS/
AMANU
UT(RON)NTUL
PRET
LEGEA NR.
VAL.SUPORT
cant/ MAXIMA AMANUNTUL 95/2006 ART
ATAT CNAS/
amba
L
MAXIMAL/UT 213 alin.(1) lit. UT (RON) PT.
laj
(RON)
(RON)
a) si f)
ADULTI

1
6.56
6.560000
6.560000
6.560000
1 10.48 10.480000 10.480000 10.480000
1 25.87 25.870000 25.870000 25.870000
10 21.00
2.100000
2.100000
2.100000
7
9.26
1.322857
1.322857
1.322857
1 20.02 20.020000 20.020000 20.020000
30
9.38
0.312666
0.312666
0.312666
5
7.41
1.482000
1.482000
1.482000
1 ,576.28 ,576.280000 ,576.280000 ,576.280000
1 915.38 915.380000 915.380000 915.380000
5
7.55
1.510000
1.510000
1.510000
1 13.13 13.130000 13.130000 13.130000
5
8.24
1.648000
1.648000
1.648000
1
5.96
5.960000
5.960000
5.960000
1
9.18
9.180000
9.180000
9.180000
1
3.53
3.530000
3.530000
3.530000
1
2.80
2.800000
2.800000
2.800000
10
3.59
0.359000
0.359000
0.359000
20
3.25
0.162500
0.162500
0.162500
30
4.90
0.163333
0.163333
0.163333
1
5.79
5.790000
5.790000
5.790000
1 17.98 17.980000 14.400000 14.400000
1
7.09
7.090000
7.090000
7.090000
1 12.00 12.000000 12.000000 12.000000
1 12.00 12.000000 12.000000 12.000000
10 21.00
2.100000
2.100000
2.100000
1 30.39 30.390000 30.390000 30.390000
1 14.96 14.960000 14.960000 14.960000
1
6.39
6.390000
6.390000
6.390000
1 13.13 13.130000 13.130000 13.130000
1 33.28 33.280000 33.280000 33.280000
1 32.02 32.020000 32.020000 32.020000
1 10.12 10.120000 10.120000 10.120000
1 14.50 14.500000 14.500000 14.500000
1
3.39
3.390000
3.390000
3.390000

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