HOTARARE   Nr. 309 din 14 aprilie 2005

pentru modificarea si completarea Hotararii Guvernului nr. 235/2005 privind aprobarea pentru anul 2005 a listei cuprinzand denumirile comune internationale ale medicamentelor din Nomenclatorul medicamentelor de uz uman, de care beneficiaza asiguratii in tratamentul ambulatoriu, cu sau fara contributie personala, pe baza de prescriptie medicala

ACT EMIS DE: GUVERNUL ROMANIEI

ACT PUBLICAT IN: MONITORUL OFICIAL  NR. 335 din 20 aprilie 2005

    In temeiul art. 108 din Constitutia Romaniei, republicata,

    Guvernul Romaniei adopta prezenta hotarare.

    ARTICOL UNIC
    Hotararea Guvernului nr. 235/2005 privind aprobarea pentru anul 2005 a listei cuprinzand denumirile comune internationale ale medicamentelor din Nomenclatorul medicamentelor de uz uman, de care beneficiaza asiguratii in tratamentul ambulatoriu, cu sau fara contributie personala, pe baza de prescriptie medicala, publicata in Monitorul Oficial al Romaniei, Partea I, nr. 278 din 4 aprilie 2005, se modifica si se completeaza dupa cum urmeaza:
    1. Litera a) a alineatului (1) al articolului 3 va avea urmatorul cuprins:
    "a) pentru sublista A - o singura prescriptie, lunar, cu numar variabil de medicamente cu valoarea totala calculata la pretul de vanzare cu amanuntul de maximum 1.000.000 lei (100 RON), cu exceptia medicamentelor notate cu #, acestea putand fi inscrise pe o singura prescriptie cu valoarea maxima a tratamentului pe o luna mai mare de 1.000.000 lei (100 RON), precum si a formelor farmaceutice care nu pot fi fractionate;".
    2. Alineatul (2) al articolului 3 va avea urmatorul cuprins:
    "(2) In cazul in care asiguratul beneficiaza de prescrierea unui medicament din categoria celor notate cu #, a carui valoare depaseste 3.000.000 lei (300 RON), acesta nu poate beneficia de o alta prescriere de medicamente de pe sublista B sau C. Exceptie fac medicamentele notate cu # de pe sublista A, care pot fi prescrise impreuna cu alta prescriptie de pe sublista B sau C."
    3. Dupa alineatul (3) al articolului 3 se introduc doua noi alineate, alineatele (4) si (5), cu urmatorul cuprins:
    "(4) Prin exceptie, in cazul medicamentelor stupefiante se pot emite pentru acelasi pacient doua sau trei prescriptii cu timbru sec, cuprinzand tratamentul necesar pentru 15, respectiv 10 zile, conform reglementarilor specifice in vigoare.
    (5) Pentru persoanele prevazute in legile speciale, care beneficiaza de gratuitate suportata din Fondul national unic de asigurari sociale de sanatate si pentru care casele de asigurari suporta integral contravaloarea medicamentelor cu pretul cel mai mic corespunzator denumirii comune internationale pentru aceeasi concentratie si forma farmaceutica, se poate elibera o singura prescriptie cu maximum 3 medicamente din sublistele A si B, a carei valoare sa nu poata depasi 3.000.000 lei (300 RON). Pentru prescriptia care depaseste aceasta valoare, medicul prescriptor va anexa la fisa medicala a pacientului un referat de justificare."
    4. Dupa articolul 3 se introduce un nou articol, articolul 3^1, cu urmatorul cuprins:
    "Art. 3^1
    (1) In tratamentul bolilor cronice G.5, G.11, G.12, G.13, G.15, G.16, G.19 si G.25 cuprinse in sublista C se pot asocia doua medicamente din aceasta sublista in cadrul aceleiasi boli, cu depasirea sumei de 3.000.000 lei (300 RON).
    (2) In mod exceptional, in alte situatii complexe, cu risc crescut de handicap major sau de pierdere a vietii, numarul de medicamente si sumele prevazute la art. 3 se pot depasi numai cu acordul scris al comisiilor de specialitate ale Ministerului Sanatatii sau al Agentiei Nationale de Transplant."
    5. Anexa se modifica si se inlocuieste cu anexa la prezenta hotarare.

                  PRIM-MINISTRU
             CALIN POPESCU-TARICEANU

                       Contrasemneaza:
                       p. Ministrul sanatatii,
                       Ioan Roman,
                       secretar de stat

                       p. Ministrul finantelor publice,
                       Sebastian Bodu,
                       secretar de stat

    ANEXA 1*)

    *) Anexa este reprodusa in facsimil.

                               Sublista A
    Medicamente de baza cu nivel de compensare 90% din pretul de referinta

    LISTA DENUMIRILOR COMUNE INTERNATIONALE ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA

    1. A02B OMEPRAZOLUM
    2. A03A MEBEVERINUM
    3. A03F METOCLOPRAMIDUM
    4. A04A PROCHLORPERAZINUM
    5. A06A LACTULOSUM
    6. A07A NYSTATINUM
    7. A07A RIFAXIMINUM
    8. A07D LOPERAMIDUM
    9. A07E SULFASALAZINUM

    10. B01A ACENOCOUMAROLUM
    11. B01A TICLOPIDINUM - pentru pacientii cu intoleranta la aspirina
    12. B02B PHYTOMENADIONUM
    13. B03A COMPLEX DE HYDROXID DE FIER (III) (oral)
    14. B03A FERROSII FUMARAS
    15. B03A FERROSII GLUTAMAS
    16. B03A FERROSII SULFAS

    17. C01A DIGOXINUM
    18. C01B AMIODARONUM
    19. C01B PROPAFENONUM
    20. C01D ISOSORBIDI DINITRAS
    21. C01D ISOSORBIDI MONONITRAS
    22. C01D NITROGLYCERINUM
    23. C02A METHYLDOPUM
    24. C03A HYDROCHLOROTHIAZIDUM
    25. C03B INDAPAMIDUM
    26. C03C FUROSEMIDUM
    27. C03D SPIRONOLACTONUM simplu si in combinatii
    28. C07A ATENOLOLUM
    29. C07A BISOPROLOLUM
    30. C07A CARVEDILOLUM
    31. C07A METOPROLOLUM
    32. C07A PROPRANOLOLUM
    33. C07A SOTALOLUM
    34. C08C AMLODIPINUM
    35. C08C FELODIPINUM
    36. C08C NIFEDIPINUM cu eliberare prelungita
    37. C08D DILTIAZEMUM
    38. C08D VERAPAMILUM
    39. C09A CAPTOPRILUM
    40. C09A ENALAPRILUM simplu si in combinatii cu hidroclorotiazida
    41. C09A LISINOPRILUM
    42. C10A FENOFIBRATUM
    43. C10A SIMVASTATINUM
    44. C10A LOVASTATINUM

    45. D01A BIFONAZOLUM
    46. D01A MICONAZOLUM
    47. D07A CLOBETASOLUM*
    48. D07A FLUMETASONUM
    49. D07A HYDROCORTIZONUM
    50. D07A TRIAMCINOLONUM ACETONID

    51. G02A ERGOMETRINUM
    52. G02C BROMOCRIPTINUM
    53. G03B TESTOSTERONUM
    54. G04C DOXAZOSINUM
    55. G03C ESTRADIOLUM
    56. G03C ESTRIOLUM
    57. G03F (G03C) ESTROGENI - simpli si combinatii

    58. H02A DEXAMETHASONUM
    59. H02A HYDROCORTISONUM
    60. H02A METHYLPREDNISOLONUM
    61. H02A PREDNISONUM
    62. H03B CARBIMAZOLUM

    63. J01A DOXYCYCLINUM
    64. J01A TETRACYCLINUM
    65. J01C AMOXICILLINUM
    66. J01C AMPICILLINUM
    67. J01C BENZATHINI BENZYLPENICILLINUM
    68. J01C BENZYLPENICILLINUM
    69. J01C OXACILLINUM
    70. J01C PHENOXYMETHYLPENICILLINUM
    71. J01D CEFACLORUM
    72. J01D CEFALEXINUM
    73. J01D CEFUROXIMUM (ORAL)
    74. J01E SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
    75. J01F CLARITHROMYCINUM
    76. J01F AZITHROMYCINUM
    77. J01F ERYTROMYCINUM
    78. J01G GENTAMICINUM
    79. J01M CIPROFLOXACINUM
    80. J01M NORFLOXACINUM
    81. J01X METRONIDAZOLUM
    82. J01X TINIDAZOLUM
    83. J02A KETOCONAZOLUM
    84. J05A ACICLOVIRUM
    85. J01M OFLOXACINUM

    86. L04A AZATHIOPRINUM #
    87. L01A CYCLOPHOSPHAMIDUM
    88. L01B METHOTREXATUM

    89. M01A DICLOFENACUM
    90. M01A KETOPROFENUM
    91. M01A PIROXICAMUM
    92. M01A TENOXICAMUM
    93. M04A ALLOPURINOLUM
    94. M04A COLCHICINUM

    95. N02A TRAMADOLUM
    96. N03A CARBAMAZEPINUM
    97. N05B DIAZEPAMUM
    98. N05B HYDROXYZINUM
    99. N05C NITRAZEPAMUM
    100. N05A HALOPERIDOLUM
    101. N06A FLUOXETINUM*
    102. N06A SERTRALINUM*
    103. N06A TIANEPTINUM*

    104. P01B HYDROXYCHLOROQUINUM
    105. P02B PRAZIQUANTELUM
    106. P02C MEBENDAZOLUM
    107. P02C ALBENDAZOLUM #
    108. P02C LEVAMISOLUM

    109. R03A SALBUTAMOLUM
    110. R03B BECLOMETHASONUM
    111. R03D AMINOPHYLLINUM
    112. R03D THEOPHILLINUM (retard)
    113. R05D CODEINUM
    114. R06A CETIRIZINUM
    115. R06A CHLORPHENAMINUM
    116. R06A LORATADINUM

    117. S01A CIPROFLOXACINUM
    118. S01C TOBRAMICINUM + DEXAMETAZONUM
    119. S01C CHLORAMPHENICOLUM in combinatii

    NOTA:
    Tratamentul cu medicamentele notate cu asterisc (*) se initiaza de medicul de specialitate in limita competentei si poate fi prescris in continuare de medicul de familie pe baza scrisorii medicale emisa de medicul de specialitate.

                               Sublista B
    Medicamente cu nivel de compensare 50% din pretul de referinta

    LISTA DENUMIRILOR COMUNE INTERNATIONALE ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA

    1. A02B ESOMEPRAZOLUM
    2. A02B FAMOTIDINUM
    3. A02B LANSOPRAZOLUM
    4. A02B NIZATIDINUM*
    5. A02B PANTOPRAZOLUM*
    6. A02B RANITIDINUM
    7. A02B SUCRALFATUM
    8. A03A OTILONIUM BROMIDUM*
    9. A03A TRIMEBUTINUM
    10. A03F DOMPERIDONUM
    11. A05B SILIBINUM
    12. A07E BUDESONIDUM #
    13. A07E MESALAZINUM
    14. A11C ALFACALCIDOLUM

    15. B01A CLOPIDOGRELUM - pentru pacientii cu intoleranta la aspirina*
    16. B01A SULODEXIDUM*
    17. B03A COMPLEX DE HIDROXID DE FIER (III) (injectabil)

    18. C01B CHINIDINI SULFAS
    19. C01B MEXILETINUM
    20. C01E TRIMETAZIDINUM
    21. C02A CLONIDINUM
    22. C02A MOXONIDINUM
    23. C02C PRAZOSINUM
    24. C04A NICERGOLINUM
    25. C04A PENTOXIFYLLINUM
    26. C04A VINCAMINUM
    27. C05C DIOSMINUM - simplu si in combinatii
    28. C07A BETAXOLOLUM
    29. C07A NEBIVOLOLUM
    30. C07B BISOPROLOLUM + HYDROCHLOROTHIAZIDUM
    31. C08C LACIDIPINUM
    32. C08C LERCANIDIPINUM
    33. C08C NITRENDIPINUM simplu si in combinatii
    34. C09A FOSINOPRILUM simplu si in combinatii
    35. C09A BENAZEPRILUM
    36. C09A PERINDOPRILUM simplu si in combinatii
    37. C09A QUINAPRILUM
    38. C09A RAMIPRILUM
    39. C09A TRANDOLAPRILUM simplu si in combinatii
    40. C09A ZOFENOPRILUM
    41. C09C CANDESARTANUM
    42. C09C IRBESARTANUM simplu si in combinatii
    43. C09C LOZARTANUM simplu si in combinatii
    44. C09C TELMISARTANUM simplu si in combinatii
    45. C09C VALSARTANUM simplu si in combinatii
    46. C10A ACID-OMEGA 3-ESTERI ETILICI 90
    47. C10A ATORVASTATINUM
    48. C10A BEZAFIBRATUM
    49. C10A CIPROFIBRATUM
    50. C10A EZETIMIBUM
    51. C10A FLUVASTATINUM
    52. C10A PRAVASTATINUM
    53. C10A ROSUVASTATINUM

    54. D01A NAFTIFINUM
    55. D01A NATAMYCINUM
    56. D01B TERBINAFINUM
    57. D05A CALCIPOTRIOLUM simplu si in combinatii
    58. D05B ACITRETINUM*
    59. D06A MUPIROCINUM
    60. D06B ACICLOVIRUM
    61. D06B PODOPHYLLOTOXINUM
    62. D06B SULFADIAZINUM
    63. D07A METHYLPREDNISOLONUM
    64. D07X MOMETASONUM
    65. D10A ACIDUM AZELAICUM
    66. D10B ISOTRETINOINUM

    67. G01A FENTICONAZOLUM
    68. G02C CABERGOLINUM
    69. G03C HEXESTROLUM
    70. G03C PROMESTRIENUM
    71. G03D DYDROGESTERONUM
    72. G03D LYNESTRENOLUM
    73. G03D PROGESTERONUM
    74. G03D TIBOLOLUM*
    75. G03G CLOMIFENUM
    76. G03G FOLLITROPINUM* (alfa si beta)
    77. G03X DANAZOLUM*
    78. G03X RALOXIFENUM
    79. G04B OXYBUTYNINUM
    80. G04C ALFUZOSINUM
    81. G04C DUTASTERIDUM
    82. G04C FINASTERIDUM
    83. G04C TAMSULOSINUM
    84. G04C TERAZOSINUM

    85. H01A TETRACOSACTIDUM
    86. H02A BETAMETHASONUM
    87. H02A FLUDROCORTISONUM
    88. H02A PREDNISOLONUM
    89. H03B THIAMAZOLUM
    90. H05B CALCITONINUM

    91. J01C AMOXICILLINUM + ACIDUM CLAVULANICUM
    92. J01C AMPICILLINUM + SULBACTANUM (oral + injectabil)
    93. J01D CEFADROXILUM
    94. J02A ITRACONAZOLUM
    95. J02A FLUCONAZOLUM
    96. J05A BRIVUDINUM* #

    97. M01A CELECOXIBUM
    98. M01A ETORICOXIBUM
    99. M01A DEXKETOPROFENUM
    100. M01A MELOXICAMUM
    101. M01A NIMESULIDUM
    102. M03B BACLOFENUM
    103. M03B TETRAZEPAMUM
    104. M05B ACIDUM ALENDRONICUM
    105. M05B ACIDUM PAMIDRONICUM #
    106. M05B ACIDUM RISEDRONICUM

    107. N02C SUMATRIPTANUM*
    108. N02C RIZATRIPTANUM*
    109. N03A PREGABALINUM* #
    110. N05A SULPIRIDUM*
    111. N05A TIAPRIDUM*
    112. N05B ALPRAZOLAMUM*
    113. N05B BROMAZEPAMUM
    114. N05B MEDAZEPAMUM
    115. N05C ZOLPIDEMUM
    116. N05C ZOPICLONUM
    117. N06A BUPROPIONUM*
    118. N06A ESCITALOPRAMUM*
    119. N06A FLUVOXAMINUM*
    120. N06A MILNACIPRANUM*
    121. N06A MIRTAZAPINUM*
    122. N06A PAROXETINUM*
    123. N06A REBOXETINUM*
    124. N06A TRAZODONUM*
    125. N06A VENLAFAXINUM* #
    126. N06D GINKGO BILOBA*
    127. N07C BETAHISTINUM
    128. N07X ACIDUM ALFA-LIPOICUM #
    129. N07X HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA

    130. R03A FENOTEROLUM
    131. R03A SALMETEROLUM
    132. R03A SALMETEROLUM + FLUTICASONUM*
    133. R03B BUDESONIDUM
    134. R03B FLUTICASONUM*
    135. R03B IPRATROPII BROMIDUM
    136. R03B TIOTROPIUM*
    137. R03D MONTELUKAST*
    138. R05D DEXTROMETHORPHANUM
    139. R05D LEVODROPROPIZINUM
    140. R06A FEXOFENADINUM
    141. R06A DESLORATADINUM
    142. R06A KETOTIFENUM

    143. S01A NETELMICINUM
    144. S01A LOMEFLOXACINUM
    145. S01B DICLOFENACUM

    146. S01G KETOTIFENUM
    147. S01G OLOPATADINUM
    148. S01X RETINOLUM

    NOTA:
    Tratamentul cu medicamentele notate cu asterisc (*) se initiaza de medicul de specialitate in limita competentei si poate fi prescris in continuare de medicul de familie pe baza scrisorii medicale emisa de medicul de specialitate.

                               Sublista C
    Medicamente cu nivel de compensare 100% din pretul de referinta

    LISTA DENUMIRILOR COMUNE INTERNATIONALE ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU FARA CONTRIBUTIE PERSONALA LA PRETUL DE REFERINTA

    G. 1. INSUFICIENTA CARDIACA CRONICA (CLASA III SAU IV NYHA)

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|  1.|  1.| C01A A05  | Digoxinum                                              |
|____|____|___________|________________________________________________________|
|  2.|  2.| C03A A03  | Hydrochlorothiazidum                                   |
|____|____|___________|________________________________________________________|
|  3.|  3.| C09A A01  | Captoprilum                                            |
|____|____|___________|________________________________________________________|
|  4.|  4.| C09A A02  | Enalaprilum                                            |
|____|____|___________|________________________________________________________|
|  5.|  5.| C09A A03  | Lisinoprilum                                           |
|____|____|___________|________________________________________________________|
|  6.|  6.| C03C A01  | Furosemidum                                            |
|____|____|___________|________________________________________________________|
|  7.|  7.| C03D A01  | Spironolactonum                                        |
|____|____|___________|________________________________________________________|
|  8.|  8.| C07A B02  | Metoprololum                                           |
|____|____|___________|________________________________________________________|
|  9.|  9.| C07A B07  | Bisoprololum                                           |
|____|____|___________|________________________________________________________|
| 10.| 10.| C07A G02  | Carvedilolum                                           |
|____|____|___________|________________________________________________________|

    G. 2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 11.|  1.| B01A A07  | Acenocumarolum*)                                       |
|____|____|___________|________________________________________________________|
    *) La indicatia specialistului cardiolog.

    G. 3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 12.|  1.| B01A C04  | Clopidogrelum*) (cel mult 9 luni)                      |
|____|____|___________|________________________________________________________|
    *) La indicatia specialistului cardiolog sau neurolog cu aprobarea comisiilor teritoriale.

    G. 4. ACCIDENT VASCULAR CEREBRAL ISCHEMIC (inclusiv atacul vascular cerebral tranzitoriu)

    Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare, prin care se deruleaza Programul National de Preventie si Diagnostic precoce in bolile neurologice.
    Medicamentele vor fi prescrise la indicatia specialistului neurolog in urmatoarele situatii clinice: AVC recurent sub Acid acetylsalicilic, AVC cu intoleranta la Acid acetylsalicilic, AVC cu sindrom coronarian acut in ultimul an, AVC cu stenoza de artera carotida semnificativa, AVC cu interventie percutana carotidiana.

    G. 5. HEPATITELE CRONICE DE ETIOLOGIE VIRALA (cu HBV, HCV), cu probe biologice de activitate, markeri de replicare virala, criterii histologice si varsta sub 65 ani, fiind necesara indeplinirea tuturor criteriilor enuntate

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 13.|  1.| J05A B04  | Ribavirinum*) #                                        |
|____|____|___________|________________________________________________________|
| 14.|  2.| J05A F05  | Lamivudinum*) #                                        |
|____|____|___________|________________________________________________________|
| 15.|  3.| L03A B04  | Interferonum Alfa 2a*) #                               |
|____|____|___________|________________________________________________________|
| 16.|  4.| L03A B05  | Interferonum Alfa 2b*) #                               |
|____|____|___________|________________________________________________________|
| 17.|  5.| L03AB10   | Peginterferonum Alfa 2a*) #                            |
|____|____|___________|________________________________________________________|
| 18.|  6.| L03AB11   | Peginterferonum Alfa 2b*) #                            |
|____|____|___________|________________________________________________________|
    *) Se vor prescrie cu aprobarea comisiei centrale a Casei Nationale de Asigurari de Sanatate.

    G. 6. HEPATITA AUTOIMUNA

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 19.|  1.| L04A X01  | Azatioprinum                                           |
|____|____|___________|________________________________________________________|
| 20.|  2.| H02A B07  | Prednisonum                                            |
|____|____|___________|________________________________________________________|

    La indicatia specialistului gastroenterolog.

    G. 7. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 21.|  1.| A05A A02  | Acidum ursodeoxycholicum                               |
|____|____|___________|________________________________________________________|

    La indicatia specialistului gastroenterolog.

    G. 8. CIROZA HEPATICA

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 22.|  1.| J05A B04  | Lamivudinum* #                                         |
|____|____|___________|________________________________________________________|
| 23.|  2.| C03C A01  | Furosemidum                                            |
|____|____|___________|________________________________________________________|
| 24.|  3.| C03D A01  | Spironolactonum                                        |
|____|____|___________|________________________________________________________|
    * La indicatia specialistului gastroenterolog sau infectionist, pentru cirozele HVB, DNA+ cu activitate biologica.

    G. 9. HIV/SIDA

    Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare, prin care se deruleaza Programul National HIV/SIDA.

    G. 10. TALASEMIE SI HEMOCROMATOZA

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 25.|  1.| V03A C01  | Deferoxaminum                                          |
|____|____|___________|________________________________________________________|

    La indicatia specialistului hematolog +/- gastroenterolog.

    G. 11. LEUCEMII, LIMFOAME, APLAZIE MEDULARA, GAMAPATII MONOCLONALE MALIGNE, MIELOPROLIFERARI CRONICE SI TUMORI MALIGNE

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 26.|  1.| A03F A01  | Metoclopramidum                                        |
|____|____|___________|________________________________________________________|
| 27.|  2.| A04A A01  | Ondansetronum #                                        |
|____|____|___________|________________________________________________________|
| 28.|  3.| H02A B02  | Dexamethasonum                                         |
|____|____|___________|________________________________________________________|
| 29.|  4.| N02A A01  | Morphinum                                              |
|____|____|___________|________________________________________________________|
| 30.|  5.| N02A A08  | Dihydrocodeinum                                        |
|____|____|___________|________________________________________________________|
| 31.|  6.| N02A B02  | Pethidinum                                             |
|____|____|___________|________________________________________________________|
| 32.|  7.| N02A X02  | Tramadolum                                             |
|____|____|___________|________________________________________________________|
| 33.|  8.| N07B C02  | Methadonum                                             |
|____|____|___________|________________________________________________________|
| 34.|  9.| R05D A04  | Codeinum                                               |
|____|____|___________|________________________________________________________|
| 35.| 10.| A04A A02  | Granisetronum #                                        |
|____|____|___________|________________________________________________________|
| 36.| 11.| B03X A01  | Epoetinum #                                            |
|____|____|___________|________________________________________________________|
| 37.| 12.| H01B A02  | Desmopressinum                                         |
|____|____|___________|________________________________________________________|
| 38.| 13.| L04A A01  | Ciclosporinum #                                        |
|____|____|___________|________________________________________________________|
| 39.| 14.| N02A B03  | Fentanylum #                                           |
|____|____|___________|________________________________________________________|
| 40.| 15.| N02A A05  | Oxycodonum #                                           |
|____|____|___________|________________________________________________________|

    La indicatia specialistului hematolog sau oncolog.
    Medicamentele specifice se asigura prin Programul National de Cancer.

    G. 12. EPILEPSIE

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 41.|  1.| N03A A02  | Phenobarbitalum                                        |
|____|____|___________|________________________________________________________|
| 42.|  2.| N03A B02  | Phenitoinum                                            |
|____|____|___________|________________________________________________________|
| 43.|  3.| N03A D01  | Ethosuximidum                                          |
|____|____|___________|________________________________________________________|
| 44.|  4.| N03A E01  | Clonazepamum                                           |
|____|____|___________|________________________________________________________|
| 45.|  5.| N03A F01  | Carbamazepinum                                         |
|____|____|___________|________________________________________________________|
| 46.|  6.| N03A F02  | Oxcarbazepinum* #                                      |
|____|____|___________|________________________________________________________|
| 47.|  7.| N03A G01  | Acidum valproicum si saruri                            |
|____|____|___________|________________________________________________________|
| 48.|  8.| N03A X09  | Lamotriginum* #                                        |
|____|____|___________|________________________________________________________|
| 49.|  9.| N03A X11  | Topiramatum* #                                         |
|____|____|___________|________________________________________________________|
| 50.| 10.| N03A X12  | Gabapentinum*                                          |
|____|____|___________|________________________________________________________|
| 51.| 11.| N03A X14  | Levetiracetamum* #                                     |
|____|____|___________|________________________________________________________|
| 52.| 12.| N03A XN1  | Pregabalinum* #                                        |
|____|____|___________|________________________________________________________|

    Se vor prescrie la indicatia specialistului neurolog, iar produsele corespunzatoare DCI-urilor marcate cu *, cu aprobarea comisiilor teritoriale.

    G. 13. BOALA PARKINSON

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 53.|  1.| N04A A01  | Trihexyphenidilum                                      |
|____|____|___________|________________________________________________________|
| 54.|  2.| N04A A02  | Biperidenum                                            |
|____|____|___________|________________________________________________________|
| 55.|  3.| N04B A02  | Levodopum + Carbidopum                                 |
|____|____|___________|________________________________________________________|
| 56.|  4.| N04B A02  | Levodopum + Benserazidum                               |
|____|____|___________|________________________________________________________|
| 57.|  5.| N04B A03  | Levodopum + Carbidopum + Entacaponum*) #               |
|____|____|___________|________________________________________________________|
| 58.|  6.| N04B C04  | Ropinirolum*)                                          |
|____|____|___________|________________________________________________________|
| 59.|  7.| N04B C05  | Pramipexolum*)                                         |
|____|____|___________|________________________________________________________|
| 60.|  8.| N04B D01  | Selegilinum                                            |
|____|____|___________|________________________________________________________|
| 61.|  9.| N04B B01  | Amantadinum                                            |
|____|____|___________|________________________________________________________|
| 62.| 10.| N04B C01  | Bromocriptinum                                         |
|____|____|___________|________________________________________________________|
| 63.| 11.| N04B X02  | Entacaponum*) #                                        |
|____|____|___________|________________________________________________________|
| 64.| 12.| N05A H02  | Clozapinum*) #                                         |
|____|____|___________|________________________________________________________|

    Se vor prescrie de specialistul neurolog, iar produsele corespunzatoare DCI-urilor marcate cu *, cu aprobarea comisiilor teritoriale.

    G. 14. MIASTENIA GRAVIS

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 65.|  1.| H02A B07  | Prednisonum                                            |
|____|____|___________|________________________________________________________|
| 66.|  2.| N07A A01  | Neostigmini bromidum                                   |
|____|____|___________|________________________________________________________|
| 67.|  3.| N07A A02  | Piridostigminum                                        |
|____|____|___________|________________________________________________________|
| 68.|  4.| L04A X01  | Azathioprinum                                          |
|____|____|___________|________________________________________________________|

    G. 15. SCLEROZA MULTIPLA

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 69.|  1.| H02A B04  | Methylprednisolonum                                    |
|____|____|___________|________________________________________________________|
| 70.|  2.| H02A B07  | Prednisonum                                            |
|____|____|___________|________________________________________________________|
| 71.|  3.| L01D B07  | Mitoxantronum* #                                      |
|____|____|___________|________________________________________________________|
| 72.|  4.| L03A B07  | Interferonum Beta 1a*) #                               |
|____|____|___________|________________________________________________________|
| 73.|  5.| L03A B08  | Interferonum Beta 1b*) #                               |
|____|____|___________|________________________________________________________|
| 74.|  6.| L03A X13  | Glatiramer acetat*) #                                  |
|____|____|___________|________________________________________________________|
| 75.|  7.| L01B A01  | Methotrexatum #                                        |
|____|____|___________|________________________________________________________|
| 76.|  8.| L04A X01  | Azathioprinum                                          |
|____|____|___________|________________________________________________________|
    *) Se prescriu numai pentru pacientii inclusi in subprogramul <<Preventie si diagnostic precoce in bolile neurologice>>.
    * Cu aprobarea comisiilor din centrele universitare.

    G. 16. BOLI PSIHICE (Schizofrenie, tulburari schizotipale si delirante, tulburari afective majore, tulburari psihotice acute)

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 77.|  1.| N03A G01  | Acidum valproicum si saruri                            |
|____|____|___________|________________________________________________________|
| 78.|  2.| N05A F01  | Flupentixolum                                          |
|____|____|___________|________________________________________________________|
| 79.|  3.| N05A H02  | Clozapinum                                             |
|____|____|___________|________________________________________________________|
| 80.|  4.| N06A X03  | Mianserinum                                            |
|____|____|___________|________________________________________________________|
| 81.|  5.| N05A L05  | Amilsulpiridum #                                       |
|____|____|___________|________________________________________________________|
| 82.|  6.| N06A A04  | Clomipraminum                                          |
|____|____|___________|________________________________________________________|
| 83.|  7.| N05A X08  | Risperidonum #                                         |
|____|____|___________|________________________________________________________|
| 84.|  8.| N05A H03  | Olanzapinum #                                          |
|____|____|___________|________________________________________________________|
| 85.|  9.| N05A H04  | Quetiapinum #                                          |
|____|____|___________|________________________________________________________|
| 86.| 10.| N05A F05  | Zuclopentixolum                                        |
|____|____|___________|________________________________________________________|
| 87.| 11.| N05A E04  | Ziprasidonum #                                         |
|____|____|___________|________________________________________________________|
| 88.| 12.| N05A X12  | Aripiprazolum #                                        |
|____|____|___________|________________________________________________________|

    Se vor prescrie de specialistul psihiatru.

    G. 17. DEMENTE (degenerative, vasculare, mixte)

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 89.|  1.| N06D A02  | Donepezilum #                                          |
|____|____|___________|________________________________________________________|
| 90.|  2.| N06D A03  | Rivastigminum #                                        |
|____|____|___________|________________________________________________________|
| 91.|  3.| N06D X01  | Memantinum #                                           |
|____|____|___________|________________________________________________________|

    Se vor prescrie de specialistul neurolog sau psihiatru.

    G. 18. COLAGENOZE MAJORE (lupus eritematos sistemic, sclerodermie, dermatomiozita, poliarterita nodoasa)

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 92.|  1.| H02A B07  | Prednisonum                                            |
|____|____|___________|________________________________________________________|
| 93.|  2.| H02A B04  | Methylprednisolonum oral, cazurile fara raspuns la     |
|    |    |           | Prednisonum                                            |
|____|____|___________|________________________________________________________|
| 94.|  3.| L01A A01  | Cyclophosphamidum                                      |
|____|____|___________|________________________________________________________|
| 95.|  4.| L01B A01  | Methotrexatum                                          |
|____|____|___________|________________________________________________________|
| 96.|  5.| L04A X01  | Azathioprinum                                          |
|____|____|___________|________________________________________________________|

    G. 19. POLIARTRITA REUMATOIDA SI ARTROPATIA PSORIAZICA

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
| 97.|  1.| A07E C01  | Sulphasalazinum                                        |
|____|____|___________|________________________________________________________|
| 98.|  2.| H02A B07  | Prednisonum                                            |
|____|____|___________|________________________________________________________|
| 99.|  3.| H02A B04  | Methylprednisolonum oral, cazurile fara raspuns la     |
|    |    |           | Prednisonum                                            |
|____|____|___________|________________________________________________________|
|100.|  4.| H02A B01  | Bethametasonum injectabil, pt. adm. locala             |
|____|____|___________|________________________________________________________|
|101.|  5.| M01A B05  | Diclofenacum                                           |
|____|____|___________|________________________________________________________|
|102.|  6.| M01A E03  | Ketoprofenum                                           |
|____|____|___________|________________________________________________________|
|103.|  7.| P01B A02  | Hydroxycloroquinum                                     |
|____|____|___________|________________________________________________________|
|104.|  8.| L01B A01  | Methotrexatum                                          |
|____|____|___________|________________________________________________________|
|105.|  9.| L04A A01  | Ciclosporinum*) #                                      |
|____|____|___________|________________________________________________________|
|106.| 10.| L04A A11  | Etanerceptum*) #                                      |
|____|____|___________|________________________________________________________|
|107.| 11.| L04A A12  | Infliximabum*) #                                      |
|____|____|___________|________________________________________________________|
|108.| 12.| L04A A13  | Leflunomidum*) #                                       |
|____|____|___________|________________________________________________________|
|109.| 13.| L04A A17  | Adalimumabum*) #                                      |
|____|____|___________|________________________________________________________|
|110.| 14.| L04A X01  | Azathioprinum                                          |
|____|____|___________|________________________________________________________|
|111.| 15.| M01C B01  | Natrii aurothiomalas                                   |
|____|____|___________|________________________________________________________|
    *) La indicatia specialistului reumatolog sau specialist in medicina fizica si recuperare medicala in cazurile fara raspuns la terapia clasica.
    *) Pentru pacientii cu poliartrita reumatoida sau artropatie psoriazica severa care nu raspund adecvat la metotrexat, cu aprobarea comisiei centrale de la nivelul Casei Nationale de Asigurari de Sanatate.

    G. 20. SPONDILITA ANKILOZANTA

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|112.|  1.| A07E C01  | Sulphasalazinum                                        |
|____|____|___________|________________________________________________________|
|113.|  2.| L01B A01  | Methotrexatum                                          |
|____|____|___________|________________________________________________________|
|114.|  3.| M01A B05  | Diclofenacum                                           |
|____|____|___________|________________________________________________________|
|115.|  4.| M01A E03  | Ketoprofenum                                           |
|____|____|___________|________________________________________________________|
|116.|  5.| H02A B01  | Betamethasonum injectabil, pt. adm. locala             |
|____|____|___________|________________________________________________________|

    G. 21. TUBERCULOZA, MICOBACTERIOZELE ATIPICE SI MUCOVISCIDOZA

    Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare prin care se deruleaza Programul National de TBC.

    Pentru mucoviscidoza medicamentele destinate profilaxiei si tratamentului complicatiilor respiratorii prescrise conform protocolului vor fi asigurate prin farmacii de circuit deschis, fiind suportate integral din fond.

    G. 22. DIABET ZAHARAT SI BOLI DE NUTRITIE

    Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare prin care se deruleaza Programul National de Diabet si Boli de Nutritie.

    G. 23. BOLI ENDOCRINE (Gusa endemica, insuficienta suprarenala cronica, diabetul isipid, mixedemul adultului, tumori hipofizare cu expansiune supraselara)

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|117.|  1.| H01B A02  | Desmopressinum                                         |
|____|____|___________|________________________________________________________|
|118.|  2.| H01C B03  | Lanreotidum* #                                         |
|____|____|___________|________________________________________________________|
|119.|  3.| H02A A02  | Fludrocortizonum                                       |
|____|____|___________|________________________________________________________|
|120.|  4.| H02A B09  | Hydrocortizonum                                        |
|____|____|___________|________________________________________________________|
|121.|  5.| H02A B07  | Prednisonum                                            |
|____|____|___________|________________________________________________________|
|122.|  6.| H03A A01  | Levothyroxinum                                         |
|____|____|___________|________________________________________________________|
|123.|  7.| H03C A    | Iodidum                                                |
|____|____|___________|________________________________________________________|
|124.|  8.| H03C A01  | Kalii iodidum                                          |
|____|____|___________|________________________________________________________|
    * Cu aprobarea comisiei centrale a Casei Nationale de Asigurari de Sanatate.

    G. 24. BOALA WILSON

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|125.|  1.| M01C C01  | Penicillaminum                                         |
|____|____|___________|________________________________________________________|

    La indicatia specialistului gastroenterolog sau neurolog.

    G. 25. STARI POST TRANSPLANT

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|126.|  1.| A05A A02  | Acidum ursodeoxycholicum                               |
|____|____|___________|________________________________________________________|
|127.|  2.| H02A B04  | Methylprednisolonum                                    |
|____|____|___________|________________________________________________________|
|128.|  3.| H02A B07  | Prednisonum                                            |
|____|____|___________|________________________________________________________|
|129.|  4.| J01E E01  | Sulphamethoxazolum + Trimethoprimum                    |
|____|____|___________|________________________________________________________|
|130.|  5.| J02A C01  | Fluconazolum                                           |
|____|____|___________|________________________________________________________|
|131.|  6.| J05A B01  | Aciclovirum #                                          |
|____|____|___________|________________________________________________________|
|132.|  7.| J05A B06  | Ganciclovirum #                                        |
|____|____|___________|________________________________________________________|
|133.|  8.| J05A F05  | Lamivudinum #                                          |
|____|____|___________|________________________________________________________|
|134.|  9.| L04A A01  | Ciclosporinum #                                        |
|____|____|___________|________________________________________________________|
|135.| 10.| L04A A05  | Tacrolimus #                                           |
|____|____|___________|________________________________________________________|
|136.| 11.| L04A A06  | Mycophenolatum #                                       |
|____|____|___________|________________________________________________________|
|137.| 12.| L04A A10  | Sirolimus #                                            |
|____|____|___________|________________________________________________________|
|138.| 13.| L04A X01  | Azathioprinum                                          |
|____|____|___________|________________________________________________________|

    Se vor prescrie la recomandarea Centrului care a efectuat transplantul pentru pacientii inclusi in subprogramul <<Transplant de organe si tesuturi>>.

    G. 26. INSUFICIENTA RENALA CRONICA

    Medicamentele vor fi asigurate prin farmaciile apartinand unitatilor sanitare prin care se deruleaza Programul National <<Preventie in patologia nefrologica si dializa>>.

    G. 27. GLAUCOM

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|139.|  1.| S01E C03  | Dorzolamidum simplu si in combinatii                   |
|____|____|___________|________________________________________________________|
|140.|  2.| S01E C04  | Brinzolamidum                                          |
|____|____|___________|________________________________________________________|
|141.|  3.| S01E D01  | Timololum                                              |
|____|____|___________|________________________________________________________|
|142.|  4.| S01E D02  | Betaxololum                                            |
|____|____|___________|________________________________________________________|
|143.|  5.| S01E D05  | Carteololum                                            |
|____|____|___________|________________________________________________________|
|144.|  6.| S01E E01  | Latanoprostum simplu si in combinatii                  |
|____|____|___________|________________________________________________________|
|145.|  7.| S01E E04  | Travoprostum                                           |
|____|____|___________|________________________________________________________|

    G. 28. PEMFIGUS

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|146.|  1.| H02A B02  | Dexamethazonum                                         |
|____|____|___________|________________________________________________________|
|147.|  2.| H02A B04  | Methylprednisolonum                                    |
|____|____|___________|________________________________________________________|
|148.|  3.| H02A B07  | Prednisonum                                            |
|____|____|___________|________________________________________________________|
|149.|  4.| J04B A02  | Dapsonum                                               |
|____|____|___________|________________________________________________________|
|150.|  5.| L01A A01  | Cyclophosphamidum                                      |
|____|____|___________|________________________________________________________|
|151.|  6.| L01B A01  | Methotrexatum                                          |
|____|____|___________|________________________________________________________|
|152.|  7.| L04A A01  | Ciclosporinum #                                        |
|____|____|___________|________________________________________________________|
|153.|  8.| L04A X01  | Azathioprinum                                          |
|____|____|___________|________________________________________________________|

    Se vor prescrie de medicul specialist dermatolog.

    G. 29. PELAGRA

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|154.|  1.| A11H A01  | Acidum nicotinicum                                     |
|____|____|___________|________________________________________________________|

    G. 30. BOALA GAUCHER

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|155.|  1.| A16A B02  | Imiglucerasum*) #                                      |
|____|____|___________|________________________________________________________|
    *) Dupa precizarea diagnosticului de catre laboratoarele de specialitate va putea fi prescris de catre specialistul gastroenterolog.

    G. 31. SIFILIS

 ______________________________________________________________________________
|Nr. |Nr. | Grupa ATC |                       D.C.I.                           |
|crt.|crt.|           |                                                        |
|____|____|___________|________________________________________________________|
|156.|  1.| J01A A02  | Doxyciclinum                                           |
|____|____|___________|________________________________________________________|
|157.|  2.| J01A A07  | Tetracyclinum                                          |
|____|____|___________|________________________________________________________|
|158.|  3.| J01C E01  | Benzylpenicillinum                                     |
|____|____|___________|________________________________________________________|
|159.|  4.| J01C E08  | Benzathinibenzylpenicillinum                           |
|____|____|___________|________________________________________________________|
|160.|  5.| J01C E30  | Benzylpenicillinum procainicum + Benzylpenicillinum    |
|____|____|___________|________________________________________________________|
|161.|  6.| J01F A01  | Erythromicinum                                         |
|____|____|___________|________________________________________________________|
|162.|  7.| J01F A07  | Josamycinum - numai la gravide                         |
|____|____|___________|________________________________________________________|

    NOTA:
    Pentru medicamentele din aceasta sectiune, tratamentul se initiaza de medicul de specialitate, altul decat medicul de familie, luandu se in considerare mentiunile cu caracter special, notate cu asterisc, cu exceptia insuficientei cardiace cronice (G.1.), la care initierea poate fi facuta si de medicul de familie, numai pentru medicamentele din pozitiile 1   7 din tabelul G1, daca bolnavul a fost explorat in prealabil pentru functia renala. Medicamentele de la pozitiile 8   10 de la tabelul G1 pot fi initiate numai de specialistul cardiolog sau de medicina interna.