ORDIN Nr
ORDIN Nr. 575
din 1 aprilie 2007
privind modificarea si
completarea Ordinului ministrului sanatatii publice nr. 569/2007 pentru
aprobarea Listei preturilor de decontare ale medicamentelor eliberate prin
farmaciile cu circuit deschis pentru tratamentul bolnavilor inclusi in unele
subprograme de sanatate din cadrul Programului national cu scop curativ,
nominalizate prin Hotararea Guvernului nr. 292/2007
ACT EMIS DE:
MINISTERUL SANATATII
ACT PUBLICAT IN:
MONITORUL OFICIAL NR. 230 din 3 aprilie 2007
In baza prevederilor:
- titlului XVII „Medicamentul", art. 851 din
Legea nr. 95/2006 privind reforma în domeniul
sănătăţii, cu modificările şi completările ulterioare;
- Hotărârii Guvernului nr. 292/2007 pentru aprobarea
programelor naţionale de sănătate în anul 2007;
- Hotărârii Guvernului nr. 1.841/2006 pentru
aprobarea Listei cuprinzând denumirile comune internaţionale de care
beneficiază asiguraţii în tratamentul ambulatoriu, cu sau fără contribuţie
personală, pe bază de prescripţie medicală, în sistemul de asigurări de
sănătate,
văzând Referatul Direcţiei farmaceutice nr. E.N. 3497
din 1 aprilie 2007,
în temeiul prevederilor:
- art. 140 alin. (2) lit. e) din Codul fiscal,
aprobat prin Legea nr. 571/2003, cu modificările şi completările ulterioare;
- Legii nr. 348/2004 privind denominarea monedei
naţionale, cu modificările şi completările ulterioare;
- Hotărârii Guvernului nr. 862/2006 privind
organizarea şi funcţionarea Ministerului Sănătăţii Publice,
ministrul sănătăţii publice emite următorul ordin:
Art. I. - Ordinul ministrului sănătăţii publice nr. 569/2007 pentru
aprobarea Listei preţurilor de decontare ale medicamentelor eliberate prin
farmaciile cu circuit deschis pentru tratamentul bolnavilor incluşi în unele
subprograme de sănătate din cadrul Programului naţional cu scop curativ,
nominalizate prin Hotărârea Guvernului nr. 292/2007,
publicat în Monitorul Oficial al României, Partea I, nr.
221 din 30 martie 2007, se modifică şi se completează după cum urmează:
1. Anexa la ordin se abrogă.
2. Articolul 1 se modifică si va avea următorul
cuprins: „Art. 1. - (1) Se aprobă Lista denumirilor comune internaţionale
corespunzătoare medicamentelor eliberate prin farmaciile cu circuit deschis
pentru tratamentul bolnavilor incluşi în unele subprograme de sănătate din
cadrul Programului naţional
cu scop curativ, cuprinsă în anexa nr. 1, şi Lista preţurilor de decontare ale denumirilor comune internaţionale corespunzătoare
medicamentelor eliberate prin farmaciile cu circuit
deschis pentru tratamentul bolnavilor incluşi în unele
subprograme de sănătate din cadrul
Programului naţional cu scop curativ, cuprinsă în anexa nr. 2, care fac parte integrantă din prezentul ordin. (2) Preţurile cuprinse în anexa nr. 2
constituie preţuri de CaNaMed
şi se aplică începând cu data de 1 aprilie 2007, utilizându-se potrivit reglementărilor legale în vigoare."
3. Articolul 5 se modifică şi va avea următorul cuprins:
„Art. 5. - Farmaciile cu circuit deschis eliberează medicamentele corespunzătoare
denumirilor comune internaţionale
prevăzute în anexa nr. 1 la preţurile de decontare prevăzute în anexa nr. 2, corespunzătoare denumirilor
comerciale internaţionale."
Art. II. - Prezentul
ordin se va publica în Monitorul Oficial al României, Partea I.
Ministrul sănătăţii publice,
Gheorghe Eugen Nicolăescu
ANEXA Nr. 1*)
LISTA
denumirilor comune internaţionale corespunzătoare medicamentelor eliberate prin farmaciile cu
circuit deschis pentru tratamentul bolnavilor incluşi în unele subprograme de
sănătate din cadrul Programului naţional cu scop curativ, nominalizate prin
Hotărârea Guvernului nr. 292/2007
I.Subprogramul: Tratamentul cu insuline al bolnavilor
cu diabet zaharat
DCI / Denumire generica
|
Grupa Terapeutica
|
Forma farmaceutica
|
Concentratie/UT
|
INSULINUM UMANE
|
A10AB01
|
SOL. INJ.
|
100ui/ml-3ml
|
INSULINUM UMANE
|
A10AB01
|
SOL. INJ.
|
100ui/ml-10ml
|
INSULINUM UMANE
|
A10AB01
|
SUSP. INJ.
|
100ui/ml-5ml
|
INSULINUM UMANE
|
A10AB01
|
SUSP. INJ.
|
100ui/ml-3ml
|
INSULINUM LISPRO
|
A10AB04
|
SOL. INJ.
|
100ui/ml -3ml
|
INSULINUM ASPARTAT
|
A10AB05
|
SOL. INJ.
|
100ui/ml -3ml
|
INSULINUM GLULIZINA
|
A10AB06
|
SOL. INJ.
|
100ui/ml-10ml
|
INSULINUM GLULIZINA
|
A10AB06
|
SOL. INJ.
|
100ui/ml-3ml
|
INSULINE UMANE
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-5ml
|
INSULINE UMANE
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-3ml
|
INSULINE UMANE
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-10ml
|
INSULINE UMANE
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-5ml
|
INSULINE UMANE
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-3ml
|
INSULINE UMANE
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-10ml
|
INSULINUM LISPRO
|
A10AD04
|
SUSP. INJ.
|
100ui/ml -3ml
|
INSULINUM ASPARTAT
|
A10AD05
|
SUSP. INJ.
|
100u/ml-3ml
|
INSULINUM GLARGINE
|
A10AE04
|
SOL. INJ.
|
100ui/ml-3ml
|
INSULINUM GLARGINE
|
A10AE04
|
SOL. INJ.
|
100ui/ml-5ml
|
INSULINUM GLARGINE
|
A10AE04
|
SOL. INJ.
|
100ui/ml-10ml
|
INSULINUM DETEMIR
|
A10AE05
|
SOL. INJ.
|
100U/ml
|
GLUCAGONUM
|
H04AA01
|
PULB. + SOLV. PT. SOL. INJ.
|
1mg
|
II. Subprogramul:
Tratamentul în ambulatoral bolnavilor cu afecţiuni oncologice
DCI / Denumire generica
|
Grupa Terapeutica
|
Forma farmaceutica
|
Concentratie/UT
|
MEDROXYPROGESTERONUM
|
G03AC06
|
SUSP. INJ.
|
150mg/ml
|
MEDROXYPROGESTERONUM
|
G03DA02
|
COMPR.
|
10mg
|
CYCLOPHOSPHAMIDUM
|
L01AA01
|
DRAJ.
|
50mq
|
CYCLOPHOSPHAMIDUM
|
L01AA01
|
PULB. PT. SOL. INJ. /PERF.
|
1g
|
CYCLOPHOSPHAMIDUM
|
L01AA01
|
PULB. PT. SOL. INJ./PERF.
|
500mg
|
CYCLOPHOSPHAMIDUM
|
L01AA01
|
PULB. PT. SOL. PERF./INJ. IV
|
200mg
|
CHLORAMBUCILUM
|
L01AA02
|
COMPR. FILM.
|
2 mg
|
MELPHALANUM
|
L01AA03
|
COMPR. FILM.
|
2 mg
|
BUSULFANUM
|
L01AB01
|
COMPR. FILM.
|
2 mg
|
TEMOZOLOMIDUM
|
L01AX03
|
CAPS.
|
100mg
|
TEMOZOLOMIDUM
|
L01AX03
|
CAPS.
|
20mg
|
TEMOZOLOMIDUM
|
L01AX03
|
CAPS.
|
250mg
|
TEMOZOLOMIDUM
|
L01AX03
|
CAPS.
|
5 mg
|
METHOTREXATUM
|
L01BA01
|
COMPR.
|
2.5mg
|
METHOTREXATUM
|
L01BA01
|
CONC. PT. SOL. PERF.
|
100mg/ml-5ml
|
METHOTREXATUM
|
L01BA01
|
CONC. PT. SOL. PERF.
|
10mg/ml - 5ml
|
METHOTREXATUM
|
L01BA01
|
CONC. PT. SOL. PERF.
|
100mg/ml- 10ml
|
METHOTREXATUM
|
L01BA01
|
CONC. PT. SOL. PERF.
|
100mg/ml-50ml
|
METHOTREXATUM
|
L01BA01
|
PULB. PT. SOL. INJ./PERF.
|
50mg
|
METHOTREXATUM
|
L01BA01
|
SOL. INJ.
|
5mg/ml - 1ml
|
MERCAPTOPURINUM
|
L01BB02
|
COMPR.
|
50mg
|
TIOGUANINUM
|
L01BB03
|
COMPR.
|
40mg
|
FLUDARABINUM
|
L01BB05
|
COMPR. FILM.
|
10mg
|
FLUDARABINUM
|
L01BB05
|
PULB. LIOF.
|
50mg
|
CAPECITABINUM
|
L01BC06
|
COMPR. FILM.
|
150mg
|
*) Anexa nr. 1 este reprodusă în facsimil.
DCI / Denumire generica
|
Grupa Terapeutica
|
Forma farmaceutica
|
Concentratie/ UT
|
CAPECITABINUM
|
L01BC06
|
COMPR. FILM.
|
500mg
|
COMBINAŢII
|
L01BC53
|
CAPS
|
|
VINORELBINUM
|
L01CA04
|
CAPS. MOI.
|
20mg
|
VINORELBINUM
|
L01CA04
|
CAPS. MOI.
|
30mg
|
VINORELBINUM
|
L01CA04
|
CONC. PT. SOL. PERF.
|
10mg/ml-1ml
|
VINORELBINUM
|
L01CA04
|
CONC. PT. SOL. PERF.
|
10mg/ml-5ml
|
VINORELBINUM
|
L01CA04
|
SOL. INJ.
|
10mg/1ml
|
ETOPOSIDUM
|
L01CB01
|
CAPS.
|
100mg
|
ETOPOSIDUM
|
L01CB01
|
CAPS
|
50mg
|
ETOPOSIDUM
|
L01CB01
|
CONC. PT. SOL. PERF.
|
20mg/ml-5ml
|
DOXORUBICINUM
|
L01DB01
|
CONC. PT. SOL. PERF.
|
2mg/ml-10ml
|
DOXORUBICINUM
|
L01DB01
|
CONC. PT. SOL. PERF.
|
2mg/ml-5ml
|
DOXORUBICINUM
|
L01DB01
|
CONC. PT. SOL. PERF.
|
2mg/ml-25ml
|
DOXORUBICINUM
|
L01DB01
|
LIOF. PT. SOL. PERF.
|
10mg
|
DOXORUBICINUM
|
L01DB01
|
LIOF. PT. SOL. PERF.
|
50mg
|
EPIRUBICINUM
|
L01DB03
|
CONC. PT. SOL. INJ.
|
2mg/ml-5ml
|
EPIRUBICINUM
|
L01DB03
|
CONC. PT. SOL. INJ.
|
2mg/ml-25ml
|
EPIRUBICINUM
|
L01DB03
|
CONC. PT. SOL. INJ.
|
2mg/ml-50ml
|
EPIRUBICINUM
|
L01DB03
|
LIOF. PT. SOL. INJ.
|
10mg
|
EPIRUBICINUM
|
L01DB03
|
LIOF. PT. SOL. INJ.
|
50mg
|
EPIRUBICINUM
|
L01DB03
|
PULB. PT. SOL. PERF. iv
|
10mg
|
EPIRUBICINUM
|
L01DB03
|
PULB. PT. SOL. PERF. iv
|
50mg
|
IDARUBICINUM
|
L01DB06
|
CAPS.
|
10mg
|
IDARUBICINUM
|
L01DB06
|
PULB. LIOF. PT. SOL. INJ.
|
5mg
|
RITUXIMABUM
|
L01XC02
|
CONC. PT. SOL. PERF.
|
10mg/ml-10ml
|
RITUXIMABUM
|
L01XC02
|
CONC. PT. SOL. PERF.
|
10mg/ml-50ml
|
HYDROXYCARBAMIDUM
|
L01XX05
|
CAPS.
|
500mg
|
ESTRAMUSTINUM
|
L01XX11
|
CAPS.
|
140mg
|
TRETINOINUM
|
L01XX14
|
DRAJ.
|
25mg
|
IMATINIBUM
|
L01XX28
|
CAPS.
|
100mg
|
ERLOTINIBUM
|
L01XX34
|
COMPR. FILM.
|
100mg
|
ERLOTINIBUM
|
L01XX34
|
COMPR. FILM.
|
150mg
|
ERLOTINIBUM
|
L01XX34
|
COMPR. FILM.
|
25mg
|
MEGESTROLUM
|
L02AB01
|
COMPR.
|
160mg
|
MEGESTROLUM
|
L02AB01
|
COMPR.
|
40mg
|
MEGESTROLUM
|
L02AB01
|
SUSP. ORALA
|
40mg/ml
|
MEDROXYPROGESTERONUM
|
L02AB02
|
COMPR.
|
500mg
|
LEUPRORELINUM
|
L02AE02
|
LIOF. PT. SOL. INJ.
|
11.25mg
|
LEUPRORELINUM
|
L02AE02
|
LIOF. PT. SOL. INJ.
|
3.75mg
|
GOSERELINUM
|
L02AE03
|
IMPLANT
|
3.6mg
|
TRIPTORELINUM
|
L02AE04
|
LIOF./SOLV. SUSP. INJ. ELIB.
|
11.25mg
|
TRIPTORELINUM
|
L02AE04
|
LIOF./SOLV. SUSP. INJ. ELIB.
|
3.75mg
|
TRIPTORELINUM
|
L02AE04
|
PULB. PT. SOL. INJ.
|
0.1 mg
|
TAMOXIFENUM
|
L02BA01
|
COMPR.
|
10mg
|
TAMOXIFENUM
|
L02BA01
|
COMPR. FILM.
|
10mg
|
FLUTAMIDUM
|
L02BB01
|
COMPR.
|
250mg
|
BICALUTAMIDUM
|
L02BB03
|
COMPR. FILM.
|
50mg
|
AMINOGLUTETHIMIDUM
|
L02BG01
|
COMPR.
|
250mg
|
ANASTROZOLUM
|
L02BG03
|
COMPR. FILM.
|
1mg
|
LETROZOLUM
|
L02BG04
|
COMPR. FILM.
|
2.5mg
|
EXEMESTANUM
|
L02BG06
|
DRAJ.
|
25mg
|
FILGRASTIMUM
|
L03AA02
|
SOL. INJ.
|
30MU/0.5ml
|
INTERFERONUM ALFA 2a
|
L03AB04
|
SOL. INJ.
|
3M ui/ml-0.5ml
|
INTERFERONUM ALFA 2a
|
L03AB04
|
SOL. INJ.
|
9M ui/0.5ml
|
INTERFERONUM ALFA 2a
|
L03AB04
|
SOL. INJ.
|
18M ui/0.6ml
|
INTERFERONUM ALFA 2a
|
L03AB04
|
SOL. INJ.
|
4.5M ui/ml-0.5ml
|
INTERFERONUM ALFA 2b
|
L03AB05
|
SOL. INJ.
|
15M ui/ml - 1.2ml
|
INTERFERONUM ALFA 2b
|
L03AB05
|
SOL. INJ.
|
25M ui/ml -1.2ml
|
ACIDUM CLODRONICUM
|
M05BA02
|
CAPS.
|
400mg
|
ACIDUM CLODRONICUM
|
M05BA02
|
COMPR. FILM.
|
800mg
|
ACIDUM CLODRONICUM
|
M05BA02
|
CONC. PT. SOL. PERF.
|
60mg/ml - 5ml
|
ACIDUM IBANDRONICUM
|
M05BA06
|
COMPR. FILM.
|
50mg
|
ACIDUM IBANDRONICUM
|
M05BA06
|
CONC. PT. SOL. PERF.
|
6mg/6ml
|
DCI / Denumire generica
|
Grupa Terapeutica
|
Forma farmaceutica
|
Concentratie/UT
|
ACIDUM ZOLEDRONICUM
|
M05BA08
|
PULB. + SOLV.
|
4mg
|
ACIDUM ZOLEDRONICUM
|
M05BA08
|
SOL. PERF.
|
5mg/100ml
|
CALCII FOLINAS
|
V03AF03
|
CAPS.
|
15mg
|
CALCII FOLINAS
|
V03AF03
|
COMPR.
|
15mg
|
CALCII FOLINAS
|
V03AF03
|
LIOF. PT. SOL. INJ./ PERF.
|
25mg
|
CALCII FOLINAS
|
V03AF03
|
SOL. INJ.
|
3mg/ml-10ml
|
CALCII FOLINAS
|
V03AF03
|
SOL. INJ./PERF.
|
10mg/ml-3ml
|
CALCII FOLINAS
|
V03AF03
|
SOL. INJ./PERF.
|
10mg/ml-10ml
|
III. Subprogramul:Tratamentul stării posttrasplant
în ambulator a pacienţilor transplantaţi
DCI / Denumire generica
|
Grupa Terapeutica
|
Forma farmaceutica
|
Concentratie/ UT
|
ACIDUM URSODEOXYCHOLICUM
|
A05AA02
|
CAPS.
|
250mg
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
1000ui/0.3ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
10000ui/0.6ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
2000ui/0.3ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
4000ui/0.3ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
500ui/0.3ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
5000ui/0.3ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
2000UI/0.5ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
4000UI/0.4ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
1000UI/0.5ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
10000ui/ml -1ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
4000ui/ml - 0.4ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
3000ui/ml - 0.3ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
2000ui/ml - 0.5ml
|
EPOETINUM
|
B03XA01
|
SOL. INJ.
|
1000ui/ml-0.5ml
|
EPOETINUM ALFA
|
B03XA01
|
SOL. INJ.
|
2000UI
|
EPOETINUM ALFA
|
B03XA01
|
SOL. INJ.
|
4000UI
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
10mcg/0.4ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
15mcg/0.375ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
20mcg/0.5ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
30mcg/0.3ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
40mcg/0.4ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
50mcg/0.5ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
60mcg/0.3ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
80mcg/0.4ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
100mcg/0.5ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
150mcg/0.3ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
300mcg/0.6ml
|
DARBEPOETINUM ALFA
|
B03XA02
|
SOL. INJ.
|
500mcg/1ml
|
METHYLPREDNISOLONUM
|
H02AB04
|
COMPR.
|
32mg
|
METHYLPREDNISOLONUM
|
H02AB04
|
COMPR.
|
4mg
|
METHYLPREDNISOLONUM
|
H02AB04
|
COMPR.
|
16mg
|
METHYLPREDNISOLONUM
|
H02AB04
|
LIOF. PT. SOL. INJ.
|
125mg
|
METHYLPREDNISOLONUM
|
H02AB04
|
LIOF. PT. SOL. INJ.
|
40mg
|
METHYLPREDNISOLONUM
|
H02AB04
|
LIOF. PT. SOL. INJ.
|
20mg
|
METHYLPREDNISOLONUM
|
H02AB04
|
LIOF. PT. SOL. INJ.
|
500mg
|
METHYLPREDNISOLONUM
|
H02AB04
|
PULB. LIOF. PT. SOL. INJ.
|
250mg/4ml
|
PREDNISONUM
|
H02AB07
|
COMPR.
|
5 mg
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
J01EE01
|
COMPR.
|
800mg/160mg
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
J01EE01
|
COMPR.
|
400mg+80mg
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
J01EE01
|
SIROP
|
125mg/25mg/5ml
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
J01EE01
|
SOL. INJ.
|
400mg/80mg-5ml
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
J01EE01
|
SOL. PERF.
|
400mg/80mg - 5ml
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
J01EE01
|
SUSP. ORALA
|
200mg/40mg/5ml
|
FLUCONAZOLUM
|
J02AC01
|
CAPS.
|
200mg
|
FLUCONAZOLUM
|
J02AC01
|
CAPS.
|
50mg
|
FLUCONAZOLUM
|
J02AC01
|
CAPS.
|
50mg
|
FLUCONAZOLUM
|
J02AC01
|
CAPS.
|
100mg
|
FLUCONAZOLUM
|
J02AC01
|
CAPS.
|
150mg
|
DCI / Denumire generica
|
Grupa Terapeutica
|
Forma farmaceutica
|
Concentratie/ UT
|
FLUCONAZOLUM
|
J02AC01
|
PULB. PT. SUSP. ORALA
|
50mg/5ml
|
FLUCONAZOLUM
|
J02AC01
|
SOL. PERF.
|
2mg/ml-25ml
|
FLUCONAZOLUM
|
J02AC01
|
SOL. PERF.
|
2mg/ml-100ml
|
FLUCONAZOLUM
|
J02AC01
|
SOL. PERF.
|
2mg/ml-200ml
|
FLUCONAZOLUM
|
J02AC01
|
SOL. PERF.
|
2mg/ml-50ml
|
VORICONAZOLUM
|
J02AC03
|
COMPR. FILM.
|
50mg
|
VORICONAZOLUM
|
J02AC03
|
COMPR. FILM.
|
200mg
|
VORICONAZOLUM
|
J02AC03
|
PULB. PT. SOL. PERF.
|
200mg
|
VORICONAZOLUM
|
J02AC03
|
PULB. PT. SUSP. ORALA
|
40mg/ml
|
ACICLOVIRUM
|
J05AB01
|
CAPS.
|
200mg
|
ACICLOVIRUM
|
J05AB01
|
COMPR.
|
200mg
|
ACICLOVIRUM
|
J05AB01
|
COMPR.
|
400mg
|
ACICLOVIRUM
|
J05AB01
|
COMPR.
|
200mg
|
ACICLOVIRUM
|
J05AB01
|
COMPR. DISPERSABILE
|
200mg
|
ACICLOVIRUM
|
J05AB01
|
LIOF. PT. SOL. PERF.
|
250mg
|
ACICLOVIRUM
|
J05AB01
|
PULB. PT. SOL. INJ.
|
250mg
|
VALGANCICLOVIRUM
|
J05AB14
|
COMPR. FILM.
|
450mg
|
LAMIVUDINUM
|
J05AF05
|
COMPR. FILM.
|
150mg
|
LAMIVUDINUM
|
J05AF05
|
COMPR. FILM.
|
100mg
|
LAMIVUDINUM
|
J05AF05
|
SOL. ORALA
|
10mg/ml
|
LAMIVUDINUM
|
J05AF05
|
SOL. ORALA
|
5 mg/ml
|
CICLOSPORINUM
|
L04AA01
|
CAPS. MOI
|
25mg
|
CICLOSPORINUM
|
L04AA01
|
CAPS. MOI
|
50mg
|
CICLOSPORINUM
|
L04AA01
|
CAPS. MOI
|
100mg
|
CICLOSPORINUM
|
L04AA01
|
SOL. ORALA
|
100mg/ml
|
TACROLIMUS
|
L04AA05
|
CAPS.
|
0.5mg
|
TACROLIMUS
|
L04AA05
|
CAPS.
|
1mg
|
TACROLIMUS
|
L04AA05
|
CAPS.
|
5mg
|
TACROLIMUS
|
L04AA05
|
CONC. PT. SOL. PERF.
|
5 mg/ml
|
MYCOPHENOLATUM
|
L04AA06
|
CAPS.
|
250mg
|
MYCOPHENOLATUM
|
L04AA06
|
COMPR. FILM.
|
500mg
|
MYCOPHENOLATUM
|
L04AA06
|
COMPR. FILM. GASTROREZ.
|
180mg
|
MYCOPHENOLATUM
|
L04AA06
|
COMPR. FILM. GASTROREZ.
|
360mg
|
MYCOPHENOLATUM
|
L04AA06
|
PULB. CONC. SOL. PERF.
|
500mg/flacon
|
MYCOPHENOLATUM
|
L04AA06
|
PULB. PT. SUSP. ORALA
|
1g/5ml
|
SIROLIMUSUM
|
L04AA10
|
COMPR. FILM.
|
1mg
|
AZATHIOPRINUM
|
L04AX01
|
COMPR. FILM.
|
50mg
|
ANEXA Nr. 2*)
Lista preţurilor de decontare ale denumirilor
commune internaţionale corespunzătoare medicamentelor eliberate prin farmaciile
cu circuit deschis pentru tratamentul bolnavilor incluşi în unele subprograme
de sănătate din cadrul Programului naţional cu scop curativ, nominalizate prin Hotărârea
Guvernului nr.292/2007
I. Subprogramul: Tratamentul cu insuline al
bolnavilor cu diabet zaharat
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
UT.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentratie/UT.
|
Pret cu
ridicata maximal / ambalaj
|
Pret cu
amănuntul maximal /
ambalaj
|
Pret cu
amănuntul
maximal
/U.T. =
Pret de
decontare
/UT
|
ACRTRAPID(R) NOVOLET(R) 100Ul/ml
|
INSULINUM UMANE
|
NOVONORDISKA/S
|
Cutie x 5 stilouri injectoare (pen-uri)
preumplute
|
A10AB01
|
SOL. INJ.
|
100ui/ml-3ml
|
108,00
|
119,49
|
23,8980
|
HUMULIN(R)R
|
INSULINUM UMANE
|
ELI LILLY
|
Cutie x 5 cartuşe x 3 ml; (2 ani)
|
A10AB01
|
SOL. INJ.
|
100ui/ml-3ml
|
70,61
|
78,12
|
15,6240
|
ACTRAPIDrHM PENFILL
|
INSULINUM UMANE
|
NOVO NORDISKA/S
|
Cutie x 1 folie tip blister x 5 cartuşe
x 3ml.; (3
|
A10AB01
|
SOL. INJ.
|
100ui/ml-3ml
|
79,68
|
88,15
|
17,6300
|
HUMULIN(R)R
|
INSULINUM UMANE
|
ELI LILLY
|
Cutie x 1 flacon x 10ml (2 ani)
|
A10AB01
|
SOL. INJ.
|
100ui/ml- 10ml
|
36,64
|
40,54
|
40,5400
|
ACTRAPID(R)100Ul/ml
|
INSULINUM UMANE
|
NOVONORDISKA/S
|
Cutie x 1 flacon x 10rnl soluţie injectabila (30 Iu
|
A10AB01
|
SOL. INJ.
|
100ui/ml- 10ml
|
35,43
|
39,20
|
39,2000
|
INSUMAN RAPID
|
INSULINUM UMANE
|
AVENTIS PHARMA DEUTSC HLAND
|
Cutie x 5 flacoane x 5 ml (2 ani la 2-8
C)
|
A10AB01
|
SUSP. INJ.
|
100ui/ml-5ml
|
122,49
|
135,52
|
27,1040
|
INSUMAN RAPID
|
INSULINUM UMANE
|
AVENTIS PHARMA DEUTSC HLAND
|
Cutie x 5 cartuse x 3ml(2 ani la2-8 C)
|
A10AB01
|
SUSP. INJ.
|
100ui/ml-3ml
|
89,07
|
98,54
|
19,7080
|
INSUMAN RAPID OptiSet
|
INSULINUM UMANE
|
AVENTIS PHARMA DEUTSC HLAND
|
Cutie x 5 penuri x 1 cartuş x 3 ml (2
ani la 2-8 C
|
A10AB01
|
SUSP. INJ.
|
100ui/ml-3ml
|
102,48
|
113,38
|
22,6760
|
HUMALOG(R) 100 U/ml
|
INSULINUM LISPRO
|
ELI LILLY
|
Cutie x 5 cartuşe x 3ml
|
A10AB04
|
SOL. INJ.
|
100ui/ml - 3ml
|
110,75
|
122,53
|
24,5060
|
NOVORAPID(R) PENFILL(R) 1DD U/ml
|
INSULINUM ASPARTAT
|
NOVONORDISKA/S
|
Cutie x 5 cartuşe x 3ml; (2 ani)
|
A10AB05
|
SOL. INJ.
|
100ui/ml- 3ml
|
144,00
|
159,31
|
31,8620
|
APIDRA(R) 100 U/ml
|
INSULINUM GLULIZINA
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 1 flacon x 10ml soluţie
injectabila (2 ani
|
A10AB06
|
SOL. INJ.
|
100UI/ml- 10ml
|
100,15
|
110,80
|
110,8000
|
APIDRA(R) 100 U/ml
|
INSULINUM GLULIZINA
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 stilouri injectoare (pen-uri)
preumplute
|
A10AB06
|
SOL. INJ.
|
100UI/ml-3ml
|
171,65
|
189,91
|
37,9820
|
APIDRA(R) 100 U/ml
|
INSULINUM GLULIZINA
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 cartuşe x 3ml soluţie injectabila (2 ani
|
A10AB06
|
SOL. INJ.
|
100UI/ml-3ml
|
166,32
|
184,01
|
36,8020
|
INSULATARD(R) NOVOLET(R) 1 00Ul/ml
|
INSULINE UMANE
|
NOVO NORDISKA/S
|
Cutie x 5 stilouri injectoare
(pen-uri) preumplute
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-3ml
|
108,00
|
119,49
|
23,8980
|
INSULATARD(R) PENFILL(R) 100UI/ml
|
INSULINE UMANE
|
NOVONORDISKA/S
|
Cutie x 5 cartuşe x 3ml; (30 luni; după
prima des
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-3ml
|
79,68
|
88,15
|
17,6300
|
INSUMAN BASAL
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 flacoane x 5 ml; (2 ani la 2-8
C)
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-5ml
|
122,46
|
135,48
|
27,0960
|
INSUMAN BASAL OptiSet
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 penuri x 1 cartuş x 3ml (2 ani
la 2-8 C)
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-3ml
|
102,48
|
113,38
|
22,6760
|
INSUMAN BASAL
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutiex 5 cartuşe x 3 ml (2 ani la 2-8 C)
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-3ml
|
89,07
|
98,54
|
19,7080
|
HUMULIN(R) N
|
INSULINE UMANE
|
ELI LILLY
|
Cutie x 5 cartuşe x 3ml (2 ani)
|
A10AC01
|
SUSP. INJ.
|
100ui/ml-3ml
|
70,61
|
78,12
|
15,6240
|
HUMULIN(R)N
|
INSULINE UMANE
|
ELI LILLY
|
Cutie x 1 flacon x 10ml (2 ani)
|
A10AC01
|
SUSP. INJ.
|
100ui/ml- 10ml
|
36,64
|
40,54
|
40,5400
|
INSULATARD(R) 100UI/ml
|
INSULINE UMANE
|
NOVONORDISKA/S
|
Cutie x 1 flacon x 10ml suspensie
injectabila (30
|
A10AC01
|
SUSP. INJ.
|
100ui/ml- 10ml
|
35,43
|
39,20
|
39,2000
|
HUMULIN(R) M3 (30/70)
|
INSULINE UMANE
|
ELI LILLY
|
Cutie x 1 flacon x 10ml
|
A10AD01
|
SUSP. INJ.
|
100ui/ml- 10ml
|
36,64
|
40,54
|
40,5400
|
MIXTARD(R)20 PENFILL(R) l00UI/ml
|
INSULINE UMANE
|
NOVO NORDISKA/S
|
Cutie x 5 cartuse x 3ml; (30 luni; după prima desc
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-3ml
|
79,68
|
88,15
|
17,6300
|
MIXTARD(R)30 PENFILL(R) l00UI/ml
|
INSULINE UMANE
|
NOVO NORDISKA/S
|
Cutiex 5 cartuse x 3ml ;(30 luni; după prima desc
|
A10AD01
|
SUSP. INJ.
|
100ui/ml- 3ml
|
79,68
|
88,15
|
17,6300
|
MIXTARD(R)40 PENFILL(R) 100UI/ml
|
INSULINE UMANE
|
NOVONORDISKA/S
|
Cutie x 5 cartuse x 3ml; (30 luni; după prima desc
|
A10AD01
|
SUSP. INJ.
|
100ui/ml- 3ml
|
79,68
|
88,15
|
17,6300
|
MIXTARD(R) 30 NOVOLET
|
INSULINE UMANE
|
NOVONORDISKA/S
|
Cutie x 5 cartuşe x 3ml; (30 luni)
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-3ml
|
108,00
|
119,49
|
23,8980
|
INSUMAN COMB 25
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 flacoane x 5 ml (2 ani la 2-8
C)
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-5ml
|
122,49
|
135,52
|
27,1040
|
INSUMAN COMB 25
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 cartuşe x3ml (2 ani la 2-8 C)
|
A10AD01
|
SUSP. INJ.
|
100ui/ml- 3ml
|
89,07
|
98,54
|
19,7080
|
INSUMAN COMB 25 OptiSet
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 penuri x 1 cartuş x 3ml
(2 ani la 2-8 C)
|
A10AD01
|
SUSP. INJ.
|
100ui/nnl- 3ml
|
102,48
|
113,38
|
22,6760
|
INSUMAN COMB 50
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutiex 5 flacoane x 5 ml (2 ani la 2-8 C)
|
A10AD01
|
SUSP. INJ.
|
100ui/ml- 5ml
|
122,49
|
135,52
|
27,1040
|
INSUMAN COMB 50
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 cartuşe x3ml (2 ani la 2-8 C)
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-3ml
|
89,07
|
98,54
|
19,7080
|
INSUMAN COMB 50 OptiSet
|
INSULINE UMANE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 penuri x 1 cartuş x 3ml (2 ani
la 2-8 C)
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-3ml
|
102,48
|
113,38
|
22,6760
|
HUMULIN(R) M3 (30/70)
|
INSULINE UMANE
|
ELI LILLY
|
Cutie x 5 cartuşe x 3 ml; (2 ani)
|
A10AD01
|
SUSP. INJ.
|
100ui/ml-3ml
|
70,61
|
78,12
|
15,6240
|
MIXTARD(R) 30
|
INSULINE UMANE
|
NOVO NORDISKA/S
|
Cutie x 1 flacon x 10ml suspensie
injectabila (30
|
A10AD01
|
SUSP. INJ.
|
100ui/ml- 10ml
|
35,43
|
39,20
|
39,2000
|
HUMALOG(R)MIX25(R)
|
INSULINUM LISPRO
|
ELI LILLY
|
Cutie x 5 cartuşe x 3ml; (2 ani la temp. 2-8°C; 28
|
A10AD04
|
SUSP. INJ.
|
100ui/ml - 3ml
|
115,34
|
127,61
|
25,5220
|
NOVOMIX(R) 30 FLEXPEN
|
INSULINUM ASPARTAT
|
NOVONORDISKA/S
|
Cutie x 5 pen-uri pre-umplute conţinând
3 ml suspe
|
A10AD05
|
SUSP. INJ.
|
100u/ml-3ml
|
144,00
|
159,31
|
31,8620
|
LANTUSr OptiSetr
|
INSULINUM GLARGINE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 stilouri injectoare (pen-uri)
preumplute
|
A10AE04
|
SOL. INJ.
|
100ui/ml-3ml
|
212,80
|
235,43
|
47,0860
|
LANTUSr 100ui/ml
|
INSULINUM GLARGINE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 cartuşe x 3ml; (2 ani, la 2°-8°C)
|
A10AE04
|
SOL. INJ.
|
100ui/ml-3ml
|
206,34
|
228,28
|
45,6560
|
LANTUSr 100ui/ml
|
INSULINUM GLARGINE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 5 flacoane x 5ml; (2 ani)
|
A10AE04
|
SOL. INJ.
|
100ui/ml-5ml
|
323,66
|
358,08
|
71,6160
|
LANTUSr 100ui/ml
|
INSULINUM GLARGINE
|
AVENTIS PHARMADEUTSCHLAND
|
Cutie x 1 flacon x 10 ml; (2 ani)
|
A10AE04
|
SOL. INJ.
|
100ui/ml-10ml
|
126,96
|
140,46
|
140,4600
|
LEVEMIR(R)FLEXPEN(R) 100 U/ml
|
INSULINUM DETEMIR
|
NOVONORDISKA/S
|
Cutie x 5 stilouri injectoare (pen-uri)
preumplute
|
A10AE05
|
SOL. INJ.
|
100U/ml
|
199,43
|
220,64
|
44,1280
|
*) Anexa nr. 2 este reprodusă
în facsimil.
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
UT.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentraţi
e/U.T.
|
Pret cu
ridicata maximal / ambalaj
|
Pret cu
amănuntul maximal /
ambalaj
|
Pret cu
amănuntul
maximal
/U.T. =
Pret de
decontare
/U.T.
|
LEVEMIR(R) PENFILL(R) 100 U/ml
|
INSULINUM DETEMIR
|
NOVO NORDISKA/S
|
Cutie x 5 cartuşe x 3ml soluţie
injectabila (2 ani
|
A10AE05
|
SOL. INJ.
|
100U/ml
|
187,20
|
207,11
|
41,4220
|
GLUCAGEN(R)HYPOKIT 1rng
|
GLUCAGONUM
|
NOVO NORDISKA/S
|
Cutie x 1 flac. pulb. x 1rng
glucagon + 1 seringa p
|
H04AA01
|
PULB. + SOLV.
PT. SOL. INJ.
|
1mg
|
62,40
|
69,04
|
69,0400
|
II. Subprogramul: Tratamentul în ambulator al
bolnavilor cu afecţiuni oncologice
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
U.T.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentraţi
e/U.T.
|
Pret cu
ridicata maximal / ambalaj
|
Pret cu
amănuntul maximal /
ambalaj
|
Pret cu
amănuntul
maximal
/UT. =
Pret de
decontare
/U.T.
|
DEPO PROVERA
|
MEDROXYPROGESTERONUM
|
PHARMACIA & UP JOHN AB
|
Cutie x 1 flacon x 1ml (5 ani)
|
G03AC06
|
SUSP. INJ.
|
150mg/ml
|
7,39
|
8,18
|
8,1800
|
MEGESTRON
|
MEDROXYPROGESTERONUM
|
ORGANON NV
|
Cutie x t 00 flacoane x 1 ml suspensie
injectabila
|
G03AC06
|
SUSP. INJ.
|
150mg/ml
|
822,56
|
910,04
|
9,1004
|
MEDROXIPROGESTERONACETAT
|
MEDROXYPROGESTERONUM
|
TERAPIA SA
|
Cutie x 1 flac. x 30 compr.; (3 ani)
|
G03DA02
|
COMPR.
|
10mg
|
2,02
|
2,23
|
0,0743
|
ENDOXAN(R) 50mg
|
CYCLOPHOSPHAMIDUM
|
BAXTER ONCOLOGY GMBH
|
Cutiex 5 blist. PVC-PVDC/AI x 10 draj.
|
L01AA01
|
DRAJ.
|
50mg
|
23,24
|
25,71
|
0,5142
|
ENDOXAN(R)1g
|
CYCLOPHOSPHAMIDUM
|
BAXTER ONCOLOGY GMBH
|
Cutie x 1 flac. din sticla cu pulb. pt.
sol. perf.
|
L01AA01
|
PULB.PT. SOL.
INJ./PERF.
|
1g
|
29,67
|
32,83
|
32,8300
|
ENDOXAN(R) 500mg
|
CYCLOPHOSPHAMIDUM
|
BAXTER ONCOLOGY GMBH
|
Cutiex 1 flac. din sticla cu pulb. pt.
sol. perf.
|
L01AA01
|
PULB. PT. SOL.
INJ./PERF.
|
500mg
|
14,83
|
16,41
|
16,4100
|
ENDOXAN(R) 200mg
|
CYCLOPHOSPHAMIDUM
|
SINDAN SRL
|
Cutie x 1 flacon continmd pulbere pentru
soluţie
|
L01AA01
|
PULB.PT. SOL
PERF./INJ. IV
|
200mg
|
8,66
|
9,58
|
9,5800
|
LEUKERAN
|
CHLORAMBUCILUM
|
THE WELLCOME FOUNDATION LIMITED
|
Cutie x t flacon din sticla bruna x 25
comprimate
|
L01AA02
|
COMPR. FILM.
|
2mg
|
13,50
|
14,94
|
0,5976
|
ALKERAN 2mg
|
MELPHALANUM
|
GLAXO WELLCOME
|
Cutie x 1 flac. x 25 compr. film. (2 ani)
|
L01AA03
|
COMPR. FILM.
|
2mg
|
5,19
|
5,74
|
0,2296
|
MYLERAN
|
BUSULFANUM
|
GLAXO WELLCOME
|
Cutie x 1 flac. x 25 cornpr. film.; (3
ani)
|
L01AB01
|
COMPR. FILM.
|
2mg
|
16,55
|
18,31
|
0,7324
|
TEMODALIOOmg
|
TEMOZOLOMIDUM
|
SCHERINGPLOUGH
|
Cutie x 1 flac. din sticla bruna x 5
caps (2 ani
|
L01AX03
|
CAPS.
|
100mg
|
1369,07
|
1514,67
|
302,9340
|
TEMODAL 20mg
|
TEMOZOLOMIDUM
|
SCHERINGPLOUGH
|
Cutie x 1 flac. din sticla bruna x 5
caps (2 ani
|
L01AX03
|
CAPS.
|
20mg
|
279,19
|
308,88
|
61,7760
|
TEMODAL 250mg
|
TEMOZOLOMIDUM
|
SCHERINGPLOUGH
|
Cutie x 1 flac. din sticla bruna x 5
caps (2 ani
|
L01AX03
|
CAPS.
|
250mg
|
3355,61
|
3712,48
|
742,4960
|
TEMODAL 5mg
|
TEMOZOLOMIDUM
|
SCHERINGPLOUGH
|
Cutie x 1 flac. din sticla bruna x 5
caps., (2 ani
|
L01AX03
|
CAPS.
|
5mg
|
71,14
|
78,71
|
15,7420
|
ANTIFOLAN 2.5mg
|
METHOTREXATUM
|
SINDAN SRL
|
Cutie x 1 flac.x 50 compr. (2 ani)
|
L01BA01
|
COMPR.
|
2.5mg
|
11,15
|
12,34
|
0,2468
|
METHOTREXAT EBEWE
|
METHOTREXATUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 5 fiole x 5ml (3 ani)
|
L01BA01
|
CONC. PT SOL.
PERF.
|
100mg/ml - 5ml
|
150,73
|
166,76
|
33,3520
|
METHOTREXAT EBEWE
|
METHOTREXATUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 flacon x 5ml (3 ani)
|
L01BA01
|
CONC. PT SOL.
PERF.
|
10mg/ml - 5ml
|
7,25
|
8,02
|
8,0200
|
METHOTREXAT EBEWE
|
METHOTREXATUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 fiola x 10ml (3 ani)
|
L01BA01
|
CONC. PT SOL.
PERF.
|
100mg/ml- 10ml
|
62,37
|
69,00
|
69,0000
|
METHOTREXAT EBEWE
|
METHOTREXATUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 flacon x 50ml (3 ani)
|
L01BA01
|
CONC. PT. SOL.
PERF.
|
100mg/ml-50ml
|
311,90
|
345,07
|
345,0700
|
ANTIFOLAN(R) 50mg
|
METHOTREXATUM
|
SINDAN SRL
|
Cutie x 1 flacon de sticla cu pulbere
pentru solut
|
L01BA01
|
PULB.PT. SOL.
INJ./PERF.
|
50mg
|
6,33
|
7,00
|
7,0000
|
METHOTREXAT EBEWE 5mg
|
METHOTREXATUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 10 fiolex 1ml (2 ani)
|
L01BA01
|
SOL. INJ.
|
5mg/ml -1 ml
|
12,99
|
14,37
|
1,4370
|
PURI- NETHOL
|
MERCAPTOPURINUM
|
GLAXO WELLCOME
|
Cutie x 1 flacon din sticla bruna x 25
compr.; (5
|
L01BB02
|
COMPR.
|
50mg
|
34,90
|
38,61
|
1,5444
|
LANVIS
|
TIOGUANINUM
|
GLAXO WELLCOME
|
Cutie x 1 flac. x 25 compr.; (5 ani)
|
L01BB03
|
COMPR.
|
40mg
|
58,38
|
64,59
|
2,5836
|
FLUDARAORAL
|
FLUDARABINUM
|
SCHERINGAG
|
Cutie x 1 flacon x4 blistere x 5
comprimate filma
|
L01BB05
|
COMPR. FILM.
|
10mg
|
1856,13
|
2053,53
|
102,6765
|
FLUDARA
|
FLUDARABINUM
|
SCHERINGAG
|
Cutie x 5 flac. pulb. liof., (3 ani)
|
L01BB05
|
PULB. LIOF.
|
50mg
|
2651,39
|
2933,37
|
586,6740
|
XELODA 150mg
|
CAPECITABINUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 6 blist. x 10 compr. film.;(3
ani)
|
L01BC06
|
COMPR. FILM.
|
150mg
|
189,32
|
209,45
|
3,4908
|
XELODA 500mg
|
CAPECITABINUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 12 blist. x 10 compr. film.;(3
ani)
|
L01BC06
|
COMPR. FILM.
|
500mg
|
1256,26
|
1389,86
|
11,5822
|
UFT
|
COMBINAŢII
|
MERCK KGaA
|
Cutie x 7 blistere din PVC-PVDC/AI x 3
capsule (2
|
L01BC53
|
CAPS.
|
|
295,15
|
326,54
|
15,5495
|
UFT
|
COMBINAŢII
|
MERCK KGaA
|
Cutie x 7 blistere din PVC-PVDC/AI x 4
capsule (2
|
L01BC53
|
CAPS.
|
|
393,54
|
435,39
|
15,5496
|
UFT
|
COMBINAŢII
|
MERCK KGaA
|
Cutie x 7 blistere din PVC-PVDC/AI x 5
capsule (2
|
L01BC53
|
CAPS.
|
|
491,92
|
544,24
|
15,5497
|
UFT
|
COMBINAŢII
|
MERCK KGaA
|
Cutie x 7 blistere din PVC-PVDC/AI x 6
capsule (2
|
L01BC53
|
CAPS.
|
|
590,31
|
653,09
|
15,5498
|
UFT
|
COMBINAŢII
|
MERCK KGaA
|
Cutie x 3 blistere din PVC-PVDC/AI x 12
capsule (2
|
L01BC53
|
CAPS.
|
|
505,97
|
559,78
|
15,5494
|
UFT
|
COMBINAŢII
|
MERCK KGaA
|
Cutie x 10 blistere din PVC-PVDC/AI x 12
capsulei
|
L01BC53
|
CAPS.
|
|
1686,58
|
1865,95
|
15,5496
|
NAVELBINE20mg
|
VINORELBINUM
|
PIERRE FABRE MEDICAMENT
|
Cutie x 1 blster din
PVC-PVDC/AI-PETP-hartie Kraf
|
L01CA04
|
CAPS. MOI.
|
20mg
|
173,94
|
192,44
|
192,4400
|
NAVELBINE30mg
|
VINORELBINUM
|
PIERRE FABRE MEDICAMENT
|
Cutie x 1 blster din
PVC-PVDC/AI-PEPT-hartie Kraf
|
L01CA04
|
CAPS. MOI.
|
30mg
|
260,94
|
288,69
|
288,6900
|
VINORELBIN SINDAN 10mg/ml
|
VINORELBINUM
|
SINDAN SRL
|
Cutie x 1 flacon din sticla incolora x 1
ml concen
|
L01CA04
|
CONC.PT SOL.
PERF.
|
10mg/ml
|
87,10
|
96,36
|
96,3600
|
VINORELBIN SINDAN 10mg/ml
|
VINORELBINUM
|
SINDAN SRL
|
Cutie x 1 flacon din sticla incolora x 5
ml concen
|
L01CA04
|
CONC. PT SOL.
PERF.
|
10mg/ml
|
386,41
|
427,50
|
427,5000
|
NAVELBINE(R)
|
VINORELBINUM
|
LAB. PIERRE FABRE
|
Cutiex10fioleX1ml(3ani)
|
L01CA04
|
SOL. INJ.
|
10mg/1ml
|
926,84
|
1025,41
|
102,5410
|
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
UT.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentratie/UT.
|
Pret cu
ridicata maximal / ambalaj
|
Pret cu
amănuntul maximal /
ambalaj
|
Pret cu
amănuntul
maximal
/UT. =
Pret de
decontare
/UT.
|
VEPESID
|
ETOPOSIDUM
|
BRISTOL-MYERS SQUIBB
|
Cutie x 1 blist. x 10 caps.; (3 ani)
|
L01CB01
|
CAPS.
|
100mg
|
262,48
|
290,39
|
29,0390
|
VEPESID
|
ETOPOSIDUM
|
BRISTOL-MYERS SQUIBB
|
Cutie x 2 blist. x 10 caps.; (3 ani)
|
L01CB01
|
CAPS.
|
50mg
|
243,82
|
269,75
|
13,4875
|
ETOPOSID "EBEWE" 100ms/5ml
|
ETOPOSIDUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 flacon x 5ml
|
L01CB01
|
CONC. PT. SOL.
PERF
|
20mg/ml - 5ml
|
45,44
|
50,27
|
50,2700
|
SINTOPOSID 100mg/5ml
|
ETOPOSIDUM
|
SINDAN SRL
|
Cutie x 1 flacon x 5ml (2 ani)
|
L01CB01
|
CON C PT. SOL
PERF
|
20mg/ml-5ml
|
43,64
|
48,28
|
48,2800
|
CAELYX 2mg/ml
|
DOXORUBICINUM
|
SCHERINGPLOUGH
|
Cutie x 1 flacon din sticla x 10ml; (2
ani.2-8 C)
|
L01DB01
|
CONC. PT. SOL.
PERF.
|
2mg/ml-10ml
|
1342,24
|
1484,99
|
1484,9900
|
CAELYX 2mg/ml
|
DOXORUBICINUM
|
SCHERINGPLOUGH
|
Cutie x 1 flacon din sticla x 25ml (2
ani)
|
L01DB01
|
CON C PT. SOL
PERF
|
2mg/ml-25ml
|
3755,14
|
4154,50
|
4154,5000
|
DOXORUBICIN "EBEVE" 2mg/ml
|
DOXORUBICINUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 flacon x 5 ml conc. pt sol.
perf. (10mg
|
L01DB01
|
CONC. PT. SOL.
PERF
|
2mg/ml-5ml
|
20,77
|
22,98
|
22,9800
|
DOXORUBICIN "EBEVE" 2mg/ml
|
DOXORUBICINUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 flacon x 25 ml conc. pt. sol.
perf. (50m
|
L01DB01
|
CONC. PT. SOL.
PERF
|
2mg/ml-25ml
|
82,58
|
91,36
|
91,3600
|
ADRIBLASTINARD
|
DOXORUBICINUM
|
SINDAN SRL
|
Cutiex 1 flac. liof. ptr. sol. perf.; (4
ani)
|
L01DB01
|
LIOF. PT SOL
PERF.
|
10mg
|
21,04
|
23,28
|
23,2800
|
ADRIBLASTINA RD 50mg
|
DOXORUBICINUM
|
SINDAN SRL
|
Cutie x 1 flac. liof. ptr. sol. perf.; (4
ani)
|
L01DB01
|
LIOF. PT SOL
PERF.
|
50mg
|
87,18
|
96,45
|
96,4500
|
SINDROXOCIN(R)10mg
|
DOXORUBICINUM
|
SINDAN SRL
|
Cutie x 1 flac. liof ;(2 ani).
|
L01DB01
|
LIOF. PT SOL
PERF.
|
10mg
|
20,03
|
22,16
|
22,1600
|
SINDROXOCIN(R)50mg
|
DOXORUBICINUM
|
SINDAN SRL
|
Cutie x 1 flac. liof.;(2 ani)
|
L01DB01
|
LIOF. PT SOL
PERF.
|
50mg
|
85,17
|
94,23
|
94,2300
|
EPIRUBICIN "EBEWE" 2mg/ml
|
EPIRUBICINUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 flacon din sticla x 5ml
concentrat pt. s
|
L01DB03
|
CONC. PT. SOL.
INJ.
|
2mg/ml-5ml
|
36,84
|
40,76
|
40,7600
|
EPIRUBICIN "EBEWE" 2mg/ml
|
EPIRUBICINUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 flacon din sticla x 25ml
concentrat pt
|
L01DB03
|
CONC PT SOL
INJ
|
2mg/ml-25ml
|
182,39
|
201,79
|
201,7900
|
EPIRUBICIN "EBEWE" 2mg/ml
|
EPIRUBICINUM
|
EBEWE ARZNEIMITTEL
|
Cutie x 1 flacon din sticla x 50ml
concentrat pt
|
L01DB03
|
CONC PT SOL
INJ
|
2mg/ml-50ml
|
361,21
|
399,62
|
399,6200
|
FARMORUBICINRDIOmg
|
EPIRUBICINUM
|
SINDAN SRL
|
Cutie x 1 flac. liof. (4 ani)
|
L01DB03
|
LIOF. PT. SOL.
INJ.
|
10mg
|
67,45
|
74,62
|
74,6200
|
FARMORUBICINRD50mg
|
EPIRUBICINUM
|
SINDAN SRL
|
Cutie x 1 flac. liof. (4 ani)
|
L01DB03
|
LIOF. PT. SOL.
INJ.
|
50mg
|
237,20
|
262,43
|
262,4300
|
EPISINDAN 10mg
|
EPIRUBICINUM
|
SINDAN SRL
|
Cutie x 1 flacon sticla incolora tipl.
capacitate
|
L01DB03
|
PULB. PT. SOL.
PERF. IV
|
10mg
|
57,91
|
64,07
|
64,0700
|
EPISINDAN 50mg
|
EPIRUBICINUM
|
SINDAN SRL
|
Cutie x 1 flacon sticla incolora tipl,
capacitate
|
L01DB03
|
PULB PT SOL
PERF. iv
|
50mg
|
234,02
|
258,91
|
258,9100
|
ZAVEDOS
|
IDARUBICINUM
|
PHARMACIA & UPJOHN AB
|
Cutie x 1 flac. x 1 caps.;(3 ani)
|
L01DB06
|
CAPS.
|
10mg
|
257,71
|
285,12
|
285,1200
|
ZAVEDOS 5mg
|
IDARUBICINUM
|
PHARMACIA & UPJOHN AB
|
Cutie x 1 flac. pulb. liof.; (3 ani)
|
L01DB06
|
PULB LIOF PT
SOL. INJ
|
5mg
|
281,87
|
311,85
|
311,8500
|
MABTHERAIOOmg
|
RITUXIMABUM
|
HOFFMANN LA ROCHE
|
Cutie x 2 flacoane x 10ml; (30 luni)
|
L01XC02
|
CON C PT. SOL
PERF
|
10mg/ml -10ml
|
1981,71
|
2192,46
|
1096,2300
|
MABTHERA500mg
|
RITUXIMABUM
|
HOFFMANN LA ROCHE
|
Cutie x 1 flacon x 50ml; (30 luni)
|
L01XC02
|
CONC. PT. SOL.
PERF
|
10mg/ml - 50ml
|
4954,27
|
5481,16
|
5481,1600
|
HYDREA
|
HYDROXYCARBAMIDUM
|
BRISTOL-MYERS SQUIBB
|
Cutie x 1 flac din sticla bruna x 100
caps (3 an
|
L01XX05
|
CAPS.
|
500mg
|
51,02
|
56,45
|
0,5645
|
HYDROXICARBAMIDE
|
HYDROXYCARBAMIDUM
|
PLIVA KRAKOW
|
Cutie metalica x 1 punga PE x 100caps ;
(5 ani)
|
L01XX05
|
CAPS.
|
500mg
|
69,79
|
77,21
|
0,7721
|
ESTRACYTr
|
ESTRAMUSTINUM
|
PHARMACIA & UPJOHN AB
|
Cutie x 10 blist. x 10 caps.; (3 ani)
|
L01XX11
|
CAPS.
|
140mg
|
322,15
|
356,41
|
3,5641
|
DIAMALIN(R) 25mg
|
TRETINOINUM
|
SINDAN SRL
|
Cutie x 1flac. x 40 drajeuri (2 ani)
|
L01XX14
|
DRAJ.
|
25mg
|
41,99
|
46,46
|
1,1615
|
GLIVECIOOmg
|
IMATINIBUM
|
NOVARTIS PHARMA
|
Cutie x 10 blist. x 12 caps.;(2 ani)
|
L01XX28
|
CAPS.
|
100mg
|
8846,92
|
9787,79
|
81,5649
|
TARCEVAIOOmg
|
ERLOTINIBUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 3 blistere din PVC/Al x 10
comprimate film
|
L01XX34
|
COMPR. FILM.
|
100mg
|
5171,04
|
5720,98
|
190,6993
|
TARCEVA150mg
|
ERLOTINIBUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 3 blistere din PVC/Al x 10
comprimate film
|
L01XX34
|
COMPR. FILM.
|
150mg
|
7077,55
|
7830,25
|
261,0083
|
TARCEVA 25mg
|
ERLOTINIBUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 3 blistere din PVC/Al x 10
comprimate film
|
L01XX34
|
COMPR. FILM.
|
25mg
|
1550,43
|
1715,32
|
57,1773
|
MEGESIN(R) 160mg
|
MEGESTROLUM
|
SINDAN SRL
|
Cutie x 1 flac. x 30 compr. (2 ani)
|
L02AB01
|
COMPR.
|
160mg
|
89,74
|
99,28
|
3,3093
|
MEGESIN(R) 160mg
|
MEGESTROLUM
|
SINDAN SRL
|
Cutie x 1 flac. x 100 compr. (2 ani)
|
L02AB01
|
COMPR.
|
160mg
|
263,02
|
290,99
|
2,9099
|
MEGESIN(R) 40mg
|
MEGESTROLUM
|
SINDAN SRL
|
Cutie x 1 flac. x 30 compr. (2 ani)
|
L02AB01
|
COMPR.
|
40mg
|
22,62
|
25,03
|
0,8343
|
MEGESIN(R) 40mg
|
MEGESTROLUM
|
SINDAN SRL
|
Cutie x 1 flac. x 100 compr. (2 ani)
|
L02AB01
|
COMPR.
|
40mg
|
66,04
|
73,06
|
0,7306
|
MEGACE(R)
|
MEGESTROLUM
|
BRISTOL-MYERS SQUIBB
|
Cutie x 1 flacon x 240ml suspensie orala
+ 1 masur
|
L02AB01
|
SUSP. ORALA
|
40mg/ml
|
229,53
|
253,94
|
253,9400
|
FARLUTAL500mg
|
MEDROXYPROGESTERONUM
|
PHARMACIA & UPJOHN AB
|
Cutie x 1 flac. x 30 compr.; (3 ani)
|
L02AB02
|
COMPR.
|
500mg
|
187,92
|
207,91
|
6,9303
|
LUCRIN DEPOT 11.25mg
|
LEUPRORELINUM
|
ABBO^ LABORATORIES Ltd.
|
Cutie x 1 flac. cu microsfere liofilizate
+ 1 fiol
|
L02AE02
|
LIOF. PT. SOL.
INJ.
|
11.25mg
|
736,89
|
815,26
|
815,2600
|
LUCRIN DEPOT 3.75mg
|
LEUPRORELINUM
|
ABBOTT LABORATORIES Ltd
|
Cutie x 1 flac. cu microsfere liofilizate
+ 1 fiol
|
L02AE02
|
LIOF. PT. SOL.
INJ.
|
3.75mg
|
286,15
|
316,58
|
316,5800
|
ZOLADEX(R)
|
GOSERELINUM
|
ASTRAZENECAAB
|
Cutie x 1 plic x 1 seringa pre-umpluta x
3,6mg (3
|
L02AE03
|
IMPLANT
|
3.6mg
|
421,45
|
466,27
|
466,2700
|
DIPHERELINE(R)11.25mg
|
TRIPTORELINUM
|
BEAUFOUR IPSEN
|
Cutie x 1 flacon cu liofilizat + 1 fiola
x 2ml sol
|
L02AE04
|
LIOF./SOLV
SUSP im ELIB.
|
11.25mg
|
1165,89
|
1289,88
|
1289,8800
|
DIPHERELINE(R)3.75mg
|
TRIPTORELINUM
|
BEAUFOUR IPSEN
|
Cutie x 1 flacon cu liofilizat + 1 fiola
x 2ml sol
|
L02AE04
|
LIOF./SOLV
SUSP INJ ELIB.
|
3.75mg
|
423,88
|
468,96
|
468,9600
|
DlPHERELINEO.Img
|
TRIPTORELINUM
|
IPSEN BIOTECH
|
Cutie x 7 flac. pulb. + 7 fiole solv.
x2ml (1 an)
|
L02AE04
|
PULB. PT. SOL.
INJ.
|
0.1mg
|
132,67
|
146,78
|
20,9686
|
TAMONEPRIN(R) 10mg
|
TAMOXIFENUM
|
SINDAN SRL
|
Cutie x 1 flac. x 60 compr.; (1 an)
|
L02BA01
|
COMPR.
|
10mg
|
17,87
|
19,77
|
0,3295
|
TAMOXIFEN(R) 10 HEXAL
|
TAMOXIFENUM
|
HEXAL AG
|
Cutie x 10 blist. x 10 compr. film. (5
ani)
|
L02BA01
|
COMPR. FILM.
|
10mg
|
29,29
|
32,41
|
0,3241
|
FLUCINOM(R)
|
FLUTAMIDUM
|
SCHERINGPLOUGH
|
Cutie x 10 blist. x 10 compr.
|
L02BB01
|
COMPR.
|
250mg
|
252,33
|
279,17
|
2,7917
|
FLUTAN
|
FLUTAMIDUM
|
MEDOCHEMIE Ltd
|
Cutie x 10 blistere PVC/ Al x 10
comprimate (5 ani)
|
L02BB01
|
COMPR.
|
250mg
|
171,80
|
190,07
|
1,9007
|
FLUTASIN(R)250mg
|
FLUTAMIDUM
|
SINDAN SRL
|
Cutie x 1 flacon x 30 comprimate (5 ani)
|
L02BB01
|
COMPR.
|
250mg
|
22,71
|
25,13
|
0,8377
|
CASODEX 50mg
|
BICALUTAMIDUM
|
ASTRAZENECAAB
|
Cutie x 2 blist. tip calendar AI/PVC x 14
compr.fi
|
L02BB03
|
COMPR. FILM.
|
50mg
|
398,76
|
441,17
|
15,7561
|
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
UT.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentratie/UT.
|
Pret cu
ridicata maximal / ambalaj
|
Pret cu
amănuntul maximal /
ambalaj
|
Pret cu
amănuntul
maximal
/U.T. =
Pret de
decontare
/UT.
|
ROGLUTEN(R) 250mg
|
AMINOGLUTETHIMIDUM
|
SINDAN SRL
|
Cutie x 1 flac. x 40 compr.; (2 ani)
|
L02BG01
|
COMPR.
|
250mg
|
94,72
|
104,79
|
2,6198
|
ARIMIDEX
|
ANASTROZOLUM
|
ASTRAZENECAAB
|
Cutie x 2 blist. x 14 cormpr.film.; (5
ani)
|
L02BG03
|
COMPR. FILM.
|
1mg
|
323,64
|
358,06
|
12,7879
|
ARIMIDEX
|
ANASTROZOLUM
|
SINDAN SRL
|
Cutie x 2 blistere din PVC/Al x 14
comprimate film
|
L02BG03
|
COMPR. FILM.
|
1mg
|
353,61
|
391,22
|
13,9721
|
FEMARA
|
LETROZOLUM
|
NOVARTIS PHARMA
|
Cutie x 3 blistere x 10 comprimate
filmate (5 ani)
|
L02BG04
|
COMPR. FILM.
|
2.5mg
|
497,65
|
550,58
|
18,3527
|
AROMASINr
|
EXEMESTANUM
|
PHARMACIA S. UPJOHN AB
|
Cutie x 2 blist. x 15 draj.; (3 ani)
|
L02BG06
|
DRAJ.
|
25mg
|
255,04
|
282,16
|
9,4053
|
NEUPOGEN(R)
|
FILGRASTIMUM
|
HOFFMANN LA ROCHE
|
Cutie x1 seringa pre-umplLitax
30MU/0.5rnl soluţie
|
L03AA02
|
SOL. INJ.
|
30MU/0.5ml
|
331,77
|
367,05
|
367,0500
|
ROFERON(R)-A
|
INTERFERONUM ALFA2a
|
HOFFMANN LA ROCHE
|
Cutie x 1 seringa preumpluta x 0,5ml + ac
16-5/10
|
L03AB04
|
SOL. INJ.
|
3M ui/ml-0.5ml
|
61,94
|
68,53
|
68,5300
|
ROFERON(R)-A
|
INTERFERONUM ALFA2a
|
HOFFMANN LA ROCHE
|
Cutie x 1 seringa preumpluta x 0,5ml + ac
16-5/10
|
L03AB04
|
SOL. INJ.
|
9M ui/0.5ml
|
154,83
|
171,30
|
171,3000
|
ROFERON(R)-A
|
INTERFERONUM ALFA2a
|
HOFFMANN LA ROCHE
|
Cutie x 1 cartuş multidoza (2 ani)
|
L03AB04
|
SOL. INJ.
|
18Mui/0.6ml
|
267,51
|
295,96
|
295,9600
|
ROFERON(R)-A
|
INTERFERONUM ALFA2a
|
HOFFMANN LA ROCHE
|
Cutie x l seringa x 0.5ml + ac 16-5/10,
(2 ani)
|
L03AB04
|
SOL. INJ.
|
4.5M
ui/ml-0.5ml
|
86,25
|
95,42
|
95,4200
|
INTRONA 18 milioane U.I .
|
INTERFERONUM ALFA2b
|
SCHERINGPLOUGH
|
Cutie x 1 stilou injector (pen) x 1,2ml +
12 ace +
|
L03AB05
|
SOL. INJ.
|
15M ui/ml-
1.2ml
|
335,48
|
371,16
|
371,1600
|
INTRONA 30 milioane U.I.
|
INTERFERONUM ALFA2b
|
SCHERINGPLOUGH
|
Cutie x 1 stilou injector (pen) x 1 2ml +
12 ace +
|
L03AB05
|
SOL. INJ.
|
25M ui/ml-
1.2ml
|
559,14
|
618,60
|
618,6000
|
BONEFOS(R) 400
|
ACIDUM CLODRONICUM
|
SCHERINGAG
|
Cutie x 1 flac. x 100 caps.; (5 ani)
|
M05BA02
|
CAPS.
|
400mg
|
621,70
|
687,82
|
6,8782
|
SINDRONAT(R)400mg
|
ACIDUM CLODRONICUM
|
SINDAN SRL
|
Cutie x 3 blist. x 10 caps.; (2 ani)
|
M05BA02
|
CAPS.
|
400mg
|
55,61
|
61,52
|
2,0507
|
SINDRONAT(R)400mg
|
ACIDUM CLODRONICUM
|
SINDAN SRL
|
Cutie x 1 flacon de sticla x 100 capsule
(2 ani)
|
M05BA02
|
CAPS.
|
400mg
|
185,30
|
205,01
|
2,0501
|
SINDRONAT(R)400mg
|
ACIDUM CLODRONICUM
|
SINDAN SRL
|
Cutie x 12 blisterex 10 capsule (2 ani)
|
M05BA02
|
CAPS.
|
400mg
|
222,39
|
246,04
|
2,0503
|
BONEFOS(R) 800
|
ACIDUM CLODRONICUM
|
SCHERINGAG
|
Cutie x 6 blist. x 10 corn pr.film.; (3
ani)
|
M05BA02
|
COMPR. FILM.
|
800mg
|
658,28
|
728,29
|
12,1382
|
BONEFOS(R) 60mg/ml
|
ACIDUM CLODRONICUM
|
SCHERINGAG
|
Cutie x 5 fiole x 5ml; (3 ani)
|
M05BA02
|
CONC. PT. SOL.
PERF.
|
60mg/ml - 5ml
|
341,94
|
378,31
|
75,6620
|
BONDRONAT 50mg
|
ACIDUM IBANDRONICUM
|
ROCHE REGISTRATION Ltd
|
Cutie x4 blistere PVC/AI x 7 comprimate
filmate
|
M05BA06
|
COMPR. FILM.
|
50mg
|
889,12
|
983,68
|
35,1314
|
BONDRONAT 50mg
|
ACIDUM IBANDRONICUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 12 blistere PVC/Al x 7 comprimate
filmate
|
M05BA06
|
COMPR. FILM.
|
50mg
|
2597,68
|
2873,94
|
34,2136
|
BONDRONAT 6mg/6ml
|
ACIDUM IBANDRONICUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 1 flacon din sticla incolora x
6ml ooncent
|
M05BA06
|
CONC.PT. SOL.
PERF
|
6mg/6ml
|
829,39
|
917,60
|
917,6000
|
ZOMETA
|
ACIDUM ZOLEDRONICUM
|
NOVARTIS PHARMA
|
Cutie x 1flac. pulb.+1fiola x 5 ml solv.;
(3 ani)
|
M05BA08
|
PULB. + SOLV.
|
4mg
|
1028,46
|
1137,84
|
1137,8400
|
ACLASTA 5mg
|
ACIDUM ZOLEDRONICUM
|
NOVARTIS PHARMA
|
Cutie x 1 flacon plastic (polimer
cicloolefinicjx
|
M05BA08
|
SOL. PERF.
|
5mg/1 00ml
|
1394,77
|
1543,10
|
1543,1000
|
CALCIUM FOLINAT"EBEWE" 15mg
|
CALCII FOLINAS
|
EBEWE ARZNEIMITTEL
|
Cutie x 20 capsule (2 ani)
|
V03AF03
|
CAPS.
|
15mg
|
67,97
|
75,20
|
3,7600
|
FOLCASIN(R)15mg
|
CALCII FOLINAS
|
SINDAN SRL
|
Cutie x 1 flacon x 20 comprimate (2 ani)
|
V03AF03
|
COMPR.
|
15mg
|
44,63
|
49,38
|
2,4690
|
LEUCOVORIN Ca LACHEMA 25
|
CALCII FOLINAS
|
PLIVA KRAKOW
|
Cutie x 10 flac. liof. pt. sol.
inj./perf. (2 ani)
|
V03AF03
|
LIOF. PT.
SOL.INJ./PERF.
|
25mg
|
57,90
|
64,06
|
6,4060
|
FOLCASIN(R) 100mg/10ml
|
CALCII FOLINAS
|
SINDAN SRL
|
Cutie x 1 flacon x 10ml soluţie injectabila (18 Iu
|
V03AF03
|
SOL. INJ.
|
10mg/ml-10ml
|
32,20
|
35,62
|
35,6200
|
FOLCASIN(R) 30mg/10ml
|
CALCII FOLINAS
|
SINDAN SRL
|
Cutie x 1 flacon x 10ml soluţie injectabila (18 Iu
|
V03AF03
|
SOL. INJ.
|
3mg/ml-10ml
|
9,97
|
11,03
|
11,0300
|
FOLCASIN(R) 30mg/3ml
|
CALCII FOLINAS
|
SINDAN SRL
|
Cutie x 1 flacon x 3ml soluţie
injectabila (18 Iun
|
V03AF03
|
SOL. INJ.
|
10mg/ml-3ml
|
13,75
|
15,21
|
15,2100
|
CALCIUMFOLINAT "EBEWE" 10mg/ml
|
CALCII FOLINAS
|
EBEWE ARZNEIMITTEL
|
Cutie x 5 fiole x 3ml (2 ani)
|
V03AF03
|
SOL.
INJ./PERF.
|
10mg/ml-3ml
|
67,59
|
74,78
|
14,9560
|
CALCIUMFOLINAT "EBEWE"10mg/ml
|
CALCII FOLINAS
|
EBEWE ARZNEIMITTEL
|
Cutie x 5 fiole x 10ml (2 ani)
|
V03AF03
|
SOL.
INJ./PERF.
|
10mg/ml-10ml
|
158,43
|
175,28
|
35,0560
|
III. Subprogramul: Tratamentul stării post trasplant în ambulator a
pacienţilor transplantaţi
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
U.T.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentratie/UT.
|
Pret cu
ridicata maximal / ambalaj
|
Pret cu
amănuntul maximal /
ambalaj
|
Pret cu amănuntul
maximal
/U.T. =
Pret de
decontare
/UT.
|
URSOFALK(R)
|
ACIDUM URSODEOXYCHOLICUM
|
DR. FALKGmbH
|
Cutie x 2 blistere x 25 capsule (5 ani)
|
A05AA02
|
CAPS.
|
250mg
|
61,96
|
68,55
|
1,3710
|
URSOFALK(R)
|
ACIDUM URSODEOXYCHOLICUM
|
DR. FALKGmbH
|
Cutie x 4 blistere x 25 capsule (5 ani)
|
A05AA02
|
CAPS.
|
250mg
|
106,87
|
118,24
|
1,1824
|
NEORECORMON 1000 UI
|
EPOETINUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 6 seringi preurnplute x 0.3ml
(3 ani la te
|
B03XA01
|
SOL. INJ.
|
1000ui/0.3ml
|
238,08
|
263,40
|
43,9000
|
NEORECORMON 10000 UI
|
EPOETINUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 6 seringi preurnplute x 0.6ml
(3 ani la te
|
B03XA01
|
SOL. INJ.
|
10000ui/0.6ml
|
2380,94
|
2634,15
|
439,0250
|
NEORECORMON 2000 UI
|
EPOETINUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 6 seringi preurnplute x 0.3ml
(3 ani la te
|
B03XA01
|
SOL. INJ.
|
2000ui/0.3ml
|
476,19
|
526,83
|
87,8050
|
NEORECORMON 4000 UI
|
EPOETINUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 6 seringi preurnplute x 0.3ml
(3 ani a te
|
B03XA01
|
SOL. INJ.
|
4000ui/0.3ml
|
952,38
|
1053,67
|
175,6117
|
NEORECORMON 500 UI
|
EPOETINUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 6 seringi preurnplute x 0.3ml
(3 ani a te
|
B03XA01
|
SOL. INJ.
|
500ui/0.3ml
|
119,11
|
131,78
|
21,9633
|
NEORECORMON 5000 UI
|
EPOETINUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 6 seringi preurnplute x 0.3ml
(3 ani la te
|
B03XA01
|
SOL. INJ.
|
5000ui/0.3ml
|
1190,47
|
1317,08
|
219,5133
|
EPOKINE 2000UI/0,5ml
|
EPOETINUM
|
CHEILJEDANG CORPORATION
|
Cutie x 6 blistere x 1 seringa preumpluta
x 0,5ml
|
B03XA01
|
SOL. INJ.
|
2000UI/0.5ml
|
161,06
|
178,19
|
29,6983
|
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
U.T.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentratie/UT.
|
Preţ cu
ridicata maximal / ambalaj
|
Preţ cu
amănuntul maximal /
ambalaj
|
Pret cu
amănuntul
maximal
/U.T. =
Pret de
decontare
/U.T.
|
EPOKINE2000UI/1ml
|
EPOETINUM
|
CHEILJEDANG CORPORATION
|
Cutie x 10 flacoane x 1ml soluţie
injectabila (2 a
|
B03XA01
|
SOL
INJ.
|
2000UI/1ml
|
268,45
|
297,00
|
29,7000
|
EPOKINE 4000UI/0,4ml
|
EPOETINUM
|
CHEILJEDANG CORPORATION
|
Cutie x 6 blistere x 1 seringa preumpluta
x 0.4ml
|
B03XA01
|
SOL
INJ.
|
4000UI/0.4ml
|
322,15
|
356,41
|
59,4017
|
EPOKINE 4000UI/1ml
|
EPOETINUM
|
CHEILJEDANG CORPORATION
|
Cutie x 10 flacoane x 1ml soluţie injectabila (2 a
|
B03XA01
|
SOL
INJ.
|
4000UI/1ml
|
536,91
|
594,01
|
59,4010
|
EPOKINE 1000UI/0,5ml
|
EPOETINUM
|
CHEILJEDANG CORPORATION
|
Cutie x 6 blistere x 1 seringa preumpluta
x 0,5ml
|
B03XA01
|
SOL
INJ.
|
1000UI/0.5ml
|
96,65
|
106,93
|
17,8217
|
EPREX(R) 10000 UI
|
EPOETINUM
|
CILAGAG
|
Cutie x 2 blistere x 3 seringi preumplute
x 1ml; (
|
B03XA01
|
SOL
INJ.
|
1000uui/ml-1ml
|
2322,32
|
2569,30
|
428,2167
|
EPREX(R) 4000UI
|
EPOETINUM
|
CILAGAG
|
Cutie x 2 blistere x 3 seringi preumplute
x 0,4ml
|
B03XA01
|
SOL
INJ.
|
4000ui/ml -
0.4ml
|
928,93
|
1027,72
|
171,2867
|
EPREX(R)3000UI
|
EPOETINUM
|
CILAGAG
|
Cutie x 2 blistere x 3 seringi preumplute
x 0,3ml
|
B03XA01
|
SOL
INJ.
|
3000ui/ml -
0.3ml
|
696,70
|
770,79
|
128,4650
|
EPREX(R)2000UI
|
EPOETINUM
|
CILAGAG
|
Cutie x 2 blistere x 3 seringi preumplute
x 0,5ml
|
B03XA01
|
SOL
INJ.
|
2000ui/ml -
0.5ml
|
464,46
|
513,86
|
85,6433
|
EPREX(R) 1000 UI
|
EPOETINUM
|
CILAGAG
|
Cutie x 2 blistere x 3 seringi preumplute
x 0,5ml
|
B03XA01
|
SOL
INJ.
|
1000ui/ml-
0.5ml
|
232,23
|
256,93
|
42,8217
|
EPOPHAR 2000 U.I.
|
EPOETINUM ALFA
|
GULF PHARMACEUTICAL IND.(JULPHAR)
|
Cutie x 10 flacoane din sticla incolora x
1ml solu
|
B03XA01
|
SOL
INJ.
|
2000UI
|
214,76
|
237,60
|
23,7600
|
EPOPHAR 4000 U.I.
|
EPOETINUM ALFA
|
GULF PHARM£CEUTIC£J-IND.(JULPH.afi)
|
Cutie x 10 flacoane din sticla incolora x
1ml solu
|
B03XA01
|
SOL
INJ.
|
4000UI
|
429,51
|
475,19
|
47,5190
|
ARANESP(R) 10 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x 0,4ml soluţie
|
B03XA02
|
SOL
INJ.
|
10mcg/0.4ml
|
282,55
|
312,60
|
78,1500
|
ARANESP(R) 15 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1ml x
0,375ml solut
|
B03XA02
|
SOL
INJ.
|
15mcg/0.375ml
|
423,79
|
468,86
|
117,2150
|
ARANESP(R) 20 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x 0,5ml soluţie
|
B03XA02
|
SOL
INJ.
|
20mcg/0.5ml
|
565,09
|
625,19
|
156,2975
|
ARANESP(R) 30 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x 0,3ml soluţie
|
B03XA02
|
SOL
INJ.
|
30mcg/0.3ml
|
847,61
|
937,75
|
234,4375
|
ARANESP(R) 40 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x 04ml soluţie
|
B03XA02
|
SOL
INJ.
|
40mcg/0.4ml
|
1130,16
|
1250,35
|
312,5875
|
ARANESP(R) 50 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x 0,5ml soluţie
|
B03XA02
|
SOL
INJ.
|
50mcg/0.5ml
|
1412,71
|
1562,95
|
390,7375
|
ARANESP(R) 60 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x 0,3ml soluţie
|
B03XA02
|
SOL
INJ.
|
60mcg/0.3ml
|
1695,25
|
1875,54
|
468,8850
|
ARANESP(R) 80 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x 0 4ml soluţie
|
B03XA02
|
SOL
INJ.
|
80mcg/0.4ml
|
2260,32
|
2500,71
|
625,1775
|
ARANESP(R)100 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x0,5ml soluţie
|
B03XA02
|
SOL
INJ.
|
100mcg/0.5ml
|
2825,41
|
3125,89
|
781,4725
|
ARANESP(R)150 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 4 seringi preumplute a 1 ml x 0,3ml soluţie
|
B03XA02
|
SOL
INJ.
|
150mcg/0.3ml
|
4238,12
|
4688,84
|
1172,2100
|
ARANESP(R)300 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 1 seringa preumpluta a 1ml x 0.6ml soluţie
|
B03XA02
|
SOL
INJ.
|
300mcg/0.6ml
|
2119,05
|
2344,41
|
2344,4100
|
ARANESP(R)500 micrograme
|
DARBEPOETINUM ALFA
|
AMGEN EUROPE BV
|
Cutie x 1 seringa preumpluta a 1 ml x 1
ml soluţiei
|
B03XA02
|
SOL
INJ.
|
500mcg/1ml
|
3531,75
|
3907,35
|
3907,3500
|
MEDROLr 32
|
METHYLPREDNISOLONUM
|
PHARMACIA 4 UPJOHN AB
|
Cutie x 2 blist. x 10 compr.; (3 ani)
|
H02AB04
|
COMPR.
|
32mg
|
32,22
|
35,65
|
1,7825
|
MEDROLr 4
|
METHYLPREDNISOLONUM
|
PHARMACIA 4 UPJOHN AB
|
Cutie x 1 flac. x 30 compr.; (5 ani)
|
H02AB04
|
COMPR.
|
4mg
|
10,74
|
11,88
|
0,3960
|
MEDROLr 16
|
METHYLPREDNISOLONUM
|
PHARMACIA 4 UPJOHN AB
|
Cutie x 5 blist. x 10 compr.; (5 ani)
|
H02AB04
|
COMPR.
|
16mg
|
42,96
|
47,53
|
0,9506
|
SOLU-MEDROLt
|
METHYLPREDNISOLONUM
|
PHARMACIA & UPJOHN AB
|
Cutie x 1 flac.pulb. + 1 fiola solv. x
7.8ml; (5
|
H02AB04
|
UOF. +
SOLV.PT.SOLINJ.
|
500mg/7.8ml
|
30,86
|
34,14
|
34,1400
|
LEMODSOLU 125mg
|
METHYLPREDNISOLONUM
|
HEMOFARM
|
Cutie x 1 flac. liof. + 1 fiola solv. x
2ml (5 ani
|
H02AB04
|
LIOF. PT. SOL.
INJ.
|
125mg
|
9,99
|
11,05
|
11,0500
|
LEMODSOLU 40mg
|
METHYLPREDNISOLONUM
|
HEMOFARM
|
Cutie x 15 flac. liof. + 15 fiole solv. x
1 ml (5
|
H02AB04
|
LIOF. PT. SOL.
INJ.
|
40mg
|
47,80
|
52,88
|
3,5253
|
LEMODSOLU 20mg
|
METHYLPREDNISOLONUM
|
HEMOFARM
|
Cutie x 15 flac. liof. + 15 fiole solv. x
1 ml (5
|
H02AB04
|
LIOF. PT. SOL.
INJ.
|
20mg
|
29,89
|
33,07
|
2,2047
|
LEMODSOLU 500mg
|
METHYLPREDNISOLONUM
|
HEMOFARM
|
Cutie x 1 flac. liof. + 1 fiola solv. x
7,8ml (5 a
|
H02AB04
|
LIOF. PT. SOL.
INJ.
|
500mg
|
29,89
|
33,07
|
33,0700
|
SOLU - MEDROLt ACT-O-VIALT
|
METHYLPREDNISOLONUM
|
PHARMACIA & UPJOHN AB
|
Cutie x 1 flac. bicompartimentat
ACT-O-VIALT (comp
|
H02AB04
|
PULB.LIOF.PT.
SOL. INJ.
|
125mg/2ml
|
12,09
|
13,38
|
13,3800
|
SOLU - MEDROLt ACT-O-VIALT
|
METHYLPREDNISOLONUM
|
PHARMACIA 4 UPJOHN AB
|
Cutie x 1 flac bicompartimentat
ACT-O-VIALT (comp
|
H02AB04
|
PULB LIOF PT.
SOL INJ.
|
250mg/4ml
|
25,23
|
27,91
|
27,9100
|
SOLU - MEDROLt ACT-O-VIALT
|
METHYLPREDNISOLONUM
|
PHARMACIA 4 UPJOHN AB
|
Cutie x 1 flac bicompartimentat
ACT-O-VIALT (comp
|
H02AB04
|
PULB LIOF PT.
SOL INJ.
|
40mg/1ml
|
5,36
|
5,93
|
5,9300
|
PREDNISON 5mg
|
PREDNISONUM
|
MAGISTRA C & C
|
Cutie x 2 blist. AI/PVCx 10 compr.; (2
ani)
|
H02AB07
|
COMPR.
|
5mg
|
0,98
|
1,08
|
0,0540
|
PREDNISON
|
PREDNISONUM
|
ARENA GROUP SA
|
Cutie x 1 flac. x 30 compr.; (2 ani)
|
H02AB07
|
COMPR.
|
5mg
|
3,25
|
3,60
|
0,1200
|
PREDNISON 5mg
|
PREDNISONUM
|
SINTOFARM SA
|
Cutie x 3 blistere din PVC/Al x 10
comprimate (3 a
|
H02AB07
|
COMPR.
|
5mg
|
1,38
|
1,53
|
0,0510
|
PREDNISON 5mg
|
PREDNISONUM
|
GEDEON RICHTER ROMÂNIA SA
|
Cutie x 2 blistere AI/PVC x 10 compnmate
(3 ani)
|
H02AB07
|
COMPR.
|
5mg
|
0,98
|
1,08
|
0,0540
|
BERLOCID960
|
SOLFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
BERLIN CHEMIE AGMENARIN GROUP
|
Cutie x 2 blist. x 10 compr.; (5 ani)
|
J01EE01
|
COMPR.
|
800mg/160mg
|
7,32
|
8,10
|
0,4050
|
BISEPTOL 480
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
POLFA
|
Cutie x 1 blist. x 20 compr.; (3 ani)
|
J01EE01
|
COMPR.
|
400mg/80mg
|
2,37
|
2,62
|
0,1310
|
SUMETROLIM
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
EGIS PHARMACEUTICALS Ltd.
|
Cutie x 2 blist. x 10 compr.; (5 ani)
|
J01EE01
|
COMPR.
|
400mg/80mg
|
2,25
|
2,49
|
0,1245
|
TAGREMIN
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
ZENTIVASA
|
Cutie x 2 blistere AI/PVC x 10 comprimate
(3 ani)
|
J01EE01
|
COMPR.
|
400mg+80mg
|
1,20
|
1,33
|
0,0665
|
BISEPTRIM
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
EUROPHARMSA
|
Cutie x 2 blist. x 10 compr.
|
J01EE01
|
COMPR.
|
400mg/80mg
|
2,06
|
2,28
|
0,1140
|
CO-TRIMEEL
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
BIOEELSRL
|
Cutie x 2 blist. x 10 compr.; (1 an)
|
J01EE01
|
COMPR.
|
400mg/80mg
|
1,83
|
2,02
|
0,1010
|
SUMETROLIM
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
EGIS PHARMACEUTICALS Ltd.
|
Cutie x 1 flacon x 100ml (3 ani)
|
J01EE01
|
SIROP
|
125mg/25mg/5ml
|
4,47
|
4,95
|
4,9500
|
BISEPTOL
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
POLFA
|
Cutie x 10 fiole x 5ml (5 ani)
|
J01EE01
|
SOL. INJ.
|
400mg/80mg-5ml
|
29,43
|
32,56
|
3,2560
|
SEPTRIN
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
GLAXO GROUP Ltd.
|
Cutie x 10 fiole x 5ml; (3 ani)
|
J01EE01
|
SOL. PERF.
|
400mg/80mg-
5ml
|
42,28
|
46,78
|
4,6780
|
BERLOCID 240
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
BERLIM CHEMIE AG MErJARINI GROUP
|
Cutie x 1 flacon x 100ml (3 ani)
|
J01EE01
|
SUSP. ORALA
|
200mg/40mg/5ml
|
3,53
|
3,91
|
3,9100
|
TRIMIDARr M
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
DAR AL DAWA
|
Cutie x 1 flacon x 100ml; (3 ani)
|
J01EE01
|
SUSP. ORALA
|
200mg/40mg/5ml
|
3,35
|
3,71
|
3,7100
|
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
UT.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentratie/UT.
|
Pret cu
ridicata maximal / ambalaj
|
Pret cu
amănuntul maximal /
ambalaj
|
Pret cu
amănuntul
maximal
/UT. = Pret de decontare
/UT.
|
EPITRIM
|
SULFAMETHOXAZOLUM + TRIMETHOPRIMUM
|
E.I.P.I.CO.
|
Cutie x 1 flacon sticla bruna + măsura dozatoare x
|
J01EE01
|
SUSP. ORALA
|
200mg/40mg/5ml
|
2,68
|
2,97
|
2,9700
|
DIFLUCAN
|
FLUCONAZOLUM
|
PFZER EUROPE MA EEIG
|
Cutie x 1 blist. x 1 caps.; (5 ani)
|
J02AC01
|
CAPS.
|
150mg
|
16,60
|
18,37
|
18,3700
|
DIFLUCAN
|
FLUCONAZOLUM
|
PFZER EUROPE MA EEIG
|
Cutie x 1 blist. x 7 caps.; (5 ani)
|
J02AC01
|
CAPS.
|
50mg
|
43,97
|
48,65
|
6,9500
|
SYSCAN 100
|
FLUCONAZOLUM
|
LAB. TORRENT LTD
|
Cutie x 2 capsule (3 ani)
|
J02AC01
|
CAPS.
|
100mg
|
19,45
|
21,52
|
10,7600
|
FLUCOVIM 100
|
FLUCONAZOLUM
|
VIM SPECTRUM SRL
|
Cutie x 1 blister AI/PVC x 4 capsule (2
ani)
|
J02AC01
|
CAPS.
|
100mg
|
13,96
|
15,44
|
3,8600
|
FLUCOVIM 150
|
FLUCONAZOLUM
|
VIM SPECTRUM SRL
|
Cutie x 1 blister AI/PVC x 1 capsula (2
ani)
|
J02AC01
|
CAPS.
|
150mg
|
5,42
|
6,00
|
6,0000
|
FLUCOVIM 50
|
FLUCONAZOLUM
|
VIM SPECTRUM SRL
|
Cutie x 1 blister AI/PVC x 7 capsule (2
ani)
|
J02AC01
|
CAPS.
|
50mg
|
12,31
|
13,62
|
1,9457
|
DIFLAZONIOOmg
|
FLUCONAZOLUM
|
KRKAd.d.
|
Cutie x 4 blistere x 7 capsule (3 ani)
|
J02AC01
|
CAPS.
|
100mg
|
153,03
|
169,30
|
6,0464
|
DIFLAZON150mg
|
FLUCONAZOLUM
|
KRKAd.d.
|
Cutie x 1 blister x 1 capsula (3 ani)
|
J02AC01
|
CAPS.
|
150mg
|
14,77
|
16,34
|
16,3400
|
DIFLAZON 200mg
|
FLUCONAZOLUM
|
KRKAd.d.
|
Cutie x 1 blister x 7 capsule (3 ani)
|
J02AC01
|
CAPS.
|
200mg
|
96,65
|
106,93
|
15,2757
|
DIFLAZON 50mg
|
FLUCONAZOLUM
|
KRKAd.d
|
Cutie x 1 blister x 7 capsule (3 ani)
|
J02AC01
|
CAPS.
|
50mg
|
35,97
|
39,80
|
5,6857
|
MYCOSYST(R)150mg
|
FLUCONAZOLUM
|
GEDEON RICHTER Ltd.
|
Cutie x 1 blister x 1 capsula (2 ani)
|
J02AC01
|
CAPS.
|
150mg
|
15,40
|
17,04
|
17,0400
|
MYCOSYST(R)150mg
|
FLUCONAZOLUM
|
GEDEON RICHTER Ltd.
|
Cutie x 2 blistere x 1 capsula (2 ani)
|
J02AC01
|
CAPS.
|
150mg
|
30,75
|
34,02
|
17,0100
|
MYCOSYST(R)150mg
|
FLUCONAZOLUM
|
GEDEON RICHTER Ltd.
|
Cutie x 4 blistere x 1 capsula (2 ani)
|
J02AC01
|
CAPS.
|
150mg
|
61,51
|
68,05
|
17,0125
|
MYCOSYST 50mg
|
FLUCONAZOLUM
|
GEDEON RICHTER Ltd.
|
Cutie x 1 blister x 7 capsule (2 ani)
|
J02AC01
|
CAPS.
|
50mg
|
50,06
|
55,38
|
7,9114
|
FLUCONAZOL50mg
|
FLUCONAZOLUM
|
ARENA GROUP SA
|
Cutie x 1 flacon din polietilena de
înalta densita
|
J02AC01
|
CAPS.
|
50mg
|
13,34
|
14,76
|
2,1086
|
FLUCONAZOL150mg
|
FLUCONAZOLUM
|
ARENA GROUP SA
|
Cutie x 1 flacon din polietilena de
inalta densita
|
J02AC01
|
CAPS.
|
150mg
|
5,80
|
6,42
|
6,4200
|
FLUCONAZOL50mg
|
FLUCONAZOLUM
|
OZONE LABORATORIES Ltd
|
Cutie x 1 blister din folie
PVC/PVdC/folie Al x 7
|
J02AC01
|
CAPS.
|
50mg
|
13,16
|
14,56
|
2,0800
|
FLUCONAZOL150mg
|
FLUCONAZOLUM
|
OZONE LABORATORIES Ltd.
|
Cutie x 1 blister clin folie
PVC/PVdC/fohe Al x 1
|
J02AC01
|
CAPS.
|
150mg
|
7,24
|
8,01
|
8,0100
|
MYCOMAX(R)100
|
FLUCONAZOLUM
|
ZENTIVAAS
|
Cutie x 1 Mister Al/PVC/PE/PVDC x 7
capsule (2 an
|
J02AC01
|
CAPS.
|
100mg
|
29,97
|
33,16
|
4,7371
|
MYCOMAX(R)100
|
FLUCONAZOLUM
|
ZENTIVAAS
|
Cutie x 4 blistere Al/PVC/PE/PVDCx 7
capsule (2 a
|
J02AC01
|
CAPS.
|
100mg
|
107,39
|
118,81
|
4,2432
|
MYCOMAX(R)150
|
FLUCONAZOLUM
|
ZENTIVAAS
|
Cutie x 1 blist. x 1 caps.;(2 ani)
|
J02AC01
|
CAPS.
|
150mg
|
8,97
|
9,92
|
9,9200
|
MYCOMAX(R)150
|
FLUCONAZOLUM
|
ZENTIVAAS
|
Cutie x 1 blister x 3 capsule (2 ani)
|
J02AC01
|
CAPS.
|
150mg
|
38,39
|
42,47
|
14,1567
|
FLUCONAZOL50mg
|
FLUCONAZOLUM
|
SLAVIAPHARMSRL
|
Cutie x 1 blister clin AI/PVC x 7 capsule
(2 ani)
|
J02AC01
|
CAPS.
|
50mg
|
10,67
|
11,80
|
1,6857
|
FUNGOLON 50mg
|
FLUCONAZOLUM
|
BALKANP HARMA RAZGRAD AD
|
Cutie x 1 blister PVC/AI x 4 capsule (3
ani)
|
J02AC01
|
CAPS.
|
50mg
|
5,18
|
5,73
|
1,4325
|
FUNGOLON 50mg
|
FLUCONAZOLUM
|
BALKANP HARMA RAZGRAD AD
|
Cutie x 1 blister PVC/AI x 8 capsule (3
ani)
|
J02AC01
|
CAPS.
|
50mg
|
10,36
|
11,46
|
1,4325
|
FUNGOLON 100mg
|
FLUCONAZOLUM
|
BALKANP HARMA RAZGRAD AD
|
Cutie x 2 blistere PVC/Al x 8 capsule (3
ani)
|
J02AC01
|
CAPS.
|
100mg
|
49,00
|
54,21
|
3,3881
|
FLUCONAZOL50mg
|
FLUCONAZOLUM
|
TERAPIA SA
|
Cutie x 1 blister din PVC/Al x 7 capsule
(2 ani)
|
J02AC01
|
CAPS.
|
50mg
|
10,74
|
11,88
|
1,6971
|
FLUCONAZOL150mg
|
FLUCONAZOLUM
|
SLAVIAPHARMSRL
|
Cutie x 1 blister din Al/PVC x 1 capsula
(2 ani)
|
J02AC01
|
CAPS.
|
150mg
|
5,28
|
5,84
|
5,8400
|
FLUCONAZOL150mg
|
FLUCONAZOLUM
|
TERAPIA SA
|
Cutie x 1 blister din PVC/Al x 1 capsula
(2 ani)
|
J02AC01
|
CAPS.
|
150mg
|
5,02
|
5,55
|
5,5500
|
FLUCONAZOL SANDOZ(R) 50
|
FLUCONAZOLUM
|
LEK PHARMATECH
|
Cutie x 1 blister PVC/Al x 7 capsule (3
ani)
|
J02AC01
|
CAPS.
|
50mg
|
22,67
|
25,08
|
3,5829
|
FLUCONAZOL SANDOZ(R) 150
|
FLUCONAZOLUM
|
LEK PHARMATECH
|
Cutie x 1 bliater PVC/Al x 1 capsula (3
ani)
|
J02AC01
|
CAPS.
|
150mg
|
10,14
|
11,22
|
11,2200
|
FLUCORIC 150mg
|
FLUCONAZOLUM
|
TERAPIA SA (RANBAXY LABORATORIES Ltd,)
|
Cutie x 1 blister din folie
PVC/PVdc/folie Al x 1
|
J02AC01
|
CAPS.
|
150mg
|
11,08
|
12,26
|
12,2600
|
FLUCORIC50mg
|
FLUCONAZOLUM
|
TERAPAS.ALRANBAXYLABORATORIES Ud.J
|
Cutie x 1 blister din folie
PVC/PVdc/folie Al x 7
|
J02AC01
|
CAPS.
|
50mg
|
23,36
|
25,84
|
3,6914
|
FLUCORIC 100mg
|
FLUCONAZOLUM
|
TERUPAS.ALRANBAXrLABORATORIES Ud.)
|
Cutie x 1 blister din folie
PVC/PVdc/folie Al x 7
|
J02AC01
|
CAPS.
|
100mg
|
35,00
|
38,72
|
5,5314
|
DIFLUCAN(R)50mg/5ml
|
FLUCONAZOLUM
|
PFIZER EUROPE MA EEIG
|
Cutie x 1 flacon pulbere pt 35ml susp. (3
ani)
|
J02AC01
|
PULB PT. SUSP
ORALA
|
50mg/5ml
|
73,68
|
81,52
|
81,5200
|
DIFLUCAN(R)
|
FLUCONAZOLUM
|
PFIZER EUROPE MA EEIG
|
Cutie x 1 flacon x 25ml soluţie
perfuzabila (5 ani
|
J02AC01
|
SOL. PERF.
|
2mg/ml-25ml
|
21,48
|
23,76
|
23,7600
|
DIFLUCAN(R)
|
FLUCONAZOLUM
|
PFIZER EUROPE MA EEIG
|
Cutie x 1 flacon x 50ml soluţie
perfuzabila (5 ani
|
J02AC01
|
SOL. PERF.
|
2mg/ml-50ml
|
23,62
|
26,13
|
26,1300
|
DIFLUCAN(R)
|
FLUCONAZOLUM
|
PFIZER EUROPE MA EEIG
|
Cutie x 1 flacon x 200ml soluţie
perfuzabila (5 an
|
J02AC01
|
SOL. PERF.
|
2mg/ml-200ml
|
105,22
|
116,41
|
116,4100
|
DIFLAZON(R)
|
FLUCONAZOLUM
|
KRKAd.d.
|
Cutie x 1 flacon x 100rn soluţie perfuzabila (3 an
|
J02AC01
|
SOL. PERF.
|
2mg/ml-100ml
|
42,96
|
47,53
|
47,5300
|
MYCOMAX(R) INF
|
FLUCONAZOLUM
|
ZENTIVAAS
|
Cutie x 1 flacon x 100ml soluţie
perfuzabila (3 an
|
J02AC01
|
SOL. PERF.
|
2mg/ml-100ml
|
59,93
|
66,30
|
66,3000
|
MYCOMAX(R) INF
|
FLUCONAZOLUM
|
ZENTIVAAS
|
Cutie x 1 flacon din sticla incolora x
200ml solut
|
J02AC01
|
SOL. PERF.
|
2mg/ml-200ml
|
104,88
|
116,03
|
116,0300
|
MYCOMAX(R) INF
|
FLUCONAZOLUM
|
ZENTIVAAS
|
Cutie x 1 flacon din sticla incolora x
50ml soluti
|
J02AC01
|
SOL. PERF.
|
2mg/ml-50ml
|
22,49
|
24,88
|
24,8800
|
VFEND(R)
|
VORICONAZOLUM
|
PFIZER EUROPE MA EEIG
|
Cutie x 4 blistere x 7 comprimate filmate
(3 ani)
|
J02AC03
|
COMPR. FILM.
|
50mg
|
766,69
|
848,23
|
30,2939
|
VFEND(R)
|
VORICONAZOLUM
|
PFIZER EUROPE MA EEIG
|
Cutie x 4 blistere x 7 comprimate filmate
(3 ani)
|
J02AC03
|
COMPR. FILM.
|
200mg
|
3067,51
|
3393,74
|
121,2050
|
VFEND(R)
|
VORICONAZOLUM
|
PFIZER EUROPE MA EEIG
|
Cutie x 1 flacon unidozax 200mg pulbere
pentru so
|
J02AC03
|
PULB. PT SOL
PERF.
|
200mg
|
412,09
|
455,92
|
455,9200
|
VFEND(R)40mg/ml
|
VORICONAZOLUM
|
PFIZER EUROPE MA EEIG
|
Cutie cu: 1 flacon din polietilena de
inalta densi
|
J02AC03
|
PULB PT. SUSP
ORALA
|
40mg/ml
|
2035,58
|
2252,06
|
2252,0600
|
ACICLOVIR 200mg
|
ACICLOVIRUM
|
ARENA GROUP SA
|
Cutie x 2 blistere din Al/PVC x 10
capsule (3 ani)
|
J05AB01
|
CAPS.
|
200mg
|
11,68
|
12,92
|
0,6460
|
ACICLOVIR 200mg
|
ACICLOVIRUM
|
ARENA GROUP SA
|
Cutie x 100 blistere din Al/PVC x 10
capsule (3 an
|
J05AB01
|
CAPS.
|
200mg
|
566,46
|
626,70
|
0,6267
|
Denumire
comerciala
|
Denumire
generica
|
Firma
|
Ambalaj al
UT.
|
Grupa
Terapeutica
|
Forma
farmaceutica
|
Concentraţi
e/ U.T.
|
Pret cu
ridicata maximal / ambalaj
|
Pret cu
amănuntul maximal /
ambalaj
|
Pret cu
amănuntul
maximal
/UT. = Pret de decontare
/UT.
|
EUVIROX200mg
|
ACICLOVIRUM
|
EUROPHARMSA
|
Cutie x 2 blist. x10 caps. (2 ani)
|
J05AB01
|
CAPS.
|
200mg
|
11,56
|
12,79
|
0,6395
|
ACICLOVIR 200mg
|
ACICLOVIRUM
|
TERAPIA SA
|
Cutie x 2 blistere x 10 comprimate; (2
ani)
|
J05AB01
|
COMPR.
|
200mg
|
7,08
|
7,83
|
0,3915
|
ACICLOVIR 200mg
|
ACICLOVIRUM
|
EGIS PHARMACEUTICALS Ltd.
|
Cutie x 4 blist. x5 compr.; (4 ani)
|
J05AB01
|
COMPR.
|
200mg
|
7,51
|
8,31
|
0,4155
|
ACICLOVIR 400mg
|
ACICLOVIRUM
|
EGIS PHARMACEUTICALS Ltd.
|
Cutie x 2 blist. x5 compr.; (4 ani)
|
J05AB01
|
COMPR.
|
400mg
|
10,48
|
11,59
|
1,1590
|
ZOVIRAX
|
ACICLOVIRUM
|
GLAXO GROUP Ltd.
|
Cutie x 1 blist. x25 comprimate (5 ani)
|
J05AB01
|
COMPR.
|
200mg
|
40,28
|
44,56
|
1,7824
|
ACICLOVIR 200mg
|
ACICLOVIRUM
|
LAROPHARMSRL
|
Cutie x 2 blistere x 10 comprimate (2
ani)
|
J05AB01
|
COMPR.
|
200mg
|
7,08
|
7,83
|
0,3915
|
ACICLOVIR 200mg
|
ACICLOVIRUM
|
GEDEON RICHTER ROMANIASA
|
Cutie x 2 blist. x 10 compr.; (4 ani)
|
J05AB01
|
COMPR.
|
200mg
|
9,38
|
10,38
|
0,5190
|
CLOVIRAL200mg
|
ACICLOVIRUM
|
ANTIBIOTICE SA
|
Cdtie x 2 blistere PVC/AL x 10 comprimate
(2 ani)
|
J05AB01
|
COMPR.
|
200mg
|
8,96
|
9,91
|
0,4955
|
ACICLOVIR 200mg
|
ACICLOVIRUM
|
OZONE LABORATORIES Ltd
|
Cutie x4 blistere x 5 comprimate
dispensabila (3
|
J05AB01
|
COMPR
DISPERSABILE
|
200mg
|
4,09
|
4,53
|
0,2265
|
HERPESIN 250
|
ACICLOVIRUM
|
LACHEMA
|
Cutie x 10 flac.liof. pt. sol. perf., (3
ani)
|
J05AB01
|
LIOF. PT. SOL.
PERF.
|
250mg
|
51,95
|
57,47
|
5,7470
|
VIROLEX
|
ACICLOVIRUM
|
KRKAd.d.
|
Cutie x 5 flac. pulb.; (5 ani)
|
J05AB01
|
PULB. PT. SOL.
INJ.
|
250mg
|
202,55
|
224,09
|
44,8180
|
VALCYTE(R) 450mg
|
VALGANCICLOVIRUM
|
HOFFMANN LA ROCHE
|
Cutie x 1 flacon x 60 comprimate filmate
(3 ani)
|
J05AB14
|
COMPR. FILM.
|
450mg
|
4840,39
|
5355,17
|
89,2528
|
EPIVIR
|
LAMIVUDINUM
|
GLAXO GROUP Ltd.
|
Cutie x 1 flac. x 60 compr.film.; (3 ani)
|
J05AF05
|
COMPR. FILM.
|
150mg
|
257,52
|
284,91
|
4,7485
|
ZEFFIXIOOmg
|
LAMIVUDINUM
|
GLAXO GROUP Ltd.
|
Cdtie x 2 blistere PVC Al/PVC Al x 14
comprimate f
|
J05AF05
|
COMPR. FILM.
|
100mg
|
177,97
|
196,90
|
7,0321
|
EPIVIR
|
LAMIVUDINUM
|
GLAXO GROUP Ltd.
|
Cutie x 1 flacon x 240ml + 1 seringa
dozatoare + 1
|
J05AF05
|
SOL. ORALA
|
10mg/ml
|
68,64
|
75,94
|
75,9400
|
ZEFFIX5mg/ml
|
LAMIVUDINUM
|
GLAXO GROUP Ltd.
|
Cutie x 1 flacon HDPE x240ml + 1 seringa
dozatoar
|
J05AF05
|
SOL. ORALA
|
5mg/ml
|
79,63
|
88,10
|
88,1000
|
SANDIMMUN NEORAL(R)
|
CICLOSPORINUM
|
NOVARTIS PHARMA
|
Cutie x 10 blist. x5 caps.moi; (3 ani)
|
L04AA01
|
CAPS. MOI
|
25mg
|
178,82
|
197,84
|
3,9568
|
SANDIMMUN NEORAL(R)
|
CICLOSPORINUM
|
NOVARTIS PHARMA
|
Cutie x 10 blist. x5 caps.moi; (3 ani)
|
L04AA01
|
CAPS. MOI
|
50mg
|
317,39
|
351,14
|
7,0228
|
EQUORAL(R) 25mg
|
CICLOSPORINUM
|
IVAX-CR a.s.
|
Cutie x 5 blistere x 10 capsule moi (2
ani)
|
L04AA01
|
CAPS. MOI
|
25mg
|
73,82
|
81,67
|
1,6334
|
EQUORAL(R) 50mg
|
CICLOSPORINUM
|
IVAX-CR a.s.
|
Cutie x 5 blistere x 10 capsule moi (2
ani)
|
L04AA01
|
CAPS. MOI
|
50mg
|
167,77
|
185,61
|
3,7122
|
EQUORAL(R)100mg
|
CICLOSPORINUM
|
IVAX-CR a.s.
|
Cutie x 5 blistere x 10 capsule moi (2
ani)
|
L04AA01
|
CAPS. MOI
|
100mg
|
339,60
|
375,72
|
7,5144
|
CICLORAL(R) HEXAL(R) 100mg
|
CICLOSPORINUM
|
HEXALAG
|
Cutie x 10 blistere Al/Al x 5 capsule moi
(3 ani)
|
L04AA01
|
CAPS. MOI
|
100mg
|
382,05
|
422,68
|
8,4536
|
CICLORAL(R) HEXAL(R) 25mg
|
CICLOSPORINUM
|
HEXAL AG
|
Cutie x 10 blistere Al/Al x 5 capsule moi
(3 ani)
|
L04AA01
|
CAPS. MOI
|
25mg
|
85,96
|
95,10
|
1,9020
|
CICLORAL(R) HEXAL 50mg
|
CICLOSPORINUM
|
HEXAL AG
|
Cutie x 10 blistere Al/Al x 5 capsule moi
(3 ani)
|
L04AA01
|
CAPS. MOI
|
50mg
|
190,80
|
211,09
|
4,2218
|
SANDIMMUN NEORAL(R)
|
CICLOSPORINUM
|
NOVARTIS PHARMA
|
Cutie x 1 flacon x 50ml + set de admin.;
(3 ani)
|
L04AA01
|
SOL. ORALA
|
100mg/ml
|
705,54
|
780,57
|
780,5700
|
EQUORAL(R)
|
CICLOSPORINUM
|
IVAX-CR a.s.
|
Cutie x 1 flacon din sticla bruna x 50ml
soluţie o
|
L04AA01
|
SOL. ORALA
|
100mg/ml
|
402,68
|
445,51
|
445,5100
|
PROGRAF(R) 0.5mg
|
TACROLIMUS
|
ASTELLAS PHARMA GMBH
|
Cutie x 1 punga de aluminiu inchisa
etanş x 5 blis
|
L04AA05
|
CAPS.
|
0.5mg
|
203,30
|
224,92
|
4,4984
|
PROGRAF(R) 1mg
|
TACROLIMUS
|
ASTELLAS PHARMA GMBH
|
Cutie x 1 punga de aluminiu inchisa
etanş x 5 blis
|
L04AA05
|
CAPS.
|
1mg
|
413,07
|
457,00
|
9,1400
|
PROGRAF(R) 5mg
|
TACROLIMUS
|
ASTELLAS PHARMA GMBH
|
Cutie x 1 punga de aluminiu inchisa
etanş x 5 blis
|
L04AA05
|
CAPS.
|
5mg
|
1949,10
|
2156,39
|
43,1278
|
PROGRAF(R) 5mg/ml
|
TACROLIMUS
|
ASTELLAS PHARMA GMBH
|
Cutie x 10 fiole x 1 ml;(2 ani)
|
L04AA05
|
CONC. PT. SOL.
PERF
|
5mg/ml
|
2407,91
|
2663,99
|
266,3990
|
CELLCEPT 250mg
|
MYCOPHENOLATUM
|
ROCHE REGISTRATION Ltd
|
Cutie x 10 blist. x 10 caps.; (3 ani)
|
L04AA06
|
CAPS.
|
250mg
|
404,76
|
447,81
|
4,4781
|
CELLCEPT 500mg
|
MYCOPHENOLATUM
|
HOFFMANN LA ROCHE
|
Cutie x 5 blistere x 10 compnmate filmate
(3 ani)
|
L04AA06
|
COMPR. FILM.
|
500mg
|
404,76
|
447,81
|
8,9562
|
MYFORTIC180mg
|
MYCOPHENOLATUM
|
NOVARTIS PHARMA
|
Cutie plianta x 12 blistere PA-AI-PVC7AI
x 10 comp
|
L04AA06
|
COMPR. FILM
OASTROREZ
|
|
474,57
|
525,04
|
4,3753
|
MYFORTIC 360mg
|
MYCOPHENOLATUM
|
NOVARTIS PHARMA
|
Cutie plianta x 12 blistere PA-Al-PVC/Al
x 10 comp
|
L04AA06
|
COMPR. FILM OASTROREZ
|
|
949,13
|
1050,07
|
8,7506
|
CELLCEPT 500mg
|
MYCOPHENOLATUM
|
HOFFMANN LA ROCHE
|
Cutie x 4 flacoan e x 20ml conţin an d
pulbere pentru
|
L04AA06
|
PULB. CONC.
SOL. PERF
|
500mg/flacon
|
202,37
|
223,89
|
55,9725
|
CELLCEPT 1g/5ml
|
MYCOPHENOLATUM
|
HOFFMANN LA ROCHE
|
Cutie x 1 flacon x 110g pentru suspensie
orala (3
|
L04AA06
|
PULB. PT.
SUSP. ORALA
|
1g/5ml
|
566,65
|
626,91
|
626,9100
|
RAPAMUNE
|
SIROLIMUSUM
|
WVETH LEDERLE PHARMA GmbH
|
Cutie x 3 blistere x 10 compnmate filmate
(18 Iun
|
L04AA10
|
COMPR. FILM.
|
1mg
|
500,67
|
553,92
|
18,4640
|
IMURAN(R)
|
AZATHIOPRINUM
|
GLAXO GROUP Ltd.
|
Cutie x 4 blist. x 25 compr.film.; (5
ani)
|
L04AX01
|
COMPR. FILM.
|
50mg
|
49,67
|
54,95
|
0,5495
|
|