Pagina 1 din 34. tara det. APP Ambalaj Prescriptie ANEXA 1. Pret amanunt ul maximal /ambalaj (RON)

ANEXA 1 SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN UL DE REFERINTA CONFORM DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI MODIFICARILE ULTERIOARE VALABILA INCEPAND CU 1 OCTOMBRIE 2011 tara det. APP A Prescriptie cant/a amanunt ul maximal / maximal/ut de CNAS/UT Legea nr. 95/2006 art 213 alin.1 lit. Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP 1 A02BA02 RANITIDINUM RANITIDIN ARENA 150mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 4.50 0.225000 0.192712 0.173441 2 A02BA02 RANITIDINUM RANITIDINA 150 mg COMPR. 150mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.51 0.225500 0.192712 0.173441 3 A02BA02 RANITIDINUM RANITIDIN COMPR. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.50 0.225000 0.192712 0.173441 4 A02BA02 RANITIDINUM ZANTAC 150 mg COMPR. FILM. 150mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L 20 6.93 0.346500 0.192712 0.173441 5 A02BA02 RANITIDINUM RANITIDINA 150 mg COMPR. FILM. 150mg FILDAS TRADING SRL ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL-VMCH X 10 COMPR. FILM. P-6L 20 4.67 0.233500 0.192712 0.173441 6 A02BA02 RANITIDINUM RANITIDIN 150 mg COMPR. FILM. 150mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.50 0.225000 0.192712 0.173441 7 A02BA02 RANITIDINUM RANITIDINA LAROPHARM 150 mg COMPR. FILM. 150mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 4.50 0.225000 0.192712 0.173441 8 A02BA02 RANITIDINUM RANITIDINA LPH 150 mg COMPR. FILM. 150mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 4.51 0.225500 0.192712 0.173441 9 A02BA02 RANITIDINUM RANITIDINA ATB 150 MG COMPR. FILM. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 4.50 0.225000 0.192712 0.173441 10 A02BA02 RANITIDINUM RANITIDIN 300 mg COMPR. FILM. 300mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 4.31 0.431000 0.385424 0.346882 11 A02BA02 RANITIDINUM RANITIDINA LPH 300 mg COMPR. FILM. 300mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 12.85 0.428333 0.385424 0.346882 12 A02BA02 RANITIDINUM RANITIDINA ATB 300 mg COMPR. FILM. 300mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 4.28 0.428000 0.385424 0.346882 13 A02BA02 RANITIDINUM RANITIDINA ATB 300 mg COMPR. FILM. 300mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 8.55 0.427500 0.385424 0.346882 14 A02BA02 RANITIDINUM ARNETIN SOL. INJ. 25mg/ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE X 2 ML P-RF 5 12.51 2.502000 1.856397 1.670757 15 A02BA02 RANITIDINUM ZANTAC SOLUTIE INJECTABILA SOL. INJ. 25mg/ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 14.76 2.952000 1.856397 1.670757 16 A02BA03 FAMOTIDINUM FAMODIN 20 COMPR. FILM. 20mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 8.78 0.292666 0.192712 0.173441 17 A02BA03 FAMOTIDINUM FAMOTIDINA ZENTIVA 20mg COMPR. FILM. 20mg ZENTIVA S.A ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 5.79 0.193000 0.192712 0.173441 18 A02BA03 FAMOTIDINUM QUAMATEL 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 9.34 0.333571 0.192712 0.173441 19 A02BA03 FAMOTIDINUM FAMOTIDINA ZENTIVA 40 mg COMPR. FILM. 40mg ZENTIVA S.A ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 7.63 0.254333 0.254333 0.228899 20 A02BA03 FAMOTIDINUM FAMODIN 40 COMPR. FILM. 40mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 12.17 0.405666 0.385424 0.346882 21 A02BA03 FAMOTIDINUM QUAMATEL 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 9.34 0.667142 0.385424 0.346882 22 A02BA03 FAMOTIDINUM QUAMATEL 20 mg PULB+SOLV. PT. SOL. INJ./PERF. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFUZ. + 5 FIOLE DIN STCLA INCOLORA X 5 S/P-RF 5 24.35 4.870000 4.870000 4.383000 23 A02BA04 NIZATIDINUM NIZATIDIN VIM SPECTRUM 150 mg CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 18.01 0.900500 0.192712 0.173441 24 A02BC01 OMEPRAZOLUM RISEK CAPS. ENTER. 20mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. X 14 CAPS. ENTER. P-6L 14 14.28 1.020000 0.682472 0.614225 25 A02BC01 OMEPRAZOLUM OMEZ CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L 30 21.17 0.705666 0.682472 0.614225 26 A02BC01 OMEPRAZOLUM OMEPRAZOL BIOFARM 20 mg CAPS. GASTROREZ. 20mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. PEID X 28 CAPS. GASTROREZ. P-6L 28 20.31 0.725357 0.682472 0.614225 27 A02BC01 OMEPRAZOLUM OMEPRAZOL BIOFARM 20 mg CAPS. GASTROREZ. 20mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. PEID X 14 CAPS. GASTROREZ. P-6L 14 10.71 0.765000 0.682472 0.614225 28 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 20mg KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L 14 14.28 1.020000 0.682472 0.614225 29 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L 14 14.28 1.020000 0.682472 0.614225 30 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 20 12.65 0.632500 0.632500 0.569250 31 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 28 21.17 0.756071 0.682472 0.614225 32 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 14.08 1.005714 0.682472 0.614225 33 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 22.42 0.747333 0.682472 0.614225 34 A02BC01 OMEPRAZOLUM OMEPRAZOL TERAPIA 20 mg CAPS. GASTROREZ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 22.26 0.742000 0.682472 0.614225 35 A02BC01 OMEPRAZOLUM OMEPRAZOL ARENA 20 mg CAPS. GASTROREZ. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 21.76 0.725333 0.682472 0.614225 36 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMEX 20 mg CAPS. GASTROREZ. 20mg FARMEX COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 20.60 0.686666 0.682472 0.614225 37 A02BC01 OMEPRAZOLUM OMEPRAZOL RPH 20 mg CAPS. GASTROREZ. 20mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 21.90 0.730000 0.682472 0.614225 38 A02BC01 OMEPRAZOLUM NOVOGAST 20 mg CAPS. GASTROREZ. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L 20 14.87 0.743500 0.682472 0.614225 39 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10CAPS. GASTROREZ P-6L 10 6.41 0.641000 0.641000 0.576900 40 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMAL 20 mg CAPS. GASTROREZ. 20mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 14 14.28 1.020000 0.682472 0.614225 41 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMAL 20 mg CAPS. GASTROREZ. 20mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ. P-6L 28 28.57 1.020357 0.682472 0.614225 42 A02BC01 OMEPRAZOLUM OMEPRAZOL OZONE 20 mg CAPS. GASTROREZ. 20mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ. P-6L 28 18.37 0.656071 0.656071 0.590463 Pagina 1 din 34 CNAS/UT pt. Adulti

tara det. APP A Prescriptie cant/a amanunt ul maximal / maximal/ut de CNAS/UT Legea nr. 95/2006 art 213 alin.1 lit. Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP 43 A02BC01 OMEPRAZOLUM OMEPRAZOL ROMPHARM 20 mg CAPS. GASTROREZ. 20mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 21.90 0.730000 0.682472 0.614225 44 A02BC01 OMEPRAZOLUM OMEZ CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L 30 21.17 0.705666 0.682472 0.614225 45 A02BC01 OMEPRAZOLUM ORTANOL 20 mg CAPS. GASTROREZ. 20mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 7.98 0.570000 0.570000 0.513000 46 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L 14 9.94 0.710000 0.682472 0.614225 47 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 20.54 0.733571 0.682472 0.614225 48 A02BC01 OMEPRAZOLUM ORTANOL 40 mg CAPS. GASTROREZ. 40mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 7 7.94 1.134285 1.134285 1.020856 49 A02BC01 OMEPRAZOLUM OMERAN 40 CAPS. GASTROREZ. 40mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPSULE GASTROREZ. P-6L 14 25.86 1.847142 1.364945 1.228451 50 A02BC01 OMEPRAZOLUM LOSEC MUPS 10 mg COMPR. FILM. GASTROREZ. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 14 COMPR. FILM. GASTROREZ. P-6L 14 32.80 2.342857 0.341236 0.307112 51 A02BC01 OMEPRAZOLUM LOSEC MUPS 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 7 COMPR. FILM. GASTROREZ. P-6L 7 24.67 3.524285 0.682472 0.614225 52 A02BC01 OMEPRAZOLUM OMEDAR (R) COMPR. FILM. GASTROREZ. 20mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. DE STICLA BRUNA X 14 COMPR. FILM. GASTROREZ. P-6L 14 14.28 1.020000 0.682472 0.614225 53 A02BC01 OMEPRAZOLUM LOSEC 40 mg LIOF. PT. SOL. PERF. 40mg ASTRAZENECA AB SUEDIA CUTIE X 5 FLAC. X 45 MG LIOF. PT. SOL. PERF. S/P-RF 5 113.38 22.676000 22.676000 20.408400 54 A02BC01 OMEPRAZOLUM OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA PULB. PT. SOL. PERF. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATE DE 15 ML CU PULB.PT. SOL. PERF. S/P-RF 1 16.04 16.040000 16.040000 14.436000 55 A02BC01 OMEPRAZOLUM OMEZ PULBERE PENTRU SOLUTIE PERFUZABILA PULB. PT. SOL. PERF. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATE DE 15 ML CU PULB.PT. SOL. PERF. S/P-RF 1 16.04 16.040000 16.040000 14.436000 56 A02BC01 OMEPRAZOLUM HELICID 40 INF PULB. PT. SOL. PERF. ZENTIVA K.S. CEHIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. S/P-RF 1 22.51 22.510000 1.364945 1.228451 57 A02BC03 LANSOPRAZOLUM LEVANT 15 mg CAPS. GASTROREZ. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 6.49 0.463571 0.341236 0.307112 58 A02BC03 LANSOPRAZOLUM LANZUL CAPS. GASTROREZ. 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L 14 12.97 0.926428 0.682472 0.614225 59 A02BC03 LANSOPRAZOLUM LEVANT 30 mg CAPS. GASTROREZ. 30mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 11.22 0.801428 0.682472 0.614225 60 A02BC03 LANSOPRAZOLUM LANZAP 30mg CAPS. GASTROREZ. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L 20 16.46 0.823000 0.682472 0.614225 61 A02BC03 LANSOPRAZOLUM LANZAP 30mg CAPS. GASTROREZ. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L 20 16.46 0.823000 0.682472 0.614225 62 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L 30 27.44 0.914666 0.903333 0.812999 63 A03AA04 MEBEVERINUM DUSPATALIN 200 mg CAPS. ELIB. PREL. 200mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. X 15 CAPS. ELIB. PREL. P-6L 30 27.44 0.914666 0.903333 0.812999 64 A03AA04 MEBEVERINUM COLOSPASMIN DRAJ. 100mg E.I.P.I.CO. MED SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 8.92 0.446000 0.446000 0.401400 65 A03AA05 TRIMEBUTINUM PROMEBUTIN (R) 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.73 0.686500 0.366666 0.329999 66 A03AA05 TRIMEBUTINUM TRIMEBUTIN 100 COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11.00 0.366666 0.366666 0.329999 67 A03AA05 TRIMEBUTINUM COLPERIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 11.00 0.366666 0.366666 0.329999 68 A03AA05 TRIMEBUTINUM DEBRIDAT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 16.93 0.564333 0.366666 0.329999 69 A03AA05 TRIMEBUTINUM IBUTIN (R) 300 mg COMPR. FILM. ELIB. PREL. 300mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 35.59 1.779500 1.100002 0.990002 70 A03AA05 TRIMEBUTINUM DEBRIDAT GRAN. PT. SUSP. ORALA 24mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 152,5 G GRANULE PT. 250ML SUSP. + MASURA DOZATOARE P-6L 1 11.91 11.910000 11.910000 10.719000 71 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA ARENA 100 mg COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.38 0.219000 0.139218 0.125296 72 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 200mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.33 0.266500 0.266500 0.239850 73 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 1.14 0.028500 0.028500 0.025650 74 A03FA01 METOCLOPRAMIDUM N - METOCLOPRAMID COMPR. 10mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 1.34 0.033500 0.030150 0.027135 75 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4.24 0.106000 0.030150 0.027135 76 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID ARENA 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 1.37 0.034250 0.030150 0.027135 77 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID PIC. ORALE-SOL. 7mg/ml BIOFARM SA ROMANIA CUTIE X 1 FLACON DIN STICLA X 20 ML PIC. ORALE.,SOLUTIE, PREVAZUT CU PICURATOR P-RF 1 2.82 2.820000 2.820000 2.538000 78 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID BIOFARM 1mg/5ml SIROP 1mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 100 ML SIROP + MASURA DOZATOARE P-RF 1 8.58 8.580000 2.202428 1.982185 79 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 9.91 1.982000 1.982000 1.783800 80 A03FA03 DOMPERIDONUM MOTILIUM 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 12.17 1.217000 0.030150 0.027135 81 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 122.82 1.228200 1.228200 1.105380 82 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 71.91 1.438200 1.359200 1.223280 83 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 67.96 1.359200 1.359200 1.223280 84 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOCHOL 150 mg COMPR. 150mg ZAMBON S.P.A. ITALIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-6L 60 53.55 0.892500 0.815520 0.733968 85 A05AA02 ACIDUM URSODEOXYCHOLICUM* URSOCHOL 300 mg COMPR. 300mg ZAMBON S.P.A. ITALIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 35.46 1.773000 1.631041 1.467937 86 A06AD11 LACTULOSUM DUPHALAC (R) LICHID ORAL 66,7% SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 10.83 10.830000 7.004526 6.304073 87 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-6L 1 10.29 10.290000 10.239000 9.215100 88 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 3.42 3.420000 3.412999 3.071699 89 A06AD11 LACTULOSUM LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 500 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 17.03 17.030000 17.030000 15.327000 90 A06AD11 LACTULOSUM LACTULOSE-MIP 650 mg/ml SIROP 650mg/ml MIP PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PET DE CULOARE BRUNA X 1000 ML SIROP + 1 MASURA DOZATOARE DIN PP P-6L 1 32.95 32.950000 32.950000 29.655000 91 A06AD11 LACTULOSUM LACTULAK 660 mg/ml SOL. ORALA 660 mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEID X 200 ML SOL. ORALA SI O LINGURITA DOZATOARE P-6L 1 7.01 7.010000 6.931015 6.237913 CNAS/UT pt. Adulti Pagina 2 din 34

tara det. APP A Prescriptie cant/a amanunt ul maximal / maximal/ut de CNAS/UT Legea nr. 95/2006 art 213 alin.1 lit. Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP 92 A06AD11 LACTULOSUM LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF 1 3.53 3.530000 3.518015 3.166213 93 A07AA02 NYSTATINUM NISTATINA COMPR. FILM. 500.000ui ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 6.73 0.336500 0.336500 0.302850 94 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 27.90 0.558000 0.558000 0.502200 95 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 30.88 0.308800 0.308800 0.277920 96 A07EC02 MESALAZINUM** PENTASA COMPR. ELIB. PREL. 500mg FERRING GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 153.54 1.535400 0.771119 0.694007 97 A07EC02 MESALAZINUM** SALOFALK 250 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100 66.45 0.664500 0.385558 0.347002 98 A07EC02 MESALAZINUM** SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 100 119.52 1.195200 0.771119 0.694007 99 A07EC02 MESALAZINUM** SALOFALK 500 mg COMPRIMATE GASTROREZISTENTE COMPR. GASTROREZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. GASTROREZ. P-6L 50 72.99 1.459800 0.771119 0.694007 100 A07EC02 MESALAZINUM** PENTASA SUPOZ. 1g FERRING GMBH GERMANIA CUTIE X 4 BLIST. AL X 7 SUPOZ. + CUTIE PLASTIC X 28 CAUCIURI DE PROTECTIE A DEGETULUI P-6L 28 171.75 6.133928 6.096976 5.487279 101 A07EC02 MESALAZINUM** SALOFALK (R) 250 mg SUPOZ. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 21.48 2.148000 1.524239 1.371815 102 A07EC02 MESALAZINUM** SALOFALK (R) 500 mg SUPOZ. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 35.58 3.558000 3.048488 2.743639 103 A07EC02 MESALAZINUM** SALOFALK 4 g/ 60 ml SUSP. RECTALA 4g/60ml DR. FALK PHARMA GMBH GERMANIA CUTIE X 7 BLIST. AL/PE CONTINAND FIECARE CATE 1 FLACON UNIDOZA X 60 ML SUSPENSIE RECTALA + APLICA P-6L 7 167.62 23.945714 23.945714 21.551142 104 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.46 0.215333 0.179270 0.161343 105 B01AA07 ACENOCUMAROLUM SINTROM 4 mg COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.69 0.334500 0.334500 0.301050 106 B01AC05 TICLOPIDINUM TICLODIN COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 35.12 1.756000 1.149147 1.034232 107 B01AC05 TICLOPIDINUM IPATON COMPR. FILM. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF 20 32.98 1.649000 1.149147 1.034232 108 B01AC05 TICLOPIDINUM TICLID (R) 250 mg COMPR. FILM. 250mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST PVC TRANSPARENT/AL X 10 COMPR. FILM. P-RF 20 12.67 0.633500 0.633500 0.570150 109 B02BA01 PHYTOMENADIONUM FITOMENADION 10 mg/ml SOL. INJ. 10mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU PUNCT DE RUPERE X 1 ML S/P-RF 5 11.63 2.326000 2.326000 2.093400 110 B03AA07 FERROSI SULFAS FERROGRADUMET (R) COMPR. ELIB. PREL. 105mg TEOFARMA SRL ITALIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 8.47 0.282333 0.282333 0.254099 111 B03AA07 FERROSI SULFAS TARDYFERON 80 mg DRAJ. ELIB. PREL. 80mg LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L 30 11.94 0.398000 0.229499 0.206549 112 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT MALTOFER COMPR. MAST. 100mg VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MASTIC. P-6L 30 21.25 0.708333 0.637499 0.573749 113 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERGLUROM FORTE 50 mg/ml PICATURI ORALE, SOL. 50mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 ML PICATURI ORALE, SOLUTIE P-6L 1 8.71 8.710000 8.500500 7.650450 114 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PHARMA-FERRUM (R) PICATURI ORALE-SOL. 5% TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 50 ML P-6L 1 13.53 13.530000 13.530000 12.177000 115 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT PHARMA-FERRUM (R) PICATURI ORALE-SOL. 5% TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 30 ML P-6L 1 11.65 11.650000 8.500500 7.650450 116 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERRUM HAUSMANN (R) PICATURI ORALE-SOL. 50mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON CU PICURATOR X 30 ML P-6L 1 13.37 13.370000 8.500500 7.650450 117 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERRUM HAUSMANN (R) SIROP 10mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 1 FLACON X 150 ML + O MASURA DOZATOARE P-6L 1 15.21 15.210000 8.500500 7.650450 118 B03AB05 COMPLEX DE HIDROXID DE FER (III) POLIMALTOZAT FERGLUROM 50mg/5ml SIROP 50mg/5ml BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE GRADATA DE LA 2,5-20 MLP-6L 1 9.94 9.940000 5.667000 5.100300 119 B03AEN1 COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM) SORBIFER DURULES COMPR. FILM. EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM. P-6L 50 14.68 0.293600 0.293600 0.264240 120 B03BB01 ACIDUM FOLICUM ACIFOL 5 mg COMPR. FILM. 5mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-6L 30 7.30 0.243333 0.243333 0.218999 121 C01AA05 DIGOXINUM DIGOXIN 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 2.76 0.110400 0.110400 0.099360 122 C01AA05 DIGOXINUM DIGOXIN 0,5 mg/2 ml SOL. INJ. 0,5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. S/P-RF 5 6.56 1.312000 1.312000 1.180800 123 C01AA05 DIGOXINUM LANOXIN SOLUTIE ORALA SOL. ORALA 0,05mg/ml THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA BRUNA X 60 ML SOL. ORALA + PIPETA X 1 MLP-RF 1 10.96 10.960000 10.960000 9.864000 124 C01BA01 CHINIDINI SULFAS CHINIDINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR. P-RF 20 12.23 0.611500 0.611500 0.550350 125 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.94 0.397000 0.358200 0.322380 126 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 35.82 0.358200 0.358200 0.322380 127 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-RF 20 49.40 2.470000 0.358200 0.322380 128 C01BC03 PROPAFENONUM RYTMONORM (R) COMPR. FILM. 150mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 31.65 0.633000 0.358200 0.322380 129 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-RF 50 18.49 0.369800 0.358200 0.322380 130 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-RF 20 7.40 0.370000 0.358200 0.322380 131 C01BC03 PROPAFENONUM PROPAFENON AL 150 COMPR. FILM. 150mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-RF 100 34.53 0.345300 0.345300 0.310770 132 C01BC03 PROPAFENONUM PROPAFENON SANDOZ 150 mg COMPR. FILM. 150mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 COMPR. FILM. P-RF 50 17.87 0.357400 0.357400 0.321660 133 C01BC03 PROPAFENONUM PROPANORM 300 mg COMPR. FILM. 300mg PRO. MED. CS PRAHA CEHIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 39.83 0.796600 0.716400 0.644760 134 C01BC03 PROPAFENONUM RYTMONORM SOL. INJ. 70mg/20ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 20 ML SOL. INJ. P-RF 5 36.35 7.270000 7.270000 6.543000 135 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 13.70 0.685000 0.364500 0.328050 136 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 28.29 0.565800 0.364500 0.328050 137 C01BD01 AMIODARONUM AMIODARONA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.86 0.362000 0.362000 0.325800 138 C01BD01 AMIODARONUM DARITMIN (R) 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 10.86 0.362000 0.362000 0.325800 139 C01BD01 AMIODARONUM AMIODARONA ARENA 200 MG COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 11.16 0.372000 0.364500 0.328050 140 C01BD01 AMIODARONUM CORDARONE 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 16.70 0.556666 0.364500 0.328050 CNAS/UT pt. Adulti Pagina 3 din 34

cant/a amanunt ul maximal / maximal/ut de CNAS/UT Legea nr. 95/2006 art 213 alin.1 lit. tara det. Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP A Prescriptie 141 C01DA02 NITROGLYCERINUM NITROMINT 2,6 mg COMPR. ELIB. PREL. 2,6mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 60 COMPR. ELIB. PREL. P-6L 60 9.75 0.162500 0.149304 0.134374 142 C01DA02 NITROGLYCERINUM NITROGLICERINA 0,5 mg COMPR. SUBLING. 0,5mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. SUBLINGUALE P-6L 20 3.82 0.191000 0.113850 0.102465 143 C01DA02 NITROGLYCERINUM NITRODERM (R) TTS 5 SIST. TERAP. TRANSDERM. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L 10 18.26 1.826000 1.826000 1.643400 144 C01DA02 NITROGLYCERINUM NITROMINT SPRAY SUBLINGUAL 0,4mg/doza EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON X 10G (180 DOZE) SPRAY SUBLINGUAL P-6L 1 15.12 15.120000 15.120000 13.608000 145 C01DA08 ISOSORBIDI DINITRAS DINITER SR 20 mg CAPS. ELIB. PREL. 20mg TERAPIA SA ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L 20 5.39 0.269500 0.095707 0.086137 146 C01DA08 ISOSORBIDI DINITRAS DINITER SR 40 mg CAPS. ELIB. PREL. 40mg TERAPIA SA ROMANIA CUTIEX 2 BLIST. X 10 CAPS. ELIB. PREL. P-6L 20 8.92 0.446000 0.191415 0.172274 147 C01DA08 ISOSORBIDI DINITRAS ISOSORBIDE DINITRATE 10 mg COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-6L 60 2.11 0.035166 0.035166 0.031649 148 C01DA08 ISOSORBIDI DINITRAS ISODINIT(R) RETARD COMPR. ELIB. PREL. 20mg PHARMAKI GENERICS LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L 60 3.90 0.065000 0.065000 0.058500 149 C01DA14 ISOSORBIDI MONONITRAS OLICARD 40 mg RETARD CAPS. ELIB. PREL. 40mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. ELIB. PREL. P-6L 20 11.88 0.594000 0.287124 0.258411 150 C01DA14 ISOSORBIDI MONONITRAS OLICARD 60 mg RETARD CAPS. ELIB. PREL. 60mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 18.94 0.947000 0.430686 0.387617 151 C01DA14 ISOSORBIDI MONONITRAS MONONITRON (R) EP 60 mg COMPR. FILM. ELIB. PREL. 60mg ZENTIVA S.A ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 40 35.98 0.899500 0.430686 0.387617 152 C01EA01 ALPROSTADILUM*** PRIDAX 20mcg CONC. PT. SOL. PERF. 20mcg GEBRO PHARMA GMBH AUSTRIA CUTIE X 5 FLAC. X 1 ML CONC. PT. SOL. PERF S/P-RF 5 325.08 65.016000 54.940500 49.446450 153 C01EA01 ALPROSTADILUM*** VASAPROSTAN 20 LIOF. PT. SOL. PERF. 20mcg SCHWARZ PHARMA AG GERMANIA CUTIE X 10 FIOLE X 5 ML LIOF. PT. SOL. PERF. S/P-RF 10 515.82 51.582000 51.582000 46.423800 154 C01EB15 TRIMETAZIDINUM TRIMETAZIDIN VIM SPECTRUM 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 CAPS. P-6L 30 7.52 0.250666 0.250666 0.225599 155 C01EB15 TRIMETAZIDINUM OXCARDIN MR 35 mg COMPR. ELIB. MODIF. 35mg LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. ELIB. MODIF. P-6L 60 33.00 0.550000 0.438957 0.395061 156 C01EB15 TRIMETAZIDINUM APSTAR 35 mg COMPR. ELIB. PREL. 35mg GLENMARK PHARMACEUTICALS SRL REPUBLICA SLOVACA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. ELIB. PREL. P6L 60 33.02 0.550333 0.438957 0.395061 157 C01EB15 TRIMETAZIDINUM MODUXIN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 7.52 0.250666 0.250666 0.225599 158 C01EB15 TRIMETAZIDINUM DILATAN 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 30 14.44 0.481333 0.250833 0.225749 159 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA LPH (R) 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 60 15.05 0.250833 0.250833 0.225749 160 C01EB15 TRIMETAZIDINUM PREDUCTAL 20 mg COMPR. FILM. 20mg LES LABORATOIRES SERVIER FRANTA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P-6L 60 23.16 0.386000 0.250833 0.225749 161 C01EB15 TRIMETAZIDINUM OXCARDIN 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 60 15.05 0.250833 0.250833 0.225749 162 C01EB15 TRIMETAZIDINUM PREDUCTAL MR 35 mg COMPR. FILM. ELIB. MODIF. 35mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. FILM. ELIB. MODIF. P-6L 60 49.16 0.819333 0.438957 0.395061 163 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA LPH (R) 35 mg COMPR. FILM. ELIB. MODIF. 35mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. MODIF. P-6L 60 33.00 0.550000 0.438957 0.395061 164 C01EB15 TRIMETAZIDINUM MODUXIN MR 35 mg COMPR. FILM. ELIB. PREL. 35mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 16.52 0.550666 0.438957 0.395061 165 C02AB01 METHYLDOPUM DOPEGYT COMPR. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 12.51 0.250200 0.250200 0.225180 166 C02AC01 CLONIDINUM CLONIDINA SINTOFARM 0,15 mg COMPR. 0,15mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 9.92 0.198400 0.198400 0.178560 167 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 12.20 0.244000 0.215453 0.193907 168 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 3.44 0.137600 0.137600 0.123840 169 C03BA11 INDAPAMIDUM IMPAMID (R) 2,5 mg COMPR. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 14.99 0.499666 0.499666 0.449699 170 C03BA11 INDAPAMIDUM INDAPAMIDA TERAPIA 1,5 mg COMPR. CU ELIB. PRELUNGITA 1,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. CU ELIB. PREL. P-6L 30 13.14 0.438000 0.331649 0.298484 171 C03BA11 INDAPAMIDUM INDAPAMIDA TERAPIA 2,5mg COMPR. CU ELIB. PRELUNGITA 2,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10COMPR. CU ELIB. PREL. P-6L 30 14.73 0.491000 0.491000 0.441900 172 C03BA11 INDAPAMIDUM INDAPAMID MCC 1,5 mg COMPR. ELIB. PREL. 1,5mg MAGISTRA C&C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 13.53 0.451000 0.331649 0.298484 173 C03BA11 INDAPAMIDUM IDUREN SR 1,5 mg COMPR. ELIB. PREL. 1,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ELIB. PREL. P-6L 30 10.54 0.351333 0.331649 0.298484 174 C03BA11 INDAPAMIDUM DIUREMID SR 1,5 mg COMPR. ELIB. PREL. 1,5mg GLENMARK PHARMACEUTICALS SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 30 13.53 0.451000 0.331649 0.298484 175 C03BA11 INDAPAMIDUM INDAPAMIDA TEVA 1,5 mg COMPR. ELIB. PREL. 1,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-6L 30 13.16 0.438666 0.331649 0.298484 176 C03BA11 INDAPAMIDUM IZEPOX 1,5mg COMPR. ELIB. PREL. 1,5mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 30 13.53 0.451000 0.331649 0.298484 177 C03BA11 INDAPAMIDUM INDAPAMIDA SR TORRENT 1,5 mg COMPR. ELIB. PREL. 1,5mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L 30 13.53 0.451000 0.331649 0.298484 178 C03BA11 INDAPAMIDUM INDAPAMID LPH (R) 2,5 mg COMPR. FILM. 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 14.90 0.496666 0.496666 0.446999 179 C03BA11 INDAPAMIDUM INDATER (R) 2,5 mg COMPR. FILM. 2,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 14.73 0.491000 0.491000 0.441900 180 C03BA11 INDAPAMIDUM INDAPAMID SR 1,5 mg LAROPHARM COMPR. FILM. ELIB. PREL. 1,5 mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 9.00 0.450000 0.331649 0.298484 181 C03BA11 INDAPAMIDUM TERTENSIF (R) SR COMPR. FILM. ELIB. PREL. 1,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 15 COMPR. FILM. ELIB. PREL. P-6L 30 20.80 0.693333 0.331649 0.298484 182 C03BA11 INDAPAMIDUM INDAPAMID LPH (R) 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 13.53 0.451000 0.331649 0.298484 183 C03BA11 INDAPAMIDUM INDATER SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.ELIB. PREL. P-6L 30 13.14 0.438000 0.331649 0.298484 184 C03BA11 INDAPAMIDUM RAWEL SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 11.57 0.385666 0.331649 0.298484 185 C03BA11 INDAPAMIDUM IMPAMID SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. ELIB. PREL. P-6L 30 13.00 0.433333 0.331649 0.298484 186 C03BA11 INDAPAMIDUM INDAPAMID SR OZONE 1,5mg COMPR. FILM. ELIB. PREL. 1,5mg OZONE LABORATORIES BV OLANDA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 7.75 0.387500 0.331649 0.298484 187 C03BA11 INDAPAMIDUM REDITENS SR 1.5 mg COMPR. FILM. ELIB. PREL. 1,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 13.53 0.451000 0.331649 0.298484 188 C03BA11 INDAPAMIDUM INDAPAMIDA ACTAVIS 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA P-6L 30 13.53 0.451000 0.331649 0.298484 189 C03BA11 INDAPAMIDUM INDAPAMIDA MYLAN 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. ELIB. PRELUNG. P-6L 30 12.45 0.415000 0.331649 0.298484 CNAS/UT pt. Adulti Pagina 4 din 34

cant/a amanunt ul maximal / maximal/ut de CNAS/UT Legea nr. 95/2006 art 213 alin.1 lit. tara det. Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP A Prescriptie 190 C03BA11 INDAPAMIDUM REDITENS SR 1.5 mg COMPR. FILM. ELIB. PREL. 1,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 13.53 0.451000 0.331649 0.298484 191 C03BA11 INDAPAMIDUM INDAPEN SR 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg J & P PHARMA UK. LTD. MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. PREL. P-6L 30 9.75 0.325000 0.325000 0.292500 192 C03CA01 FUROSEMIDUM FUROSEMID MCC 40 mg COMPR. 40mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.99 0.149500 0.149500 0.134550 193 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.25 0.112500 0.112500 0.101250 194 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.36 0.268000 0.149625 0.134662 195 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 5.95 0.297500 0.149625 0.134662 196 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.00 0.150000 0.149625 0.134662 197 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.95 0.297500 0.149625 0.134662 198 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 5.99 1.198000 1.198000 1.078200 199 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 28.17 0.939000 0.852800 0.767520 200 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 25 mg CAPS. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 CAPS. P-6L 50 15.89 0.317800 0.213200 0.191880 201 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 16.52 0.550666 0.426400 0.383760 202 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 16.06 0.535333 0.426400 0.383760 203 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.25 0.212500 0.212500 0.191250 204 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.66 0.213200 0.213200 0.191880 205 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA OZONE 25 mg COMPR. 25mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.66 0.213200 0.213200 0.191880 206 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 16.02 0.320400 0.213200 0.191880 207 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.25 0.212500 0.212500 0.191250 208 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 13.59 0.679500 0.426400 0.383760 209 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 23.04 1.152000 1.152000 1.036800 210 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 10.12 0.506000 0.304000 0.273600 211 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 20.29 0.405800 0.304000 0.273600 212 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 400 mg COMPR. ELIB. PREL. 400mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 100 30.40 0.304000 0.304000 0.273600 213 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 13.81 0.690500 0.456000 0.410400 214 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 33.43 0.668600 0.456000 0.410400 215 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA SR ZENTIVA 600 mg COMPR. ELIB. PREL. 600mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 100 64.62 0.646200 0.456000 0.410400 216 C04AD03 PENTOXIFYLLINUM VASONIT RETARD 600 mg COMPR. ELIB. PREL. 600mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-6L 50 33.25 0.665000 0.456000 0.410400 217 C04AD03 PENTOXIFYLLINUM ANGIOPENT 400 mg COMPR. FILM. ELIB. PREL. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 6.06 0.303000 0.303000 0.272700 218 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 40 22.16 0.554000 0.304000 0.273600 219 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. FILM. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 20 17.01 0.850500 0.304000 0.273600 220 C04AD03 PENTOXIFYLLINUM OXIFLUX 400 mg COMPR. FILM. ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 6.06 0.303000 0.303000 0.272700 221 C04AD03 PENTOXIFYLLINUM OXIFLUX 400 mg COMPR. FILM. ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 60 18.18 0.303000 0.303000 0.272700 222 C04AD03 PENTOXIFYLLINUM ANGIOPENT 600 mg COMPR. FILM. ELIB. PREL. 600mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 20 16.26 0.813000 0.456000 0.410400 223 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 10mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 25 COMPR. P-6L 50 3.22 0.064400 0.027987 0.025188 224 C07AA05 PROPRANOLOLUM N - PROPRANOLOL 10 mg COMPR. 10mg SC MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 3.19 0.063800 0.027987 0.025188 225 C07AA05 PROPRANOLOLUM PROPRANOLOL 10 mg COMPR. 10mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.54 0.070800 0.027987 0.025188 226 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.72 0.072000 0.027987 0.025188 227 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.88 0.057600 0.027987 0.025188 228 C07AA05 PROPRANOLOLUM PROPRANOLOL EEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.92 0.098400 0.098400 0.088560 229 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.58 0.091600 0.091600 0.082440 230 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.79 0.079000 0.079000 0.071100 231 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.22 0.064400 0.064400 0.057960 232 C07AA05 PROPRANOLOLUM PROPRANOLOL ARENA 40 mg COMPR. 40mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.92 0.098400 0.098400 0.088560 233 C07AA07 SOTALOLUM SOTAGAMMA 160 COMPR. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 20 11.48 0.574000 0.447795 0.403015 234 C07AA07 SOTALOLUM SOTAGAMMA 160 COMPR. 160mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 100 57.75 0.577500 0.447795 0.403015 235 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 11.03 0.551500 0.447795 0.403015 236 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 26.61 0.532200 0.447795 0.403015 237 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 53.99 0.539900 0.447795 0.403015 238 C07AA07 SOTALOLUM DAROB (R) 80 mg COMPR. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PP/AL X 10 COMPR. P-6L 20 9.94 0.497000 0.223897 0.201507 CNAS/UT pt. Adulti Pagina 5 din 34

cant/a amanunt ul maximal / maximal/ut de CNAS/UT Legea nr. 95/2006 art 213 alin.1 lit. tara det. Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP A Prescriptie 239 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 100 38.86 0.388600 0.223897 0.201507 240 C07AA07 SOTALOLUM SOTAGAMMA 80 COMPR. 80mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 20 8.51 0.425500 0.223897 0.201507 241 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 36.10 0.361000 0.223897 0.201507 242 C07AA07 SOTALOLUM SOTALOL AL 80 COMPR. 80mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 17.32 0.346400 0.223897 0.201507 243 C07AB02 METOPROLOLUM BLOXAN COMPR. 100mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC/PVDC TRANSPARENT/AL X 10 COMPR. P-6L 30 13.88 0.462666 0.281249 0.253124 244 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.82 0.360666 0.281249 0.253124 245 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 6.49 0.324500 0.281249 0.253124 246 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.04 0.234666 0.234666 0.211199 247 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 9.01 0.300333 0.281249 0.253124 248 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 100 19.52 0.195200 0.195200 0.175680 249 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 12.85 0.257000 0.257000 0.231300 250 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.38 0.312666 0.281249 0.253124 251 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.93 0.497666 0.281249 0.253124 252 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 100 mg COMPR. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.93 0.231000 0.231000 0.207900 253 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.29 0.364500 0.281249 0.253124 254 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.93 0.231000 0.231000 0.207900 255 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.00 0.400000 0.281249 0.253124 256 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 1.88 0.094000 0.070312 0.063280 257 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 1.88 0.094000 0.070312 0.063280 258 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.82 0.094000 0.070312 0.063280 259 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 25 mg COMPR. 25mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.82 0.094000 0.070312 0.063280 260 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.82 0.094000 0.070312 0.063280 261 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.21 0.173666 0.140624 0.126562 262 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 3.47 0.173500 0.140624 0.126562 263 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.68 0.156000 0.140624 0.126562 264 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.21 0.173666 0.140624 0.126562 265 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 8.31 0.083100 0.083100 0.074790 266 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 7.01 0.140200 0.140200 0.126180 267 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.21 0.173666 0.140624 0.126562 268 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.98 0.232666 0.140624 0.126562 269 C07AB02 METOPROLOLUM METOPROLOL MEDICO UNO 50 mg COMPR. 50mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.21 0.173666 0.140624 0.126562 270 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.41 0.170500 0.140624 0.126562 271 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.21 0.173666 0.140624 0.126562 272 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES PHARMA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.47 0.173500 0.140624 0.126562 273 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 11.00 0.550000 0.281249 0.253124 274 C07AB02 METOPROLOLUM BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 25.39 0.846333 0.281249 0.253124 275 C07AB02 METOPROLOLUM EMZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 16.50 0.550000 0.281249 0.253124 276 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 190 mg COMPR. FILM. ELIB. PREL. 190mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 20.96 0.748571 0.534374 0.480936 277 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 23,75 mg COMPR. FILM. ELIB. PREL. 23,75mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 2.73 0.097500 0.066796 0.060117 278 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 47,5 mg COMPR. FILM. ELIB. PREL. 47,5mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 9.40 0.335714 0.133593 0.120234 279 C07AB02 METOPROLOLUM BETALOC (R) ZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 15.50 0.516666 0.140624 0.126562 280 C07AB02 METOPROLOLUM EMZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. ELIB. PREL. P-6L 30 10.09 0.336333 0.140624 0.126562 281 C07AB02 METOPROLOLUM METOPROLOL SUCCINAT POLPHARMA 95 mg COMPR. FILM. ELIB. PREL. 95mg PHARMACEUTICAL WORKS POLPHARMA SA POLONIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. CU ELIB. PREL. P-6L 28 15.41 0.550357 0.267187 0.240468 282 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 22.45 0.748333 0.534374 0.480936 283 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 8.04 0.268000 0.133593 0.120234 284 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 13.44 0.448000 0.267187 0.240468 285 C07AB03 ATENOLOLUM ATENOCOR 100 mg COMPR. 100mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.71 0.357000 0.357000 0.321300 286 C07AB03 ATENOLOLUM ATENOLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.96 0.348000 0.348000 0.313200 287 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 6.18 0.309000 0.309000 0.278100 CNAS/UT pt. Adulti Pagina 6 din 34