ANEXA 1

Nr crt. codifatc den_internationala denumire formaF concentratie Firma detinatoare tara forma ambalare prescriere cant/ambalaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1 A02BA02 RANITIDINUM ULCORAN CAPS. 150mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 6.13 0.306500 0.306500 0.2758502 A02BA02 RANITIDINUM RANITIDIN ARENA 150mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 6.26 0.313000 0.252000 0.2268003 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 6.52 0.326000 0.252000 0.2268004 A02BA02 RANITIDINUM RANITIDIN COMPR. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.04 0.252000 0.252000 0.2268005 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 10.02 0.501000 0.222000 0.1998006 A02BA02 RANITIDINUM RANITIDINA ANTIBIOTICE 150 mg COMPR. FILM. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 6.50 0.325000 0.222000 0.1998007 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 4.44 0.222000 0.222000 0.1998008 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 7.18 0.359000 0.222000 0.1998009 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 5.70 0.285000 0.222000 0.199800

10 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 6.61 0.330500 0.222000 0.19980011 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 6.07 0.607000 0.541333 0.48719912 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 16.24 0.541333 0.541333 0.48719913 A02BA02 RANITIDINUM ARNETIN SOL. INJ. 25mg/ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE X 2 ML P-RF 5 11.90 2.380000 2.380000 2.14200014 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 14.02 2.804000 2.380000 2.14200015 A02BA03 FAMOTIDINUM QUAMATEL (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 8.88 0.317142 0.070000 0.06300016 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 8.34 0.278000 0.070000 0.06300017 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 2.10 0.070000 0.070000 0.06300018 A02BA03 FAMOTIDINUM QUAMATEL (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER PLC UNGARIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-6L 14 8.88 0.634285 0.128333 0.11549919 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 3.85 0.128333 0.128333 0.11549920 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 11.57 0.385666 0.128333 0.11549921 A02BA03 FAMOTIDINUM QUAMATEL (R) 20 mg LIOF. + SOLV. PT. SOL. INJ. 20mg GEDEON RICHTER LTD. UNGARIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 5 FIOLE X 5 ML SOLV. P-RF 5 23.13 4.626000 4.626000 4.16340022 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 17.12 0.856000 0.856000 0.77040023 A02BC01 OMEPRAZOLUM RISEK CAPS. ENTER. 20mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. X 14 CAPS. ENTER. P-6L 14 51.85 3.703571 0.541428 0.48728524 A02BC01 OMEPRAZOLUM ORTANOL S 10 mg CAPS. GASTROREZ. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 8.38 0.598571 0.598571 0.538713

SUBLISTA A - MEDICAMENTE CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA

LISTA DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA CONFOR HG NR. 720/2008 VALABILA INCEPAND CU 8 APRILIE 2009

Pagina 1 din 38

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 20.11 0.670333 0.541428 0.48728526 A02BC01 OMEPRAZOLUM ORTANOL (R) 20 mg CAPS. GASTROREZ. 20mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. AL/AL X 14 CAPS. GASTROREZ. P-6L 14 7.58 0.541428 0.541428 0.48728527 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 19.31 0.689642 0.541428 0.48728528 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 10.18 0.727142 0.541428 0.48728529 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 20mg KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L 14 13.57 0.969285 0.541428 0.48728530 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 13.57 0.969285 0.541428 0.48728531 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 12.02 0.601000 0.541428 0.48728532 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 28 CAPS. GASTROREZ. P-6L 28 19.52 0.697142 0.541428 0.48728533 A02BC01 OMEPRAZOLUM HELICID 20 CAPS. GASTROREZ. 20mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. DIN STICLA X 14 CAPS. GASTROREZ. P-6L 14 9.45 0.675000 0.541428 0.48728534 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 28 26.78 0.956428 0.541428 0.48728535 A02BC01 OMEPRAZOLUM OMERAN 20 CAPS. GASTROREZ. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPS. GASTROREZ. P-6L 14 13.39 0.956428 0.541428 0.48728536 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 21.31 0.710333 0.541428 0.48728537 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 21.16 0.705333 0.541428 0.48728538 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 20.66 0.688666 0.541428 0.48728539 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 19.58 0.652666 0.541428 0.48728540 A02BC01 OMEPRAZOLUM OMEPRAZOL OZONE 20 mg CAPS. GASTROREZ. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 28 CAPS. GASTROREZ. P-6L 28 17.44 0.622857 0.541428 0.48728541 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 20.80 0.693333 0.541428 0.48728542 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 6.09 0.609000 0.541428 0.48728543 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 7.53 1.075714 1.075714 0.96814244 A02BC01 OMEPRAZOLUM OMERAN 40 CAPS. GASTROREZ. 40mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/AL X 7 CAPSULE GASTROREZ. P-6L 14 24.56 1.754285 1.075714 0.96814245 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 31.17 2.226428 2.226428 2.00378546 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 23.44 3.348571 1.595000 1.43550047 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 22.33 1.595000 1.595000 1.43550048 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 6.16 0.440000 0.440000 0.39600049 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 12.33 0.880714 0.761428 0.68528550 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 10.66 0.761428 0.761428 0.68528551 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 15.64 0.782000 0.761428 0.68528552 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 26.07 0.869000 0.869000 0.78210053 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 26.07 0.869000 0.869000 0.78210054 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 8.49 0.424500 0.424500 0.38205055 A03AA05 TRIMEBUTINUM PROMEBUTIN (R) 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.04 0.652000 0.348666 0.31379956 A03AA05 TRIMEBUTINUM TRIMEBUTIN 100 COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.46 0.348666 0.348666 0.31379957 A03AA05 TRIMEBUTINUM COLPERIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 15.08 0.502666 0.348666 0.31379958 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 16.09 0.536333 0.536333 0.48269959 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 33.82 1.691000 1.691000 1.52190060 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 11.31 11.310000 11.310000 10.179000

61 A03AD01

PAPAVERINI HYDROCHLORIDUM PAPAVERINA 100 mg COMPR. 100mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.28 0.109333 0.109333 0.098399

62 A03AD01

PAPAVERINI HYDROCHLORIDUM PAPAVERINA LAROPHARM 100 mg COMPR. 100mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.19 0.109500 0.109333 0.098399

Pagina 2 din 38

63 A03AD01

PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 200mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.05 0.252500 0.252500 0.227250

64 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-6L 40 1.31 0.032750 0.027250 0.02452565 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 1.09 0.027250 0.027250 0.02452566 A03FA01 METOCLOPRAMIDUM N - METOCLOPRAMID COMPR. 10mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 1.28 0.032000 0.027250 0.02452567 A03FA01 METOCLOPRAMIDUM METOCLOPRAMID 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 2.13 0.053250 0.027250 0.02452568 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 2.68 2.680000 2.680000 2.41200069 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 8.15 8.150000 8.150000 7.33500070 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 4.30 0.860000 0.860000 0.77400071 A03FA03 DOMPERIDONUM MOTILIUM 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 11.57 1.157000 1.157000 1.041300

72 A05AA02

ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 116.69 1.166900 1.166900 1.050210

73 A05AA02

ACIDUM URSODEOXYCHOLICUM* URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.32 1.366400 1.166900 1.050210

74 A05AA02

ACIDUM URSODEOXYCHOLICUM* URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 64.58 1.291600 1.166900 1.050210

75 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 10.29 10.290000 10.290000 9.26100076 A06AD11 LACTULOSUM LACTULOSE AL SIROP SIROP 66,7% ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 11.77 11.770000 10.290000 9.26100077 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 7.15 7.150000 7.150000 6.43500078 A07AA02 NYSTATINUM NISTATINA COMPR. FILM. 500.000ui ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 4.35 0.217500 0.217500 0.19575079 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 26.50 0.530000 0.293400 0.26406080 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 29.34 0.293400 0.293400 0.26406081 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 65.31 0.653100 0.653100 0.58779082 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 100 113.56 1.135600 1.135600 1.02204083 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 70.59 1.411800 1.135600 1.02204084 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 30.02 3.002000 3.002000 2.70180085 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 47.89 4.789000 4.789000 4.31010086 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 7 159.27 22.752857 22.752857 20.47757187 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.94 0.098000 0.098000 0.08820088 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.35 0.317500 0.317500 0.28575089 B01AC05 TICLOPIDINUM1 TICLODIN COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 33.36 1.668000 0.448000 0.40320090 B01AC05 TICLOPIDINUM1 IPATON COMPR. FILM. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P-RF 20 32.39 1.619500 0.448000 0.40320091 B01AC05 TICLOPIDINUM1

TICLOPIDIN SANDOZ COMPR. FILM. 250mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PDVC/AL X 10 COMPR. P-RF 30 13.44 0.448000 0.448000 0.40320092 B01AC05 TICLOPIDINUM1 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 12.03 0.601500 0.448000 0.40320093 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 5.33 1.066000 1.066000 0.95940094 B03AA07 FERROSI SULFAS FERRO-GRADUMET COMPR.FILM.ELIB.PREL 329,724mg POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 7.33 0.244333 0.244333 0.21989995 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 11.34 0.378000 0.378000 0.340200

96 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 20.18 0.672666 0.672666 0.605399

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97 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 12.85 12.850000 11.060000 9.954000

98 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 11.06 11.060000 11.060000 9.954000

99 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 12.70 12.700000 11.060000 9.954000

100 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 14.44 14.440000 14.440000 12.996000

101 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 ML P-6L 1 9.45 9.450000 9.450000 8.505000

102 B03AEN1

COMBINATII (FERROSI SULFAS+ACIDUM ASCORBICUM) SORBIFER DURULES COMPR. FILM. FARA CONCENTRATIE EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. FILM. P-6L 50 13.94 0.278800 0.278800 0.250920

103 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 1.14 0.038000 0.038000 0.034200104 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 1.80 0.072000 0.072000 0.064800105 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 4.25 0.850000 0.850000 0.765000106 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 ML P-RF 1 10.42 10.420000 10.420000 9.378000107 C01BA01 CHINIDINI SULFAS CHINIDINA SULFAT 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 20 COMPR. P-RF 20 11.63 0.581500 0.225000 0.202500108 C01BA01 CHINIDINI SULFAS CHINIDINA LAROPHARM 200 mg COMPR. 200mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.50 0.225000 0.225000 0.202500109 C01BC03 PROPAFENONUM PROPAFENONA 150 mg COMPR. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-RF 20 46.93 2.346500 2.346500 2.111850110 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 30.08 0.601600 0.328000 0.295200111 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 17.57 0.351400 0.328000 0.295200112 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 7.03 0.351500 0.328000 0.295200113 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 32.80 0.328000 0.328000 0.295200114 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 16.98 0.339600 0.328000 0.295200115 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 34.53 6.906000 6.906000 6.215400116 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 13.00 0.650000 0.353000 0.317700117 C01BD01 AMIODARONUM SEDACORON (R) COMPR. 200mg EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 26.87 0.537400 0.353000 0.317700118 C01BD01 AMIODARONUM AMIODARONA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.59 0.353000 0.353000 0.317700119 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 11.51 0.383666 0.353000 0.317700120 C01BD01 AMIODARONUM AMIODARONA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 10.60 0.353333 0.353000 0.317700121 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 15.87 0.529000 0.529000 0.476100122 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 9.26 0.154333 0.154333 0.138899123 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 3.62 0.181000 0.181000 0.162900124 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 17.35 1.735000 1.735000 1.561500125 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 14.36 14.360000 14.360000 12.924000126 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 5.12 0.256000 0.256000 0.230400127 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 8.49 0.424500 0.424500 0.382050128 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 2.00 0.033333 0.033333 0.029999129 C01DA08 ISOSORBIDI DINITRAS ISODINIT (R) RETARD COMPR. ELIB. PREL. 20mg BALKAN PHARMA DUPNITZA AD BULGARIA CUTIE X 6 BLIST. X 10 COMPR. ELIB. PREL. P-6L 60 3.70 0.061666 0.061666 0.055499130 C01DA14 ISOSORBIDI MONONITRAS OLICARD 40 mg RETARD CAPS. ELIB. PREL. 40mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 11.28 0.564000 0.564000 0.507600

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131 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 18.00 0.900000 0.900000 0.810000132 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 34.19 0.854750 0.854750 0.769275133 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 5 308.86 61.772000 49.363000 44.426700134 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 10 493.63 49.363000 49.363000 44.426700135 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 13.59 0.453000 0.453000 0.407700136 C01EB15 TRIMETAZIDINUM PREDUCTAL (R) COMPR. FILM. 20mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. X 30 COMPR. FILM. P-6L 60 22.00 0.366666 0.366666 0.329999137 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 13.71 0.457000 0.366666 0.329999138 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 13.71 0.457000 0.366666 0.329999139 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 24.88 0.414666 0.366666 0.329999140 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 46.70 0.778333 0.690666 0.621599141 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 44.52 0.742000 0.690666 0.621599142 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 20.72 0.690666 0.690666 0.621599143 C01EB15 TRIMETAZIDINUM TRIMETAZIDINA 20 mg DRAJ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 13.59 0.453000 0.453000 0.407700144 C02AB01 METHYLDOPUM DOPEGYT COMPR. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 11.90 0.238000 0.238000 0.214200145 C02AC01 CLONIDINUM CLONIDINA 0,15 mg COMPR. 0,15mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 2.13 0.042600 0.040600 0.036540146 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 2.03 0.040600 0.040600 0.036540147 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 0.99 0.039600 0.039600 0.035640148 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 14.24 0.474666 0.474666 0.427199149 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 12.85 0.428333 0.400666 0.360599150 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 12.02 0.400666 0.400666 0.360599151 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 19.61 0.653666 0.400666 0.360599152 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 14.16 0.472000 0.160333 0.144299153 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 13.99 0.466333 0.160333 0.144299154 C03BA11 INDAPAMIDUM INDAPAMIDE 2,5 mg COMPR. FILM. 2,5mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 4.81 0.160333 0.160333 0.144299155 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 12.45 0.622500 0.366333 0.329699156 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 19.77 0.659000 0.366333 0.329699157 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 19.61 0.653666 0.366333 0.329699158 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 18.37 0.612333 0.366333 0.329699159 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 10.99 0.366333 0.366333 0.329699160 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 12.36 0.412000 0.366333 0.329699161 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 7.37 0.368500 0.366333 0.329699162 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 12.85 0.428333 0.366333 0.329699163 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 17.75 0.591666 0.366333 0.329699164 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 1.53 0.076500 0.075500 0.067950165 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.075500 0.067950166 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.83 0.091500 0.075500 0.067950167 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.53 0.076500 0.075500 0.067950168 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.88 0.144000 0.075500 0.067950169 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 1.51 0.075500 0.075500 0.067950170 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 3.14 0.628000 0.628000 0.565200171 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.75 0.891666 0.891666 0.802499172 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 15.69 0.523000 0.523000 0.470700173 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.05 0.202500 0.202500 0.182250174 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 10.14 0.202800 0.202500 0.182250

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175 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 12.68 0.253600 0.202500 0.182250176 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 4.05 0.202500 0.202500 0.182250177 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 12.91 0.645500 0.645500 0.580950

178 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 14.71 0.735500 0.735500 0.661950

179 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 9.61 0.480500 0.398400 0.358560180 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 24.04 0.480800 0.398400 0.358560181 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 39.84 0.398400 0.398400 0.358560182 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 13.13 0.656500 0.596400 0.536760183 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 32.36 0.647200 0.596400 0.536760184 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 59.64 0.596400 0.596400 0.536760185 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 14.71 0.735500 0.398400 0.358560186 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 21.06 0.526500 0.398400 0.358560187 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 16.15 0.807500 0.398400 0.358560188 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 10.17 0.508500 0.398400 0.358560189 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 15.44 0.772000 0.772000 0.694800190 C04AD03 PENTOXIFYLLINUM TRENTAL (R) DRAJ. ELIB. PREL. 400mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. ELIB. PREL. P-6L 20 8.88 0.444000 0.444000 0.399600191 C07AA05 PROPRANOLOLUM PROPRANOLOL COMPR. 10mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 25 COMPR. P-6L 50 3.07 0.061400 0.054800 0.049320192 C07AA05 PROPRANOLOLUM N - PROPRANOLOL 10 mg COMPR. 10mg SC MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 3.04 0.060800 0.054800 0.049320193 C07AA05 PROPRANOLOLUM PROPRANOLOL 10 mg COMPR. 10mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.74 0.054800 0.054800 0.049320194 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.68 0.068000 0.054800 0.049320195 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 10 mg COMPR. 10mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 2.74 0.054800 0.054800 0.049320196 C07AA05 PROPRANOLOLUM PROPRANOLOL EEL 40 mg COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.07 0.061400 0.061400 0.055260197 C07AA05 PROPRANOLOLUM PROPRANOLOL 40 mg COMPR. 40mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.07 0.061400 0.061400 0.055260198 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 0.74 0.074000 0.061400 0.055260199 C07AA05 PROPRANOLOLUM PROPRANOLOL FABIOL 40 mg COMPR. 40mg FABIOL S.A. ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 3.07 0.061400 0.061400 0.055260200 C07AA05 PROPRANOLOLUM PROPRANOLOL ARENA 40 mg COMPR. 40mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 4.67 0.093400 0.061400 0.055260201 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 10.91 0.545500 0.505400 0.454860202 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 54.87 0.548700 0.505400 0.454860203 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.48 0.524000 0.505400 0.454860204 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 25.27 0.505400 0.505400 0.454860205 C07AA07 SOTALOLUM SOTALOL AL 160 COMPR. 160mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 51.29 0.512900 0.505400 0.454860206 C07AA07 SOTALOLUM DAROB (R) 80 mg COMPR. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVP X 10 COMPR. P-6L 20 9.45 0.472500 0.369200 0.332280207 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 36.92 0.369200 0.369200 0.332280208 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 8.07 0.403500 0.369200 0.332280209 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 13.19 0.439666 0.185500 0.166950210 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.28 0.342666 0.185500 0.166950211 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 6.16 0.308000 0.185500 0.166950212 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.11 0.337000 0.185500 0.166950213 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 8.57 0.285666 0.185500 0.166950214 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 18.55 0.185500 0.185500 0.166950215 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 12.20 0.244000 0.185500 0.166950216 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.60 0.380000 0.185500 0.166950

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217 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.24 0.274666 0.185500 0.166950218 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.68 0.422666 0.185500 0.166950219 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 10.11 0.337000 0.185500 0.166950220 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 6.92 0.346000 0.185500 0.166950221 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 1.79 0.089500 0.089333 0.080399222 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 2.74 0.137000 0.089333 0.080399223 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.68 0.089333 0.089333 0.080399224 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.68 0.089333 0.089333 0.080399225 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 4.11 0.137000 0.089333 0.080399226 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.26 0.275333 0.078900 0.071010227 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 3.30 0.165000 0.078900 0.071010228 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.94 0.264666 0.078900 0.071010229 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.98 0.199333 0.078900 0.071010230 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 7.89 0.078900 0.078900 0.071010231 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 6.66 0.133200 0.078900 0.071010232 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.071010233 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.30 0.165000 0.078900 0.071010234 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.071010235 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.48 0.316000 0.078900 0.071010236 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 6.26 0.208666 0.078900 0.071010237 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 6.22 0.311000 0.078900 0.071010238 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 12.36 0.618000 0.618000 0.556200239 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 56.22 0.562200 0.562200 0.505980240 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 60 34.61 0.576833 0.562200 0.505980241 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 20.63 0.687666 0.562200 0.505980242 C07AB02 METOPROLOLUM BETALOC (R) ZOC 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 24.13 0.804333 0.522333 0.470099243 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 15.67 0.522333 0.522333 0.470099244 C07AB02 METOPROLOLUM BETALOC (R) ZOC 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 14.73 0.491000 0.319333 0.287399245 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 9.58 0.319333 0.319333 0.287399246 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 21.33 0.711000 0.711000 0.639900247 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 7.64 0.254666 0.254666 0.229199248 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 12.76 0.425333 0.425333 0.382799249 C07AB03 ATENOLOLUM ATENOCOR 100 mg COMPR. 100mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.18 0.339333 0.293500 0.264150250 C07AB03 ATENOLOLUM ATENOLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.61 0.330500 0.293500 0.264150251 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 5.87 0.293500 0.293500 0.264150252 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.87 0.293500 0.293500 0.264150253 C07AB03 ATENOLOLUM ATENOLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.24 0.212000 0.166500 0.149850254 C07AB03 ATENOLOLUM ATENOLOL MEDUMAN 50mg COMPR. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 3.47 0.173500 0.166500 0.149850255 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.24 0.212000 0.166500 0.149850256 C07AB03 ATENOLOLUM ATENOCOR 50 mg COMPR. 50mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.02 0.167333 0.166500 0.149850257 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.33 0.166500 0.166500 0.149850258 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 6.46 0.323000 0.215500 0.193950259 C07AB03 ATENOLOLUM ATENOLOL 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 10.23 0.341000 0.215500 0.193950260 C07AB03 ATENOLOLUM ATENOLOL 100 mg MEDO COMPR. FILM. 100mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.31 0.215500 0.215500 0.193950

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261 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 10.94 0.218800 0.208666 0.187799262 C07AB03 ATENOLOLUM ATENOLOL 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 6.26 0.208666 0.208666 0.187799263 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 21.43 0.765357 0.715357 0.643821264 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 28 20.03 0.715357 0.715357 0.643821265 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 25.79 0.859666 0.715357 0.643821266 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 20.34 1.017000 0.715357 0.643821267 C07AB05 BETAXOLOLUM BETAC COMPR. FILM. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. P-6L 14 14.18 1.012857 0.715357 0.643821268 C07AB07 BISOPROLOLUM BISOBLOCK 10 mg COMPR. 10mg KERI PHARMA GENERICS LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 15.53 0.517666 0.517666 0.465899269 C07AB07 BISOPROLOLUM BISOBLOCK 5 mg COMPR. 5mg KERI PHARMA GENERICS LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.09 0.236333 0.236333 0.212699270 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 29.89 0.996333 0.464000 0.417600271 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 46.40 0.464000 0.464000 0.417600272 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 28.47 0.569400 0.464000 0.417600273 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 17.01 0.567000 0.464000 0.417600274 C07AB07 BISOPROLOLUM BISOTENS 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 17.01 0.567000 0.464000 0.417600275 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 13.87 0.462333 0.462333 0.416099276 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 15.35 0.511666 0.234800 0.211320277 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. X 25 COMPR. FILM. P-6L 50 13.68 0.273600 0.234800 0.211320278 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 8.01 0.267000 0.234800 0.211320279 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-6L 100 23.48 0.234800 0.234800 0.211320280 C07AB07 BISOPROLOLUM BISOTENS 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 8.01 0.267000 0.234800 0.211320281 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.20 0.273333 0.271333 0.244199282 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 28.10 1.003571 0.271333 0.244199283 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 11.71 0.418214 0.271333 0.244199284 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 12.48 0.416000 0.271333 0.244199285 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12,5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 14.99 0.499666 0.271333 0.244199286 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,5 mg COMPR. 12,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.13 0.656500 0.271333 0.244199287 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 22.00 0.733333 0.271333 0.244199288 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 12,5 mg COMPR. 12,5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.14 0.271333 0.271333 0.244199289 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 19.06 0.953000 0.271333 0.244199290 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 32.45 1.158928 0.283666 0.255299291 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 20.69 0.738928 0.283666 0.255299292 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 25.25 0.841666 0.283666 0.255299293 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 24.10 0.803333 0.283666 0.255299294 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 22.36 1.118000 0.283666 0.255299295 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.63 0.287666 0.283666 0.255299296 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 32.71 1.090333 0.283666 0.255299297 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 25 mg COMPR. 25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.51 0.283666 0.283666 0.255299298 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 15.44 0.551428 0.189000 0.170100299 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6,25mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.04 0.215714 0.189000 0.170100300 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6,25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 8.69 0.289666 0.189000 0.170100301 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6,25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.04 0.201333 0.189000 0.170100302 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.52 0.250666 0.189000 0.170100303 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6,25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 8.44 0.281333 0.189000 0.170100304 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 6,25 mg COMPR. 6,25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 5.67 0.189000 0.189000 0.170100

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305 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.61 0.430500 0.189000 0.170100306 C07AG02 CARVEDILOLUM CARVEDIGAMMA 12,5 mg COMPR. FILM. 12,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 13.07 0.435666 0.435666 0.392099307 C07AG02 CARVEDILOLUM CARVEDIGAMMA 25 mg COMPR. FILM. 25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 22.80 0.760000 0.760000 0.684000308 C07AG02 CARVEDILOLUM CARVEDIGAMMA 6,25 mg COMPR. FILM. 6,25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 8.51 0.283666 0.283666 0.255299309 C08CA01 AMLODIPINUM NORVASC 10 mg COMPR. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 27.86 0.928666 0.160333 0.144299310 C08CA01 AMLODIPINUM AMLOHEXAL 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 22.93 0.764333 0.160333 0.144299311 C08CA01 AMLODIPINUM TENOX (R) 10 COMPR. 10mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 20.15 0.671666 0.160333 0.144299312 C08CA01 AMLODIPINUM AMLODIPINE-TEVA 10 mg COMPR. 10mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR P-6L 30 4.81 0.160333 0.160333 0.144299313 C08CA01 AMLODIPINUM ALOZUR 10 mg COMPR. 10mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 18.10 0.603333 0.160333 0.144299314 C08CA01 AMLODIPINUM STAMLO M 10 mg COMPR. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L 28 13.77 0.491785 0.160333 0.144299315 C08CA01 AMLODIPINUM VASOREX 10 mg COMPR. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 20.82 0.694000 0.160333 0.144299316 C08CA01 AMLODIPINUM AGEN 10 COMPR. 10mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 21.14 0.704666 0.160333 0.144299317 C08CA01 AMLODIPINUM CARDILOPIN 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 27.00 0.900000 0.160333 0.144299318 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 10 mg COMPR. 10mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 19.78 0.659333 0.160333 0.144299319 C08CA01 AMLODIPINUM AMLODIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PVDC/AL X 30 COMPR. P-6L 30 23.05 0.768333 0.160333 0.144299320 C08CA01 AMLODIPINUM AMLODIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC- PVDC/AL X 100 COMPR. P-6L/S 100 33.28 0.332800 0.160333 0.144299321 C08CA01 AMLODIPINUM ALMACOR 10 mg COMPR. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 18.10 0.603333 0.160333 0.144299322 C08CA01 AMLODIPINUM AMLODIPINA ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L 20 17.50 0.875000 0.160333 0.144299323 C08CA01 AMLODIPINUM AMLODIPIN VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 14.64 0.732000 0.160333 0.144299324 C08CA01 AMLODIPINUM NORVASC 5 mg COMPR. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 18.72 0.624000 0.080000 0.072000325 C08CA01 AMLODIPINUM AMLOHEXAL 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC-COC-PVDC X 10 COMPR. P-6L 30 10.68 0.356000 0.080000 0.072000326 C08CA01 AMLODIPINUM TENOX (R) 5 COMPR. 5mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.71 0.357000 0.080000 0.072000327 C08CA01 AMLODIPINUM AMLODIPINE-TEVA 5 mg COMPR. 5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST PVC-PVDC/AL X 10 COMPR. P-6L 30 2.40 0.080000 0.080000 0.072000328 C08CA01 AMLODIPINUM ALOZUR 5 mg COMPR. 5mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 30 10.35 0.345000 0.080000 0.072000329 C08CA01 AMLODIPINUM STAMLO M 5 mg COMPR. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 14 COMPR. P-6L 28 8.21 0.293214 0.080000 0.072000330 C08CA01 AMLODIPINUM VASOREX 5 mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.74 0.358000 0.080000 0.072000331 C08CA01 AMLODIPINUM AGEN 5 COMPR. 5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 10.55 0.351666 0.080000 0.072000332 C08CA01 AMLODIPINUM CARDILOPIN 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 13.42 0.447333 0.080000 0.072000333 C08CA01 AMLODIPINUM AMLODIPINA BIOGALENICA 5 mg COMPR. 5mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.41 0.247000 0.080000 0.072000334 C08CA01 AMLODIPINUM AMLODIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30COMPR. P-6L 30 11.83 0.394333 0.080000 0.072000335 C08CA01 AMLODIPINUM AMLODIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 100COMPR. P-6L/S 100 23.54 0.235400 0.080000 0.072000336 C08CA01 AMLODIPINUM ALMACOR 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 10.66 0.355333 0.080000 0.072000337 C08CA01 AMLODIPINUM AMLODIPINA ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. P-6L 20 10.97 0.548500 0.080000 0.072000338 C08CA01 AMLODIPINUM AMLODIPIN VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC-COC-PVDC/AL X 10 COMPR. P-6L 20 7.75 0.387500 0.080000 0.072000339 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 69.19 1.383800 1.312700 1.181430340 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 131.27 1.312700 1.312700 1.181430341 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 42.94 1.431333 1.312700 1.181430342 C08CA02 FELODIPINUM FELODIPIN AL 10 RETARD COMPR. ELIB. MODIF. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 29.58 1.479000 1.312700 1.181430343 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2,5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 19.41 0.647000 0.626300 0.563670344 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2,5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 32.36 0.647200 0.626300 0.563670345 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2,5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 62.63 0.626300 0.626300 0.563670346 C08CA02 FELODIPINUM FELODIPIN AL 2,5 RETARD COMPR. ELIB. MODIF. 2,5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 12.94 0.647000 0.626300 0.563670347 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 30 27.73 0.924333 0.849700 0.764730348 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 20 19.11 0.955500 0.849700 0.764730

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349 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. ELIB. MODIF. P-6L/S 100 84.97 0.849700 0.849700 0.764730350 C08CA02 FELODIPINUM FELODIPIN AL 5 RETARD COMPR. ELIB. MODIF. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. ELIB. MODIF. P-6L 50 44.73 0.894600 0.849700 0.764730351 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 10mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 47.13 1.571000 0.952333 0.857099352 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 2,5mg ASTRAZENECA AB SUEDIA CUTIE 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 20.91 0.697000 0.269000 0.242100353 C08CA02 FELODIPINUM PLENDIL COMPR. ELIB. PREL. 5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE X 30 COMPR. ELIB. PREL. P-6L 30 26.63 0.887666 0.491000 0.441900354 C08CA02 FELODIPINUM SISTAR 10 mg COMPR. FILM. ELIB. MODIF. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 28.57 0.952333 0.952333 0.857099355 C08CA02 FELODIPINUM SISTAR 2,5 mg COMPR. FILM. ELIB. MODIF. 2,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 15.45 0.515000 0.269000 0.242100356 C08CA02 FELODIPINUM SISTAR 5 mg COMPR. FILM. ELIB. MODIF. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 21.23 0.707666 0.491000 0.441900357 C08CA02 FELODIPINUM AURONAL 10 mg COMPR. FILM. ELIB. PREL. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 39.96 1.332000 0.952333 0.857099358 C08CA02 FELODIPINUM PRESID (R) 10 mg COMPR. FILM. ELIB. PREL. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 31.49 1.049666 0.952333 0.857099359 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 110.46 1.104600 0.952333 0.857099360 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 34.89 1.163000 0.952333 0.857099361 C08CA02 FELODIPINUM MIVARA 10 mg COMPR. FILM. ELIB. PREL. 10mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 58.17 1.163400 0.952333 0.857099362 C08CA02 FELODIPINUM FELODIPIN SANDOZ 10 mg COMPR. FILM. ELIB. PREL. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 28.67 0.955666 0.952333 0.857099363 C08CA02 FELODIPINUM AURONAL 2,5 mg COMPR. FILM. ELIB. PREL. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 15.45 0.515000 0.269000 0.242100364 C08CA02 FELODIPINUM PRESID (R) 2,5 mg COMPR. FILM. ELIB. PREL. 2,5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 8.07 0.269000 0.269000 0.242100365 C08CA02 FELODIPINUM AURONAL 5 mg COMPR. FILM. ELIB. PREL. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 10 COMPR. ELIB. PREL. P-6L 30 25.02 0.834000 0.491000 0.441900366 C08CA02 FELODIPINUM PRESID (R) 5 mg COMPR. FILM. ELIB. PREL. 5mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 16.15 0.538333 0.491000 0.441900367 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 50 36.38 0.727600 0.491000 0.441900368 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 22.56 0.752000 0.491000 0.441900369 C08CA02 FELODIPINUM MIVARA 5 mg COMPR. FILM. ELIB. PREL. 5mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 10 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L/S 100 70.34 0.703400 0.491000 0.441900370 C08CA02 FELODIPINUM FELODIPIN SANDOZ 5 mg COMPR. FILM. ELIB. PREL. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 14.73 0.491000 0.491000 0.441900371 C08CA05 NIFEDIPINUM ADALAT CR 30 COMPR. ELIB. MODIF. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 2 BLIST. AL/PP X 14 COMPR. ELIB. MODIF. P-6L 28 28.04 1.001428 1.001428 0.901285372 C08CA05 NIFEDIPINUM NIFEDIPIN RETARD TERAPIA 20 mg COMPR. FILM. ELIB. PREL. 20mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 4.13 0.082600 0.082600 0.074340373 C08CA05 NIFEDIPINUM EPILAT RETARD DRAJ. 20mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 FOLII X 10 DRAJ. P-6L 20 4.51 0.225500 0.225500 0.202950374 C08DA01 VERAPAMILUM VERAPAMIL AL 40 COMPR. FILM. 40mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 5.86 0.117200 0.111600 0.100440375 C08DA01 VERAPAMILUM VERAPAMIL AL 40 COMPR. FILM. 40mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 11.16 0.111600 0.111600 0.100440376 C08DA01 VERAPAMILUM ISOPTIN (R) 40 mg COMPR. FILM. 40mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 20 COMPR. FILM. P-6L 100 16.04 0.160400 0.111600 0.100440377 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 19.74 0.197400 0.197200 0.177480378 C08DA01 VERAPAMILUM VERAPAMIL AL 80 COMPR. FILM. 80mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 9.86 0.197200 0.197200 0.177480379 C08DA01 VERAPAMILUM ISOPTIN (R) 80 mg COMPR. FILM. 80mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 14.36 0.287200 0.197200 0.177480380 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 10.06 1.006000 0.691666 0.622499381 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-6L 30 21.23 0.707666 0.691666 0.622499382 C08DA01 VERAPAMILUM VEROGALID (R) ER 240 mg COMPR. FILM. ELIB. PREL. 240mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 20.75 0.691666 0.691666 0.622499383 C08DA01 VERAPAMILUM ISOPTIN RR COMPR. FILM. ELIB. PREL. 240mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 18.69 0.934500 0.691666 0.622499384 C08DA01 VERAPAMILUM VERAPAMIL 40 mg DRAJ. 40mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ. P-6L 50 11.09 0.221800 0.221800 0.199620385 C08DA01 VERAPAMILUM VERAPAMIL 80 mg DRAJ. 80mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 DRAJ. P-6L 50 16.27 0.325400 0.325400 0.292860386 C08DB01 DILTIAZEMUM DILZEM 60 mg COMPR. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 11.66 0.388666 0.252500 0.227250387 C08DB01 DILTIAZEMUM DILTIAZEM EIPICO 60 mg COMPR. 60mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 5.05 0.252500 0.252500 0.227250388 C08DB01 DILTIAZEMUM DILTIAZEM LPH 60 mg COMPR. 60mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.35 0.317500 0.252500 0.227250389 C08DB01 DILTIAZEMUM DILTIAZEM ARENA 60 mg COMPR. 60mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. DIN AL/ PVC X 10COMPR. P-6L 20 7.10 0.355000 0.252500 0.227250390 C08DB01 DILTIAZEMUM DILTIAZEM ARENA 60 mg COMPR. 60mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. DIN AL/ PVC X 10COMPR. P-6L 50 14.45 0.289000 0.252500 0.227250391 C08DB01 DILTIAZEMUM CORZEM 120 COMPR. FILM. 120mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 12.05 1.205000 1.205000 1.084500392 C08DB01 DILTIAZEMUM DILZEM 90 mg RETARD COMPR. FILM. ELIB. PREL. 90mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-6L 30 14.42 0.480666 0.480666 0.432599

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393 C09AA01 CAPTOPRILUM CAPTOPRIL 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.77 0.092333 0.092333 0.083099394 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.77 0.092333 0.092333 0.083099395 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 3.20 0.106666 0.106500 0.095850396 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.20 0.106666 0.106500 0.095850397 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.84 0.142000 0.106500 0.095850398 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.106500 0.095850399 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.20 0.106666 0.106500 0.095850400 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.13 0.137666 0.106500 0.095850401 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.24 0.108000 0.106500 0.095850402 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.106500 0.095850403 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.51 0.125500 0.122666 0.110399404 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 20 4.18 0.209000 0.122666 0.110399405 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.25 0.141666 0.122666 0.110399406 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.62 0.181000 0.122666 0.110399407 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.51 0.125500 0.122666 0.110399408 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.24 0.141333 0.122666 0.110399409 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.68 0.122666 0.122666 0.110399410 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.59 0.229500 0.124500 0.112050411 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.59 0.229500 0.124500 0.112050412 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.71 0.185500 0.124500 0.112050413 C09AA02 ENALAPRILUM EDNYT (R) 10 mg COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 9.57 0.319000 0.124500 0.112050414 C09AA02 ENALAPRILUM ENALAP COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.112050415 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.24 0.362000 0.124500 0.112050416 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.112050417 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.29 0.314500 0.124500 0.112050418 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 6.19 0.309500 0.124500 0.112050419 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 7.95 0.265000 0.124500 0.112050420 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 9.80 0.196000 0.124500 0.112050421 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 12.45 0.124500 0.124500 0.112050422 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 9.88 0.352857 0.124500 0.112050423 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 7.73 0.386500 0.124500 0.112050424 C09AA02 ENALAPRILUM ENAM 10 mg COMPR. 10mg REPREZENTANTA DR. REDDY'S LABORATORIES LTD. ROMANIA CUTIE X 2 BLIST. AL-PEJD/AL X10 COMPR. P-6L 20 5.55 0.277500 0.124500 0.112050425 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 6.84 0.342000 0.124500 0.112050426 C09AA02 ENALAPRILUM MUNEVER 10 mg COMPR. 10mg REPREZENTANTA DR. REDDY'S LABORATORIES LTD. ROMANIA CUTIE X 2 BLIST. AL-PEJD/AL X10 COMPR. P-6L 20 5.55 0.277500 0.124500 0.112050427 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.46 0.215333 0.124500 0.112050428 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.55 0.211000 0.124500 0.112050429 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 20.66 0.206600 0.124500 0.112050430 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 10.59 0.529500 0.124500 0.112050431 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 6.89 0.344500 0.124500 0.112050432 C09AA02 ENALAPRILUM EDNYT (R) 2,5 mg COMPR. 2,5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.75 0.258333 0.258333 0.232499433 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.46 0.373000 0.183700 0.165330434 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 9.55 0.477500 0.183700 0.165330435 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.53 0.551000 0.183700 0.165330436 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 10.48 0.524000 0.183700 0.165330

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437 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 9.55 0.477500 0.183700 0.165330438 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.69 0.334500 0.183700 0.165330439 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 18.37 0.183700 0.183700 0.165330440 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 15.41 0.308200 0.183700 0.165330441 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.91 0.363666 0.183700 0.165330442 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 16.07 0.573928 0.183700 0.165330443 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 11.77 0.588500 0.183700 0.165330444 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 10.45 0.522500 0.183700 0.165330445 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 10.46 0.348666 0.183700 0.165330446 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.083790447 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.083790448 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.083790449 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 7.75 0.258333 0.093100 0.083790450 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 4.93 0.164333 0.093100 0.083790451 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 9.31 0.093100 0.093100 0.083790452 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 7.95 0.159000 0.093100 0.083790453 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 3.59 0.179500 0.093100 0.083790454 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.40 0.264285 0.093100 0.083790455 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 5.24 0.262000 0.093100 0.083790456 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 3.68 0.184000 0.093100 0.083790457 C09AA02 ENALAPRILUM INVORIL 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 5.18 0.172666 0.093100 0.083790458 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.24 0.174666 0.093100 0.083790459 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.56 0.178000 0.093100 0.083790460 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1,25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 14.50 2.900000 2.900000 2.610000461 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 14.51 0.518214 0.322666 0.290399462 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.07 0.469000 0.322666 0.290399463 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.09 0.504500 0.322666 0.290399464 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.54 0.477000 0.322666 0.290399465 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.81 0.493666 0.322666 0.290399466 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.68 0.322666 0.322666 0.290399467 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 15.16 0.505333 0.322666 0.290399468 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.56 0.452000 0.322666 0.290399469 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 12.08 0.402666 0.322666 0.290399470 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.21 0.293214 0.293214 0.263892471 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 21.51 0.768214 0.471333 0.424199472 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 21.69 0.723000 0.471333 0.424199473 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 14.70 0.735000 0.471333 0.424199474 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.14 0.471333 0.471333 0.424199475 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 26.79 0.893000 0.471333 0.424199476 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.56 0.678000 0.471333 0.424199477 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 6.98 0.698000 0.471333 0.424199478 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 22.05 0.735000 0.471333 0.424199479 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 21.94 0.731333 0.471333 0.424199480 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 36.91 1.230333 1.230333 1.107299

Pagina 12 din 38

481 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 12.94 1.294000 1.230333 1.107299482 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.72 0.311428 0.224000 0.201600483 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.18 0.239333 0.224000 0.201600484 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.72 0.224000 0.224000 0.201600485 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.49 0.316333 0.224000 0.201600486 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.14 0.271333 0.224000 0.201600487 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 6.90 0.230000 0.224000 0.201600488 C09AA05 RAMIPRILUM EMREN 10 mg COMPR. 10 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 32.02 1.067333 0.357900 0.322110489 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 25.12 0.897142 0.357900 0.322110490 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 33.62 1.200714 0.357900 0.322110491 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 23.68 0.845714 0.357900 0.322110492 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 41.98 1.399333 0.357900 0.322110493 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 39.43 1.314333 0.357900 0.322110494 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 45.33 1.618928 0.357900 0.322110495 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 35.85 1.280357 0.357900 0.322110496 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S 100 35.79 0.357900 0.357900 0.322110497 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 9.86 0.493000 0.357900 0.322110498 C09AA05 RAMIPRILUM EMREN 2,5 mg COMPR. 2,5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 10.51 0.350333 0.250357 0.225321499 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L 28 7.01 0.250357 0.250357 0.225321500 C09AA05 RAMIPRILUM TRITACE (R) 2,5 COMPR. 2,5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 13.53 0.483214 0.250357 0.225321501 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2,5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10.06 0.359285 0.250357 0.225321502 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.20 0.406666 0.250357 0.225321503 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 13.08 0.436000 0.250357 0.225321504 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 13.70 0.489285 0.250357 0.225321505 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 10.31 0.368214 0.250357 0.225321506 C09AA05 RAMIPRILUM EMREN 5 mg COMPR. 5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 19.24 0.641333 0.242800 0.218520507 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 12.48 0.445714 0.242800 0.218520508 C09AA05 RAMIPRILUM TRITACE (R) 5 COMPR. 5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.67 0.523928 0.242800 0.218520509 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 11.79 0.421071 0.242800 0.218520510 C09AA05 RAMIPRILUM RAMIPRIL-AC 5 mg COMPR. 5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 32.92 1.097333 0.242800 0.218520511 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 21.59 0.719666 0.242800 0.218520512 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 24.19 0.863928 0.242800 0.218520513 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 20.63 0.736785 0.242800 0.218520514 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR. P-6L/S 100 24.28 0.242800 0.242800 0.218520515 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR. P-6L 20 6.66 0.333000 0.242800 0.218520516 C09AA05 RAMIPRILUM RAMIRAN 1,25 mg COMPR. FILM. 1,25mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 6.47 0.215666 0.215666 0.194099517 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 32.02 1.067333 1.067333 0.960599518 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. FILM. 2,5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 10.54 0.351333 0.351333 0.316199519 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 19.24 0.641333 0.641333 0.577199520 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 10 mg COMPR. FILM. 10 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 9.68 0.322666 0.322666 0.290399521 C09AA06 QUINAPRILUM AQUIRIL 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 17.64 0.588000 0.322666 0.290399522 C09AA06 QUINAPRILUM ACCUPRO 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/AL/PA X 10 COMPR. FILM. P-6L 30 10.97 0.365666 0.322666 0.290399523 C09AA06 QUINAPRILUM QUINARAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 14.50 0.483333 0.322666 0.290399524 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 20 mg COMPR. FILM. 20 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 14.14 0.471333 0.471333 0.424199

Pagina 13 din 38

525 C09AA06 QUINAPRILUM ACCUPRO (R) 20 COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 15.72 0.524000 0.471333 0.424199526 C09AA06 QUINAPRILUM QUINARAN 20 mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 28.51 0.950333 0.471333 0.424199527 C09AA06 QUINAPRILUM QUINAPRIL SANDOZ 40 mg COMPR. FILM. 40 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 54.57 1.819000 1.379666 1.241699528 C09AA06 QUINAPRILUM QUINARAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 41.39 1.379666 1.379666 1.241699529 C09AA06 QUINAPRILUM ACCUPRO (R) 5 COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 7.70 0.256666 0.238333 0.214499530 C09AA06 QUINAPRILUM QUINARAN 5 mg COMPR. FILM. 5mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 7.15 0.238333 0.238333 0.214499531 C09AA09 FOSINOPRILUM MONOPRIL 10 mg COMPR. 10mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 19.57 0.698928 0.462333 0.416099532 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 13.87 0.462333 0.462333 0.416099533 C09AA09 FOSINOPRILUM FOSYPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 13.87 0.462333 0.462333 0.416099534 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 14.53 0.726500 0.462333 0.416099535 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg BRISTOL-MYERS SQUIBB UNGARIA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 26.83 0.958214 0.591666 0.532499536 C09AA09 FOSINOPRILUM FOSINOPRIL TEVA 20 mg COMPR. 20mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-6L 30 17.75 0.591666 0.591666 0.532499537 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. P-6L 30 24.04 0.801333 0.591666 0.532499538 C09AA09 FOSINOPRILUM FOSYPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL-PVC-PA/AL X 15 COMPR. P-6L 30 24.04 0.801333 0.591666 0.532499539 C09AA09 FOSINOPRILUM FOSINOPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 19.46 0.973000 0.591666 0.532499

540 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP HL COMPR. 10mg+12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 8.34 0.417000 0.417000 0.375300

541 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP H COMPR. 10mg+25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 9.23 0.461500 0.376333 0.338699

542 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENALAPRIL HCT SANDOZ 10 mg/25 mg COMPR. 10mg/25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 11.29 0.376333 0.376333 0.338699

543 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP (R) HL 20 mg/12,5 mg COMPR. 20 mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 7.47 0.373500 0.373500 0.336150

544 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENALAPRIL HCT SANDOZ 20 mg/12,5 mg COMPR. 20mg/12,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 15.72 0.524000 0.373500 0.336150

545 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL HL COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L 30 13.44 0.448000 0.417000 0.375300

546 C09BA02

COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) VIMAPRIL H COMPR. FARA CONCENTRATIE VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. PVC/COC/PVDC-AL X 10 COMPR. P-6L 30 16.19 0.539666 0.376333 0.338699

547 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTIL HCT 2,5 mg/12,5mg COMPR. 2,5mg/12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L 28 21.80 0.778571 0.268000 0.241200

Pagina 14 din 38

548 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) RAMIPRIL HCT-MEDOCHEMIE COMPR. 2,5mg/12,5mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 12.45 0.415000 0.268000 0.241200

549 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TENSIL 2,5mg/12,5mg COMPR. 2,5mg/12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 8.04 0.268000 0.268000 0.241200

550 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) EMREN HCT 2,5mg/12,5mg COMPR. 2,5mg/12,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 12.36 0.412000 0.268000 0.241200

551 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) HARTIL HCT 5 mg/25mg COMPR. 5mg/25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PCTFE/AL X 14 COMPR. P-6L 28 27.66 0.987857 0.570000 0.513000

552 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) RAMIPRIL HCT-MEDOCHEMIE COMPR. 5mg/25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 21.33 0.711000 0.570000 0.513000

553 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TENSIL 5mg/25mg COMPR. 5mg/25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 17.10 0.570000 0.570000 0.513000

554 C09BA05

COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) EMREN HCT 5mg/25mg COMPR. 5mg/25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 22.00 0.733333 0.570000 0.513000

555 C09CA01 LOSARTANUM LOZAP 100 COMPR. FILM. 100mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 35.31 1.177000 1.045666 0.941099556 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 31.37 1.045666 1.045666 0.941099557 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 31.37 1.045666 1.045666 0.941099558 C09CA01 LOSARTANUM LOZAP 12,5 COMPR. FILM. 12,5mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 4.62 0.154000 0.133666 0.120299559 C09CA01 LOSARTANUM TALOSAN 12,5 mg COMPR. FILM. 12,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 4.01 0.133666 0.133666 0.120299560 C09CA01 LOSARTANUM TALOSAN 12,5 mg COMPR. FILM. 12,5mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 4.01 0.133666 0.133666 0.120299561 C09CA01 LOSARTANUM TALOSAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 7.33 0.244333 0.244333 0.219899562 C09CA01 LOSARTANUM TALOSAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 7.33 0.244333 0.244333 0.219899563 C09CA01 LOSARTANUM COZAAR COMPR. FILM. 50mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPACE AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 62.70 2.239285 0.561000 0.504900564 C09CA01 LOSARTANUM LORISTA COMPR. FILM. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 16.89 0.603214 0.561000 0.504900565 C09CA01 LOSARTANUM LOZAP 50 COMPR. FILM. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 18.43 0.614333 0.561000 0.504900566 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 16.83 0.561000 0.561000 0.504900567 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 16.83 0.561000 0.561000 0.504900568 C09CA01 LOSARTANUM LOSARTAN FARMAL 50 mg COMPR. FILM. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PE- PVDC/AL X 14 COMPR. FILM. P-6L 28 16.79 0.599642 0.561000 0.504900569 C10AA01 SIMVASTATINUM SIMVASTATIN 10 mg COMPR. FILM. 10 mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 13.94 0.497857 0.293214 0.263892570 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 10 mg COMPR. FILM. 10 mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 14.13 0.504642 0.293214 0.263892571 C10AA01 SIMVASTATINUM SIMVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 5.44 0.388571 0.293214 0.263892572 C10AA01 SIMVASTATINUM SIMVOR 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 10.88 0.388571 0.293214 0.263892573 C10AA01 SIMVASTATINUM SIMVACARD (R) 10 COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 11.28 0.402857 0.293214 0.263892574 C10AA01 SIMVASTATINUM SIMGAL (R) 10 mg COMPR. FILM. 10mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 8.21 0.293214 0.293214 0.263892575 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 9.86 0.328666 0.293214 0.263892576 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 8.35 0.596428 0.293214 0.263892577 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 11.28 0.402857 0.293214 0.263892578 C10AA01 SIMVASTATINUM ZOCOR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 14 6.32 0.451428 0.293214 0.263892579 C10AA01 SIMVASTATINUM ZOCOR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 12.63 0.451071 0.293214 0.263892580 C10AA01 SIMVASTATINUM SINTENAL 10 mg COMPR. FILM. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 15.78 0.526000 0.293214 0.263892

Pagina 15 din 38

581 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 14.55 0.485000 0.293214 0.263892582 C10AA01 SIMVASTATINUM SIMVAGAMMA 10 mg COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 44.97 0.449700 0.293214 0.263892583 C10AA01 SIMVASTATINUM VASILIP 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC-PE/PVDC-PE-AL X 7 COMPR. FILM. P-6L 28 11.28 0.402857 0.293214 0.263892584 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 21.73 0.724333 0.293214 0.263892585 C10AA01 SIMVASTATINUM VABADIN 10 mg COMPR. FILM. 10mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 21.57 0.770357 0.293214 0.263892586 C10AA01 SIMVASTATINUM ZAREDIL 10 mg COMPR. FILM. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 8.21 0.293214 0.293214 0.263892587 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 13.73 0.457666 0.293214 0.263892588 C10AA01 SIMVASTATINUM SIMVASTATIN 20 mg COMPR. FILM. 20 mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 27.86 0.995000 0.554642 0.499177589 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 20 mg COMPR. FILM. 20 mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 29.49 1.053214 0.554642 0.499177590 C10AA01 SIMVASTATINUM SIMVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 18.01 0.643214 0.554642 0.499177591 C10AA01 SIMVASTATINUM SIMVOR 20 mg COMPR. FILM. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 9.00 0.642857 0.554642 0.499177592 C10AA01 SIMVASTATINUM SIMVACARD (R) 20 COMPR. FILM. 20mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 21.14 0.755000 0.554642 0.499177593 C10AA01 SIMVASTATINUM SIMGAL (R) 20 mg COMPR. FILM. 20mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 15.53 0.554642 0.554642 0.499177594 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 19.29 0.643000 0.554642 0.499177595 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 22.50 0.803571 0.554642 0.499177596 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 16.27 1.162142 0.554642 0.499177597 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 14 11.96 0.854285 0.554642 0.499177598 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 23.91 0.853928 0.554642 0.499177599 C10AA01 SIMVASTATINUM SINTENAL 20 mg COMPR. FILM. 20mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 31.54 1.051333 0.554642 0.499177600 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 105.53 1.055300 0.554642 0.499177601 C10AA01 SIMVASTATINUM SIMVAGAMMA 20 mg COMPR. FILM. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 35.13 1.171000 0.554642 0.499177602 C10AA01 SIMVASTATINUM VASILIP 20 mg COMPR. FILM. 20mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC-PE/PVDC-PE-AL X 7 COMPR. FILM. P-6L 28 22.50 0.803571 0.554642 0.499177603 C10AA01 SIMVASTATINUM SIMCOR 20 mg COMPR. FILM. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 16.64 0.554666 0.554642 0.499177604 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 47.19 1.573000 0.554642 0.499177605 C10AA01 SIMVASTATINUM VABADIN 20 mg COMPR. FILM. 20mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 41.75 1.491071 0.554642 0.499177606 C10AA01 SIMVASTATINUM ZAREDIL 20 mg COMPR. FILM. 20mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 15.55 0.555357 0.554642 0.499177607 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 27.43 0.914333 0.554642 0.499177608 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 30 mg COMPR. FILM. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 27.80 0.926666 0.926666 0.833999609 C10AA01 SIMVASTATINUM SIMVASTATIN 40 mg COMPR. FILM. 40 mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 47.18 1.685000 0.616428 0.554785610 C10AA01 SIMVASTATINUM SIMVASTATINA BIOGALENICA 40 mg COMPR. FILM. 40 mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 43.41 1.550357 0.616428 0.554785611 C10AA01 SIMVASTATINUM SIMVOR 40 mg COMPR. FILM. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 17.26 1.232857 0.616428 0.554785612 C10AA01 SIMVASTATINUM VASILIP (R) 40 mg COMPR. FILM. 40mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 43.00 1.535714 0.616428 0.554785613 C10AA01 SIMVASTATINUM SIMVACARD (R) 40 COMPR. FILM. 40mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVDC-PE-PVC X 14 COMPR. FILM. P-6L 28 40.98 1.463571 0.616428 0.554785614 C10AA01 SIMVASTATINUM ZOCOR FORTE COMPR. FILM. 40mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 41.75 1.491071 0.616428 0.554785615 C10AA01 SIMVASTATINUM ZOCOR FORTE COMPR. FILM. 40mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 14 21.57 1.540714 0.616428 0.554785616 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 43.59 1.556785 0.616428 0.554785617 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 14 17.26 1.232857 0.616428 0.554785618 C10AA01 SIMVASTATINUM SIMGAL (R) 40 mg COMPR. FILM. 40mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 28.04 1.001428 0.616428 0.554785619 C10AA01 SIMVASTATINUM SINTENAL 40 mg COMPR. FILM. 40mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 49.59 1.653000 0.616428 0.554785620 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 33.64 1.121333 0.616428 0.554785621 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 126.01 1.260100 0.616428 0.554785622 C10AA01 SIMVASTATINUM SIMVAGAMMA 40 mg COMPR. FILM. 40mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-6L 30 53.50 1.783333 0.616428 0.554785623 C10AA01 SIMVASTATINUM SIMCOR 40 mg COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 10.02 1.002000 0.616428 0.554785624 C10AA01 SIMVASTATINUM SIMCOR 40 mg COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 30.05 1.001666 0.616428 0.554785

Pagina 16 din 38

625 C10AA01 SIMVASTATINUM VABADIN 40 mg COMPR. FILM. 40mg MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-6L 28 63.42 2.265000 0.616428 0.554785626 C10AA01 SIMVASTATINUM ZAREDIL 40 mg COMPR. FILM. 40mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 17.26 0.616428 0.616428 0.554785627 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 40 mg COMPR. FILM. 40mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 48.94 1.631333 0.616428 0.554785628 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 40 mg COMPR. FILM. 40mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 41.60 1.386666 0.616428 0.554785629 C10AA01 SIMVASTATINUM SIMVOR 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 6.02 0.430000 0.430000 0.387000630 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 80 mg COMPR. FILM. 80mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 77.07 2.569000 2.306333 2.075699631 C10AA01 SIMVASTATINUM SIMVASTATIN ACCORD 80 mg COMPR. FILM. 80mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC- PE- PVDC /AL X 30 COMPR. FILM. P-6L 30 69.19 2.306333 2.306333 2.075699632 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 63.47 0.634700 0.634700 0.571230633 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 13.56 1.356000 0.634700 0.571230634 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 19.52 0.650666 0.634700 0.571230635 C10AA03 PRAVASTATINUM PRAVATOR 10 mg COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 16.15 0.576785 0.576785 0.519106636 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 21.08 0.752857 0.752857 0.677571637 C10AA03 PRAVASTATINUM PRALIP 40 mg COMPR. 40mg SANDOZ SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 35.73 1.191000 1.190714 1.071642638 C10AA03 PRAVASTATINUM PRAVATOR 40 mg COMPR. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L 28 33.34 1.190714 1.190714 1.071642639 C10AB05 FENOFIBRATUM LIPANTHYL (R) 100 CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 4 BLIST. AL/PVC X 12 CAPS. P-6L 48 19.48 0.405833 0.405833 0.365249640 C10AB05 FENOFIBRATUM LIPOFIB 160 mg CAPS. 160mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 47.42 1.580666 1.580666 1.422599641 C10AB05 FENOFIBRATUM LIPOFIB 200 mg CAPS. 200mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.13 0.871000 0.808000 0.727200642 C10AB05 FENOFIBRATUM FENOFIBRAT TERAPIA 200 mg CAPS. 200mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 24.24 0.808000 0.808000 0.727200643 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. 200mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-6L 10 12.73 1.273000 0.871000 0.783900644 C10AB05 FENOFIBRATUM LIPANTHYL 200 M CAPS. 200mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. P-6L 30 36.98 1.232666 0.871000 0.783900645 C10AB05 FENOFIBRATUM LIPOFIB 267 mg CAPS. 267mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 32.54 1.084666 1.084666 0.976199646 C10AB05 FENOFIBRATUM LIPOFIB 67 mg CAPS. 67mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 30 11.46 0.382000 0.382000 0.343800647 C10AB05 FENOFIBRATUM FENOFIBRAT LPH 200 mg CAPS. PULB. MICRONIZATA 200mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 21.06 1.053000 0.871000 0.783900648 C10AB05 FENOFIBRATUM LIPIVIM CAPS. PULB. MICRONIZATA 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.13 0.871000 0.871000 0.783900649 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 1 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L 10 12.94 1.294000 1.252666 1.127399650 C10AB05 FENOFIBRATUM LIPANTHYL SUPRA 160 mg COMPR. FILM. ELIB. MODIF. 160mg LAB. FOURNIER SA FRANTA CUTIE X 3 BLIST. PVC- PE-PVDC/AL X 10 COMPR. FILM. CU ELIB. MOD. P-6L 30 37.58 1.252666 1.252666 1.127399651 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G P-RF 1 8.03 8.030000 6.410000 5.769000652 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 6.41 6.410000 6.410000 5.769000653 D01AC02 MICONAZOLUM MICONAL ECOBI CREMA 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 8.94 8.940000 6.410000 5.769000654 D01AC10 BIFONAZOLUM BIAZOL 10 mg/g CREMA 10mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 8.89 8.890000 8.890000 8.001000655 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G P-RF 1 6.01 6.010000 3.940000 3.546000656 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 19.78 19.780000 3.940000 3.546000657 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 4.67 4.670000 3.940000 3.546000658 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 7.13 7.130000 3.940000 3.546000659 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G P-RF 1 3.94 3.940000 3.940000 3.546000660 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 6.32 6.320000 3.940000 3.546000661 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 5 G CREMA P-RF 1 5.55 5.550000 3.940000 3.546000662 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 10 G CREMA P-RF 1 8.32 8.320000 3.940000 3.546000663 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 6.87 6.870000 3.940000 3.546000664 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 4.41 4.410000 3.940000 3.546000665 D07AA02 HYDROCORTISONUM HIDROCORTIZON 1% UNGUENT 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5.81 5.810000 5.810000 5.229000666 D07AA02 HYDROCORTISONUM HIDROCORTIZON FITERMAN 10 mg/g UNGUENT 10mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 20 G UNGUENT P-RF 1 5.32 5.320000 5.320000 4.788000667 D07AA02 HYDROCORTISONUM HIDROCORTIZON FITERMAN 10 mg/g UNGUENT 10mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 35 G UNGUENT P-RF 1 9.32 9.320000 5.320000 4.788000668 D07AC01 BETAMETHASONUM BETADERM CREMA 0,1% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5.59 5.590000 5.590000 5.031000

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669 D07AC01 BETAMETHASONUM BELODERM CREMA CREMA 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 15 G CREMA P-RF 1 8.32 8.320000 8.320000 7.488000670 D07AC01 BETAMETHASONUM BETAMETAZONA ANTIBIOTICE 0,5mg/g CREMA 0,5mg/g ANTIBIOTICE S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 8.55 8.550000 8.550000 7.695000671 D07AC01 BETAMETHASONUM BETADERM UNGUENT 0,1% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5.59 5.590000 5.590000 5.031000672 D07AC01 BETAMETHASONUM BELODERM UNGUENT UNGUENT 0,5mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 8.32 8.320000 8.320000 7.488000673 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 5.59 0.931666 0.931666 0.838499674 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 5.36 1.786666 1.786666 1.607999675 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G P-RF 1 18.18 18.180000 13.070000 11.763000676 G01AF04 MICONAZOLUM MICONAL ECOBI CREMA VAG. 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA P-RF 1 13.07 13.070000 13.070000 11.763000677 G01AF04 MICONAZOLUM MICONAL ECOBI OVULE 50mg FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE P-RF 15 8.44 0.562666 0.562666 0.506399678 G01AF04 MICONAZOLUM MICONAL ECOBI SOL. VAGINALA 2mg/ml FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE P-RF 5 16.89 3.378000 3.378000 3.040200679 G02AB03 ERGOMETRINUM MALEAT DE ERGOMETRINA 0,2 mg/ml SOL. INJ. 0,2mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ., CU INEL DE RUPERE P-RF 5 3.78 0.756000 0.756000 0.680400680 G03BA03 TESTOSTERONUM* UNDESTOR TESTOCAPS 40 mg CAPS. MOI 40mg N.V. ORGANON OLANDA CUTIE X 6 PLICURI DIN PES-AL-PE X 1 BLIST. AL/PVC X 10 CAPS. MOI P-RF 60 44.45 0.740833 0.740833 0.666749681 G03BA03 TESTOSTERONUM* ANDROGEL 50 mg GEL 50mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 30 PLICURI DIN FOLIE PET/AL/PE X 5 G GEL P-RF 30 209.72 6.990666 6.990666 6.291599682 G03BA03 TESTOSTERONUM* NEBIDO 1000 mg/4 ml SOL. INJ. 1000mg/4ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FIOLA X 4 ML SOL. INJ. S/P-RF 1 459.28 459.280000 459.280000 413.352000683 G03CA03 ESTRADIOLUM* ESTROFEM 1 mg COMPR. FILM. 1mg NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR.FILM. P-6L 1 15.35 15.350000 15.350000 13.815000684 G03CA03 ESTRADIOLUM* VAGIFEM COMPR. VAG. 25mcg NOVO NORDISK A/S DANEMARCA CUTIE X 3 BLIST. AL/PVC X 5 APLICATOARE DIN PE/PP X 1 COMPR. VAG. P-6L 15 43.24 2.882666 2.882666 2.594399685 G03CA03 ESTRADIOLUM* OESTROGEL (R) GEL 0,06% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB DIN AL X 80 G P-6L 1 15.59 15.590000 15.590000 14.031000686 G03CA03 ESTRADIOLUM* ESTREVA (R) GEL 0,1% LAB. THERAMEX MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G P-6L 1 27.61 27.610000 27.610000 24.849000687 G03CA03 ESTRADIOLUM* CLIMARA PLASTURE TRANSDERM. 50mcg/24ore BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. P-6L 4 32.34 8.085000 8.085000 7.276500688 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 44.64 0.892800 0.318333 0.286499689 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 17.69 0.884500 0.318333 0.286499690 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 84.80 0.848000 0.318333 0.286499691 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.55 0.318333 0.318333 0.286499692 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi G04CAN1) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 10.15 0.725000 0.318333 0.286499693 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 44.64 0.892800 0.318333 0.286499694 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 17.69 0.884500 0.318333 0.286499695 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 1 (vezi G04CAN1) COMPR. 1mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 84.80 0.848000 0.318333 0.286499696 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.55 0.318333 0.318333 0.286499697 G04CAN1 DOXAZOSINUM DOXAZOSIN 1 MEDOCHEMIE (vezi G04CAN1) COMPR. 1mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 10.15 0.725000 0.318333 0.286499698 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 95.22 0.952200 0.411000 0.369900699 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 49.98 0.999600 0.411000 0.369900700 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 20.34 1.017000 0.411000 0.369900701 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 16.02 0.534000 0.411000 0.369900702 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 2 mg (vezi C02CA04) COMPR. 2mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 13.87 0.462333 0.411000 0.369900703 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi G04CAN1) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 11.77 0.840714 0.411000 0.369900704 G04CAN1 DOXAZOSINUM ZOXON 2 (vezi G04CAN1) COMPR. 2mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVDC/PVC/AL X 10 COMPR. P-6L 30 16.07 0.535666 0.411000 0.369900705 G04CAN1 DOXAZOSINUM ANIPROSIN 2 mg (vezi C02CA04) COMPR. 2mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 12.33 0.411000 0.411000 0.369900706 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 95.22 0.952200 0.411000 0.369900707 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 49.98 0.999600 0.411000 0.369900708 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 2 (vezi G04CAN1) COMPR. 2mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 20.34 1.017000 0.411000 0.369900709 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 16.02 0.534000 0.411000 0.369900710 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 2 mg (vezi C02CA04) COMPR. 2mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 13.87 0.462333 0.411000 0.369900711 G04CAN1 DOXAZOSINUM DOXAZOSIN 2 MEDOCHEMIE (vezi G04CAN1) COMPR. 2mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 11.77 0.840714 0.411000 0.369900712 G04CAN1 DOXAZOSINUM ZOXON 2 (vezi G04CAN1) COMPR. 2mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVDC/PVC/AL X 10 COMPR. P-6L 30 16.07 0.535666 0.411000 0.369900

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713 G04CAN1 DOXAZOSINUM ANIPROSIN 2 mg (vezi C02CA04) COMPR. 2mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 12.33 0.411000 0.411000 0.369900714 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 115.27 1.152700 0.726333 0.653699715 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 25.45 1.272500 0.726333 0.653699716 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 61.73 1.234600 0.726333 0.653699717 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 28.97 0.965666 0.726333 0.653699718 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 4 mg (vezi G04CAN1) COMPR. 4mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-6L 30 24.98 0.832666 0.726333 0.653699719 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi G04CAN1) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 16.32 1.165714 0.726333 0.653699720 G04CAN1 DOXAZOSINUM ZOXON 4 (vezi G04CAN1) COMPR. 4mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVDC/PVC/AL X 10 COMPR. P-6L 30 29.15 0.971666 0.726333 0.653699721 G04CAN1 DOXAZOSINUM ANIPROSIN 4 mg (vezi C02CA04) COMPR. 4mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 21.79 0.726333 0.726333 0.653699722 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 115.27 1.152700 0.726333 0.653699723 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 25.45 1.272500 0.726333 0.653699724 G04CAN1 DOXAZOSINUM DOXAZOSIN AL 4 (vezi G04CAN1) COMPR. 4mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 50 61.73 1.234600 0.726333 0.653699725 G04CAN1 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 28.97 0.965666 0.726333 0.653699726 G04CAN1 DOXAZOSINUM DOXAZOSIN SANDOZ 4 mg (vezi G04CAN1) COMPR. 4mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-6L 30 24.98 0.832666 0.726333 0.653699727 G04CAN1 DOXAZOSINUM DOXAZOSIN 4 MEDOCHEMIE (vezi G04CAN1) COMPR. 4mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. P-6L 14 16.32 1.165714 0.726333 0.653699728 G04CAN1 DOXAZOSINUM ZOXON 4 (vezi G04CAN1) COMPR. 4mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVDC/PVC/AL X 10 COMPR. P-6L 30 29.15 0.971666 0.726333 0.653699729 G04CAN1 DOXAZOSINUM ANIPROSIN 4 mg (vezi C02CA04) COMPR. 4mg OZONE LABORATORIES BV OLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 21.79 0.726333 0.726333 0.653699730 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL. P-6L 28 43.65 1.558928 1.558928 1.403035731 G04CAN1 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVDC X 14 COMPR. ELIB. PREL. P-6L 28 43.65 1.558928 1.558928 1.403035732 G04CAN1 DOXAZOSINUM KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 35.07 1.169000 1.169000 1.052100733 G04CAN1 DOXAZOSINUM KAMIREN XL 4 mg (vezi C02CA04) COMPR. FILM. ELIB. PREL. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 35.07 1.169000 1.169000 1.052100734 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.26 8.260000 8.260000 7.434000735 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 63.83 4.255333 4.255333 3.829799736 H02AB04 METHYLPREDNISOLONUM* LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 29.12 29.120000 29.120000 26.208000737 H02AB04 METHYLPREDNISOLONUM* SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 19.21 19.210000 19.210000 17.289000738 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.069899739 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.069899740 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.069899741 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.069899742 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.069899743 H02AB09 HYDROCORTISONUM* HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 3.67 3.670000 3.670000 3.303000744 H02AB09 HYDROCORTISONUM* HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B S/P-RF 5 12.77 2.554000 2.554000 2.298600745 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.56 0.328000 0.240000 0.216000746 J01AA02 DOXYCYCLINUM DOXICICLINA 100 mg CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.40 0.240000 0.240000 0.216000747 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.37 0.337000 0.240000 0.216000748 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 9.00 0.900000 0.900000 0.810000749 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.58 0.279000 0.228000 0.205200750 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 4.61 0.230500 0.228000 0.205200751 J01CA04 AMOXICILLINUM OSPAMOX 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. AL-PVC/PVDC X 6 CAPS. P-RF/S 12 4.18 0.348333 0.228000 0.205200752 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.78 0.289000 0.228000 0.205200753 J01CA04 AMOXICILLINUM AMOXICILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 4.56 0.228000 0.228000 0.205200754 J01CA04 AMOXICILLINUM EPHAMOX 500 mg CAPS. 500mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. PVC/AL X 6 CAPS. P-RF 12 6.15 0.512500 0.413000 0.371700755 J01CA04 AMOXICILLINUM AMOXICILINA ANTIBIOTICE 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.50 0.450000 0.413000 0.371700756 J01CA04 AMOXICILLINUM E - MOX CAPS. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 8 CAPS. P-RF 8 7.07 0.883750 0.413000 0.371700

Pagina 19 din 38

757 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.55 0.555000 0.413000 0.371700758 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 8.26 0.413000 0.413000 0.371700759 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS. P-RF 10 5.33 0.533000 0.413000 0.371700760 J01CA04 AMOXICILLINUM MOXILEN CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 6.78 0.423750 0.413000 0.371700761 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 500 mg CAPSULE CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.61 0.461000 0.413000 0.371700762 J01CA04 AMOXICILLINUM AMOXICILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.56 0.456000 0.413000 0.371700763 J01CA04 AMOXICILLINUM OSPAMOX 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE 2 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 12 10.92 0.910000 0.910000 0.819000764 J01CA04 AMOXICILLINUM OSPAMOX 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 5.33 0.444166 0.444166 0.399749765 J01CA04 AMOXICILLINUM RANOXIL 1g COMPR. PT. DISP. ORALA 1g TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 7 COMPR. PT. DISP. ORALA P-RF 21 19.74 0.940000 0.940000 0.846000766 J01CA04 AMOXICILLINUM DUOMOX 1000 mg COMPR. PT. DISPERSIE ORALA 1000mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 22.31 1.115500 1.115500 1.003950767 J01CA04 AMOXICILLINUM DUOMOX 250 mg COMPR. PT. DISPERSIE ORALA 250mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 9.49 0.474500 0.474500 0.427050768 J01CA04 AMOXICILLINUM DUOMOX 500 mg COMPR. PT. DISPERSIE ORALA 500mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 13.87 0.693500 0.693500 0.624150769 J01CA04 AMOXICILLINUM DUOMOX 750 mg COMPR. PT. DISPERSIE ORALA 750mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 4 BLIST. AL/PVC X 5 COMPR. P-RF 20 18.55 0.927500 0.927500 0.834750770 J01CA04 AMOXICILLINUM JULPHAMOX PULB. PT. SUSP. ORALA 125mg/5ml GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP. P-RF 1 8.61 8.610000 4.280000 3.852000771 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 125 mg/5 ml PULBERE PENTRU SUSPENSIE ORALA PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA CONTINAND 20 G PULB PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 5.39 5.390000 4.280000 3.852000772 J01CA04 AMOXICILLINUM OSPAMOX (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 5,1 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 4.28 4.280000 4.280000 3.852000773 J01CA04 AMOXICILLINUM JULPHAMOX PULB. PT. SUSP. ORALA 250mg/5ml GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 100 ML SUSP. P-RF 1 11.80 11.800000 4.580000 4.122000774 J01CA04 AMOXICILLINUM AMOXICILINA SANDOZ 250 mg/ 5 ml PULBERE PENTRU SUSPENSIE ORALA PULB. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 G PULB. PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE PE, CU GRADATII PT. 1,25 P-RF 1 7.80 7.800000 4.580000 4.122000775 J01CA04 AMOXICILLINUM E - MOX PULB. PT. SUSP. ORALA 250mg/5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 60 ML SUSP. P-RF 1 4.58 4.580000 4.580000 4.122000776 J01CA04 AMOXICILLINUM OSPAMOX 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 6,6 G PULB. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 4.58 4.580000 4.580000 4.122000

777 J01CE02PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.55 0.427500 0.427500 0.384750

778 J01CE02PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000 COMPR. FILM. 1000000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 3.25 0.270833 0.270833 0.243749

779 J01CE02PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 5.73 0.477500 0.477500 0.429750

780 J01CE02PHENOXYMETHYLPENICILLINUM OSPEN (R) 500 COMPR. FILM. 500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.47 0.205833 0.205833 0.185249

781 J01CE02PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 8.94 8.940000 8.940000 8.046000

782 J01CE08BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 1200000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.96 1.960000 1.960000 1.764000

783 J01CE08BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.31 1.310000 1.310000 1.179000

784 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.33 0.316500 0.266500 0.239850785 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.33 0.316500 0.266500 0.239850786 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. P-RF 12 5.73 0.477500 0.266500 0.239850787 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.24 0.362000 0.266500 0.239850788 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 5.33 0.266500 0.266500 0.239850789 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.67 0.283500 0.266500 0.239850790 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.32 0.316000 0.266500 0.239850791 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 5.81 0.581000 0.524000 0.471600792 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.81 0.581000 0.524000 0.471600793 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 10.48 0.524000 0.524000 0.471600794 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 6.61 0.661000 0.524000 0.471600795 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 5.81 0.581000 0.524000 0.471600

Pagina 20 din 38

796 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 2.67 2.670000 2.670000 2.403000797 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 4.51 4.510000 4.510000 4.059000798 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 250 mg PULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. P-RF 1 1.63 1.630000 1.630000 1.467000

799 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 250/62,5 COMPR. DISP. 250/62,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. PA-AL-PVC/AL X 4 COMPR. DISP. P-RF 20 22.68 1.134000 1.134000 1.020600

800 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 500/125 COMPR. DISP. 500/125mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. PA-AL-PVC/AL X 4 COMPR. DISP. P-RF 20 23.30 1.165000 1.165000 1.048500

801 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 875/125 COMPR. DISP. 875mg+125mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. DISP. P-RF 14 40.74 2.910000 2.910000 2.619000

802 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 36.74 2.624285 1.957857 1.762071

803 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 1000 mg COMPR. FILM. 1000mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. P-RF 14 38.23 2.730714 1.957857 1.762071

804 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 375 mg COMPR. FILM. 250mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 21.26 1.328750 1.328750 1.195875

805 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 625 mg COMPR. FILM. 500mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 15.65 1.117857 1.108571 0.997713

806 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 625 mg COMPR. FILM. 500mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. P-RF 16 27.94 1.746250 1.108571 0.997713

807 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 625 mg COMPR. FILM. 625mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM. P-RF 14 26.35 1.882142 1.108571 0.997713

808 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 21 23.28 1.108571 1.108571 0.997713

809 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 31.05 1.108928 1.108571 0.997713

810 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 1 g COMPR. FILM. 875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA P-RF 14 27.41 1.957857 1.957857 1.762071

811 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN™ SR COMPR. FILM. ELIB. PREL. 1062,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 7 BLIST. AL/PVC-AL SAU AL/PP-AL X 4 COMPR. FILM. ELIB. PREL. P-RF 28 63.54 2.269285 2.269285 2.042356

812 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 59.64 4.260000 4.260000 3.834000

813 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 33.10 2.364285 2.364285 2.127856

Pagina 21 din 38

814 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 156,25 mg/5 ml PULB. PT. SUSP. ORALA 125mg+31,25/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 13.99 13.990000 10.970000 9.873000

815 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 10.97 10.970000 10.970000 9.873000

816 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml PULB. PT. SUSP. ORALA 250mg+62,5mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. P-RF 1 20.75 20.750000 20.750000 18.675000

817 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 18.71 18.710000 9.350000 8.415000

818 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERIGA PT. ADM. ORALA P-RF 1 9.35 9.350000 9.350000 8.415000

819 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 642,90mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE P-RF 1 33.28 33.280000 33.280000 29.952000

820 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 22.56 22.560000 20.750000 18.675000

821 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 312,5 mg/5 ml PULB. PT.SUSP. ORALA 312,5mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE P-RF 1 21.33 21.330000 20.750000 18.675000

822 J01DB01 CEFALEXINUM CEFALEXINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.19 0.559500 0.378500 0.340650823 J01DB01 CEFALEXINUM CEFALEXINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 7.57 0.378500 0.378500 0.340650824 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg CAPS. 250mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 CAPS. P-RF 12 6.72 0.560000 0.378500 0.340650825 J01DB01 CEFALEXINUM CEFALEXIN 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 4.56 0.456000 0.378500 0.340650826 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 250 mg CAPSULE CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 5.61 0.561000 0.378500 0.340650827 J01DB01 CEFALEXINUM SPORIDEX 250 mg CAPS. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 5.55 0.555000 0.378500 0.340650828 J01DB01 CEFALEXINUM CEFALEXINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 7.41 0.741000 0.741000 0.666900829 J01DB01 CEFALEXINUM CEFALEXINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 8.44 0.844000 0.741000 0.666900830 J01DB01 CEFALEXINUM CEFALEXIN 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 7.81 0.781000 0.741000 0.666900831 J01DB01 CEFALEXINUM SPORIDEX 500 mg CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 9.86 0.986000 0.741000 0.666900832 J01DB01 CEFALEXINUM OSPEXIN 1000 mg COMPR. FILM. 1000mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 14.84 1.236666 1.236666 1.112999833 J01DB01 CEFALEXINUM OSPEXIN 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR.FILM. P-RF 12 11.16 0.930000 0.930000 0.837000834 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 9.31 0.931000 0.930000 0.837000835 J01DB01 CEFALEXINUM KEFLEX (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 5.81 5.810000 5.810000 5.229000836 J01DB01 CEFALEXINUM OSPEXIN (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 33 G GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA PP P-RF 1 7.15 7.150000 5.810000 5.229000837 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 125 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 6.52 6.520000 5.810000 5.229000838 J01DB01 CEFALEXINUM KEFLEX (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 9.83 9.830000 9.040000 8.136000839 J01DB01 CEFALEXINUM CEFALEXIN SANDOZ 250 mg/5 ml GRANULE PENTRU SUSPENSIE ORALA GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 33 G PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 9.06 9.060000 9.040000 8.136000840 J01DB01 CEFALEXINUM OSPEXIN (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. X 33G GRANULE PT. 60ML SUSP.+ LINGURITA DOZATOARE X 5ML P-RF 1 9.04 9.040000 9.040000 8.136000841 J01DB05 CEFADROXILUM CEXYL 250 mg CAPS. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 17.41 1.741000 1.741000 1.566900842 J01DB05 CEFADROXILUM CEFORAN (R) 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 12.22 1.222000 0.894000 0.804600843 J01DB05 CEFADROXILUM CEXYL 500 mg CAPS. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 12.63 1.263000 0.894000 0.804600844 J01DB05 CEFADROXILUM CEFADROXIL TERAPIA CAPS. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. P-RF 10 8.94 0.894000 0.894000 0.804600

Pagina 22 din 38

845 J01DB05 CEFADROXILUM CEXYL 1000 mg COMPR. FILM. 1000mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. PVC/PVDC X 10. COMPR. FILM. P-RF 10 24.55 2.455000 2.455000 2.209500846 J01DB05 CEFADROXILUM CEXYL 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN PENTRU 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 11.31 11.310000 11.310000 10.179000847 J01DB05 CEFADROXILUM CEXYL 250 mg/5 ml GRAN. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. CU GRAN. PT. 60 ML SUSP. ORALA + O LINGURITA DOZATOARE P-RF 1 21.06 21.060000 21.060000 18.954000848 J01DC02 CEFUROXIMUM CEROXIM 250 mg COMPR. 250mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 13.50 1.350000 1.350000 1.215000849 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 22.99 2.299000 1.350000 1.215000850 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 22.99 2.299000 1.350000 1.215000851 J01DC02 CEFUROXIMUM CEROXIM 500 mg COMPR. 500mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 28.35 2.835000 2.835000 2.551500852 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 42.45 4.245000 2.835000 2.551500853 J01DC02 CEFUROXIMUM CEFUROXIMA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 42.45 4.245000 2.835000 2.551500854 J01DC02 CEFUROXIMUM AXYCEF (R) 125 COMPR. ACOPERITE 125mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 16.52 1.652000 1.419000 1.277100855 J01DC02 CEFUROXIMUM AXYCEF (R) 250 COMPR. ACOPERITE 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 33.02 3.302000 1.559000 1.403100856 J01DC02 CEFUROXIMUM AXYCEF (R) 500 COMPR. ACOPERITE 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. ACOPERITE P-RF 10 61.08 6.108000 2.596000 2.336400857 J01DC02 CEFUROXIMUM ZINNAT (R) 125 mg COMPR. FILM. 125mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 14.19 1.419000 1.419000 1.277100858 J01DC02 CEFUROXIMUM ZINNAT (R) 250 mg COMPR. FILM. 250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 15.59 1.559000 1.559000 1.403100859 J01DC02 CEFUROXIMUM ZINNAT (R) 500 mg COMPR. FILM. 500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 25.96 2.596000 2.596000 2.336400860 J01DC02 CEFUROXIMUM ZINNAT GRAN. PT. SUSP. ORALA 125mg/5ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU GRANULE PT 50 ML SUSP. ORALA + PAHAR MENZURA A 20 ML SI LINGURIT P-RF 1 18.23 18.230000 18.230000 16.407000861 J01DC02 CEFUROXIMUM CEROXIM 125mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M P-RF 1 36.74 36.740000 18.230000 16.407000862 J01DC02 CEFUROXIMUM CEROXIM 250mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON CU GRANULE PT. SUSP. ORALA (PT. 100 ML SUSPENSIE ORALA) + LINGURITA DOZATOARE A 5 M P-RF 1 55.11 55.110000 55.110000 49.599000863 J01DC02 CEFUROXIMUM AXYCEF (R) 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PULB. PT. 70 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 35.13 35.130000 35.130000 31.617000864 J01DC04 CEFACLORUM CEFACLOR OZONE 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 15 CAPS. P-RF 15 13.08 0.872000 0.872000 0.784800865 J01DC04 CEFACLORUM CECLODYNE 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 15.10 1.510000 0.872000 0.784800866 J01DC04 CEFACLORUM CEFACLOR ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 14.22 1.422000 0.872000 0.784800867 J01DC04 CEFACLORUM MEDOCLOR 250 CAPS. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 23.47 1.466875 0.872000 0.784800868 J01DC04 CEFACLORUM CLORACEF (R) 250 CAPS. 250mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 20.09 1.255625 0.872000 0.784800869 J01DC04 CEFACLORUM CEFACLOR OZONE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 15 CAPS. P-RF 15 27.73 1.848666 1.674375 1.506937870 J01DC04 CEFACLORUM MEDOCLOR 500 CAPS. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 43.29 2.705625 1.674375 1.506937871 J01DC04 CEFACLORUM CECLODYNE FORTE 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-RF 10 27.73 2.773000 1.674375 1.506937872 J01DC04 CEFACLORUM CLORACEF (R) FORTE 500 CAPS. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 8 CAPS. P-RF 16 26.79 1.674375 1.674375 1.506937873 J01DC04 CEFACLORUM CECLOZONE MR 375 mg COMPR. ELIB. PREL. 375mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 32.05 3.205000 3.205000 2.884500874 J01DC04 CEFACLORUM CECLOZONE MR 750 mg COMPR. ELIB. PREL. 750mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. ELIB. PREL. P-RF 10 58.15 5.815000 5.815000 5.233500875 J01DC04 CEFACLORUM CECLODYNE (R) MR 375 mg COMPR. FILM. ELIB. MODIF. 375mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 33.31 3.331000 3.331000 2.997900876 J01DC04 CEFACLORUM CECLODYNE (R) MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PE-ACLAR/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 44.03 4.403000 4.403000 3.962700877 J01DC04 CEFACLORUM CECLODYNE (R) MR 750 mg COMPR. FILM. ELIB. MODIF. 750mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. ELIB. MODIF. P-RF 10 64.67 6.467000 6.467000 5.820300878 J01DC04 CEFACLORUM CECLOR (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 15.70 15.700000 11.650000 10.485000879 J01DC04 CEFACLORUM CEFACLOR 125 mg/5ml GRAN. PT. SUSP. ORALA 125mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 15.21 15.210000 11.650000 10.485000880 J01DC04 CEFACLORUM CECLODYNE 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 15.96 15.960000 11.650000 10.485000881 J01DC04 CEFACLORUM VERCEF 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID CU GRAN.PT. 75 ML SUSP.ORALA P-RF 1 11.65 11.650000 11.650000 10.485000882 J01DC04 CEFACLORUM CECLOR (R) 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml ACTAVIS GROUP HF ISLANDA CUTIE X 1 FLAC. PEID DE CULOARE ALBA, CU GRANULE PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 31.14 31.140000 27.730000 24.957000883 J01DC04 CEFACLORUM CEFACLOR 250 mg/5ml GRAN. PT. SUSP. ORALA 250mg/5ml OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 37,5 G GRAN. PT. 75 ML SUSP. ORALA + 1 LINGURITA DOZATOARE P-RF 1 27.92 27.920000 27.730000 24.957000884 J01DC04 CEFACLORUM CECLODYNE 250 mg/ 5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. X 38,1 G GRANULE PT. 60 ML SUSP. ORALA P-RF 1 27.73 27.730000 27.730000 24.957000885 J01DC04 CEFACLORUM CEFAKLOR 125 mg/5 ml PULB. PT. SUSP. ORALA 125mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 8.54 8.540000 8.540000 7.686000886 J01DC04 CEFACLORUM CLORACEF (R) 125 PULB. PT. SUSP. ORALA 125mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP.+ LINGURITA DOZATOARE P-RF 1 11.17 11.170000 8.540000 7.686000887 J01DC04 CEFACLORUM CEFAKLOR 250 mg/5 ml PULB. PT. SUSP. ORALA 250mg/5ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. ORALA + O MASURA DOZATOARE P-RF 1 15.52 15.520000 15.520000 13.968000888 J01DC04 CEFACLORUM CLORACEF (R) 250 PULB. PT. SUSP. ORALA 250mg/5ml DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. 75ML SUSP. + LINGURITA DOZATOARE P-RF 1 20.09 20.090000 15.520000 13.968000

Pagina 23 din 38

889 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 27.04 2.704000 2.704000 2.433600

890 J01EE01SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM CAPS. RET. 400mg/80mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 3.56 0.178000 0.104000 0.093600

891 J01EE01SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.08 0.104000 0.104000 0.093600

892 J01EE01SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.88 0.194000 0.104000 0.093600

893 J01EE01SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.14 0.157000 0.104000 0.093600

894 J01EE01SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.14 0.157000 0.104000 0.093600

895 J01EE01SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7.70 7.700000 7.700000 6.930000

896 J01EE01SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 4.47 4.470000 4.470000 4.023000

897 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.66 0.333000 0.333000 0.299700898 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.01 0.450500 0.333000 0.299700899 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.94 0.397000 0.333000 0.299700900 J01FA01 ERYTHROMYCINUM ERITROMICINA EUROPHARM 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.49 0.474500 0.333000 0.299700901 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 10.75 10.750000 10.750000 9.675000902 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. P-RF 14 26.81 1.915000 0.983571 0.885213903 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 30.26 2.161428 0.983571 0.885213904 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. P-RF 20 32.30 1.615000 0.983571 0.885213905 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 17.66 1.261428 0.983571 0.885213906 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 13.77 0.983571 0.983571 0.885213907 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 13.77 0.983571 0.983571 0.885213908 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 15.65 1.117857 0.983571 0.885213909 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 54.83 3.916428 2.082500 1.874250910 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 33.22 2.372857 2.082500 1.874250911 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 30.14 2.152857 2.082500 1.874250912 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF 20 41.65 2.082500 2.082500 1.874250913 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 30.14 2.152857 2.082500 1.874250914 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 30.63 2.187857 2.082500 1.874250915 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. P-RF 5 17.26 3.452000 3.451428 3.106285916 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. P-RF 7 24.16 3.451428 3.451428 3.106285917 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 33.04 4.720000 3.451428 3.106285918 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. P-RF 5 34.21 6.842000 3.451428 3.106285919 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 26.38 3.768571 3.451428 3.106285920 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 36.76 36.760000 17.800000 16.020000921 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML P-RF 1 22.99 22.990000 17.800000 16.020000

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922 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. P-RF 1 21.86 21.860000 17.800000 16.020000923 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 24.61 24.610000 17.800000 16.020000924 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 29.68 29.680000 17.800000 16.020000925 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 17.80 17.800000 17.800000 16.020000926 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 57.78 57.780000 29.740000 26.766000927 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP P-RF 1 42.11 42.110000 29.740000 26.766000928 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA P-RF 1 47.97 47.970000 29.740000 26.766000929 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 29.74 29.740000 29.740000 26.766000930 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 45.49 4.549000 1.066000 0.959400931 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 18.80 1.880000 1.066000 0.959400932 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 10.66 1.066000 1.066000 0.959400933 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 5 25.76 5.152000 4.742000 4.267800934 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. P-RF 10 47.42 4.742000 4.742000 4.267800935 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 7.53 0.627500 0.627500 0.564750936 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.41 0.641000 0.447000 0.402300937 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.41 0.641000 0.447000 0.402300938 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 7.33 0.733000 0.447000 0.402300939 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.41 0.641000 0.447000 0.402300940 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 15.08 0.754000 0.447000 0.402300941 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 7.40 0.740000 0.447000 0.402300942 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 6.52 0.652000 0.447000 0.402300943 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 8.95 0.895000 0.447000 0.402300944 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.47 0.447000 0.447000 0.402300945 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.73 0.573000 0.447000 0.402300946 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.548100947 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.548100948 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.07 1.307000 0.609000 0.548100949 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.548100950 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 7.95 0.795000 0.609000 0.548100951 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 14.18 1.418000 0.609000 0.548100952 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 8.24 0.824000 0.609000 0.548100953 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.548100954 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 17.87 1.787000 0.609000 0.548100955 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.09 0.609000 0.609000 0.548100956 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 15.62 1.562000 0.609000 0.548100957 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 8.67 0.867000 0.609000 0.548100958 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 36.14 3.614000 3.614000 3.252600959 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 79.53 11.361428 11.361428 10.225285960 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 25.95 8.650000 8.650000 7.785000961 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 43.81 4.381000 4.381000 3.942900962 J01MA06 NORFLOXACINUM H - NORFLOXACIN 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 20.69 1.034500 0.517142 0.465427963 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 14.78 0.739000 0.517142 0.465427964 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 5.81 0.581000 0.517142 0.465427965 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 16.53 0.826500 0.517142 0.465427

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966 J01MA06 NORFLOXACINUM EPINOR COMPR. FILM. 400mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. P-RF 14 7.24 0.517142 0.517142 0.465427967 J01MA06 NORFLOXACINUM NORFLOXACIN OZONE 400 mg COMPR. FILM. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.36 0.536000 0.517142 0.465427968 J01MA06 NORFLOXACINUM NORFLOXACINA TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA SA ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN AL-PEJD X 10 COMPR. FILM. P-RF 10 5.49 0.549000 0.517142 0.465427969 J01MB02 ACIDUM NALIDIXICUM NALIXID 500 mg CAPS. 500mg ZENTIVA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 11.40 0.380000 0.380000 0.342000970 J01XD01 METRONIDAZOLUM METRONIDAZOL 250 mg (J01XD01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.31 0.065500 0.062000 0.055800971 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.86 0.062000 0.062000 0.055800972 J01XD01 METRONIDAZOLUM METRONIDAZOL 250 mg (J01XD01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.31 0.065500 0.062000 0.055800973 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.86 0.062000 0.062000 0.055800974 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.89 0.394500 0.394500 0.355050975 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.89 0.394500 0.394500 0.355050976 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 7.47 7.470000 7.470000 6.723000977 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML P-RF 1 7.47 7.470000 7.470000 6.723000978 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 19.21 1.921000 0.646000 0.581400979 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 6.47 0.647000 0.646000 0.581400980 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 8.61 0.861000 0.646000 0.581400981 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.46 0.646000 0.646000 0.581400982 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 11.85 1.185000 0.646000 0.581400983 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.46 0.646000 0.646000 0.581400984 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. P-RF 28 221.98 7.927857 4.225714 3.803142985 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 24.04 6.010000 4.225714 3.803142986 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 40.71 5.815714 4.225714 3.803142987 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. P-RF 16 77.60 4.850000 4.225714 3.803142988 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. P-RF 2 8.86 4.430000 4.225714 3.803142989 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 29.58 4.225714 4.225714 3.803142990 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. P-RF 1 21.14 21.140000 6.190000 5.571000991 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. P-RF 4 73.82 18.455000 6.190000 5.571000992 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. P-RF 2 40.62 20.310000 6.190000 5.571000993 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 9.32 9.320000 6.190000 5.571000994 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 23.54 23.540000 6.190000 5.571000995 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 17.72 17.720000 6.190000 5.571000996 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 13.68 13.680000 6.190000 5.571000997 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 9.32 9.320000 6.190000 5.571000998 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 8.64 8.640000 6.190000 5.571000999 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. P-RF 3 30.05 10.016666 6.190000 5.5710001000 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 15.47 15.470000 6.190000 5.5710001001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.19 6.190000 6.190000 5.5710001002 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 9.09 9.090000 6.190000 5.5710001003 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.49 8.490000 6.190000 5.5710001004 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.70 7.700000 6.190000 5.5710001005 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.19 6.190000 6.190000 5.5710001006 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 8.49 8.490000 6.190000 5.5710001007 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 36.96 5.280000 5.280000 4.7520001008 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 57.94 8.277142 2.115714 1.9041421009 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 21.19 3.027142 2.115714 1.904142

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1010 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 53.08 7.582857 2.115714 1.9041421011 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 27.80 3.971428 2.115714 1.9041421012 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 39.37 5.624285 2.115714 1.9041421013 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 21.19 3.027142 2.115714 1.9041421014 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. P-RF 8 17.87 2.233750 2.115714 1.9041421015 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 23.98 2.398000 2.115714 1.9041421016 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 15.65 2.235714 2.115714 1.9041421017 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 18.49 2.641428 2.115714 1.9041421018 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 18.38 2.625714 2.115714 1.9041421019 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 17.95 2.564285 2.115714 1.9041421020 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 15.16 2.165714 2.115714 1.9041421021 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 14.81 2.115714 2.115714 1.9041421022 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML P-RF 1 53.08 53.080000 53.080000 47.7720001023 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 19.00 0.950000 0.950000 0.8550001024 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 20.11 1.005500 0.950000 0.8550001025 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 18.29 1.829000 1.829000 1.6461001026 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 12.20 0.610000 0.610000 0.5490001027 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 16.16 0.808000 0.610000 0.5490001028 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 15.42 0.771000 0.610000 0.5490001029 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 12.94 0.647000 0.610000 0.5490001030 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 12.20 0.610000 0.610000 0.5490001031 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 18.06 1.806000 1.806000 1.6254001032 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. P-RF 20 6.80 0.340000 0.340000 0.3060001033 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. P-RF 10 3.51 0.351000 0.340000 0.3060001034 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 35 53.68 1.533714 1.533714 1.3803421035 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 265.70 53.140000 53.140000 47.8260001036 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN (R) 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. P-RF 40 142.14 3.553500 3.553500 3.1981501037 M01AB01 INDOMETACINUM INDOMETACIN 25 mg CAPS. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 2.00 0.066666 0.066666 0.0599991038 M01AB01 INDOMETACINUM INDOMETACIN LAROPHARM 25 mg CAPS. 25mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 CAPS. P-6L 20 1.53 0.076500 0.066666 0.0599991039 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 1.74 0.290000 0.190000 0.1710001040 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 1.90 0.190000 0.190000 0.1710001041 M01AB01 INDOMETACINUM INDOMETACIN 50 mg SUPOZ. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.27 0.227000 0.190000 0.1710001042 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 44.79 2.239500 2.239500 2.0155501043 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 19.23 0.641000 0.641000 0.5769001044 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 15.21 0.507000 0.507000 0.4563001045 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.68 0.368000 0.368000 0.3312001046 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 6.16 0.616000 0.159500 0.1435501047 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.55 0.427500 0.159500 0.1435501048 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 3.19 0.159500 0.159500 0.1435501049 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 5.36 0.178666 0.178666 0.1607991050 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 6.16 0.308000 0.105500 0.0949501051 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.13 0.106500 0.105500 0.0949501052 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.31 0.115500 0.105500 0.0949501053 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.11 0.105500 0.105500 0.094950

Pagina 27 din 38

1054 M01AB05 DICLOFENACUM DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.57 0.178500 0.105500 0.0949501055 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 4.24 0.141333 0.141333 0.1271991056 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 2.19 0.219000 0.219000 0.1971001057 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.81 0.193666 0.193666 0.1742991058 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.50 0.125000 0.119500 0.1075501059 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.39 0.119500 0.119500 0.1075501060 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 8.83 1.766000 0.762000 0.6858001061 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 5.73 1.146000 0.762000 0.6858001062 M01AB05 DICLOFENACUM REFEN (R) SOL. INJ. 25mg/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 5 FIOLE X 3 ML P-RF 5 3.81 0.762000 0.762000 0.6858001063 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 13.37 2.674000 2.674000 2.4066001064 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 6.16 1.232000 0.762000 0.6858001065 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 9.31 0.931000 0.762000 0.6858001066 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 9.58 1.916000 0.762000 0.6858001067 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 9.12 1.824000 0.762000 0.6858001068 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 12.63 1.263000 0.762000 0.6858001069 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 30.88 1.029333 0.762000 0.6858001070 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 2.77 0.461666 0.288000 0.2592001071 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.13 1.026000 0.288000 0.2592001072 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.88 0.288000 0.288000 0.2592001073 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 3.00 0.300000 0.288000 0.2592001074 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 3.33 0.666000 0.288000 0.2592001075 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 4.73 0.473000 0.473000 0.4257001076 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.74 1.623333 1.623333 1.4609991077 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 8.88 0.888000 0.888000 0.7992001078 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.04 1.506666 1.506666 1.355999

1079 M01AB15KETOROLACUM TROMETHAMIN KETOROL COMPR. FILM. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 20 6.33 0.316500 0.316500 0.284850

1080 M01AB15KETOROLACUM TROMETHAMIN KETANOV 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-6L 20 6.33 0.316500 0.316500 0.284850

1081 M01AB15KETOROLACUM TROMETHAMIN KETOROL SOL. INJ. 30mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-RF 10 18.41 1.841000 1.841000 1.656900

1082 M01AB15KETOROLACUM TROMETHAMIN KETANOV SOL. INJ. 30mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML P-RF 10 23.24 2.324000 1.841000 1.656900

1083 M01AB16 ACECLOFENACUM AFLAMIL COMPR. FILM. 100mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR. P-6L 20 21.33 1.066500 1.066500 0.9598501084 M01AC02 TENOXICAMUM TENOXICAM LPH 20 mg CAPS. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 12.73 0.636500 0.636500 0.5728501085 M01AC02 TENOXICAMUM TENOXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.25 0.662500 0.662500 0.5962501086 M01AC02 TENOXICAMUM NEO - ENDUSIX (R) COMPR. FILM. 20mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 5.96 0.596000 0.596000 0.5364001087 M01AC02 TENOXICAMUM TILCOTIL COMPR. FILM. 20mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 10 9.18 0.918000 0.596000 0.5364001088 M01AC02 TENOXICAMUM NEO - ENDUSIX (R) LIOF. + SOLV. PT. SOL. INJ. 20mg ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV. P-RF 1 5.10 5.100000 5.100000 4.5900001089 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 14.48 0.724000 0.466333 0.4196991090 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg COMPR. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 7.24 0.724000 0.466333 0.4196991091 M01AC06 MELOXICAMUM MELOXICAM LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 25.58 1.279000 0.466333 0.4196991092 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 15 mg COMPR. 15mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.37 0.468500 0.466333 0.4196991093 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 28.54 0.951333 0.466333 0.4196991094 M01AC06 MELOXICAMUM MELOX 15 mg COMPR. 15mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 9.95 0.995000 0.466333 0.419699

Pagina 28 din 38

1095 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 13.25 0.662500 0.466333 0.4196991096 M01AC06 MELOXICAMUM RECOXA 15 COMPR. 15mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 8.21 0.821000 0.466333 0.4196991097 M01AC06 MELOXICAMUM MELARTRIN 15 mg COMPR. 15mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 30.25 1.512500 0.466333 0.4196991098 M01AC06 MELOXICAMUM MELOXICAM MCC 15 mg COMPR. 15mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.41 0.470500 0.466333 0.4196991099 M01AC06 MELOXICAMUM CELOMIX COMPR. 15mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 15.16 0.505333 0.466333 0.4196991100 M01AC06 MELOXICAMUM VALZER 15 mg COMPR. 15mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 10.49 0.524500 0.466333 0.4196991101 M01AC06 MELOXICAMUM ANTREND 15 mg COMPR. 15mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 13.99 0.466333 0.466333 0.4196991102 M01AC06 MELOXICAMUM MELOXICAM VIM SPECTRUM 15 mg COMPR. 15mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.93 0.796500 0.466333 0.4196991103 M01AC06 MELOXICAMUM MELOX 7,5 mg COMPR. 7,5 mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 10 9.03 0.903000 0.453000 0.4077001104 M01AC06 MELOXICAMUM MELOX 7,5 mg COMPR. 7,5 mg MEDOCHEMIE LTD CIPRU CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 24.08 0.802666 0.453000 0.4077001105 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7,5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 10 6.96 0.696000 0.453000 0.4077001106 M01AC06 MELOXICAMUM MOVALIS (R) 7,5 mg COMPR. 7,5mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 13.93 0.696500 0.453000 0.4077001107 M01AC06 MELOXICAMUM MELOXICAM LPH 7,5 mg COMPR. 7,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 18.43 0.921500 0.453000 0.4077001108 M01AC06 MELOXICAMUM MELOXICAM SANDOZ 7,5 mg COMPR. 7,5mg HEXAL AG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 10.79 0.539500 0.453000 0.4077001109 M01AC06 MELOXICAMUM MELOXICAM MCC 7,5 mg COMPR. 7,5mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIAT. AL/PVC X 10 COMPR. P-6L 20 9.06 0.453000 0.453000 0.4077001110 M01AC06 MELOXICAMUM VALZER 7,5mg COMPR. 7,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 20 9.92 0.496000 0.453000 0.4077001111 M01AC06 MELOXICAMUM MELOXICAM VIM SPECTRUM 7,5 mg COMPR. 7,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.34 0.667000 0.453000 0.4077001112 M01AC06 MELOXICAMUM MOVALIS 15mg/1,5ml SOL. INJ. 15mg/1,5ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1,5 ML SIL. INJ. P-RF 5 14.18 2.836000 2.836000 2.5524001113 M01AC06 MELOXICAMUM MOVALIS (R) 15 mg SUPOZ. 15mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FOLIE TERMOSUDATA AL/PE X 6 SUPOZ. P-6L 6 12.57 2.095000 1.335000 1.2015001114 M01AC06 MELOXICAMUM MELOXICAM 15 mg SUPOZ. 15mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 8.01 1.335000 1.335000 1.2015001115 M01AC06 MELOXICAMUM MELOXICAM 7,5 mg SUPOZ. 7,5mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 7.66 1.276666 1.276666 1.1489991116 M01AE03 KETOPROFENUM KETOPROFEN SR 100 mg CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 11.20 1.120000 1.120000 1.0080001117 M01AE03 KETOPROFENUM KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 15.47 0.773500 0.773500 0.6961501118 M01AE03 KETOPROFENUM KETOPROFEN SR 200 mg CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 14.19 1.419000 1.235500 1.1119501119 M01AE03 KETOPROFENUM KETONAL UNO CAPS. ELIB. PREL. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 24.71 1.235500 1.235500 1.1119501120 M01AE03 KETOPROFENUM KETONAL RETARD COMPR. ELIB. PREL. 150mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L 20 14.11 0.705500 0.705500 0.6349501121 M01AE03 KETOPROFENUM RUBIFEN 100 mg COMPR. FILM. 100 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 7.41 0.370500 0.370500 0.3334501122 M01AE03 KETOPROFENUM PROFENID (R) 100 mg COMPR. FILM. 100mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM. P-6L 30 17.13 0.571000 0.370500 0.3334501123 M01AE03 KETOPROFENUM KETONAL FORTE 100 mg COMPR. FILM. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 10.91 0.545500 0.370500 0.3334501124 M01AE03 KETOPROFENUM KETOPROXIN 100 mg COMPR. FILM. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 14.85 0.742500 0.370500 0.3334501125 M01AE03 KETOPROFENUM KETOPROXIN 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 11.08 0.554000 0.554000 0.4986001126 M01AE03 KETOPROFENUM PROFENID (R) LP 200 mg COMPR. FILM. ELIB. PREL. 200mg LAB. AVENTIS FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL. P-6L 14 15.28 1.091428 1.091428 0.9822851127 M01AE03 KETOPROFENUM PROFENID (R) 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg LAB. AVENTIS FRANTA CUTIE X 6 FLAC. LIOF. + 6 FIOLE X 5 ML SOLV. P-6L 6 8.14 1.356666 1.356666 1.2209991128 M01AE03 KETOPROFENUM KETONAL 100 mg/ 2 ml SOL. INJ. 100mg/2ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF 10 10.66 1.066000 1.066000 0.9594001129 M01AE03 KETOPROFENUM KETOPROFEN 100mg/2ml SOL. INJ./CONC. SOL. PERF. 100mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML P-RF 5 9.04 1.808000 1.066000 0.9594001130 M01AE03 KETOPROFENUM KETONAL 100 mg SUPOZ. 100mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ. P-6L 12 7.70 0.641666 0.613000 0.5517001131 M01AE03 KETOPROFENUM RUBIFEN (R) 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ. P-6L 6 3.99 0.665000 0.613000 0.5517001132 M01AE03 KETOPROFENUM KETOMAG SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L 10 6.13 0.613000 0.613000 0.5517001133 M03BX07 TETRAZEPAMUM MYOLASTAN (R) 50 mg COMPR. FILM. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 8.95 0.447500 0.447500 0.4027501134 M04AA01 ALLOPURINOLUM* MILURIT 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 COMPR. P-6L 50 5.67 0.113400 0.113400 0.1020601135 M04AA01 ALLOPURINOLUM* MILURIT 300 mg COMPR. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 9.78 0.326000 0.326000 0.2934001136 M04AC01 COLCHICINUM COLCHICINA COMPR. 1mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 COMPR. P-RF 40 5.42 0.135500 0.135500 0.1219501137 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC. X 100 COMPR. P-RF/S 100 71.87 0.718700 0.718700 0.6468301138 N02AD01 PENTAZOCINUM FORTRAL 50 mg COMPR. 50mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLAC X 20 COMPR. P-RF 20 17.43 0.871500 0.718700 0.646830

Pagina 29 din 38

1139 N02AD01 PENTAZOCINUM FORTRAL SOL. INJ. 30mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. P-RF 10 13.81 1.381000 1.296600 1.1669401140 N02AD01 PENTAZOCINUM FORTRAL SOL. INJ. 30mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE X 1 ML SOL. INJ. P-RF/S 50 64.83 1.296600 1.296600 1.1669401141 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.09 0.554500 0.274500 0.2470501142 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.43 0.371500 0.274500 0.2470501143 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.49 0.274500 0.274500 0.2470501144 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 12.26 0.408666 0.274500 0.2470501145 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 21.39 0.427800 0.274500 0.2470501146 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 41.39 0.413900 0.274500 0.2470501147 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.82 0.382000 0.274500 0.2470501148 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.68 0.468000 0.274500 0.2470501149 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.21 0.360500 0.274500 0.2470501150 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 6.07 0.607000 0.274500 0.2470501151 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 12.67 0.633500 0.274500 0.2470501152 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.35 0.435000 0.274500 0.2470501153 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.44 0.422000 0.274500 0.2470501154 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.21 0.360500 0.360500 0.3244501155 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.14 0.557000 0.360500 0.3244501156 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.35 0.467500 0.360500 0.3244501157 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 7.06 0.706000 0.592333 0.5330991158 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 17.77 0.592333 0.592333 0.5330991159 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 45.52 0.910400 0.592333 0.5330991160 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 9.26 0.926000 0.592333 0.5330991161 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 25.62 0.854000 0.592333 0.5330991162 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 6.96 1.392000 0.592333 0.5330991163 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 37.10 1.236666 0.592333 0.5330991164 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 31.51 1.050333 1.050333 0.9452991165 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 19.77 1.977000 1.050333 0.9452991166 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 25.82 2.582000 1.622333 1.4600991167 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 18.86 1.886000 1.622333 1.4600991168 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 48.67 1.622333 1.622333 1.4600991169 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 26.22 2.622000 2.393333 2.1539991170 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 71.80 2.393333 2.393333 2.1539991171 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 9.98 0.332666 0.332666 0.2993991172 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 14.39 1.439000 1.439000 1.2951001173 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 20.68 2.068000 1.954333 1.7588991174 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 58.63 1.954333 1.954333 1.7588991175 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 26.47 2.647000 2.375333 2.1377991176 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 71.26 2.375333 2.375333 2.1377991177 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 94.31 94.310000 6.040000 5.4360001178 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 11.83 11.830000 6.040000 5.4360001179 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 6.04 6.040000 6.040000 5.4360001180 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 13.00 13.000000 6.040000 5.4360001181 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 7.27 7.270000 6.040000 5.4360001182 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 128.64 1.286400 1.286400 1.157760

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1183 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 11.53 2.306000 1.286400 1.1577601184 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.10 1.420000 1.368000 1.2312001185 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 10.06 2.012000 1.368000 1.2312001186 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 10.79 2.158000 1.368000 1.2312001187 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 6.84 1.368000 1.368000 1.2312001188 N02AX02 TRAMADOLUM TRAMAL (R) 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 12.74 2.548000 1.286400 1.1577601189 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 12.30 2.460000 1.286400 1.1577601190 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE X 2 ML S/P-RF 10 18.06 1.806000 1.286400 1.1577601191 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.06 1.812000 1.286400 1.1577601192 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 8.49 1.698000 1.286400 1.1577601193 N02AX02 TRAMADOLUM TRAMAL (R) SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 FOLIE PP/AL/PE X 5 SUPOZ. P-RF 5 12.13 2.426000 1.048000 0.9432001194 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 5.24 1.048000 1.048000 0.9432001195 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. P-RF 6 51.59 8.598333 8.167500 7.3507501196 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR. P-RF 12 98.01 8.167500 8.167500 7.3507501197 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 3 COMPR. P-RF 3 20.03 6.676666 6.321666 5.6894991198 N02CC01 SUMATRIPTANUM* SUMATRIPTAN TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 3 COMPR. P-RF 6 37.93 6.321666 6.321666 5.6894991199 N02CC01 SUMATRIPTANUM* IMIGRAN (R) 100 COMPR. FILM. 100mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF 2 39.81 19.905000 9.095000 8.1855001200 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 93.69 9.369000 9.095000 8.1855001201 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 54.57 9.095000 9.095000 8.1855001202 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 25.45 12.725000 9.095000 8.1855001203 N02CC01 SUMATRIPTANUM* SUMACTA 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 71.44 11.906666 9.095000 8.1855001204 N02CC01 SUMATRIPTANUM* XIBIMER 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 93.69 9.369000 9.095000 8.1855001205 N02CC01 SUMATRIPTANUM* XIBIMER 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 54.57 9.095000 9.095000 8.1855001206 N02CC01 SUMATRIPTANUM* IMIGRAN (R) 50 COMPR. FILM. 50mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-AL-OPA/AL X 2 COMPR. FILM. P-RF 2 22.63 11.315000 6.486000 5.8374001207 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 64.86 6.486000 6.486000 5.8374001208 N02CC01 SUMATRIPTANUM* SUMATRIPTAN COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 38.92 6.486666 6.486000 5.8374001209 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 52.25 8.708333 6.486000 5.8374001210 N02CC01 SUMATRIPTANUM* SUMACTA 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 18.00 9.000000 6.486000 5.8374001211 N02CC01 SUMATRIPTANUM* XIBIMER 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 64.86 6.486000 6.486000 5.8374001212 N02CC01 SUMATRIPTANUM* XIBIMER 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 COMPR. FILM. P-RF 6 38.92 6.486666 6.486000 5.8374001213 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 4.25 0.212500 0.135600 0.1220401214 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.1220401215 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 200 COMPR. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 16.33 0.326600 0.135600 0.1220401216 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.46 0.229200 0.135600 0.1220401217 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 13.90 0.278000 0.135600 0.1220401218 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 15.13 0.302600 0.135600 0.1220401219 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 6.78 0.135600 0.135600 0.1220401220 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.81 0.240500 0.135600 0.1220401221 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.93 0.246500 0.135600 0.1220401222 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.1220401223 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.65 0.232500 0.135600 0.1220401224 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 24.65 0.493000 0.493000 0.4437001225 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL P-6L 50 19.41 0.388200 0.387000 0.3483001226 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L 50 34.36 0.687200 0.686000 0.617400

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1227 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. 400mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 25.45 0.509000 0.509000 0.4581001228 N03AF01 CARBAMAZEPINUM TEGRETOL CR 200 COMPR. FILM. ELIB. PREL. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 50 18.00 0.360000 0.233800 0.2104201229 N03AF01 CARBAMAZEPINUM TEGRETOL CR 400 COMPR. FILM. ELIB. PREL. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 23.79 0.793000 0.793000 0.7137001230 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 14.22 0.284400 0.284400 0.2559601231 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 19.35 0.387000 0.387000 0.3483001232 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 34.30 0.686000 0.686000 0.6174001233 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR.FILM.ELIB.PREL 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 11.69 0.233800 0.233800 0.2104201234 N03AF01 CARBAMAZEPINUM TIMONIL SIROP SUSP. ORALA 100mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE P-6L 1 21.14 21.140000 21.140000 19.0260001235 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 56.90 0.569000 0.536800 0.4831201236 N03AX12 GABAPENTINUM GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 29.15 0.583000 0.536800 0.4831201237 N03AX12 GABAPENTINUM GABALEPT 100 mg CAPS. 100mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 53.68 0.536800 0.536800 0.4831201238 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 67.75 1.355000 1.249700 1.1247301239 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 32.22 1.611000 1.249700 1.1247301240 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 125.41 1.254100 1.249700 1.1247301241 N03AX12 GABAPENTINUM GABARAN 300 mg CAPS. 300mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 64.06 1.281200 1.249700 1.1247301242 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 124.97 1.249700 1.249700 1.1247301243 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 88.76 1.775200 1.390200 1.2511801244 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 40.38 2.019000 1.390200 1.2511801245 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 164.48 1.644800 1.390200 1.2511801246 N03AX12 GABAPENTINUM GABARAN 400 mg CAPS. 400mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 69.51 1.390200 1.390200 1.2511801247 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 158.84 1.588400 1.390200 1.2511801248 N03AX12 GABAPENTINUM GABARAN 600 mg COMPR. FILM. 600mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 61.23 2.041000 2.041000 1.8369001249 N03AX12 GABAPENTINUM GABARAN 800 mg COMPR. FILM. 800mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 97.88 3.262666 3.262666 2.9363991250 N05AD01 HALOPERIDOLUM HALOPERIDOL LAROPHARM 0,5 mg COMPR. 0,5mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.05 0.152500 0.152500 0.1372501251 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 16.84 0.673600 0.673600 0.6062401252 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg/ml PIC. ORALE-SOL. 2mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF 1 6.26 6.260000 4.410000 3.9690001253 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 4.41 4.410000 4.410000 3.9690001254 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER PLC. UNGARIA CUTIE X 5 FIOLE X 1 ML P-RF 5 41.81 8.362000 8.362000 7.5258001255 N05AD01 HALOPERIDOLUM HALOPERIDOL RICHTER 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER PLC. UNGARIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 5 11.71 2.342000 2.342000 2.1078001256 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.86 0.043000 0.043000 0.0387001257 N05BA01 DIAZEPAMUM DIAZEPAM COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.08 0.069333 0.043000 0.0387001258 N05BA01 DIAZEPAMUM DIAZEPAM LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.99 0.049500 0.043000 0.0387001259 N05BA01 DIAZEPAMUM DIAZEPAM 10 mg SOL. INJ. 10mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 4.35 0.870000 0.663100 0.5967901260 N05BA01 DIAZEPAMUM DIAZEPAM DESITIN (R) SOLUTIE RECTALA 10 mg SOL. RECTALA 10mg/2,5ml DESITIN GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF 5 25.52 5.104000 5.104000 4.5936001261 N05BA01 DIAZEPAMUM DIAZEPAM DESITIN (R) SOLUTIE RECTALA 5 mg SOL. RECTALA 5mg/2,5ml DESITIN GERMANIA CUTIE X 5 PUNGI X 1 TUB X 2,5 ML + CANULA S/P-RF 5 20.15 4.030000 4.030000 3.6270001262 N05BA03 MEDAZEPAMUM* ANSILAN 10 mg CAPS. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 CAPS. P-RF 25 3.57 0.142800 0.142800 0.1285201263 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.30 0.115000 0.105400 0.0948601264 N05BA03 MEDAZEPAMUM* MEDAZEPAM COMPR. 10 mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 5.27 0.105400 0.105400 0.0948601265 N05BA03 MEDAZEPAMUM* MEDAZEPAM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 20 COMPR. P-RF 20 2.20 0.110000 0.105400 0.0948601266 N05BA03 MEDAZEPAMUM* RUDOTEL COMPR. 10mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 8.09 0.161800 0.105400 0.0948601267 N05BA03 MEDAZEPAMUM* MEDAZEPAM LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.36 0.118000 0.105400 0.0948601268 N05BA06 LORAZEPAMUM* ANXIAR (R) 1 mg COMPR. 1 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 6.29 0.125800 0.125800 0.1132201269 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 1,5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST X 10 COMPR. P-RF 10 2.90 0.290000 0.209000 0.1881001270 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH 1,5 mg COMPR. 1,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.18 0.209000 0.209000 0.188100

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1271 N05BA08 BROMAZEPAMUM* CALMEPAM (R) COMPR. 3mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 3.81 0.381000 0.224333 0.2018991272 N05BA08 BROMAZEPAMUM* LEXOTAN COMPR. 3mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 6.73 0.224333 0.224333 0.2018991273 N05BA08 BROMAZEPAMUM* LEXOTANIL COMPR. 3mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.61 0.461000 0.224333 0.2018991274 N05BA08 BROMAZEPAMUM* BROMAZEPAM LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.84 0.242000 0.224333 0.2018991275 N05BA08 BROMAZEPAMUM* BROMAZEPAM SLAVIA 3 mg COMPR. 3mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 2.36 0.236000 0.224333 0.2018991276 N05BA12 ALPRAZOLAMUM* XANAX 0,25 mg COMPR. 0,25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 5.30 0.176666 0.148500 0.1336501277 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 0,25 mg COMPR. 0,25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.97 0.148500 0.148500 0.1336501278 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 0,25 mg COMPR. 0,25mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 8.58 0.286000 0.148500 0.1336501279 N05BA12 ALPRAZOLAMUM* FRONTIN 0,25 mg COMPR. 0,25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 4.62 0.154000 0.148500 0.1336501280 N05BA12 ALPRAZOLAMUM* XANAX 0,5 mg COMPR. 0,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.38 0.279333 0.233666 0.2102991281 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 0,5 mg COMPR. 0,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 4.78 0.239000 0.233666 0.2102991282 N05BA12 ALPRAZOLAMUM* FRONTIN 0,5 mg COMPR. 0,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 7.01 0.233666 0.233666 0.2102991283 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 0,5 mg COMPR. 0,5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 10.86 0.362000 0.233666 0.2102991284 N05BA12 ALPRAZOLAMUM* XANAX 1 mg COMPR. 1mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 11.93 0.397666 0.354500 0.3190501285 N05BA12 ALPRAZOLAMUM* ALPRAZOLAM LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.09 0.354500 0.354500 0.3190501286 N05BA12 ALPRAZOLAMUM* PRAZOLEX (R) 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 13.44 0.448000 0.354500 0.3190501287 N05BA12 ALPRAZOLAMUM* FRONTIN 1mg COMPR. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 11.83 0.394333 0.354500 0.3190501288 N05BA12 ALPRAZOLAMUM* XANAX 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 29.21 0.973666 0.973666 0.8762991289 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 0,5 COMPR. ELIB. PREL. 0,5mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 10.97 0.365666 0.365666 0.3290991290 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 0,5 COMPR. ELIB. PREL. 0,5mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 10.97 0.365666 0.365666 0.3290991291 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 1 COMPR. ELIB. PREL. 1mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 19.48 0.649333 0.355333 0.3197991292 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 1 COMPR. ELIB. PREL. 1mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 10.66 0.355333 0.355333 0.3197991293 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 2 COMPR. ELIB. PREL. 2mg ZENTIVA AS CEHIA CUTIE X 1 FLAC. X 30 COMPR. ELIB. PREL. P-RF 30 29.46 0.982000 0.897333 0.8075991294 N05BA12 ALPRAZOLAMUM* NEUROL (R) SR 2 COMPR. ELIB. PREL. 2mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. ELIB. PREL. P-RF 30 26.92 0.897333 0.897333 0.8075991295 N05CD02 NITRAZEPAMUM NITRAZEPAM LPH (R) 2,5 mg COMPR. 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.29 0.064500 0.064500 0.0580501296 N05CD02 NITRAZEPAMUM NITRAZEPAM LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.48 0.074000 0.074000 0.0666001297 N05CD02 NITRAZEPAMUM NITRAZEPAM 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.48 0.074000 0.074000 0.0666001298 N05CF01 ZOPICLONUM* IMOVANE 7,5 mg COMPR. FILM. 7,5mg SANOFI AVENTIS FRANTA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. FILM. P-RF 20 14.55 0.727500 0.727500 0.6547501299 N05CF02 ZOLPIDEMUM* HYPNOGEN 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 15 COMPR. FILM. P-RF 15 9.43 0.628666 0.388000 0.3492001300 N05CF02 ZOLPIDEMUM* HYPNOGEN 10 mg COMPR. FILM. 10mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 4.50 0.642857 0.388000 0.3492001301 N05CF02 ZOLPIDEMUM* SANVAL (R) 10 mg COMPR. FILM. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 3.88 0.388000 0.388000 0.3492001302 N05CF02 ZOLPIDEMUM* SANVAL (R) 10 mg COMPR. FILM. 10mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 7.77 0.388500 0.388000 0.3492001303 N05CF02 ZOLPIDEMUM* ZOLPIDEM 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.96 0.696000 0.388000 0.3492001304 N05CF02 ZOLPIDEMUM* LADINOX COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.43 0.643000 0.388000 0.3492001305 N05CF02 ZOLPIDEMUM* ZOLPIDEM ANTIBIOTICE 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.01 0.401000 0.388000 0.3492001306 N05CF02 ZOLPIDEMUM* STILNOX 10 mg COMPR. FILM. 10mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 6.16 0.616000 0.388000 0.3492001307 N05CF02 ZOLPIDEMUM* STILNOX 10 mg COMPR. FILM. 10mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 20 13.36 0.668000 0.388000 0.3492001308 N05CF02 ZOLPIDEMUM* BUNAPTE COMPR. FILM. 10mg BMF PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.53 0.653000 0.388000 0.3492001309 N05CF02 ZOLPIDEMUM* BUNAPTE COMPR. FILM. 10mg BMF PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 20 12.05 0.602500 0.388000 0.3492001310 N05CF02 ZOLPIDEMUM* ZOLPIDEM ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 7 COMPR. FILM. P-RF 7 6.16 0.880000 0.388000 0.3492001311 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 10 mg DRAJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 6.78 0.226000 0.226000 0.2034001312 N06AA04 CLOMIPRAMINUM* ANAFRANIL (R) 25 mg DRAJ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 13.44 0.448000 0.448000 0.4032001313 N06AA09 AMITRIPTYLINUM* AMITRIPTILIN 25 R. DESITIN CAPS. RET. 25mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 CAPS.RET. P-RF 50 21.19 0.423800 0.423800 0.3814201314 N06AA09 AMITRIPTYLINUM* AMITRIPTILINA ARENA 25 mg COMPR. FILM. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 50 14.10 0.282000 0.282000 0.253800

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1315 N06AA12 DOXEPINUM* DOXEPIN 25 mg DRAJ. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 14.31 0.477000 0.477000 0.4293001316 N06AB03 FLUOXETINUM* FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS. P-RF 14 10.59 0.756428 0.515666 0.4640991317 N06AB03 FLUOXETINUM* FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS. P-RF 28 20.71 0.739642 0.515666 0.4640991318 N06AB03 FLUOXETINUM* FLURAN CAPS. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 15.47 0.515666 0.515666 0.4640991319 N06AB03 FLUOXETINUM* MAGRILAN 20 mg CAPS. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 27.78 0.926000 0.515666 0.4640991320 N06AB03 FLUOXETINUM* PROZAC 20 mg COMPR. DISP. 20mg ELI LILLY SA SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP. P-RF 28 34.56 1.234285 1.234285 1.1108561321 N06AB04 CITALOPRAMUM** CITALORAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 6.93 0.247500 0.247500 0.2227501322 N06AB04 CITALOPRAMUM** LINISAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 39.51 1.317000 0.247500 0.2227501323 N06AB04 CITALOPRAMUM** CITALORAN 20mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 10.08 0.360000 0.360000 0.3240001324 N06AB04 CITALOPRAMUM** LINISAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 74.71 2.490333 0.360000 0.3240001325 N06AB04 CITALOPRAMUM** CITALORAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 31.53 1.126071 1.126071 1.0134631326 N06AB04 CITALOPRAMUM** LINISAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 135.23 4.507666 1.126071 1.0134631327 N06AB05 PAROXETINUM* ARKETIS COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 51.47 1.715666 1.715666 1.5440991328 N06AB05 PAROXETINUM* SEROXAT 20 mg COMPR. FILM. 20mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 33.28 1.109333 0.721000 0.6489001329 N06AB05 PAROXETINUM* PALUXETIL 20 mg COMPR. FILM. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 28.18 0.939333 0.721000 0.6489001330 N06AB05 PAROXETINUM* REXETIN COMPR. FILM. 20mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 43.35 1.445000 0.721000 0.6489001331 N06AB05 PAROXETINUM* PAXETIN 20 mg COMPR. FILM. 20mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF 30 28.55 0.951666 0.721000 0.6489001332 N06AB05 PAROXETINUM* PAROXETIN TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 21.63 0.721000 0.721000 0.6489001333 N06AB05 PAROXETINUM* PALUXETIL 40 mg COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 57.93 1.931000 1.931000 1.7379001334 N06AB06 SERTRALINUM* ZOLOFT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 64.33 2.297500 1.178000 1.0602001335 N06AB06 SERTRALINUM* SERLIFT 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 33.12 1.182857 1.178000 1.0602001336 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 38.35 1.369642 1.178000 1.0602001337 N06AB06 SERTRALINUM* STIMULOTON (R) 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 50.00 1.785714 1.178000 1.0602001338 N06AB06 SERTRALINUM* SERTRALIN SANDOZ 100 mg COMPR. FILM. 100mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 38.02 1.267333 1.178000 1.0602001339 N06AB06 SERTRALINUM* SERTRALINA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 35.34 1.178000 1.178000 1.0602001340 N06AB06 SERTRALINUM* SERTRALINA DR. REDDY'S 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 33.12 1.182857 1.178000 1.0602001341 N06AB06 SERTRALINUM* SETALOFT 100 mg COMPR. FILM. 100mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 33.07 1.181071 1.178000 1.0602001342 N06AB06 SERTRALINUM* SERTRALINA BIOGALENICA 100 mg COMPR. FILM. 100mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 41.10 1.467857 1.178000 1.0602001343 N06AB06 SERTRALINUM* XIMPROVE 100 mg COMPR. FILM. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 33.12 1.182857 1.178000 1.0602001344 N06AB06 SERTRALINUM* ZOLOFT 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 34.71 1.239642 0.628571 0.5657131345 N06AB06 SERTRALINUM* SERLIFT 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 18.35 0.655357 0.628571 0.5657131346 N06AB06 SERTRALINUM* ASENTRA (R) COMPR. FILM. 50mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 21.48 0.767142 0.628571 0.5657131347 N06AB06 SERTRALINUM* STIMULOTON (R) 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-RF 30 26.07 0.869000 0.628571 0.5657131348 N06AB06 SERTRALINUM* SERTRALIN SANDOZ 50 mg COMPR. FILM. 50mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 19.55 0.651666 0.628571 0.5657131349 N06AB06 SERTRALINUM* SERTRALINA 50 mg COMPR. FILM. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 19.65 0.655000 0.628571 0.5657131350 N06AB06 SERTRALINUM* SERTRALINA DR. REDDY'S 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 18.35 0.655357 0.628571 0.5657131351 N06AB06 SERTRALINUM* SETALOFT 50 mg COMPR. FILM. 50mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 28 COMPR. FILM. P-RF 28 17.60 0.628571 0.628571 0.5657131352 N06AB06 SERTRALINUM* SERTRALINA BIOGALENICA 50 mg COMPR. FILM. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 28.98 1.035000 0.628571 0.5657131353 N06AB06 SERTRALINUM* XIMPROVE 50 mg COMPR. FILM. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 18.35 0.655357 0.628571 0.5657131354 N06AB06 SERTRALINUM* ZOLOFT (R) CONC. PT. SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA+ 1 PIPETA P-RF 1 63.75 63.750000 63.750000 57.3750001355 N06AB08 FLUVOXAMINUM* FEVARIN (R) 100 COMPR. FILM. 100mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 45.87 1.529000 1.026666 0.9239991356 N06AB08 FLUVOXAMINUM* FLUVOXAMINE TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 30.80 1.026666 1.026666 0.9239991357 N06AB08 FLUVOXAMINUM* FEVARIN (R) 50 COMPR. FILM. 50mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM. P-RF 30 23.67 0.789000 0.529666 0.4766991358 N06AB08 FLUVOXAMINUM* FLUVOXAMINE TEVA 50 mg COMPR. FILM. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 15.89 0.529666 0.529666 0.476699

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1359 N06AX03 MIANSERINUM* MIANSERIN 10 COMPR. FILM. 10mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF/S 100 43.84 0.438400 0.438400 0.3945601360 N06AX03 MIANSERINUM* MIANSERIN 30 COMPR. FILM. 30mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 24.47 1.223500 1.223500 1.1011501361 N06AX03 MIANSERINUM* MIANSERIN 10 mg DRAJ. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 8.12 0.270666 0.270666 0.2435991362 N06AX03 MIANSERINUM* MIANSERIN 30 mg DRAJ. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 20.43 1.021500 1.021500 0.9193501363 N06AX11 MIRTAZAPINUM* REMERON SOLTAB 30 mg COMPR. DISP. 30mg NV ORGANON OLANDA CUTIE X 5 BLIST. AL/PVC-PA-POLIESTER PERFORAT PT. ELIB. UNEI UNIT. DOZATE X 6 COMPR. DISP. P-RF 30 77.14 2.571333 2.571333 2.3141991364 N06AX11 MIRTAZAPINUM* MIRZATEN (R) 30 mg COMPR. FILM. 30mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 35.61 1.187000 1.127333 1.0145991365 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 30 COMPR. FILM. 30mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 54.83 1.827666 1.127333 1.0145991366 N06AX11 MIRTAZAPINUM* MIRTAZAPINE-TEVA 30 mg COMPR. FILM. 30mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 35.59 1.186333 1.127333 1.0145991367 N06AX11 MIRTAZAPINUM* PHARMATAZ 30 mg COMPR. FILM. 30mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 33.82 1.127333 1.127333 1.0145991368 N06AX11 MIRTAZAPINUM* ESPRITAL (R) 45 COMPR. FILM. 45mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 77.11 2.570333 2.570333 2.3132991369 N06AX11 MIRTAZAPINUM* MIRZATEN Q-TAB 30 mg COMPR. ORODISPERSABILE 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN AL/OPA-AL-PVC X 30 COMPR. ORODISPERSABILE P-RF 30 35.61 1.187000 1.187000 1.0683001370 N06AX16 VENLAFAXINUM** EFECTIN ER 150 mg CAPS. ELIB. PREL. 150mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 168.45 6.016071 3.298666 2.9687991371 N06AX16 VENLAFAXINUM** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 97.95 3.498214 3.298666 2.9687991372 N06AX16 VENLAFAXINUM** ALVENTA 150mg CAPS. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 104.43 3.481000 3.298666 2.9687991373 N06AX16 VENLAFAXINUM** FOBILESS 150 mg CAPS. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 98.96 3.298666 3.298666 2.9687991374 N06AX16 VENLAFAXINUM** NOPEKAR 150 mg CAPS. ELIB. PREL. 150mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 97.95 3.498214 3.298666 2.9687991375 N06AX16 VENLAFAXINUM** ADOXA EP 150 mg CAPS. ELIB. PREL. 150mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 128.42 4.280666 3.298666 2.9687991376 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 117.82 3.927333 3.298666 2.9687991377 N06AX16 VENLAFAXINUM** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 33.40 1.113333 1.113333 1.0019991378 N06AX16 VENLAFAXINUM** NOPEKAR 37,5 mg CAPS. ELIB. PREL. 37,5mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 43.72 1.561428 1.113333 1.0019991379 N06AX16 VENLAFAXINUM** ADOXA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 39.13 1.304333 1.113333 1.0019991380 N06AX16 VENLAFAXINUM** EFECTIN ER 75 mg CAPS. ELIB. PREL. 75mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 104.68 3.738571 1.816428 1.6347851381 N06AX16 VENLAFAXINUM** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 50.86 1.816428 1.816428 1.6347851382 N06AX16 VENLAFAXINUM** ALVENTA 75 mg CAPS. ELIB. PREL. 75mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 54.93 1.831000 1.816428 1.6347851383 N06AX16 VENLAFAXINUM** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 62.39 2.079666 1.816428 1.6347851384 N06AX16 VENLAFAXINUM** NOPEKAR 75 mg CAPS. ELIB. PREL. 75mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 50.86 1.816428 1.816428 1.6347851385 N06AX16 VENLAFAXINUM** ADOXA EP 75 mg CAPS. ELIB. PREL. 75mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 67.86 2.262000 1.816428 1.6347851386 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 62.03 2.067666 1.816428 1.6347851387 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 27.49 0.916333 0.916333 0.8246991388 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF 30 27.49 0.916333 0.916333 0.8246991389 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 37,5 mg COMPR. 37,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 58.50 0.975000 0.975000 0.8775001390 N06AX16 VENLAFAXINUM** VELAXIN 37,5 mg COMPR. 37,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 77.60 1.385714 0.975000 0.8775001391 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 30.23 1.007666 0.975000 0.8775001392 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 30.23 1.007666 0.975000 0.8775001393 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 36.14 1.204666 1.204666 1.0841991394 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 36.14 1.204666 1.204666 1.0841991395 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 72.90 1.215000 1.215000 1.0935001396 N06AX16 VENLAFAXINUM** VELAXIN 75 mg COMPR. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 104.20 1.860714 1.215000 1.0935001397 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 66.02 2.200666 1.215000 1.0935001398 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 66.02 2.200666 1.215000 1.0935001399 N06AX16 VENLAFAXINUM** ARGOFAN 150 SR COMPR. ELIB. PREL. 150mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 164.11 5.470333 5.470333 4.9232991400 N06AX16 VENLAFAXINUM** ARGOFAN 75 SR COMPR. ELIB. PREL. 75mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 88.03 2.934333 2.934333 2.6408991401 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 35.79 0.639107 0.639107 0.5751961402 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 61.97 1.106607 1.106607 0.995946

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1403 N07AA01 NEOSTIGMINI BROMIDUM NEOSTIGMINA LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 12.94 0.647000 0.647000 0.5823001404 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0,5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 5 3.57 0.714000 0.714000 0.6426001405 P01AB02 TINIDAZOLUM FASIGYN (P01AB02) COMPR. FILM. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 5.59 1.397500 0.862500 0.7762501406 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 3.47 0.867500 0.862500 0.7762501407 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 3.45 0.862500 0.862500 0.7762501408 P01AB02 TINIDAZOLUM FASIGYN (P01AB02) COMPR. FILM. 500mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 5.59 1.397500 0.862500 0.7762501409 P01AB02 TINIDAZOLUM TINIZOL (R) 500 mg (J01XD02) COMPR. FILM. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-RF 4 3.47 0.867500 0.862500 0.7762501410 P01AB02 TINIDAZOLUM TIPROGYN 500 (vezi J01XD02) COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. X 4 COMPR.FILM. P-RF 4 3.45 0.862500 0.862500 0.7762501411 P02CA03 ALBENDAZOLUM DUADOR 200 mg COMPR. FILM. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. X 2 COMPR. FILM. P-RF 2 9.20 4.600000 3.005000 2.7045001412 P02CA03 ALBENDAZOLUM ZENTEL 200 mg COMPR. FILM. 200mg GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVDC-PVC X 2 COMPR. FILM. P-RF 2 9.23 4.615000 3.005000 2.7045001413 P02CA03 ALBENDAZOLUM ALBENDAZOL COMPR.FILM 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 2 COMPR. FILM. P-RF 2 6.01 3.005000 3.005000 2.7045001414 P02CA03 ALBENDAZOLUM ZENTEL 0,4 g/10 ml SUSP. ORALA 0,4g/10ml GLAXOSMITHKLINE EXPORT LTD. MAREA BRITANIE CUTIE X 1 FLACON UNIDOZA DIN PVC X 10 ML SUSP. ORALA P-RF 1 5.39 5.390000 5.390000 4.8510001415 P02CA03 ALBENDAZOLUM ALBENDAZOL BIOFARM 400 mg SUSP. ORALA 400mg BIOFARM S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML SUSP. ORALA P-RF 1 7.13 7.130000 5.390000 4.8510001416 P02CE01 LEVAMISOLUM DECARIS 150 mg COMPR. 150mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 COMPR. P-RF 1 3.20 3.200000 3.200000 2.8800001417 P02CE01 LEVAMISOLUM DECARIS 50 mg COMPR. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 2 COMPR. P-RF 2 2.84 1.420000 1.420000 1.2780001418 R03AC02 SALBUTAMOLUM VENTOLIN (R) SOL. INHAL. 5mg/ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 10 ML SOL. DE INHAL. P-6L 1 8.37 8.370000 8.370000 7.5330001419 R03AC02 SALBUTAMOLUM VENTOLIN (R) SOL. INHAL. 5mg/ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FALC. DIN STICLA BRUNA X 20 ML SOL. DE INHAL. P-6L 1 14.21 14.210000 8.370000 7.5330001420 R03AC02 SALBUTAMOLUM VENTOLIN 100 INHALER CFC-FREE SUSP. INHAL. PRESURIZATA 100mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON PRESURIZAT DIN AL PREVAZUT CU VALVA DOZATOARE X 200 DOZE + DISPOZITIV DE ADMINISTRA P-RF 1 9.86 9.860000 6.390000 5.7510001421 R03AC02 SALBUTAMOLUM ECOSAL Easi-Breath SUSP. INHAL. PRESURIZATA 100mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM. ACTIONAT PRI P-6L 1 35.43 35.430000 6.390000 5.7510001422 R03AC02 SALBUTAMOLUM ASTHALIN INHALER SUSP. INHAL. PRESURIZATA 100mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLAC. AL + VALVA DOZATOARE + DISP. ADM. X 200 DOZE SUSP. INHAL. PRESURIZATA P-6L 1 6.39 6.390000 6.390000 5.7510001423 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 100 mcg CFC FREE AEROSOL SOL. INHAL. 100mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. TIP SPACER P-RF 1 64.03 64.030000 21.660000 19.4940001424 R03BA01 BECLOMETASONUM* ECOBEC 100 mcg CFC FREE AEROSOL SOL. INHAL. 100mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE P-RF 1 21.66 21.660000 21.660000 19.4940001425 R03BA01 BECLOMETASONUM* ECOBEC EASI - BREATHE 250 mcg CFC FREE AEROSOL SOL. INHAL. 250mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE + DISPOZITIV DE ADM. DE TIP SPACER P-RF 1 86.37 86.370000 40.650000 36.5850001426 R03BA01 BECLOMETASONUM* ECOBEC 250 mcg CFC FREE AEROSOL SOL. INHAL. 250mcg/doza IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON PRESURIZAT X 200 DOZE P-RF 1 40.65 40.650000 40.650000 36.5850001427 R03BA01 BECLOMETASONUM* CLENIL (R) JET 250 mcg SOL. INHALAT PRESURIZATA 250mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SP P-RF 1 95.73 95.730000 40.650000 36.5850001428 R03BA01 BECLOMETASONUM* RINOCLENIL 100 SPRAY NAZ.,SUSP. 100mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON DIN PET X 30 ML SPRAY NAZ.,SUSP., PREVAZUT CU POMPA DOZATOARE P-RF 1 45.57 45.570000 45.570000 41.0130001429 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 95.72 95.720000 38.710000 34.8390001430 R03BA02 BUDESONIDUM* FRENOLYN 200 PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 38.71 38.710000 38.710000 34.8390001431 R03BA02 BUDESONIDUM* PULMICORT TURBUHALER 200 mcg/doza PULB. INHAL. 200mcg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF 1 57.05 57.050000 38.710000 34.8390001432 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 200 DOZE P-RF 1 161.84 161.840000 79.060000 71.1540001433 R03BA02 BUDESONIDUM* FRENOLYN 400 PULB. INHAL. 400 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 PUNGA X 1 INHALATOR X 100 DOZE P-RF 1 79.06 79.060000 79.060000 71.1540001434 R03BB01 IPRATROPII BROMIDUM* IPRAVENT INHALER 20mcg/doza SUSP. INHAL. PRESURIZATA 20mcg/doza CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON AL PRESURIZAT X 200 DOZE SUSP.DE INHALAT PRESURIZATA P-6L 1 11.83 11.830000 11.830000 10.6470001435 R03CC02 SALBUTAMOLUM SALBUTAMOL EIPICO 2mg/5ml SIROP 2mg/5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 125 ML SIROP P-6L 1 2.87 2.870000 2.870000 2.5830001436 R03CC02 SALBUTAMOLUM VENTOLIN 2mg/5ml SIROP 2mg/5ml GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA INCOLORA X 150 ML SIROP + LINGURITA DOZATOARE DUBLA X 2,5 ML, RESPECTIV P-6L 1 5.29 5.290000 2.870000 2.5830001437 R03CC02 SALBUTAMOLUM VENTOLIN (R) SOL. INJ. 0,5mg/ml GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA X 1 ML P-6L 5 3.33 0.666000 0.666000 0.5994001438 R03CC02 SALBUTAMOLUM SALBUTAMOL T SOL. ORALA 0,04% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON X 100 ML P-6L 1 2.51 2.510000 2.510000 2.2590001439 R03CC02 SALBUTAMOLUM SALBUTAMOL SOL. ORALA 2mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. ORALA + LINGURITA DOZATOARE P-6L 1 3.76 3.760000 2.510000 2.2590001440 R03DA04 THEOPHYLLINUM THEO SR 100 CAPS. ELIB. PREL. 100mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF 20 5.36 0.268000 0.268000 0.2412001441 R03DA04 THEOPHYLLINUM TEOFILINA SR 100 mg CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 2.68 0.268000 0.268000 0.2412001442 R03DA04 THEOPHYLLINUM TEOTARD (R) 200 CAPS. ELIB. PREL. 200mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF 40 8.81 0.220250 0.220000 0.1980001443 R03DA04 THEOPHYLLINUM THEO SR 200 CAPS. ELIB. PREL. 200mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 10 CAPS. ELIB. PREL. P-RF 10 4.02 0.402000 0.220000 0.1980001444 R03DA04 THEOPHYLLINUM TEOFILINA SR 200 mg CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 2.20 0.220000 0.220000 0.1980001445 R03DA04 THEOPHYLLINUM THEO SR 300 CAPS. ELIB. PREL. 300mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. PVC/PVDC - AL X 10 CAPS. ELIB. PREL. P-RF 10 5.59 0.559000 0.559000 0.5031001446 R03DA04 THEOPHYLLINUM TEOFILINA SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 5.59 0.559000 0.559000 0.503100

Pagina 36 din 38

1447 R03DA04 THEOPHYLLINUM TEOTARD (R) 350 CAPS. ELIB. PREL. 350mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-RF 40 13.13 0.328250 0.328250 0.2954251448 R03DA04 THEOPHYLLINUM TEOFILINA SR 50 mg CAPS. ELIB. PREL. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-RF 10 3.39 0.339000 0.339000 0.3051001449 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.61 0.153666 0.139500 0.1255501450 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 4.81 0.192400 0.139500 0.1255501451 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.84 0.142000 0.139500 0.1255501452 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.79 0.139500 0.139500 0.1255501453 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.84 0.142000 0.139500 0.1255501454 R05DA04 CODEINUM CODEINA FOSFAT LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.00 0.150000 0.139500 0.1255501455 R06AB04 CHLORPHENAMINUM CLORFENIRAMIN COMPR. 4mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.20 0.110000 0.110000 0.0990001456 R06AE07 CETIRIZINUM CELERG COMPR. FILM. 10 mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 20 19.86 0.993000 0.993000 0.8937001457 R06AE07 CETIRIZINUM ZYRTEC 10 mg/ml PICATURI ORALE-SOL. 10mg/ml U.C.B. GMBH GERMANIA CUTIE X 1 FLAC. STICLA BRUNA X 20 ML PIC. ORAL. SOL + APLICATOR PT. PICURARE P-6L 1 21.57 21.570000 21.570000 19.4130001458 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 5 BLIST. AL/PP X 10 CAPS. P-6L 50 12.94 0.258800 0.246500 0.2218501459 R06AX17 KETOTIFENUM KETOF 1 mg CAPS. 1mg HEXAL AG GERMANIA CUTIE X 2 BLIST. AL/PP X 10 CAPS. P-6L 20 4.93 0.246500 0.246500 0.2218501460 R06AX17 KETOTIFENUM KETOTIFEN LPH (R) 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.10 0.155000 0.155000 0.1395001461 R06AX17 KETOTIFENUM H - KETOTIFEN COMPR. 1mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.42 0.171000 0.155000 0.1395001462 R06AX17 KETOTIFENUM KETOTIFEN COMPR. 1mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.24 0.162000 0.155000 0.1395001463 R06AX17 KETOTIFENUM KETOTIFEN LAROPHARM 1 mg COMPR. 1mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 3.24 0.162000 0.155000 0.1395001464 R06AX17 KETOTIFENUM KETOF 1 mg/5 ml SIROP 1mg/5ml HEXAL AG GERMANIA CUTIE X 1 FLACON X 100 ML SIROP + MASURA DOZATOARE P-6L 1 10.72 10.720000 10.720000 9.6480001465 S01AX13 CIPROFLOXACINUM CIPLOX (vezi S01AX13) UNG. OFT. 0,3% CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL + VARF APLICATOR SI CAPAC DIN PEID X 5G UNG. OFT. P-RF 1 4.02 4.020000 4.020000 3.6180001466 S01BC03 DICLOFENACUM DICLOFENAC RPH PIC. OFT.-SOL. 1mg/ml ROMPHARM COMPANY SRL ROMANIA FLACON PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-6L 1 4.73 4.730000 4.730000 4.2570001467 S01BC03 DICLOFENACUM UNICLOPHEN (R) 0,1% PICATURI OFT.-SOL. 0,1% UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON DIN PE X 10 ML PIC. OFTALMICE, SOL., PREVAZUT CU PICURATOR P-6L 1 10.54 10.540000 4.730000 4.2570001468 S01BC03 DICLOFENACUM DICLOGESIC 0,1% PICATURI OFTALMICE, SOLUTIE PICATURI OFT.-SOL. 0,1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR PE X 5 ML P-6L 1 10.05 10.050000 4.730000 4.2570001469 S01CA05 COMBINATII OPHTAMESONE - N SOL. OFT. FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.24 4.240000 4.240000 3.816000

1470 S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL PICATURI OFT.SUSP. 0,2g+0,5g/100ml FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.,SUSP. + APLICATOR PT. PICURARE P-RF 1 12.63 12.630000 12.630000 11.367000

1471 S01CA05

COMBINATII (CLORAMPHENICOLUM+BETHAMETASONUM) BETABIOPTAL UNG. OFT. 0,2g+0,5g/100g FARMILA FARMACEUTICI ITALIA CUTIE X 1 TUB AL X 5 G P-RF 1 14.50 14.500000 14.500000 13.050000

NOTĂ:

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătă ții Publice;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătă ții Publice și cu aprobarea comisiilor de la nivelul Caselor Județene de Asigurări de Sănătate;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competen ței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

Pagina 37 din 38

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (1) se efectueaza pentru pacienții cu intoleranță la acidum acetylsalicylicum.

Pagina 38 din 38

ANEXA2

Nr. crt codifatc den_internationala denumire formaF

concentratie Firma detinatoare tara forma ambalare prescriere

cant/am

balaj

Pret amanuntul maximal/ambalaj (RON)

Pret amanuntul maximal/UT (RON)

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

Val suportata CNAS/UT (RON) pt. Adulti

1 A02BC02 PANTOPRAZOLUM CONTROLOC 20 mg COMPR. FILM. GASTROREZ. 20mg ALTANA PHARMA AG GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR. FILM. GASTROREZ. P-6L 28 32.73 1.168928 0.760000 0.3800002 A02BC02 PANTOPRAZOLUM SELTRAZ 20 mg COMPR. FILM. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. DIN OPA-AL-PVC/AL X 14 COMPR. FILM. GASTROREZISTENTE P-6L 28 21.28 0.760000 0.760000 0.3800003 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 2 BLIST. DIN AL/AL X 14 COMPR.FILM. GASTROREZ. P-6L 28 48.79 1.742500 1.742500 0.8712504 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg COMPR. FILM. GASTROREZ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN AL/AL X 14 COMPR.FILM. GASTROREZ. P-6L 14 33.57 2.397857 1.742500 0.8712505 A02BC02 PANTOPRAZOLUM CONTROLOC 40mg LIOF. PT. SOL. INJ. 40mg ALTANA PHARMA AG GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. S/P-RF 1 31.56 31.560000 31.560000 15.780000

6 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 1 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 7 27.98 3.997142 3.613571 1.8067857 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. FILM. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. X 7 COMPR. FILM. GASTROREZ. P-6L 14 50.59 3.613571 3.613571 1.8067858 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg COMPR. FILM. GASTROREZ. 40mg ASTRAZENECA AB SUEDIA CUTIE X 2 BLIST. AL/PVC X 7 COMPR. FILM. GASTROREZ. P-6L 14 71.83 5.130714 5.130714 2.5653579 A02BC05 ESOMEPRAZOLUM NEXIUM 10 mg GRAN. GASTROREZ. PT. SUSP.ORALA 10mg ASTRAZENECA AB SUEDIA CUTIE X 28 PLICURI DIN PET/AL/PEJD CONTINAND GRANULE GASTROREZ. PT. SUSP. ORALA P-6L 28 163.62 5.843571 5.843571 2.921785

10 A02BC05 ESOMEPRAZOLUM NEXIUM (R) LIOF. PT. SOL. INJ./PERF. 40mg ASTRAZENECA AB SUEDIA CUTIE X 10 FLACOANE LIOF. PT. SOL. INJ./PERF. S/P-RF 10 279.32 27.932000 27.932000 13.966000

11 A02BX02 SUCRALFATUM GASTROFAIT COMPR. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. P-6L 20 5.81 0.290500 0.290500 0.14525012 A02BX02 SUCRALFATUM SUCRALAN (R) COMPR. 1g LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC TRANSPARENTE, ALBASTRUI X 10 COMPR. P-6L 20 5.81 0.290500 0.290500 0.14525013 A02BX02 SUCRALFATUM VENTER COMPR. 1g KRKA D.D. SLOVENIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 14.98 0.299600 0.290500 0.14525014 A02BX05 BISMUTHI SUBCITRAS DE - NOL COMPR. FILM. 120mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. AL/AL X 8 COMPR. FILM. P-6L 40 37.52 0.938000 0.938000 0.46900015 A03AB06 OTILONIUM BROMIDUM SPASMOMEN (R) COMPR. FILM. 40mg A. MENARINI IND. FARM. RIUNITE SRL ITALIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 31.51 1.050333 1.050333 0.52516616 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 34.39 2.865833 2.865833 1.43291617 A07EA06 BUDESONIDUM** BUDENOFALK CAPS. GASTROREZ. 3mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 CAPS. CU PELETE GASTROREZ. P-RF 100 421.74 4.217400 4.217400 2.10870018 A07XA04 RACECADOTRILUM HIDRASEC 100 mg CAPS. 100mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 20 40.92 2.046000 2.046000 1.02300019 A07XA04 RACECADOTRILUM HIDRASEC 10 mg PULB. PT. SOL. ORALA 10mg LAB. FOURNIER SA FRANTA CUTIE X 16 PLICURI X 1 G P-RF 16 38.53 2.408125 2.408125 1.20406220 A07XA04 RACECADOTRILUM HIDRASEC 30 mg PULB. PT. SOL. ORALA 30mg LAB. FOURNIER SA FRANTA CUTIE X 30 PLICURI X 3 P-RF 30 38.53 1.284333 1.284333 0.64216621 A08AA10 SIBUTRAMINUM**** REDUCTIL 10mg CAPS. 10mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 CAPS. P-RF 28 95.16 3.398571 2.190333 1.09516622 A08AA10 SIBUTRAMINUM**** LINDAXA 10 CAPS. 10mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. AL-PVDC/PVC X 10 CAPS. P-RF 30 65.71 2.190333 2.190333 1.09516623 A08AA10 SIBUTRAMINUM**** MINIMACIN 10 mg CAPS. 10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-RF 28 63.42 2.265000 2.190333 1.09516624 A08AA10 SIBUTRAMINUM**** REDUCTIL 15 mg CAPS. 15mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 CAPS. P-RF 28 123.49 4.410357 2.524333 1.26216625 A08AA10 SIBUTRAMINUM**** LINDAXA 15 CAPS. 15mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. AL-PVDC/PVC X 10 CAPS. P-RF 30 75.73 2.524333 2.524333 1.26216626 A08AA10 SIBUTRAMINUM**** MINIMACIN 15 mg CAPS. 15mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-RF 28 73.07 2.609642 2.524333 1.26216627 A08AB01 ORLISTATUM**** XENICAL 120mg CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 21 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 21 86.43 4.115714 3.373214 1.68660728 A08AB01 ORLISTATUM**** XENICAL 120mg CAPS. 120mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 84 CAPS. TARI (BLISTER PVC/PE/PVDC) P-RF 84 283.35 3.373214 3.373214 1.686607

SUBLISTA B - MEDICAMENTE CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA

LISTA DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU CONTRIBUTIE PERSONALA CONFOR HG NR. 720/2008 VALABILA INCEPAND CU 8 APRILIE 2009

Pagina 1 din 23

29 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 32.63 0.652600 0.652600 0.32630030 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 29.48 0.982666 0.982666 0.49133331 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 100 308.81 3.088100 3.088100 1.54405032 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 30 101.17 3.372333 3.088100 1.54405033 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 oral (vezi A16AX01) COMPR. FILM. 600mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. PVC-PVDC/AL. X 10 COMPR. FILM. P-6L 60 185.59 3.093166 3.088100 1.54405034 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE X 20 ML S/P-RF 5 145.73 29.146000 26.535000 13.267500

35 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) 600 INJEKT (vezi N07XN03) CONC. PT. SOL. PERF. 30mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 20 FIOLE X 20 ML S/P-RF 20 530.70 26.535000 26.535000 13.267500

36 A16AX01 ACIDUM TIOCTICUM (ALFA-LIPOICUM)**# THIOGAMMA (R) TURBO-SET (vezi N07XN03) SOL. PERF. 12mg/ml WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 FLACOANE X 50 ML S/P-RF 10 242.42 24.242000 24.242000 12.121000

37 B01AB04 DALTEPARINUM**# FRAGMIN 10000 UI/ml SOL. INJ. 10000ui/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML S/P-RF 10 250.55 25.055000 25.055000 12.527500

38 B01AB04 DALTEPARINUM**# FRAGMIN 2500 UI/0,2 ml SOL. INJ. 2500ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 72.85 7.285000 7.285000 3.64250039 B01AB04 DALTEPARINUM**# FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML S/P-RF 10 135.91 13.591000 13.591000 6.79550040 B01AB04 DALTEPARINUM**# FRAGMIN 7500 UI/0,3 ml SOL. INJ. 7500ui/0,3ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML S/P-RF 10 190.61 19.061000 19.061000 9.53050041 B01AB05 ENOXAPARINUM**# CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. S/P-RF 10 69.71 6.971000 6.971000 3.48550042 B01AB05 ENOXAPARINUM**# CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. S/P-RF 10 135.74 13.574000 13.574000 6.78700043 B01AB05 ENOXAPARINUM**# CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 176.41 17.641000 17.641000 8.82050044 B01AB05 ENOXAPARINUM**# CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 2 49.01 24.505000 24.505000 12.252500

45 B01AB06 NADROPARINUM**# FRAXODI 11400 UI anti-factor Xa/0,6ml SOL. INJ. 11400 uiAXa/0,6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. S/P-RF 10 249.56 24.956000 24.956000 12.478000

46 B01AB06 NADROPARINUM**# FRAXODI 15200 UI anti-factor Xa/0,8ml SOL. INJ. 15200 uiAXa/0,8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. S/P-RF 10 343.08 34.308000 34.308000 17.154000

47 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0,3ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,3 ML S/P-RF 10 72.07 7.207000 7.207000 3.60350048 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,4 ML S/P-RF 10 97.15 9.715000 9.715000 4.85750049 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,6 ML S/P-RF 10 124.37 12.437000 12.437000 6.21850050 B01AB06 NADROPARINUM**# FRAXIPARINE (R) 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AXa/0,8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,8 ML S/P-RF 10 178.17 17.817000 17.817000 8.90850051 B01AB08 REVIPARINUM**# CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML S/P-RF 10 79.30 7.930000 7.930000 3.96500052 B01AB08 REVIPARINUM**# CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML S/P-RF 5 95.22 19.044000 19.044000 9.52200053 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) S/P-RF 2 24.53 12.265000 12.265000 6.13250054 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) S/P-RF 2 32.97 16.485000 16.485000 8.24250055 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA) S/P-RF 10 507.63 50.763000 50.763000 25.381500

56 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA) S/P-RF 2 70.40 35.200000 35.200000 17.600000

57 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA) S/P-RF 2 96.86 48.430000 48.430000 24.215000

58 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA) S/P-RF 2 123.59 61.795000 61.795000 30.897500

59 B01AB10 TINZAPARINUM**# INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA) S/P-RF 10 1,049.60 104.960000 104.960000 52.480000

60 B01AB11 SULODEXIDUM** VESSEL DUE F CAPS. MOI 250ULS ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. PVDC-PVC/AL-PVDC X 25 CAPS. MOI P-RF 50 103.22 2.064400 2.064400 1.03220061 B01AB11 SULODEXIDUM** VESSEL DUE F SOL. INJ. 600ULS/2ml ALFA WASSERMANN SPA ITALIA CUTIE X 10 FIOLE DIN STICLA GALBENA X 2 ML P-RF 10 73.64 7.364000 7.364000 3.68200062 B01AC04 CLOPIDOGRELUM** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 737.48 24.582666 24.582666 12.291333

63 B01AC04 CLOPIDOGRELUM** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 28 179.46 6.409285 6.409285 3.20464264 B01AC18 TRIFLUSALUM AFLEN (R) CAPS. 300mg GALENICA S.A. GRECIA CUTIE X 5 BLIST. X 10 CAPS. P-RF 50 79.74 1.594800 1.594800 0.797400

65 B01AC30

COMBINATII (ACID ACETYLSALICYLICUM+DIPYRIDAMOLUM)** AGGRENOX CAPS. ELIB. MODIF. 25mg/200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. DIN PP X 60 CAPS. CU ELIB.MODIF. P-6L 60 59.73 0.995500 0.995500 0.497750

66 B01AX05FONDAPARINUX SODIUM**# ARIXTRA 10mg/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/0,8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 617.71 61.771000 61.771000 30.885500

67 B01AX05FONDAPARINUX SODIUM**# ARIXTRA 2,5mg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 2,5mg/0,5ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 219.52 21.952000 21.952000 10.976000

68 B01AX05FONDAPARINUX SODIUM**# ARIXTRA 5mg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 5mg/0,4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,4 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 435.51 43.551000 43.551000 21.775500

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69 B01AX05FONDAPARINUX SODIUM**# ARIXTRA 7,5mg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 7,5mg/0,6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ., PREVAZUTE CU UN SISTEM AUTOMAT DE SIGURANTA, DE CU P-RF 10 617.71 61.771000 61.771000 30.885500

70 B03AC02

COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 140.63 28.126000 28.126000 14.063000

71 C01BB02 MEXILETINUM MEXITIL (R) 200 mg CAPS. 200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 55.17 0.551700 0.551700 0.27585072 C01EB17 IVABRADINUM** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 150.46 5.373571 4.028571 2.01428573 C01EB17 IVABRADINUM** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 225.60 4.028571 4.028571 2.01428574 C01EB17 IVABRADINUM** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 244.46 4.365357 4.365357 2.18267875 C01EB17 IVABRADINUM** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 28 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 28 150.46 5.373571 4.365357 2.18267876 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0,2mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 30.51 1.089642 0.682000 0.34100077 C02AC05 MOXONIDINUM MOXOGAMMA 0,2 mg COMPR. FILM. 0,2mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 20.46 0.682000 0.682000 0.34100078 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 COMPR. FILM. 0,2mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L 28 30.51 1.089642 0.682000 0.34100079 C02AC05 MOXONIDINUM MOXOGAMMA 0,3 mg COMPR. FILM. 0,3mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 24.28 0.809333 0.809333 0.40466680 C02AC05 MOXONIDINUM PHYSIOTENS 0,4 COMPR. FILM. 0,4mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR.FILM. P-6L 28 43.97 1.570357 1.037333 0.51866681 C02AC05 MOXONIDINUM MOXOGAMMA 0,4 mg COMPR. FILM. 0,4mg WORWAG PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 30 31.12 1.037333 1.037333 0.51866682 C02AC05 MOXONIDINUM PHYSIOTENS 0,4 COMPR. FILM. 0,4mg SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR.FILM. P-6L 28 43.97 1.570357 1.037333 0.51866683 C02AC06 RILMENIDINUM TENAXUM COMPR. 1mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 39.07 1.302333 1.302333 0.65116684 C02CA01 PRAZOSINUM MINIPRESS (R) 1 mg COMPR. 1mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.38 0.179333 0.179333 0.08966685 C02CA01 PRAZOSINUM MINIPRESS (R) 2 mg COMPR. 2mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.52 0.250666 0.250666 0.12533386 C03DA04 EPLERENONUM*# INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 30 174.27 5.809000 5.809000 2.90450087 C03DA04 EPLERENONUM*# INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 64.51 6.451000 5.809000 2.90450088 C03DA04 EPLERENONUM*# INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 30 174.27 5.809000 5.809000 2.90450089 C03DA04 EPLERENONUM*# INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PERFORAT UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 10 64.51 6.451000 5.809000 2.90450090 C04AE02 NICERGOLINUM NICERIUM (R) 15 CAPS. ELIB. MODIF. 15mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L 30 26.19 0.873000 0.873000 0.43650091 C04AE02 NICERGOLINUM NICERIUM (R) 30 UNO CAPS. ELIB. MODIF. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PP/AL X 10 CAPS. ELIB. MODIF. P-6L 30 48.25 1.608333 1.608333 0.80416692 C04AE02 NICERGOLINUM NICERGOLINA LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 12.68 0.422666 0.422666 0.21133393 C04AE02 NICERGOLINUM SERMION COMPR. FILM. 30mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/AL-PVC X 15 COMPR. FILM P-6L 30 45.36 1.512000 1.305666 0.65283394 C04AE02 NICERGOLINUM NICERGOLINA LPH 30 mg COMPR. FILM. 30mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 39.17 1.305666 1.305666 0.65283395 C04AE02 NICERGOLINUM NICERGOLINA LPH 5 mg COMPR. FILM. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 9.32 0.310666 0.310666 0.15533396 C04AE02 NICERGOLINUM NICERIUM (R) 10 DRAJ. 10mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PVC X 25 DRAJ. P-6L 25 13.25 0.530000 0.426000 0.21300097 C04AE02 NICERGOLINUM SINERGOLIN 10 DRAJ. 10mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 8.52 0.426000 0.426000 0.21300098 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 39.14 1.304666 1.304666 0.65233399 C04AE02 NICERGOLINUM SINERGOLIN 30 DRAJ. 30mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-6L 20 26.96 1.348000 1.304666 0.652333

100 C04AX07 VINCAMINUM OXYBRAL SR 30 mg CAPS. ELIB. PREL. 30mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 CAPS. CU ELIB. PREL. P-6L 10 8.71 0.871000 0.871000 0.435500101 C04AX07 VINCAMINUM VINCAMIL COMPR. 20mg FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L 50 12.94 0.258800 0.258800 0.129400102 C04AX07 VINCAMINUM VINCAMINA DRAJ. 10mg BIOFARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 DRAJ. P-6L 20 5.73 0.286500 0.286500 0.143250103 C04AXN1 GINKGO BILOBA** BILOBIL 40 mg (C04AXN1) CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L 20 9.00 0.450000 0.430333 0.215166104 C04AXN1 GINKGO BILOBA** BILOBIL 40 mg (C04AXN1) CAPS. 40mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC-PVDC X 10 CAPS. P-6L 60 25.82 0.430333 0.430333 0.215166105 C04AXN1 GINKGO BILOBA** BILOBIL FORTE (vezi C04AXN1) CAPS. 80mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. AL/PVC X 10 CAPS. P-6L 60 42.53 0.708833 0.708833 0.354416106 C04AXN1 GINKGO BILOBA** GINGIUM 120mg (vezi N06DX02) COMPR. FILM. 120mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 32.73 1.091000 1.091000 0.545500107 C04AXN1 GINKGO BILOBA** FLAVOTAN 40 mg (C04AXN1) COMPR. FILM. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 14.93 0.497666 0.390333 0.195166108 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (N06DX02) COMPR. FILM. 40mg IPSEN BIOTECH FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 23.67 0.789000 0.390333 0.195166109 C04AXN1 GINKGO BILOBA** GINGIUM 40mg (vezi N06DX02 ) COMPR. FILM. 40mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 11.71 0.390333 0.390333 0.195166110 C04AXN1 GINKGO BILOBA** TEBOKAN (vezi C04AXN1) COMPR. FILM. 40mg DR. WILLMAR SCHWABE GMBH & CO KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 21.94 0.438800 0.390333 0.195166

Pagina 3 din 23

111 C04AXN1 GINKGO BILOBA** TEBOKAN (vezi C04AXN1) COMPR. FILM. 40mg DR. WILLMAR SCHWABE GMBH & CO KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.75 0.437500 0.390333 0.195166112 C04AXN1 GINKGO BILOBA** GINGIUM 80mg (vezi N06DX02) COMPR. FILM. 80mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PP X 10 COMPR. FILM. P-6L 30 22.06 0.735333 0.735333 0.367666113 C04AXN1 GINKGO BILOBA** TANAKAN (EGB 761) (C04AXN1) PICATURI ORALE-SOL. 40mg/ml BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLACON DE STICLA BRUNA X 30 ML + 1 PIPETA DIN POLIETILENA P-6L 1 23.36 23.360000 23.360000 11.680000

114 C05CA53 DIOSMINUM (COMBINATII)** DETRALEX ( R ) COMPR. FILM. 500mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 24.78 0.826000 0.826000 0.413000115 C07AB12 NEBIVOLOLUM EZOCEM 5 mg COMPR 5mg OZONE LABORATORIES BV OLANDA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L 28 23.99 0.856785 0.856666 0.428333116 C07AB12 NEBIVOLOLUM NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 51.07 1.823928 0.856666 0.428333117 C07AB12 NEBIVOLOLUM NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg ACTAVIS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 25.70 0.856666 0.856666 0.428333118 C07AB12 NEBIVOLOLUM NEBACOP 5 mg COMPR. 5mg JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L 28 44.14 1.576428 0.856666 0.428333

119 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 10 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 27.67 0.922333 0.922333 0.461166

120 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 2,5 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 24.68 0.822666 0.822666 0.411333

121 C07BB07

COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 5 mg COMPR. FILM. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 3 BLIST. PP/AL X 10 COMPR. FILM. P-6L 30 27.67 0.922333 0.922333 0.461166

122 C07EBN1

COMBINATII (METOPROLOLUL+FELODIPINUM) LOGIMAX (R) COMPR. ELIB. PREL. 50mg+5mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. PVC X 30 COMPR. ELIB. PREL. P-6L 30 41.83 1.394333 1.394333 0.697166

123 C08CA09 LACIDIPINUM LACIPIL 4 mg COMPR. FILM. 4mg GLAXO OPERATIONS UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L 14 12.02 0.858571 0.858571 0.429285124 C08CA13 LERCANIDIPINUM LERIDIP COMPR. FILM. 10mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 60.06 2.145000 2.145000 1.072500125 C08CA13 LERCANIDIPINUM LERIDIP 20 COMPR. FILM. 20mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 68.78 2.456428 2.456428 1.228214126 C09AA04 PERINDOPRILUM VIDOTIN 4 mg COMPR. 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 31.42 1.047333 1.047333 0.523666127 C09AA04 PERINDOPRILUM VIDOTIN 8 mg COMPR. 8mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 60.78 2.026000 2.026000 1.013000128 C09AA04 PERINDOPRILUM PRESTARIUM 10 mg COMPR. FILM. 10 mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 61.78 2.059333 2.059333 1.029666129 C09AA04 PERINDOPRILUM PRESTARIUM 5 mg COMPR. FILM. 5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 38.61 1.287000 1.287000 0.643500130 C09AA07 BENAZEPRILUM CIBACEN (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 40.99 1.463928 1.463928 0.731964131 C09AA07 BENAZEPRILUM CIBACEN (R) 20 mg COMPR. FILM. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 53.80 1.921428 1.921428 0.960714132 C09AA07 BENAZEPRILUM CIBACEN (R) 5 mg COMPR. FILM. 5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 20.46 0.730714 0.730714 0.365357133 C09AA10 TRANDOLAPRILUM GOPTEN (R) 0,5 mg CAPS. 0,5mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. P-6L 20 9.12 0.456000 0.456000 0.228000134 C09AA10 TRANDOLAPRILUM GOPTEN (R) 2 mg CAPS. 2mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 26.38 0.942142 0.942142 0.471071135 C09AA10 TRANDOLAPRILUM GOPTEN (R) 4 mg CAPS. 4mg ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 14 CAPS. P-6L 28 43.93 1.568928 1.568928 0.784464136 C09AA15 ZOFENOPRILUM ZOMEN (R) 30 mg COMPR. FILM. 30mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 41.75 1.491071 1.491071 0.745535137 C09AA15 ZOFENOPRILUM ZOMEN (R) 7,5 mg COMPR. FILM. 7,5mg BERLIN CHEMIE AG GERMANIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-6L 28 18.49 0.660357 0.660357 0.330178

138 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG 2,5mg/0,625mg COMPR. FILM. 2,5mg/0,625mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 53.68 1.789333 1.789333 0.894666

139 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG FORTE 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 57.86 1.928666 1.928666 0.964333

140 C09BA04

COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRESTARIUM ARG PLUS 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 57.86 1.928666 1.928666 0.964333

Pagina 4 din 23

141 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE COMPR. FILM. 10mg/12,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 20.34 0.678000 0.678000 0.339000

142 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACUZIDE FORTE COMPR. FILM. 20mg/12,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE

CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 29.65 0.988333 0.986000 0.493000

143 C09BA06

COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) EDOLFIX H 20mg/12,5mg COMPR. FILM. 20mg/12,5mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 29.58 0.986000 0.986000 0.493000

144 C09BB02

COMBINATII (NITRENDIPINUM+ENALAPRILUM) ENEAS COMPR. 20mg+10mg FERRER INTERNACIONAL SA SPANIA CUTIE X 3 BLIST. PA-PVC-AL/AL X 10 COMPR. P-6L 30 90.63 3.021000 3.021000 1.510500

145 C09BB10

COMBINATII (VERAPAMILUM+TRANDOLAPRILUM) TARKA COMPR.FILM.ELIB.MODIF. 180mg/2mg ABBOTT GMBH&CO.KG GERMANIA

CUTIE X 2 BLIST. AL/PVDC-PVC X 14 COMPR. FILM. CU ELIB. PREL. P-6L 28 49.61 1.771785 1.771785 0.885892

146 C09CA03 VALSARTANUM DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIACUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 109.48 3.910000 3.910000 1.955000

147 C09CA03 VALSARTANUM DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIACUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 68.73 2.454642 2.454642 1.227321

148 C09CA03 VALSARTANUM DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIACUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 86.27 3.081071 3.081071 1.540535

149 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 74.87 2.673928 2.673928 1.336964

150 C09CA04 IRBESARTANUM APROVEL 300mg COMPR. FILM. 300mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA

CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 101.17 3.613214 3.613214 1.806607

151 C09CA06CANDESARTANUM CILEXETIL ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA

CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 64.82 2.315000 2.315000 1.157500

152 C09CA06CANDESARTANUM CILEXETIL ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA

CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 52.67 1.881071 1.881071 0.940535

153 C09CA07 TELMISARTANUM MICARDIS 40 mg COMPR. 40mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28 COMPR. ( BLIST. PA/AL/PVC) P-6L 28 56.99 2.035357 2.035357 1.017678

154 C09CA07 TELMISARTANUM PRITOR 40 mg COMPR. 40mg

BAYER HEALTHCARE AG GERMANIA

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 62.27 2.223928 2.035357 1.017678

155 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 72.69 2.596071 2.596071 1.298035

156 C09CA07 TELMISARTANUM PRITOR 80 mg COMPR. 80mg

BAYER HEALTHCARE AG GERMANIA

CUTIE X 28COMPR.( BLIST. PERFORATE UNIDOZA PA/AL/PVC ) P-6L 28 72.69 2.596071 2.596071 1.298035

Pagina 5 din 23

157 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) HYZAAR (R) 50 mg/12,5 mg COMPR. FILM. 50mg+12,5mg

MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 74.62 2.665000 0.706428 0.353214

158 C09DA01

COMBINATII (LOSARTANUM+HYDROCHLOROTHIAZIDUM) LORISTA H COMPR.FILM 50mg+ 12,50mg

KRKA D.D. NOVO MESTO SLOVENIA

CUTIE X 2 BLIST. DIN PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 19.78 0.706428 0.706428 0.353214

159 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150mg/12,5mg COMPR. 150mg/12,5mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 78.10 2.789285 2.789285 1.394642

160 C09DA04

COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/12,5mg COMPR. 300mg/12,5mg

SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA

CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 105.46 3.766428 3.766428 1.883214

161 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/12,5mg COMPR. 80/12,5mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA

CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 72.69 2.596071 2.596071 1.298035

162 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/25mg COMPR. 80/25mg

BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA

CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL) P-6L 28 98.45 3.516071 3.516071 1.758035

163 C09DA07

COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) PRITOR PLUS 80mg/12,5mg COMPR. 80mg/12,5mg BAYER HEALTHCARE AG GERMANIA CUTIE X 28COMPR.( BLIST. PA/AL/PVC ) P-6L 28 74.71 2.668214 2.596071 1.298035

164 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 237.31 4.237678 4.237678 2.118839

165 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 237.31 4.237678 4.237678 2.118839

166 C09DB01

COMBINATII ( VALSARTANUM+AMLODIPINUM) EXFORGE 5mg/80mg COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 56 201.69 3.601607 3.601607 1.800803

167 C10AA04 FLUVASTATINUM LESCOL 20 mg CAPS. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 15.01 0.536071 0.536071 0.268035168 C10AA04 FLUVASTATINUM LESCOL 40 mg CAPS. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 27.32 0.975714 0.975714 0.487857169 C10AA04 FLUVASTATINUM LESCOL XL 80 mg COMPR. ELIB. PREL. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. ELIB. PREL. P-6L 28 43.42 1.550714 1.550714 0.775357170 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 74.38 2.479333 2.479333 1.239666171 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 119.07 3.969000 3.969000 1.984500172 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 51.49 3.677857 3.677857 1.838928173 C10AA05 ATORVASTATINUM SORTIS 80 mg COMPR. FILM. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L 14 80.68 5.762857 5.762857 2.881428174 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 98.62 3.522142 3.522142 1.761071175 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 140.25 5.008928 5.008928 2.504464176 C10AA07 ROSUVASTATINUM CRESTOR 40 mg COMPR. FILM. 40mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 140.25 5.008928 5.008928 2.504464177 C10AA07 ROSUVASTATINUM CRESTOR 5 mg COMPR. FILM. 5mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 85.79 3.063928 3.063928 1.531964178 C10AB02 BEZAFIBRATUM REGADRIN (R) B DRAJ. 200mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 26.79 0.535800 0.535800 0.267900179 C10AB08 CIPROFIBRATUM LIPANOR (R) 100 mg CAPS. 100mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. X 10 CAPS. P-6L 30 24.10 0.803333 0.803333 0.401666

Pagina 6 din 23

180 C10AX06ACID OMEGA-3-ESTERI ETILICI 90** OMACOR (R) CAPS. MOI 1000mg PRONOVA BIOPHARMA NORGE A.S. NORVEGIA FALC. DIN PEID X 28 CAPS. MOI P-RF 28 93.92 3.354285 3.354285 1.677142

181 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 14 89.61 6.400714 6.069642 3.034821182 C10AX09 EZETIMIBUM EZETROL (R) COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 28 169.95 6.069642 6.069642 3.034821

183 C10BX03

COMBINATII (ATORVASTATINUM + AMLODIPINUM) CADUET 10mg/10mg COMPR. FILM. 10mg/10mg PFIZER EUROPE MA EEIG MAREA BRITANIE

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM. P-6L 30 76.47 2.549000 2.549000 1.274500

184 C10BX03

COMBINATII (ATORVASTATINUM + AMLODIPINUM) CADUET 5mg/10mg COMPR. FILM. 5mg/10mg PFIZER EUROPE MA EEIG MAREA BRITANIE

CUTIE X 3 BLIST. PA-AL-PVC/PVC-AL X 10 COMPR. FILM. P-6L 30 68.18 2.272666 2.272666 1.136333

185 D01AA02 NATAMYCINUM PIMAFUCIN CREMA 20mg/g ASTELLAS EUROPE B.V. OLANDA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 11.71 11.710000 11.710000 5.855000186 D01BA02 TERBINAFINUM EXIFINE 125 mg COMPR. 125mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 48.45 1.730357 1.730357 0.865178187 D01BA02 TERBINAFINUM EXIFINE 125 mg COMPR. 125mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 25.38 1.812857 1.730357 0.865178188 D01BA02 TERBINAFINUM LAMISIL (R) COMPR. 250mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. X 14 COMPR. P-RF 14 82.53 5.895000 0.997142 0.498571189 D01BA02 TERBINAFINUM TERBISIL (R) 250 mg COMPR. 250mg GEDEON RICHTER LTD. UNGARIA CUTIE X 2 BLIST. X 14 COMPR. P-RF 28 102.13 3.647500 0.997142 0.498571190 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 220.61 7.353666 0.997142 0.498571191 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF 28 100.88 3.602857 0.997142 0.498571192 D01BA02 TERBINAFINUM EXIFINE 250 mg COMPR. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 31.28 1.117142 0.997142 0.498571193 D01BA02 TERBINAFINUM EXIFINE 250 mg COMPR. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 15.64 1.117142 0.997142 0.498571194 D01BA02 TERBINAFINUM TERBINAFINE 250 mg COMPR. 250mg ACTAVIS GROUP HF ISLANDA CUTIE X 1 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 14 15.84 1.131428 0.997142 0.498571195 D01BA02 TERBINAFINUM TERBINAFINE 250 mg COMPR. 250mg ACTAVIS GROUP HF ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 28 27.92 0.997142 0.997142 0.498571196 D01BA02 TERBINAFINUM TERBINAFINA SLAVIA 250mg COMPR. 250mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR. P-RF 14 17.10 1.221428 0.997142 0.498571197 D05AX02 CALCIPOTRIOLUM* DAIVONEX CREMA 50mcg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G CREMA P-6L 1 40.62 40.620000 40.620000 20.310000

198 D05AX02 CALCIPOTRIOLUM* DAIVONEX SOLUTIE CUTANATA PENTRU SCALP SOL. CUT. 50mcg/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUTANATA PENTRU SCALP P-6L 1 44.73 44.730000 44.730000 22.365000

199 D05AX02 CALCIPOTRIOLUM* DAIVONEX UNGUENT UNGUENT 50mcg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 30 G UNGUENT P-6L 1 34.42 34.420000 34.420000 17.210000

200 D05AX52

COMBINATII (CALCIPOTRIOLUM+BETAMETHASONUM)* DAIVOBET (R) UNGUENT UNGUENT FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB X 15 G P-RF 1 58.45 58.450000 58.450000 29.225000

201 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 14.25 14.250000 14.250000 7.125000202 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 14.25 14.250000 14.250000 7.125000203 D06AXN1 COMBINATII BANEOCIN (R) PULB. CUT. FARA CONCENTRATIE SANDOZ GMBH AUSTRIA CUTIE X 1 FLAC. DE PUDRAT PE X 10 G P-RF 1 3.99 3.990000 3.990000 1.995000204 D06AXN1 COMBINATII BANEOCIN (R) UNGUENT FARA CONCENTRATIE SANDOZ GMBH AUSTRIA CUTIE X 1 TUB AL X 20 G P-RF 1 3.99 3.990000 3.990000 1.995000205 D06BB04 PODOPHYLLOTOXINUM* WARTEC 1,5 mg/g CREMA 1,5 mg/g STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB X 5 G CREMA P-RF 1 80.32 80.320000 80.320000 40.160000

206 D06BB04 PODOPHYLLOTOXINUM* CONDYLINE SOL. CUT. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON DIN STICLA BRUNA X 3,5 ML SOL. CUTANATA + 15 DISPOZITIVE DE APLICARE P-RF 1 71.32 71.320000 71.320000 35.660000

207 D07AB02HYDROCORTISONUM BUTYRATUM LOCOID (R) crema 0,1% CREMA 0,1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 12.14 12.140000 12.140000 6.070000

208 D07AB02HYDROCORTISONUM BUTYRATUM LOCOID (R) LIPOCREAM 0,1% CREMA 0,1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 12.57 12.570000 12.140000 6.070000

209 D07AB02HYDROCORTISONUM BUTYRATUM LOCOID CRELO (R) 0,1% EMULSIE CUT. 0.1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON X 30 G P-RF 1 12.02 12.020000 12.020000 6.010000

210 D07AB02HYDROCORTISONUM BUTYRATUM LOCOID (R) SOL. CUT. 0,1% ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FLACON PICURATOR DIN PP X 30 ML P-RF 1 10.54 10.540000 10.540000 5.270000

211 D07AC13 MOMETASONUM ELOCOM CREMA 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 14.73 14.730000 14.730000 7.365000212 D07AC13 MOMETASONUM ELOCOM SOL. CUT. 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON DIN PEID X 20 ML SOL. CUTANATA P-RF 1 17.63 17.630000 17.630000 8.815000213 D07AC13 MOMETASONUM ELOCOM UNGUENT 1mg/g SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G P-RF 1 14.73 14.730000 14.730000 7.365000

214 D07AC14METHYLPREDNISOLONUM ACEPONAT ADVANTAN CREMA 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12.45 12.450000 12.450000 6.225000

Pagina 7 din 23

215 D07AC14METHYLPREDNISOLONUM ACEPONAT ADVANTAN (R) MILK EMULSIE CUT. 0,1% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 20 G P-RF 1 18.41 18.410000 18.410000 9.205000

216 D07AC14METHYLPREDNISOLONUM ACEPONAT ADVANTAN UNGUENT 1mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 12.45 12.450000 12.450000 6.225000

217 D07AC17FLUTICASONUM PROPIONAT CUTIVATE CREMA 0,05%

GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 9.68 9.680000 9.680000 4.840000

218 D07AC17FLUTICASONUM PROPIONAT CUTIVATE UNGUENT 0,005%

GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 9.68 9.680000 9.680000 4.840000

219 D07AD01 CLOBETASOLUM* DERMOVATE CREMA 0,05%GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 11.34 11.340000 11.340000 5.670000

220 D07AD01 CLOBETASOLUM* DERMOVATE (R) SOL. CUT. 0,05%

GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 FLACON CU PICURATOR DIN PP X 25 ML P-RF 1 4.88 4.880000 4.880000 2.440000

221 D07AD01 CLOBETASOLUM* DERMOVATE UNGUENT 0,05%GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 TUB X 25 G P-RF 1 8.35 8.350000 5.420000 2.710000

222 D07AD01 CLOBETASOLUM* DERMIONE UNGUENT 0,05%

OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 20 G P-RF 1 5.42 5.420000 5.420000 2.710000

223 D07AD01 CLOBETASOLUM* CLOBETASOL MK UNGUENT 0,05%FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 7.70 7.700000 5.420000 2.710000

224 D07CA01 COMBINATII PIMAFUCORT CREMA FARA CONCENTRATIE

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 9.92 9.920000 9.920000 4.960000

225 D07CA01 COMBINATII PIMAFUCORT UNGUENT FARA CONCENTRATIE

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 9.92 9.920000 9.920000 4.960000

226 D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA FARA CONCENTRATIE

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 20.40 20.400000 20.400000 10.200000

227 D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram

LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 22.37 22.370000 22.370000 11.185000

228 D07XC03

COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT FARA CONCENTRATIE

SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G P-RF 1 19.35 19.350000 19.350000 9.675000

229 D07XC03

COMBINATII (MOMETASONUM + AC. SALICILICUM) ELOSALIC UNGUENT FARA CONCENTRATIE

SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 45 G P-RF 1 55.23 55.230000 19.350000 9.675000

230 D10AD54

COMBINATII (ISOTRETINOINUM + ERITROMICINUM) ISOTREXIN GEL GEL 0,05%/0,2%

STIEFEL LABORATORIES IRELAND LTD. MAREA BRITANIE CUTIE X 1 TUB DIN AL X 30 G GEL P-RF 1 34.00 34.000000 34.000000 17.000000

231 D10AX03 ACIDUM AZELAICUM SKINOREN CREMA 200mg/g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 30 G CREMA P-RF 1 33.08 33.080000 33.080000 16.540000

232 D10AX03 ACIDUM AZELAICUM SKINOREN (R) 15% GEL 15% INTENDIS GMBH GERMANIA CUTIE X 1 TUB AL X 30 G GEL P-RF 1 41.75 41.750000 41.750000 20.875000

233 D10BA01 ISOTRETINOINUM** ROACCUTANE 10 mg CAPS. MOI 10mg ROCHE ROMANIA SRL ROMANIACUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. MOI P-RF 30 50.04 1.668000 1.668000 0.834000

234 D10BA01 ISOTRETINOINUM** SOTRET 10 mg CAPS. MOI 10mg RANBAXY U.K. LIMITED MAREA BRITANIE

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 60.72 2.024000 1.668000 0.834000

Pagina 8 din 23

235 D10BA01 ISOTRETINOINUM** SOTRET 20 mg CAPS. MOI 20mg RANBAXY U.K. LIMITED MAREA BRITANIE

CUTIE X 3 BLIST. PE-PVDC-PVC/HARTIE-AL X 10 CAPS. MOI P-RF 30 95.40 3.180000 3.180000 1.590000

236 G01AA02 NATAMYCINUM PIMAFUCIN (R) OVULE 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 FOLIE X 3 OVULE P-RF 3 10.42 3.473333 3.473333 1.736666

237 G01AA51 COMBINATII MACMIROR COMPLEX CAPS. MOI VAG. 500mg/200000UI POLICHEM SA LUXEMBURG

CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF 12 35.79 2.982500 2.982500 1.491250

238 G01AA51 COMBINATII POLYGYNAX CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT. FRANTACUTIE X 1 BLIST. AL/PVC X 6 CAPS. MOI VAG. P-RF 6 16.39 2.731666 2.731666 1.365833

239 G01AA51 COMBINATII MACMIROR COMPLEX CREMA VAG. 10g/400000UI POLICHEM SA LUXEMBURG

CUTIE X 1 TUB DIN AL CREMA VAG. X 30 G + APLICATOR P-RF 1 33.30 33.300000 33.300000 16.650000

240 G01AF12 FENTICONAZOLUM LOMEXIN 600 mg CAPS. MOI VAG. 600mg RECORDATI SPA ITALIACUTIE X 1 BLIST. PVC/PVDC-AL X 1 CAPS. VAG. MOALE P-RF 1 18.86 18.860000 18.860000 9.430000

241 G01AF15 BUTOCONAZOLUM GYNOFORT 2% CREMA VAG. FARA CONCENTRATIE GEDEON RICHTER PLC UNGARIA

CUTIE X 1 APLICATOR PREUMPLUT UNIDOZA DIN PP CU 5 G CREMA VAG. P-RF 1 37.81 37.810000 37.810000 18.905000

242 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLODIN COMPR. VAG. 500mg/200mg ARENA GROUP S.A. ROMANIA

CUTIE X 2 BLIST. TRANSPARENT DIN AL/PVC X 5 COMPR. VAG. P-RF 10 14.10 1.410000 1.410000 0.705000

243 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON (R) CREMA FARA CONCENTRATIE FARMIGEA SPA ITALIA CUTIE X 1 TUB DIN AL X 30 G P-RF 1 9.04 9.040000 9.040000 4.520000

244 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON CREMA VAG. FARA CONCENTRATIE FARMIGEA SPA ITALIA

CUTIE X 1 TUB DIN AL X 30 G CREMA VAG. + 6 APLICATOARE DIN POLIPROPILENA P-RF 1 12.08 12.080000 12.080000 6.040000

245 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON OVULE FARA CONCENTRATIE FARMIGEA SPA ITALIA CUTIE X 2 FOLII PVC-PE X 5 OVULE P-RF 10 10.48 1.048000 1.048000 0.524000

246 G01AF20

COMBINATII (METRONIDAZOLUM+CLOTRIMAZOLUM) MECLON SOL. VAGINALA FARA CONCENTRATIE FARMIGEA SPA ITALIA

CUTIE X 5 FLACOANE PVC-PE X 10 ML + 5 FLACOANE PEJD X 130 ML + 5 CANULE P-RF 5 20.63 4.126000 4.126000 2.063000

247 G01AF20

COMBINATII (METRONIDAZOLUM+MICONAZOLUM) KLION-D 100 COMPR. VAG. 100mg/100mg GEDEON RICHTER PLC UNGARIA CUTIE X 1 FOLIE AL/PEJD X 10 COMPR. VAG. P-RF 10 10.79 1.079000 1.079000 0.539500

248 G01AX05 NIFURATELUM MACMIROR DRAJ. 200mg POLICHEM SA LUXEMBURG CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 18.37 0.918500 0.918500 0.459250249 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 40.92 20.460000 14.522500 7.261250250 G02CB03 CABERGOLINUM* DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 116.18 14.522500 14.522500 7.261250

251 G03AC03LEVONORGESTRELUM***# MIRENA 20 mcg/24 h DISPOZITIV INTRAUTERIN 52mg BAYER SCHERING PHARMA AG FINLANDA

CUTIE X 1 BLIST. X 1 DISP. PT. ADM. INTRAUTERINA + 1 INSERTOR P-RF 1 486.51 486.510000 486.510000 243.255000

252 G03CA04 ESTRIOLUM* OVESTIN CREMA VAG. 0.1% ORGANON NV OLANDA CUTIE X 1 FLACON X 15 G + APLICATOR P-RF 1 13.87 13.870000 13.870000 6.935000253 G03CA04 ESTRIOLUM* OVESTIN OVULE 0,5mg ORGANON NV OLANDA CUTIE X 3 FOLII X 5 OVULE P-RF 15 19.35 1.290000 1.290000 0.645000254 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CAPS. MOI VAG. 10mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 CAPS. MOI VAG. P-RF 10 11.34 1.134000 1.134000 0.567000255 G03CA09 PROMESTRIENUM* COLPOTROPHINE (R) CREMA VAG. 1% LAB. THERAMEX MONACO CUTIE X 1 TUB X 15 G P-RF 1 13.00 13.000000 13.000000 6.500000256 G03DA04 PROGESTERONUM* UTROGESTAN (R) 100 mg CAPS. MOI 100mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. X 15 CAPS. MOI P-6L 30 28.17 0.939000 0.708666 0.354333257 G03DA04 PROGESTERONUM* AREFAM 100 mg CAPS. MOI 100mg LADEE PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. MOI P-6L 30 21.26 0.708666 0.708666 0.354333258 G03DA04 PROGESTERONUM* UTROGESTAN (R) 200 mg CAPS. MOI 200mg LAB. BESINS INTERNATIONAL FRANTA CUTIE X 2 BLIST. AL/PVC X 7 CAPS. MOI P-6L 14 28.17 2.012142 1.371666 0.685833259 G03DA04 PROGESTERONUM* AREFAM 200 mg CAPS. MOI 200mg LADEE PHARMA KFT. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 CAPS. MOI P-6L 30 41.15 1.371666 1.371666 0.685833260 G03DA04 PROGESTERONUM* PROGESTOGEL GEL 1% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB X 80 G + DISPOZITIV DE MASURA P-6L 1 16.89 16.890000 5.490000 2.745000261 G03DA04 PROGESTERONUM* MASTOPROFEN 1% GEL 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB DIN AL X 40 G P-6L 1 5.49 5.490000 5.490000 2.745000

Pagina 9 din 23

262 G03DB01 DYDROGESTERONUM* DUPHASTON (R) COMPR. FILM. 10mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L 20 13.50 0.675000 0.675000 0.337500263 G03DC03 LYNESTRENOLUM* ORGAMETRIL COMPR. 5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 30 COMPR. P-6L 30 8.57 0.285666 0.285666 0.142833264 G03DC05 TIBOLONUM** LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 69.59 2.485357 2.020714 1.010357265 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 28 68.03 2.429642 2.020714 1.010357266 G03DC05 TIBOLONUM** LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. DIN AL-PVDC/PVC X 28 COMPR. P-RF 84 169.74 2.020714 2.020714 1.010357267 G03FA01 COMBINATII** ACTIVELLE 1mg/0,5mg COMPR. FILM. 1mg/0,5mg NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR. FILM. P-RF 1 31.68 31.680000 31.680000 15.840000

268 G03FA14 COMBINATII** FEMOSTON (R) conti 1/5 COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST. X 28 COMPR. FILM. P-RF 1 29.71 29.710000 29.710000 14.855000

269 G03FA15ESTRADIOLUMVALERAT+DIENOGEST** KLIMODIEN DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. X 28 DRAJ. P-RF 1 33.17 33.170000 33.170000 16.585000

270 G03FA17 COMBINATII** ANGELIQ COMPR. FILM. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. CALENDARISTIC PVC/AL X 28 COMPR. FILM. P-RF 1 64.22 64.220000 64.220000 32.110000

271 G03FB01 COMBINATII** CYCLO PROGINOVA (R) DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. TIP CALENDAR X 21 DRAJEURI P-RF 1 7.58 7.580000 7.580000 3.790000

272 G03FB05 COMBINATII** NOVOFEM COMPR. FILM. FARA CONCENTRATIE NOVO NORDISK A/S DANEMARCA

CUTIE X 1 DISC TIP CALENDAR X 28 COMPR. FILM. (12 COMPR. FILM. ALBE SI 16 COMPR. FILM. ROSII) P-6L 1 30.26 30.260000 30.260000 15.130000

273 G03FB08 COMBINATII** FEMOSTON 2/10 COMPR. FILM. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV OLANDA

CUTIE X 1 BLIST. TIP CALENDAR X 28 COMPR. FILM. (14 COMPR.FILM. ROSII-CARAMIZII + 14 COMPR.FILM. GAL P-RF 1 29.71 29.710000 29.710000 14.855000

274 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 150 UIPULB. + SOLV. PT. SOL. INJ. 150UI SERONO EUROPE LTD. MAREA BRITANIE

CUTIE X 1 FIOLA DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.+ 1 FIOLA X 1 ML SOLV. P-RF/R 1 174.08 174.080000 174.080000 87.040000

275 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 75 UIPULB. + SOLV. PT. SOL. INJ. 75UI SERONO EUROPE LTD. MAREA BRITANIE

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 5 FIOLE X 1 ML SOLV. P-RF/R 5 424.10 84.820000 84.820000 42.410000

276 G03GA05 FOLLITROPINUM ALFA****# GONAL - f 75 UIPULB. + SOLV. PT. SOL. INJ. 75UI SERONO EUROPE LTD. MAREA BRITANIE

CUTIE X 1 FIOLA DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FIOLA X 1 ML SOLV. P-RF/R 1 91.78 91.780000 84.820000 42.410000

277 G03GA05 FOLLITROPINUM ALFA****#GONAL-f 300 UI/0,5 ml ( 22 mcg/0,5 ml)

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 300UI/0,5ml SERONO EUROPE LTD. MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,5 ML SOL. INJ. + 5 ACE PT. ADM. P-RF/R 1 499.87 499.870000 499.870000 249.935000

278 G03GA05 FOLLITROPINUM ALFA****#

GONAL-f 450 UI/0,75 ml (33 mcg/0,75 ml)

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 450UI/0,75ml SERONO EUROPE LTD. MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 0,75 ML SOL. INJ. + 7 ACE PT. ADM. SUBCUTANATA P-RF/R 1 714.43 714.430000 714.430000 357.215000

279 G03GA05 FOLLITROPINUM ALFA****#

GONAL-f 900 UI/1,5ml (66 mcg/1,5 ml)

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 900UI/0,75ml SERONO EUROPE LTD. MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 1,5 ML SOL. INJ. + 14 ACE PT. ADM. SUBCUTANATA P-RF/R 1 1,358.05 1358.050000 1358.050000 679.025000

280 G03GA06 FOLLITROPINUM BETA****# PUREGON 100UI/0,5ml SOL. INJ. 100UI/0,5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA X 0,5 ML SOL. INJ. P-RF 1 188.62 188.620000 188.620000 94.310000

281 G03GA06 FOLLITROPINUM BETA****# PUREGON 300UI/0,36 ml SOL. INJ. 300UI/0,36ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS + 6 ACE P-RF 1 490.06 490.060000 490.060000 245.030000

282 G03GA06 FOLLITROPINUM BETA****# PUREGON 50UI/0,5ml SOL. INJ. 50UI/0,5ml N. V. ORGANON OLANDA CUTIE X 1 FLACON DIN STICLA INCOLORA X 0,5 ML SOL. INJ. P-RF 1 99.85 99.850000 99.850000 49.925000

283 G03GA06 FOLLITROPINUM BETA****# PUREGON 600UI/0,72 ml SOL. INJ. 600UI/0,72ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOL. INJ + 6 ACE P-RF/R 1 909.28 909.280000 909.280000 454.640000

284 G03GA06 FOLLITROPINUM BETA****# PUREGON 900UI/1,08 ml SOL. INJ. 900UI/1,08ml N. V. ORGANON OLANDA CUTIE X 1 CARTUS SOL. INJ. + 9 ACE P-RF 1 1,329.05 1329.050000 1329.050000 664.525000

285 G03GB02 CLOMIFENUM CLOSTILBEGYT COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. P-RF 10 13.44 1.344000 1.245000 0.622500286 G03GB02 CLOMIFENUM OVA - MIT COMPR. 50mg REMEDICA LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-RF 10 12.45 1.245000 1.245000 0.622500287 G04BD04 OXYBUTYNINUM DRIPTANE ( R ) 5 mg COMPR. 5mg LAB. FOURNIER SA FRANTA CUTIE X 2 BLIST. AL/PVC X 30 COMPR. P-6L 60 25.01 0.416833 0.416833 0.208416288 G04BD07 TOLTERODINUM**# DETRUSITOL SR 4 mg CAPS. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 7 CAPS. ELIB. PREL. P-6L 28 116.96 4.177142 4.177142 2.088571289 G04BD07 TOLTERODINUM**# DETRUSITOL SR 4 mg CAPS. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. X 7 CAPS. ELIB. PREL. P-6L 7 45.51 6.501428 4.177142 2.088571290 G04BD07 TOLTERODINUM**# UROFLOW 1 COMPR. FILM. 1mg ZENTIVA A.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 25.64 0.915714 0.915714 0.457857291 G04BD07 TOLTERODINUM**# UROFLOW 2 COMPR. FILM. 2mg ZENTIVA A.S. CEHIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 49.62 1.772142 1.772142 0.886071

Pagina 10 din 23

292 G04BD08SOLIFENACINUM SUCCINATE**# VESICARE 10 mg COMPR. FILM. 10mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 213.25 7.108333 7.108333 3.554166

293 G04BD08SOLIFENACINUM SUCCINATE**# VESICARE 5 mg COMPR. FILM. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 172.16 5.738666 5.738666 2.869333

294 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 27.20 1.360000 1.102200 0.551100

295 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 55.11 1.102200 1.102200 0.551100

296 G04BD09 TROSPIUM INKONTAN 15 mg COMPR. FILM. 15mg

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 35.79 1.193000 1.102200 0.551100

297 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 87.23 1.744600 1.744600 0.872300

298 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 59.64 1.988000 1.744600 0.872300

299 G04BD09 TROSPIUM INKONTAN 30 mg COMPR. FILM. 30mg

PHARMAZEUTISCHE FABRIK MONTAVIT GES.M.B.H. AUSTRIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 44.08 2.204000 1.744600 0.872300

300 G04CA01 ALFUZOSINUM XATRAL SR 10 mg COMPR. ELIB. PREL. 10mg

SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 3 BLIST. AL/PVCX 10 COMPR. ELIB. PREL. P-6L 30 55.28 1.842666 1.842666 0.921333

301 G04CA01 ALFUZOSINUM ALFURAN MR 10 mg COMPR. ELIB. PREL. 10mg TERAPIA SA ROMANIACUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. ELIB. PREL. P-6L 30 99.13 3.304333 1.842666 0.921333

302 G04CA01 ALFUZOSINUM XATRAL LP 5 mg COMPR. FILM. ELIB. PREL. 5mg SANOFI-AVENTIS FRANCE FRANTACUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. ELIB. PREL. P-6L 28 32.74 1.169285 1.169285 0.584642

303 G04CA02 TAMSULOSINUM TAMSOL 0,4 mg CAPS. ELIB. MODIF. 0,4mg GEDEON RICHTER ROMANIA SA ROMANIACUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-6L 30 34.12 1.137333 0.429333 0.214666

304 G04CA02 TAMSULOSINUM FOKUSIN CAPS. ELIB. MODIF. 0,4mg ZENTIVA AS CEHIACUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L 30 37.99 1.266333 0.429333 0.214666

305 G04CA02 TAMSULOSINUM TAMSULOSIN ACTAVIS CAPS. ELIB. MODIF. 0,4mg ACTAVIS GROUP HF. ISLANDACUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. MODIF. P-6L 30 12.88 0.429333 0.429333 0.214666

306 G04CA02 TAMSULOSINUM CONTIFLO MR CAPS. ELIB. PREL. 0,4mg RANBAXY UK LTD. MAREA BRITANIE

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 25.27 0.842333 0.429333 0.214666

307 G04CA02 TAMSULOSINUM TANYZ CAPS. ELIB. PREL. 0,4mg KRKA D.D. NOVO MESTO SLOVENIACUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 28.66 0.955333 0.429333 0.214666

308 G04CA02 TAMSULOSINUM OMNIC TOCAS (R) 0,4 COMPR. FILM. ELIB. PREL. 0,4mg ASTELLAS PHARMA EUROPE BV OLANDACUTIE X 3 FOLII AL/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 30 62.15 2.071666 2.071666 1.035833

309 G04CB01 FINASTERIDUM* FINASTERID SANDOZ 5 mg COMPR. FILM. 5 mg HEXAL AG GERMANIACUTIE X 3 BLIST. PVC ALB OPAC/AL X 10 COMPR. FILM. P-6L 30 33.10 1.103333 1.101000 0.550500

Pagina 11 din 23

310 G04CB01 FINASTERIDUM* PROSCAR 5 mg COMPR. FILM. 5mg MERCK SHARP & DOHME ROMANIACUTIE X 1 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L 14 31.23 2.230714 1.101000 0.550500

311 G04CB01 FINASTERIDUM* PROSCAR 5 mg COMPR. FILM. 5mg MERCK SHARP & DOHME ROMANIACUTIE X 2 BLIST. PVC/PE/PVD-AL X 14 COMPR.FILM. P-6L 28 60.44 2.158571 1.101000 0.550500

312 G04CB01 FINASTERIDUM* MOSTRAFIN COMPR. FILM. 5mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 33.03 1.179642 1.101000 0.550500313 G04CB01 FINASTERIDUM* TAREDOX 5 mg COMPR. FILM. 5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 31.93 1.140357 1.101000 0.550500314 G04CB01 FINASTERIDUM* FINASTERIDA BIOGALENICA 5 mg COMPR. FILM. 5mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 34.16 1.220000 1.101000 0.550500315 G04CB01 FINASTERIDUM* FINASTERIDE TEVA 5mg COMPR. FILM. 5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 33.03 1.101000 1.101000 0.550500316 G04CB02 DUTASTERIDUM* AVODART 0,5 mg CAPS. MOI 0,5mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE X 3 BLIST.PVC-PVDC/AL X 10 CAPS. MOI P-6L 30 89.78 2.992666 2.992666 1.496333317 H01AA02 TETRACOSACTIDUM SYNACHTEN DEPOT SUSP. INJ. 1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FIOLA DIN STICLA X 1 ML SUSP. INJ. S/P-RF 1 5.41 5.410000 5.410000 2.705000318 H01AC01 SOMATROPINUM***# ZOMACTON LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) FERING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. P-RF 1 442.32 442.320000 442.320000 221.160000

319 H01AC01 SOMATROPINUM***# GENOTROPIN (R) 16 ui (5,3 mg) PULB. + SOLV. PT. SOL. INJ. 5,3mg/ml (16ui) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF 1 526.04 526.040000 526.040000 263.020000

320 H01AC01 SOMATROPINUM***# NORDITROPIN SIMPLEX x 10mg/1,5ml SOL. INJ. 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA X 1,5 ML SOL. INJ. P-RF 1 1,244.44 1244.440000 1244.440000 622.220000

321 H01AC01 SOMATROPINUM***# NUTROPINAq 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN LIMITED MAREA BRITANIE CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R 1 935.05 935.050000 935.050000 467.525000

322 H01AC01 SOMATROPINUM***# OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 458.90 458.900000 458.900000 229.450000

323 H01AC01 SOMATROPINUM***# NORDITROPIN SIMPLEXx 5 mg/1,5 ml SOL. INJ. 5mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA X 1,5 ML SOL. INJ. P-RF 1 596.68 596.680000 458.900000 229.450000

324 H01AC01 SOMATROPINUM***# OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 723.32 723.320000 723.320000 361.660000

325 H01CC01 GANIRELIXUM***# ORGALUTRAN 0.25mg/0,5ml SOL. INJ. 0,25mg/0,5ml N. V. ORGANON OLANDA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC ATASAT P-RF/R 1 166.09 166.090000 166.090000 83.045000

326 H01CC02 CETRORELIXUM***# CETROTIDE 0,25 mg PULB+SOLV. PT. SOL. INJ. 0,25mg SERONO EUROPE LTD. MAREA BRITANIE

CUTIE CU UN SUPORT CONTINAND: 7 FLAC.PULB. + 7 SERINGI PRE-UMPLUTE X 1 ML SOLV. + 7 ACE PT. INJECTII P-RF 7 797.89 113.984285 113.984285 56.992142

327 H01CC02 CETRORELIXUM***# CETROTIDE 3 mg PULB+SOLV.PT.SOL.INJ. 3mg SERONO EUROPE LTD. MAREA BRITANIE

CUTIE CU UN SUPORT CONTINAND: 1 FLAC.PULB. + 1 SERINGA PRE-UMPLUTA X 3 ML SOLV. + 1 AC PT. INJECTII P-RF 1 797.89 797.890000 797.890000 398.945000

328 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0,1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 44.85 0.897000 0.897000 0.448500329 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 33.51 6.702000 6.702000 3.351000

330 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA

CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 89.78 29.926666 29.926666 14.963333

331 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA

CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 33.52 11.173333 11.173333 5.586666

332 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 100 15.84 0.158400 0.158400 0.079200333 H03BB02 THIAMAZOLUM THYROZOL (R) 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 19.72 0.394400 0.394400 0.197200334 H03BB02 THIAMAZOLUM THYROZOL (R) 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. P-6L 50 23.98 0.479600 0.479600 0.239800335 H03BB02 THIAMAZOLUM THYROZOL (R) 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 28.97 0.289700 0.289700 0.144850336 H05BA01 CALCITONINUM (SOMON) TONOCALCIN 100 UI SOL. INJ. 100UI ALFA WASSERMANN SPA ITALIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 63.77 12.754000 6.078000 3.039000337 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML P-RF 5 30.39 6.078000 6.078000 3.039000338 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML P-RF 5 33.44 6.688000 6.688000 3.344000

339 H05BA01 CALCITONINUM (SOMON) NYLEX 100 UI/doza SPRAY NAZ.,SOL. 100UI/doza PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA GRECIA

CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL. P-RF 1 45.40 45.400000 45.400000 22.700000

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340 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SPRAY NAZAL - SOL. 200UI/doza PROEL E.P. CORONIS SA GRECIA

CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML P-RF 1 68.14 68.140000 68.140000 34.070000

341 J01CR01AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF 1 23.71 23.710000 13.775800 6.887900

342 J01CR01AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G P-RF/S 50 688.79 13.775800 13.775800 6.887900

343 J01CR04 SULTAMICILLINUM UNASYN COMPR. FILM. 375mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC/PVDC X 6 COMPR. P-RF 12 32.19 2.682500 2.682500 1.341250344 J01CR04 SULTAMICILLINUM UNASYN PULB. PT. SUSP. ORALA 250mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULBERE PT. 60 ML SUSP. ORALA P-RF 1 22.91 22.910000 22.910000 11.455000

345 J01DD14 CEFTIBUTENUM CEDAX CAPS. 400mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 BLIST. X 1 CAPS. P-RF 5 66.19 13.238000 13.238000 6.619000

346 J01DD14 CEFTIBUTENUM CEDAX PULB. PT. SUSP. ORALA 36mg/ml SCHERING PLOUGH EUROPE BELGIA

CUTIE X 1 FLAC. PULB. PT. 30 ML SUSP. ORALA + 1 LINGURITA GRADATA PT. 45 MG, 90 MG, 135 MG + 1 CAPAC P-RF 1 41.04 41.040000 41.040000 20.520000

347 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1,5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 9.24 0.577500 0.577500 0.288750348 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 10 26.18 2.618000 2.618000 1.309000349 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 35.61 4.451250 4.263333 2.131666350 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 25.58 4.263333 4.263333 2.131666351 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 23.81 3.968333 3.968333 1.984166352 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 45.84 7.640000 6.958333 3.479166353 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 41.75 6.958333 6.958333 3.479166354 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 41.75 6.958333 6.958333 3.479166355 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 35.85 11.950000 8.026666 4.013333356 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 41.42 13.806666 8.026666 4.013333

357 J01FA10 AZITHROMYCINUM

AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 45.84 15.280000 8.026666 4.013333

358 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 24.08 8.026666 8.026666 4.013333359 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 34.89 11.630000 8.026666 4.013333360 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 34.89 11.630000 8.026666 4.013333361 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 41.89 13.963333 13.963333 6.981666362 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 41.89 13.963333 13.963333 6.981666363 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF 1 59.64 59.640000 59.640000 29.820000

364 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. P-RF 1 17.50 17.500000 17.500000 8.750000

365 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 21.08 21.080000 21.080000 10.540000

366 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 33.34 33.340000 17.500000 8.750000

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367 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 23.64 23.640000 17.500000 8.750000

368 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 45.63 45.630000 17.500000 8.750000

369 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 56.66 56.660000 17.500000 8.750000

370 J01FF01 CLINDAMYCINUM DALACIN C 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF 16 11.40 0.712500 0.712500 0.356250371 J01FF01 CLINDAMYCINUM DALACIN C 300 mg CAPS. 300mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 8 CAPS. P-RF 16 21.90 1.368750 1.368750 0.684375372 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 600 mg COMPR. FILM. 600mg MIP PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC/AL X 8 COMPR. FILM. P-RF 16 48.98 3.061250 3.000333 1.500166373 J01FF01 CLINDAMYCINUM CLINDAMYCIN - MIP 600 mg COMPR. FILM. 600mg MIP PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 6 COMPR. FILM. P-RF 30 90.01 3.000333 3.000333 1.500166374 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 73.64 10.520000 10.520000 5.260000375 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg SANOFI - AVENTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 48.91 6.987142 6.987142 3.493571376 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 107.63 15.375714 6.987142 3.493571377 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. P-RF 5 78.31 15.662000 15.662000 7.831000378 J02AC02 ITRACONAZOLUM* ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 72.22 4.814666 3.290666 1.645333379 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 49.36 3.290666 3.290666 1.645333380 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 116.70 7.780000 3.290666 1.645333381 J02AC02 ITRACONAZOLUM* ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 116.66 7.777333 3.290666 1.645333382 J02AC02 ITRACONAZOLUM* OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 86.10 5.740000 3.290666 1.645333383 J02AC02 ITRACONAZOLUM* SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 112.79 7.519333 3.290666 1.645333384 J05AB11 VALACYCLOVIRUM* VALDACIR 500 mg COMPR. FILM 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 68.32 6.832000 6.832000 3.416000385 J05AB11 VALACYCLOVIRUM* VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 94.50 9.450000 6.832000 3.416000386 J05AB15 BRIVUDINUM*# BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 312.29 44.612857 44.612857 22.306428

387 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 24.53 0.490600 0.490600 0.245300

388 L02AE02 LEUPRORELINUM***# LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg ABBOTT LABORATORIES LTD. SPANIA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA S/P-RF 1 938.54 938.540000 938.540000 469.270000

389 L02AE02 LEUPRORELINUM***# LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg ABBOTT LABORATORIES LTD. SPANIA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB S/P-RF 1 407.81 407.810000 407.810000 203.905000

390 L02AE03 GOSERELINUM***# ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE

CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF 1 414.20 414.200000 414.200000 207.100000

391 L02AE04 TRIPTORELINUM***# DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0,1mg BEAUFOUR IPSEN PHARMA FRANTACUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 126.39 18.055714 18.055714 9.027857

392 L02AE04 TRIPTORELINUM***# DIPHERELINE (R) 11,25 mg

LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11,25mg BEAUFOUR IPSEN PHARMA FRANTA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 1,116.81 1116.810000 1116.810000 558.405000

393 L02AE04 TRIPTORELINUM***# DIPHERELINE (R) 3,75 mg

LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3,75mg BEAUFOUR IPSEN PHARMA FRANTA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE S/P-RF 1 418.02 418.020000 418.020000 209.010000

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394 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 75.98 0.759800 0.759800 0.379900395 M01AC01 PIROXICAMUM PIROXSAL 20 mg COMPR. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST.PVC/ AL X 10 COMPR. P-6L 20 2.48 0.124000 0.111500 0.055750

396 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIACUTIE X 3 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 30 27.24 0.908000 0.111500 0.055750

397 M01AC01 PIROXICAMUM FLAMEXIN COMPR. 20mg CHIESI FARMACEUTICI SPA ITALIACUTIE X 1 BLIST. PVC-PDVC/AL-LAC PVDC X 10 COMPR. P-6L 10 16.52 1.652000 0.111500 0.055750

398 M01AC01 PIROXICAMUM PIROXICAM LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.47 0.173500 0.111500 0.055750399 M01AC01 PIROXICAMUM PIROXICAM 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.18 0.209000 0.111500 0.055750400 M01AC01 PIROXICAMUM N - PIROXICAM MEDUMAN 20 mg COMPR. 20mg MEDUMAN S.A. ROMANIA CUTIE X 1 FLAC. DIN PEJD X 20 COMPR. P-6L 20 2.23 0.111500 0.111500 0.055750401 M01AC01 PIROXICAMUM PIROXICAM 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.33 0.116500 0.111500 0.055750402 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 10 19.54 1.954000 1.515000 0.757500403 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 2 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 20 36.96 1.848000 1.515000 0.757500404 M01AC01 PIROXICAMUM FLAMEXIN COMPR. EFF. 20mg CHIESI FARMACEUTICI SPA ITALIA CUTIE X 3 BLIST. AL-PE/AL X 10 COMPR. EFF. P-6L 30 45.45 1.515000 1.515000 0.757500405 M01AC01 PIROXICAMUM FLAMEXIN (R) PULB. PT. SOL. ORALA 20mg/plic CHIESI FARMACEUTICI SPA ITALIA CUTIE X 20 PLICURI DUBLU COMPARTIMENTAT X 3 G PULB. PT. SOL. ORALA P-6L 20 25.70 1.285000 1.285000 0.642500406 M01AC01 PIROXICAMUM FELDENE (R) 20 mg/ml SOL. INJ. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 6 FIOLE DIN STICLA BRUNA X 1 ML P-RF 6 8.97 1.495000 1.495000 0.747500407 M01AC01 PIROXICAMUM HOTEMIN SOL. INJ. 20mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 BLIST. C-PET/PE X 5 FIOLE X 1 ML SOL. INJ. P-RF 5 11.05 2.210000 1.495000 0.747500408 M01AC01 PIROXICAMUM PIROXICAM 20 mg SUPOZ. 20mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE X 5 SUPOZ. P-6L 10 2.39 0.239000 0.239000 0.119500409 M01AC01 PIROXICAMUM PIROXICAM 40 mg SUPOZ. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE AL-PE X 3 SUPOZ. P-6L 6 2.31 0.385000 0.385000 0.192500410 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 17.32 0.577333 0.577333 0.288666411 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 11.69 0.584500 0.577333 0.288666412 M01AC05 LORNOXICAMUM XEFO (R) 4 mg COMPR. FILM. 4mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 5.82 0.582000 0.577333 0.288666413 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 10.97 1.097000 0.887666 0.443833414 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 22.20 1.110000 0.887666 0.443833415 M01AC05 LORNOXICAMUM XEFO (R) 8 mg COMPR. FILM. 8mg NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-6L 30 26.63 0.887666 0.887666 0.443833416 M01AC05 LORNOXICAMUM XEFO 8 mg/ 2 ml PULB. + SOLV. PT. SOL. INJ. 8mg/2ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ. + 10 FLAC. X 2 ML SOLV P-RF 10 131.27 13.127000 13.127000 6.563500417 M01AE17 DEXKETOPROFENUM TADOR 25 mg COMPR. FILM. 25mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 13.19 1.319000 1.319000 0.659500418 M01AE17 DEXKETOPROFENUM TADOR INJECT SOL. INJ./CONC. PT. SOL. PERF. 50mg/2ml MENARINI INTERNATIONAL OPERATIONS S.A. LUXEMBOURG CUTIE X 5 FIOLE X 2 ML SOL. INJ./CONC. PT.SOL.PERF. P-RF 5 28.66 5.732000 5.732000 2.866000419 M01AH01 CELECOXIBUM CELEBREX 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 61.73 2.057666 2.057666 1.028833420 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 32.05 3.205000 2.945000 1.472500421 M01AH01 CELECOXIBUM CELEBREX 200 mg CAPS. 200mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 88.35 2.945000 2.945000 1.472500422 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 32.94 4.705714 4.470000 2.235000423 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 125.16 4.470000 4.470000 2.235000424 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 63.70 4.550000 4.470000 2.235000425 M01AH05 ETORICOXIBUM ARCOXIA 120 mg COMPR. FILM. 120mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 63.70 4.550000 4.470000 2.235000426 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 27.01 3.858571 3.546428 1.773214427 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 52.28 3.734285 3.546428 1.773214428 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 99.30 3.546428 3.546428 1.773214429 M01AH05 ETORICOXIBUM ARCOXIA 60 mg COMPR. FILM. 60mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 52.28 3.734285 3.546428 1.773214430 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 14 55.53 3.966428 3.767500 1.883750431 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 7 28.69 4.098571 3.767500 1.883750432 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 55.53 3.966428 3.767500 1.883750433 M01AH05 ETORICOXIBUM ARCOXIA 90 mg COMPR. FILM. 90mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF 28 105.49 3.767500 3.767500 1.883750434 M01AX05 GLUCOSAMINUM DONA (R) PULB. PT. SOL. ORALA 150mg/plic ROTTAPHARM SPA ITALIA CUTIE X 20 PLICURI UNIDOZA CU PULB. P-6L 20 40.56 2.028000 2.028000 1.014000

Pagina 15 din 23

435 M01AX17 NIMESULIDUM LEMESIL COMPR. 100mg

ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.14 0.457000 0.336000 0.168000

436 M01AX17 NIMESULIDUM AULIN (R) 100 mg COMPR. 100mg

CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 7.03 0.703000 0.336000 0.168000

437 M01AX17 NIMESULIDUM NIMESULID 100 mg COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.56 0.456000 0.336000 0.168000438 M01AX17 NIMESULIDUM NIMESULID SLAVIA COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.78 0.678000 0.336000 0.168000439 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 10 4.51 0.451000 0.336000 0.168000440 M01AX17 NIMESULIDUM COXTRAL COMPR. 100mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. P-RF 30 12.03 0.401000 0.336000 0.168000441 M01AX17 NIMESULIDUM NIMESULID LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 6.81 0.681000 0.336000 0.168000442 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.70 0.385000 0.336000 0.168000443 M01AX17 NIMESULIDUM APONIL COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.25 0.425000 0.336000 0.168000444 M01AX17 NIMESULIDUM NIMESULID ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 4.48 0.448000 0.336000 0.168000445 M01AX17 NIMESULIDUM NISE 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.36 0.336000 0.336000 0.168000446 M01AX17 NIMESULIDUM NIMESULID FARMEX 100 mg COMPR. 100mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. P-RF 10 6.76 0.676000 0.336000 0.168000447 M01AX17 NIMESULIDUM AULIN (R) GRAN. PT. SUSP. ORALA 100mg/plic CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 15 PLICURI HARTIE/AL/HDPE/FOLIE SURLYN X 2 G GRAN. SUSP. ORALA P-RF 15 10.55 0.703333 0.703333 0.351666448 M01AX17 NIMESULIDUM NIMESIL GRAN. PT. SUSP. ORALA 100mg/plic LAB. GUIDOTTI SPA ITALIA CUTIE X 9 PLICURI X 2 G GRAN. PT. SUSP. ORALA P-RF 9 7.20 0.800000 0.703333 0.351666449 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 19.11 0.382200 0.382200 0.191100450 M03BX01 BACLOFENUM LIORESAL (R) COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 31.43 0.628600 0.628600 0.314300451 M05BA04 ACIDUM ALENDRONICUM* FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. P-6L 2 34.86 17.430000 17.430000 8.715000452 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) P-6L 1 125.77 125.770000 124.446666 62.223333

453 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 3 COMPR. FILM.( BLIST. AL/AL) P-6L 3 373.34 124.446666 124.446666 62.223333

454 M05BA06 ACIDUM IBANDRONICUM* BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 402.98 402.980000 402.980000 201.490000

455 M05BA07 ACIDUM RISEDRONICUM* RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 108.36 27.090000 19.780000 9.890000456 M05BA07 ACIDUM RISEDRONICUM* RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 84.97 21.242500 19.780000 9.890000457 M05BA07 ACIDUM RISEDRONICUM* JUVERITAL 35 mg COMPR. FILM. 35mg OZONE LABORATORIES BV OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE P-6L 4 79.12 19.780000 19.780000 9.890000458 M05BA07 ACIDUM RISEDRONICUM* ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. P-6L 4 121.73 30.432500 19.780000 9.890000

459 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 84.37 21.092500 21.092500 10.546250

460 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 44.42 22.210000 21.092500 10.546250

461 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 44.42 22.210000 21.092500 10.546250

462 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)* FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 84.37 21.092500 21.092500 10.546250

463 M05BX03STRONTIUM RANELATUM* OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 14 98.34 7.024285 5.855000 2.927500

Pagina 16 din 23

464 M05BX03STRONTIUM RANELATUM* OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA P-RF 28 163.94 5.855000 5.855000 2.927500

465 N02AA05 OXYCODONUM*# OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 109.69 1.958750 1.958750 0.979375466 N02AA05 OXYCODONUM*# OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 201.54 3.598928 3.598928 1.799464467 N02AA05 OXYCODONUM*# OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 373.69 6.673035 6.673035 3.336517468 N02AA05 OXYCODONUM*# OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 617.28 11.022857 11.022857 5.511428469 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 125.00 2.232142 2.232142 1.116071470 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 27.55 0.491964 0.491964 0.245982471 N02AA08 DIHYDROCODEINUM* DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 95.49 1.705178 1.705178 0.852589

472 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 30 33.73 1.124333 1.085200 0.542600

473 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 10 11.40 1.140000 1.085200 0.542600

474 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 20 22.51 1.125500 1.085200 0.542600

475 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 3 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 30 33.73 1.124333 1.085200 0.542600

476 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 10 11.40 1.140000 1.085200 0.542600

477 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PVC OPAC/AL X 10 COMPR. FILM. P-RF 50 54.26 1.085200 1.085200 0.542600

478 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 5 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 50 54.26 1.085200 1.085200 0.542600

479 N02AX52

COMBINATII (TRAMADOLUM+PARACETAMOLUM ZALDIAR (R) COMPR. FILM. 37,5mg+325mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. PP OPAC/AL X 10 COMPR. FILM. P-RF 20 22.51 1.125500 1.085200 0.542600

480 N03AE01 CLONAZEPAMUM RIVOTRIL COMPR. 0,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 6.47 0.129400 0.129400 0.064700481 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 6.16 0.205333 0.205333 0.102666482 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 71.51 5.107857 4.843928 2.421964483 N03AX16 PREGABALINUM**# LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 271.26 4.843928 4.843928 2.421964484 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 401.20 7.164285 7.164285 3.582142485 N03AX16 PREGABALINUM**# LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 107.30 7.664285 7.164285 3.582142486 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 50.44 3.602857 3.244821 1.622410487 N03AX16 PREGABALINUM**# LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 181.71 3.244821 3.244821 1.622410488 N04AA02 BIPERIDENUM AKINETON COMPR. 2mg DESMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 9.92 0.198400 0.198400 0.099200489 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,088mg COMPR. 0,088mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 18.55 0.618333 0.618333 0.309166490 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,18 mg COMPR. 0,18mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 46.73 1.557666 1.193000 0.596500491 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 35.79 1.193000 1.193000 0.596500492 N04BC05 PRAMIPEXOLUM* MIRAPEXIN 0,7 mg COMPR. 0,7mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 157.60 5.253333 3.965000 1.982500493 N04BC05 PRAMIPEXOLUM* OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 118.95 3.965000 3.965000 1.982500

Pagina 17 din 23

494 N04BC08 PIRIBEDILUM** PRONORAN 50 mg DRAJ. ELIB. PREL. 50mg LES LAB. SERVIER IND. FRANTACUTIE X 2 BLIST. AL/PVC X 15 DRAJ. CU ELIB. PREL. P-RF 30 26.93 0.897666 0.897666 0.448833

495 N05AL03 TIAPRIDUM TIAPRIDAL (R) 100 mg COMPR. 100mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 8.67 0.433500 0.433500 0.216750496 N05AL03 TIAPRIDUM TIAPRIDAL 100 mg/2 ml SOL. INJ. 100mg/2ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 SUPORTURI PVC X 6 FIOLE X 2 ML P-RF 12 8.94 0.745000 0.745000 0.372500497 N05BE01 BUSPIRONUM SPITOMIN 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF 60 16.66 0.277666 0.277666 0.138833498 N05BE01 BUSPIRONUM SPITOMIN 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-RF 60 10.17 0.169500 0.169500 0.084750499 N06AA21 MAPROTILINUM* LUDIOMIL (R) 10 mg COMPR. FILM. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 50 14.25 0.285000 0.285000 0.142500500 N06AA21 MAPROTILINUM* LUDIOMIL (R) 25 mg COMPR. FILM. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 9.80 0.326666 0.326666 0.163333

501 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA

CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 84.85 3.030357 3.030357 1.515178

502 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA

CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 14 58.17 4.155000 3.030357 1.515178

503 N06AB10 ESCITALOPRAMUM** CIPRALEX 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA

CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 46.64 1.665714 1.665714 0.832857

504 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIACUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 20 23.42 1.171000 1.171000 0.585500

505 N06AX12 BUPROPIONUM**# WELLBUTRIN SR 150 mg COMPR. FILM. ELIB. PREL. 150mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. ELIB. PREL. P-RF 60 125.33 2.088833 2.088833 1.044416506 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 32.73 1.091000 1.091000 0.545500507 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 67.17 1.199464 1.199464 0.599732508 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 110.10 1.966071 1.966071 0.983035

509 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDACUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 98.96 3.534285 3.534285 1.767142

510 N06AX21 DULOXETINUM** CYMBALTA 60mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDACUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 167.97 5.998928 5.998928 2.999464

511 N06BX16 PRAMIRACETAMUM**# PRAMISTAR COMPR. FILM. 600mg F.I.R.M.A. S.P.A. (MENARINI GROUP) ITALIACUTIE X 2 BLIST. PA-AL-PVC/AL X 10 COMPR.FILM. P-6L 20 67.54 3.377000 3.377000 1.688500

512 N06BX18 VINPOCETINUM VIMPOCETIN 5 mg CAPS. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. X 10 CAPS. P-6L 50 13.94 0.278800 0.278800 0.139400513 N06BX18 VINPOCETINUM CAVINTON (R) FORTE COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 2 BLIST. X 15 COMPR. P-6L 30 13.57 0.452333 0.452333 0.226166514 N06BX18 VINPOCETINUM CAVINTON (R) COMPR. 5mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-6L 50 14.87 0.297400 0.297400 0.148700515 N07CA01 BETAHISTINUM BETASERC (R) 24 mg COMPR. 24mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 1 BLIST X 20 COMPR. P-6L 20 26.50 1.325000 1.325000 0.662500516 N07CA01 BETAHISTINUM URUTAL 8 mg COMPR. 80mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLACON X 100 COMPR. P-6L 100 37.87 0.378700 0.257666 0.128833517 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 4 BLIST. X 25 COMPR. P-6L 100 31.11 0.311100 0.257666 0.128833518 N07CA01 BETAHISTINUM BETASERC (R) 8 mg COMPR. 8mg SOLVAY PHARMACEUTICALS BV OLANDA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 13.87 0.462333 0.257666 0.128833519 N07CA01 BETAHISTINUM MICROSER COMPR. 8mg PRODOTTI FORMENTI ITALIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 25.02 0.500400 0.257666 0.128833520 N07CA01 BETAHISTINUM VESTIBO 8 mg COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.73 0.257666 0.257666 0.128833521 N07CA01 BETAHISTINUM VESTIBO 8 mg COMPR. 8mg ACTAVIS GROUP HF. ISLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 100 25.79 0.257900 0.257666 0.128833

522 N07CA52

COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF 50 30.26 0.605200 0.511041 0.255520

523 N07CA52

COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF 48 24.53 0.511041 0.511041 0.255520

524 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 10 ML P-RF 5 123.37 24.674000 24.674000 12.337000

525 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA

CUTIE X 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML P-RF 10 36.86 3.686000 3.686000 1.843000

Pagina 18 din 23

526 N07XXN3

HIDROLIZAT DE PROTEINA DIN CREIER DE PORCINA** CEREBROLYSIN (R) SOL. INJ./PERF. 215,2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 5 ML P-RF 5 82.25 16.450000 16.450000 8.225000

527 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31.40 0.523333 0.523333 0.261666

528 R01AD05 BUDESONIDUM* TAFEN NASAL SPRAY NAZ.,SUSP. 50mcg/doza LEK PHARMACEUTICALS D.D. SLOVENIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 200 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 15.96 15.960000 15.960000 7.980000

529 R01AD05 BUDESONIDUM* RHINOCORT (R) AQUA SPRAY NAZAL SUSP. 32mcg/doza ASTRAZENECA AB SUEDIACUTIE X 1 FLACON X 120 DOZE PREVAZUT CU POMPA DOZATOARE P-RF 1 23.87 23.870000 23.870000 11.935000

530 R01AD08FLUTICASONUM PROPIONAT* FLIXONASE (R) SPRAY NAZAL SUSP. 50mcg/doza GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON X 120 DOZE, PREVAZUT CU POMPA DOZATOARE P-RF 1 37.65 37.650000 37.650000 18.825000

531 R01AD09 MOMETASONUM* NASONEX SPRAY NAZAL SUSP. 50mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON PP X 140 DOZE P-RF 1 55.50 55.500000 55.500000 27.750000

532 R03AC04 FENOTEROLUM BEROTEC N - 100 mcg SOL. DE INHALAT PRESURIZATA 100mcg/doza BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA

CUTIE X 1 FLACON PRESURIZAT X 200 DOZE SOL. DE INHALAT PRESURIZATA P-6L 1 15.64 15.640000 15.640000 7.820000

533 R03AK03

COMBINATII (FENOTEROLUM + IPRATROPIUM)* BERODUAL (R) N AEROSOL SOL. INHAL. 0,020mg+0,050mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA

CUTIE X 1 FLACON PRESURIZAT DIN OTEL X 200 DOZE SOLUTIE DE INHALAT PRESURIZATA P-6L 1 37.81 37.810000 37.810000 18.905000

534 R03AK06SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/100 PULB. INHAL. 50mg/100mg GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 1DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 110.26 110.260000 110.260000 55.130000

535 R03AK06SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/250 PULB. INHAL. 50mg/250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 147.74 147.740000 147.740000 73.870000

536 R03AK06SALMETEROLUM+FLUTICASONUM* SERETIDE DISKUS 50/500 PULB. INHAL. 50mg/500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 DISPOZITIV DE INHALAT X 60 DOZE PULB. DE INHAL. P-6L 1 210.21 210.210000 210.210000 105.105000

537 R03AK06SALMETEROLUM+FLUTICASONUM*

SERETIDE 25 mcg/125 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/125mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 154.27 154.270000 154.270000 77.135000

538 R03AK06SALMETEROLUM+FLUTICASONUM*

SERETIDE 25 mcg/250 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/250mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 219.37 219.370000 219.370000 109.685000

539 R03AK06SALMETEROLUM+FLUTICASONUM*

SERETIDE 25 mcg/50 mcg INHALER CFC FREE SUSP. INHAL. PRESURIZATA 25mcg/50mcg GLAXOWELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT AL X 120 DOZE SUSP. DE INHALAT PRESURIZATA P-6L 1 115.10 115.100000 115.100000 57.550000

540 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg PULB. INHAL. 160/4,5mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 213.89 213.890000 112.780000 56.390000

541 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT (R) TURBUHALER (R) 160/4,5 mcg PULB. INHAL. 160/4,5mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 112.78 112.780000 112.780000 56.390000

542 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT (R) TURBUHALER (R) 320/9 mcg PULB. INHAL. 320/9mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU UN DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL P-6L 1 213.89 213.890000 213.890000 106.945000

Pagina 19 din 23

543 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT (R) TURBUHALER (R) 80/4,5 mcg PULB. INHAL. 80/4,5mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 60 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL NU P-6L 1 89.30 89.300000 89.300000 44.650000

544 R03AK07

COMBINATII (BUDESONIDUM + FORMOTEROLUM)*

SYMBICORT (R) TURBUHALER (R) 80/4,5 mcg PULB. INHAL. 80/4,5mcg ASTRAZENECA AB SUEDIA

CUTIE X 1 RECIPIENT MULTIDOZA X 120 DOZE, PREVAZUT CU DISPOZITIV DE ADM. + DISPOZITIV INDICATOR AL N P-6L 1 169.36 169.360000 89.300000 44.650000

545 R03BA05FLUTICASONUM PROPIONAT*

FLIXOTIDE DISKUS 100 mcg PULB. INHAL. 100mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 38.17 38.170000 38.170000 19.085000

546 R03BA05FLUTICASONUM PROPIONAT*

FLIXOTIDE DISKUS 250 mcg PULB. INHAL. 250mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 79.30 79.300000 79.300000 39.650000

547 R03BA05FLUTICASONUM PROPIONAT*

FLIXOTIDE DISKUS 500 mcg PULB. INHAL. 500mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE P-RF 1 131.21 131.210000 131.210000 65.605000

548 R03BA05FLUTICASONUM PROPIONAT*

FLIXOTIDE 125 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 125mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA P-RF 1 41.87 41.870000 41.870000 20.935000

549 R03BA05FLUTICASONUM PROPIONAT*

FLIXOTIDE (R) 50 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 50mcg/doza GLAXO WELLCOME UK LTD. MAREA BRITANIE

CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE P-RF 1 34.18 34.180000 34.180000 17.090000

550 R03BA05FLUTICASONUM PROPIONAT*

FLIXOTIDE NEBULES 0,5 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 0,5mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB P-RF 10 29.46 2.946000 2.946000 1.473000

551 R03BA05FLUTICASONUM PROPIONAT*

FLIXOTIDE NEBULES 2 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 2mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE

CUTIE X 5 BLIST. PA-AL-PVC/HARTIE-PTF-AL X 2 FIOLE PEJD X 2,5ML CONTINAND 2ML SUSP. INHAL. PRIN NEB P-RF 10 85.12 8.512000 8.512000 4.256000

552 R03BA07 MOMETASONUM*

ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L 1 133.84 133.840000 80.780000 40.390000

553 R03BA07 MOMETASONUM*

ASMANEX TWISTHALER 200 mcg PULB. INHAL. 200mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 30 DOZE P-6L 1 80.78 80.780000 80.780000 40.390000

554 R03BA07 MOMETASONUM*

ASMANEX TWISTHALER 400 mcg PULB. INHAL. 400mcg/doza SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 DISPOZITIV DE ADM. X 60 DOZE P-6L 1 234.21 234.210000 234.210000 117.105000

555 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160mcg/doza ALTANA PHARMA AG GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 121.36 121.360000 121.360000 60.680000

556 R03BA08 CICLESONIDUM* ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160mcg/doza ALTANA PHARMA AG GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 234.84 234.840000 121.360000 60.680000

557 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80mcg/doza ALTANA PHARMA AG GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 120 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 212.71 212.710000 105.470000 52.735000

Pagina 20 din 23

558 R03BA08 CICLESONIDUM* ALVESCO 80 INHALER SOL. DE INHALAT PRESURIZATA 80mcg/doza ALTANA PHARMA AG GERMANIA

CUTIE X 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA P-RF 1 105.47 105.470000 105.470000 52.735000

559 R03BB04 TIOTROPIUM* SPIRIVA 18 mcg CAPS. CU PULB.INHAL. 18mcg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA

CUTIE X 3 BLIST.AL/PVC-AL X 10 CAPS. CU PULB. DE INHALAT + DISPOZITIV HANDIHALER P-RF 30 154.31 5.143666 5.143666 2.571833

560 R03DA05 AMINOPHYLLINUM MIOFILIN 100 mg CAPS. 100mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.40 0.120000 0.120000 0.060000561 R03DA05 AMINOPHYLLINUM AMINOFILINA EEL COMPR. 100mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-RF 50 2.50 0.050000 0.036250 0.018125562 R03DA05 AMINOPHYLLINUM AMINOFILINA 100 mg COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-RF 40 1.45 0.036250 0.036250 0.018125563 R03DA05 AMINOPHYLLINUM AMINOFILINA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.11 0.205500 0.205500 0.102750564 R03DA05 AMINOPHYLLINUM MIOFILIN SOL. INJ. 24mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE PREVAZUTE CU INEL DE RUPERE X 10 ML SOL.INJ. S/P-RF 5 7.03 1.406000 1.406000 0.703000565 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 14 72.11 5.150714 4.886071 2.443035566 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P-RF 28 136.81 4.886071 4.886071 2.443035567 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 147.89 5.281785 5.281785 2.640892568 R03DC03 MONTELUKASTUM* SINGULAIR COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 7 COMPR. MAST. P-RF 14 77.97 5.569285 5.281785 2.640892569 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 14 71.94 5.138571 4.873214 2.436607570 R03DC03 MONTELUKASTUM* SINGULAIR (R) COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P-RF 28 136.45 4.873214 4.873214 2.436607571 R03DC03 MONTELUKASTUM* SINGULAIR (R) GRANULE 4mg/plic MERCK SHARP & DOHME ROMANIA CUTIE X 28 PLICURI CU GRANULE P-RF 28 149.22 5.329285 5.329285 2.664642572 R03DX03 FENSPIRIDUM EURESPAL 80 mg COMPR. FILM. 80mg LES LAB. SERVIER IND. FRANTA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 26.38 0.879333 0.879333 0.439666573 R03DX03 FENSPIRIDUM EURESPAL 2 mg/ml SIROP 2mg/ml LES LAB. SERVIER IND. FRANTA CUTIE X 1 FLACON PVC DE CULOARE BRUNA X 150 ML P-6L 1 18.80 18.800000 18.800000 9.400000574 R05CB15 ERDOSTEINUM ERDOMED 300 mg CAPS. 300mg CSC PHARMACEUTICALS HANDELS GMBH CEHIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 10 14.85 1.485000 1.485000 0.742500575 R05CB15 ERDOSTEINUM ERDOMED (R) 175 PULB. PT. SUSP. ORALA 175mg/5ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 FLAC. PULB. PT. 100 ML SUSP. ORALA P-6L 1 23.42 23.420000 23.420000 11.710000

576 R05DA09 DEXTROMETHORPHANUM TUSSIN COMPR. 10mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.50 0.175000 0.175000 0.087500577 R05DA09 DEXTROMETHORPHANUM TUSSIN FORTE COMPR. 20mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 6.36 0.318000 0.318000 0.159000

578 R05DA09 DEXTROMETHORPHANUM HUMEX SIROP 0,1% LAB. URGO SA FRANTA

CUTIE X 1 FLACON X 125 ML SIROP + O MASURA DOZATOARE PENTRU MASURAREA VOLUMELOR 2,5ML; 5ML; 7,5ML; 1 P-RF 1 7.95 7.950000 7.950000 3.975000

579 R05DA09 DEXTROMETHORPHANUM HUMEX 0,133 g/100 ml SIROP 0,13% LAB. URGO SA FRANTA

CUTIE X 1 FLACON X 200 ML + O MASURA DOZATOARE DIN POLIPROPILENA P-RF 1 10.17 10.170000 10.170000 5.085000

580 R05DA09 DEXTROMETHORPHANUM ROFEDEX SIROP 15mg/5ml BIOFARM SA ROMANIA

CUTIE X 1 FLACON DIN STILCA BRUNA X 100 ML + MASURA DOZATOARE P-RF 1 4.95 4.950000 4.950000 2.475000

581 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN JUNIOR SOL. ORALA 3,75mg/5ml WYETH WHITEHALL EXPORT GMBH AUSTRIACUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF 1 8.07 8.070000 8.070000 4.035000

582 R05DA09 DEXTROMETHORPHANUM ROBITUSSIN ANTITUSSICUM SOL. ORALA 7,5mg/5ml WYETH WHITEHALL EXPORT GMBH AUSTRIACUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA P-RF 1 8.07 8.070000 8.070000 4.035000

583 R06AE09 LEVOCETIRIZINUM XYZAL (R) COMPR. FILM. 5mg U.C.B. GMBH GERMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 15.89 1.589000 1.589000 0.794500

584 R06AE09 LEVOCETIRIZINUM XYZAL PIC. ORALE, SOL. 5mg/ml U.C.B. GMBH GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL., PREVAZUT CU PICURATOR P-6L 1 34.01 34.010000 34.010000 17.005000

585 R06AX26 FEXOFENADINUM TELFAST (R) 120 mg COMPR. FILM. 120mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIACUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR.FILM. P-6L 10 12.50 1.250000 1.122000 0.561000

586 R06AX26 FEXOFENADINUM EWOFEX 120 mg COMPR. FILM. 120mg EWOPHARMA INTERNATIONAL S.R.O. SLOVACIACUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 11.22 1.122000 1.122000 0.561000

587 R06AX26 FEXOFENADINUM TELFAST (R) 180 mg COMPR. FILM. 180mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIACUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 10 18.20 1.820000 1.683000 0.841500

Pagina 21 din 23

588 R06AX26 FEXOFENADINUM EWOFEX 180 mg COMPR. FILM. 180mg EWOPHARMA INTERNATIONAL S.R.O. SLOVACIACUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-6L 10 16.83 1.683000 1.683000 0.841500

589 R06AX26 FEXOFENADINUM TELFAST (R) 30 mg COMPR. FILM. 30mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIACUTIE X 1 BLIST. PVC-PE-PVDC/AL X 15 COMPR. FILM. P-6L 15 5.39 0.359333 0.359333 0.179666

590 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 30COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 30 51.21 1.707000 1.707000 0.853500591 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 10 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 10 20.43 2.043000 1.707000 0.853500592 R06AX27 DESLORATADINUM AERIUS 5mg COMPR. FILM. 5mg SP EUROPE BELGIA CUTIE X 7 COMPR. FILM. ( PCTFE/ PVC/AL) P-RF 7 16.39 2.341428 1.707000 0.853500593 R06AX27 DESLORATADINUM AERIUS 0,5mg/ml SIROP 0,5mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON X 60 ML + LIGURITA DOZATOARE DE 2,5 ML SI 5 ML P-RF 1 9.48 9.480000 9.480000 4.740000594 S01AA11 GENTAMICINUM GENTAMICIN SULPHATE PIC. OFT., SOL 0,3% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.42 4.420000 4.420000 2.210000595 S01AA12 TOBRAMYCINUM TOBROM 3 mg/ml PIC. OFT., SOL 3mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE C 1 FLAC. PEJD X 5 ML PIC. OFT. SOL P-RF 1 8.60 8.600000 3.840000 1.920000596 S01AA12 TOBRAMYCINUM TOBISOL PIC. OFT., SOL. 0,3% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 5 ML PIC. OFT., SOL. P-RF 1 3.84 3.840000 3.840000 1.920000

597 S01AA12 TOBRAMYCINUM TOBREX PIC. OFT.,SOL. 3mg/ml ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL. P-RF 1 10.62 10.620000 3.840000 1.920000

598 S01AA12 TOBRAMYCINUM TOBREX (R) UNG. OFT. 0,3% ALCON COUVREUR NV BELGIACUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF 1 8.10 8.100000 8.100000 4.050000

599 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 9.49 9.490000 1.812000 0.906000

600 S01AA23 NETILMICINUM NETTACIN (R) PICATURI OFT.-SOL. 0,3% S.I.F.I. SPA ITALIA

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 27.18 1.812000 1.812000 0.906000

601 S01AA23 NETILMICINUM NETTAVISC 3mg/g UNG. OFT. 3mg/g S.I.F.I. SPA ITALIA

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR P-RF 1 30.51 30.510000 30.510000 15.255000

602 S01AX11 OFLOXACINUM FLOXAL (R) PICATURI OFT.-SOL. 0,3%

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PICATURI OFT., SOL. P-RF 1 13.57 13.570000 13.570000 6.785000

603 S01AX11 OFLOXACINUM FLOXAL (R) UNG. OFT. 0,3%

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA

CUTIE X 1 TUB DIN AL PREVAZUT CU APLICATOR X 3 G P-RF 1 14.42 14.420000 14.420000 7.210000

604 S01BA01 DEXAMETHASONUMDEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml

ROMPHARM COMPANY SRL ROMANIA

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 7.07 7.070000 7.070000 3.535000

605 S01BA01 DEXAMETHASONUMDEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml

ROMPHARM COMPANY SRL ROMANIA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF 1 12.93 12.930000 7.070000 3.535000

606 S01BA01 DEXAMETHASONUM MAXIDEX (R) PICATURI OFT.-SUSP. 0,1% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 8.01 8.010000 7.070000 3.535000607 S01BA06 BETAMETHASONUM OPHTAMESONE SOL. OFT. 0,1% DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLACON X 10ML P-RF 1 4.24 4.240000 4.240000 2.120000

608 S01CA01

COMBINATII ( NETILMICINUM + DEXAMETHASONUM) NETILDEX PIC. OFT.,SOL. FARA CONCENTRATIE S.I.F.I. SPA ITALIA

CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT.SOL. P-RF 1 29.46 29.460000 29.460000 14.730000

609 S01CA01

COMBINATII ( NETILMICINUM + DEXAMETHASONUM) NETILDEX PIC. OFT.SOL. UNIDOZA FARA CONCENTRATIE S.I.F.I. SPA ITALIA

CUTIE X 20 FLAC. UNIDOZA DIN PEJD X 0,3 ML PIC.OFT. SOL. P-RF 20 48.18 2.409000 2.409000 1.204500

610 S01CA01

COMBINATII (CLORAMPHENICOLUM+DEXAMETHASONUM) SPERSADEX COMP PICATURI OFT.-SOL. 5mg/ml+1mg/ml NOVARTIS PHARMA GMBH GERMANIA

CUTIE X 1 FLACON X 5 ML SOL. OFT. + PICURATOR P-RF 1 11.76 11.760000 11.760000 5.880000

Pagina 22 din 23

611 S01CA01

COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) TOBRADEX ( R ) PICATURI OFT.-SUSP. 1mg+3mg ALCON COUVREUR NV BELGIA

CUTIE X 1 FLACON PICURATOR PEJD X 5 ML P-RF 1 14.44 14.440000 14.440000 7.220000

612 S01CA01

COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) TOBRADEX (R) UNG. OFT. 1mg+3mg ALCON COUVREUR NV BELGIA

CUTIE X 1 TUB AL, PREVAZUT CU APLICATOR PEID X 3,5 G P-RF 1 12.26 12.260000 12.260000 6.130000

613 S01GX09 OLOPATADINUM OPATANOL 1mg/ml PIC. OFT., SOL. 1mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML P-RF 1 28.64 28.640000 28.640000 14.320000

614 S01XA02 RETINOLUM OCULOTECT GEL OFT. 10mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB X 10 G GEL. OFT. P-6L 1 15.41 15.410000 15.410000 7.705000A06AD15 MACROGOLUM*^2A08AX01 RIMONABANTUM****C09BA09C09DA03C10BA02D05BB02 ACITRETINUM**D06BA01 SULFADIAZINUMD06BB10 IMIQUIMODUM*G03AC02 LYNESTRENOLUM*G03GA07 LUTROPINA ALFA****#G03XC01 RALOXIFENUMJ01DC10 CEFPROZILUM

NOTĂ:

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (2) se prescrie numai in etapa pregătitoare pentru colonoscopie;

- Pentru medicamentele corespunzătoare DCI-urilor notate cu (#) regulile de prescriere sunt stabilite prin Contractul Cadru.

COMBINATII (EZETIMIBUM + SIMVASTATINUM)

COMBINATII(FOSINOPRILUM+HYDROCHLOROTHIAZIDUM)COMBINATII(VALSARTANUM+HYDROCHLOROTHIAZIDUM)

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competenței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătății Publice;

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătății Publice și cu aprobarea comisiilor de la nivelul Caselor Județene de Asigurări de Sănătate;

Pagina 23 din 23

NR.CRT COD ATC DENUMIRE COMUNA INTERNATIONALA DENUMIRE COMERCIALA FORMA FARMACEUTICA CONCENTRATIE FIRMA DETINATOARE TARA DETINATOARE FORMA AMBALAJ PRESCCANT

FL

PRET AMANUNTUL MAXIMAL

(RON)

PRET AMANUNT

UL MAXIMAL/UT (RON)

RTATAT CNAS/

UT(RON)-LEGEA

NR. 95/2006 ART 213

alin.(1) lit.

VAL.SUPORTATAT

CNAS/ UT (RON) PT.

ADULTI

1 B01AA07 ACENOCUMAROLUM TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.94 0.098000 0.098000 0.0980002 B01AA07 ACENOCUMAROLUM SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.35 0.317500 0.317500 0.3175003 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 1.80 0.072000 0.072000 0.0720004 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 4.25 0.850000 0.850000 0.8500005 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 ML P-RF 1 10.42 10.420000 10.420000 10.420000

6 C03AA03 HYDROCHLOROTHIAZIDUM NEFRIX 25 mg COMPR. 25mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-6L 25 0.99 0.039600 0.039600 0.0396007 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 1.53 0.076500 0.075500 0.0755008 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.075500 0.0755009 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.83 0.091500 0.075500 0.075500

10 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.53 0.076500 0.075500 0.07550011 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.88 0.144000 0.075500 0.07550012 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 1.51 0.075500 0.075500 0.07550013 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 3.14 0.628000 0.628000 0.62800014 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.75 0.891666 0.891666 0.89166615 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 15.69 0.523000 0.523000 0.52300016 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.05 0.202500 0.202500 0.20250017 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 10.14 0.202800 0.202500 0.20250018 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 12.68 0.253600 0.202500 0.20250019 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 4.05 0.202500 0.202500 0.20250020 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 12.91 0.645500 0.645500 0.64550021 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 13.19 0.439666 0.185500 0.18550022 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.28 0.342666 0.185500 0.18550023 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 6.16 0.308000 0.185500 0.18550024 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.11 0.337000 0.185500 0.185500

VALABILĂ ÎNCEPÂND CU 8 APRILIE 2009

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

ANEXA 3SECŢIUNEA C1 - CU PROCENT DE COMPENSARE 100% DIN PREŢUL DE REFERINŢĂ -

CUPRINDE DCI-urile UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI PENTRU CARE DECONTAREA SE FACE PE BAZA PROTOCOALELOR TERAPEUTICE CU MONITORIZAREA PRESCRIERII ŞI CONSUMULUI PRIN COMISIILE PARITARE; MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE

PRESCRIPŢIE MEDICALĂ CU REŢINERE ÎN FARMACIE ( P-RF) CONFORM HG NR. 720/2008

Pagina 1 din 40

25 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 8.57 0.285666 0.185500 0.18550026 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 18.55 0.185500 0.185500 0.18550027 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 12.20 0.244000 0.185500 0.18550028 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 7.60 0.380000 0.185500 0.18550029 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.24 0.274666 0.185500 0.18550030 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.68 0.422666 0.185500 0.18550031 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 10.11 0.337000 0.185500 0.18550032 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 6.92 0.346000 0.185500 0.18550033 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 1.79 0.089500 0.089333 0.08933334 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 2.74 0.137000 0.089333 0.08933335 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.68 0.089333 0.089333 0.08933336 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.68 0.089333 0.089333 0.08933337 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 4.11 0.137000 0.089333 0.08933338 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.26 0.275333 0.078900 0.07890039 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 3.30 0.165000 0.078900 0.07890040 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 7.94 0.264666 0.078900 0.07890041 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 5.98 0.199333 0.078900 0.07890042 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. DIN PVC-PVDC/ALX 10 COMPR P-6L 100 7.89 0.078900 0.078900 0.07890043 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 50 6.66 0.133200 0.078900 0.07890044 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.07890045 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.30 0.165000 0.078900 0.07890046 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.95 0.165000 0.078900 0.07890047 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.48 0.316000 0.078900 0.07890048 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 6.26 0.208666 0.078900 0.07890049 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 6.22 0.311000 0.078900 0.07890050 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 12.36 0.618000 0.618000 0.61800051 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 100 56.22 0.562200 0.562200 0.56220052 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 60 34.61 0.576833 0.562200 0.56220053 C07AB02 METOPROLOLUM VASOCARDIN (R) SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. P-6L 30 20.63 0.687666 0.562200 0.56220054 C07AB02 METOPROLOLUM BETALOC (R) ZOC 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 24.13 0.804333 0.522333 0.52233355 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 15.67 0.522333 0.522333 0.52233356 C07AB02 METOPROLOLUM BETALOC (R) ZOC 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 14.73 0.491000 0.319333 0.31933357 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 9.58 0.319333 0.319333 0.31933358 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 21.33 0.711000 0.711000 0.71100059 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 7.64 0.254666 0.254666 0.25466660 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 12.76 0.425333 0.425333 0.42533361 C07AB02 METOPROLOLUM BETALOC SOL. INJ. 1mg/ml ASTRAZENECA AB SUEDIA CUTIE X 5 FIOLE X 5 ML SOL.INJ. I.V./PERF. S 5 19.29 3.858000 3.858000 3.85800062 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 13.87 0.462333 0.462333 0.46233363 C07AB12 NEBIVOLOLUM** EZOCEM 5 mg COMPR 5mg OZONE LABORATORIES BV OLANDA CUTIE X 28 COMPR. IN BLIST. PVC-PE-PVDC/AL P-6L 28 23.99 0.856785 0.856666 0.85666664 C07AB12 NEBIVOLOLUM** NEBILET (R) COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. AL/PVC X 7 COMPR. P-6L 28 51.07 1.823928 0.856666 0.85666665 C07AB12 NEBIVOLOLUM** NEBIVOLOL ACTAVIS 5 mg COMPR. 5mg ACTAVIS S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 25.70 0.856666 0.856666 0.85666666 C07AB12 NEBIVOLOLUM** NEBACOP 5 mg COMPR. 5mg JUST BUSINESS SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. P-6L 28 44.14 1.576428 0.856666 0.85666667 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 12,5 mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.20 0.273333 0.271333 0.27133368 C07AG02 CARVEDILOLUM DILATREND (R) 12,5 mg COMPR. 12,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 28.10 1.003571 0.271333 0.271333

Pagina 2 din 40

69 C07AG02 CARVEDILOLUM CORYOL 12,5 mg COMPR. 12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 11.71 0.418214 0.271333 0.27133370 C07AG02 CARVEDILOLUM TALLITON (R) 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 12.48 0.416000 0.271333 0.27133371 C07AG02 CARVEDILOLUM ATRAM 12,5 COMPR. 12,5mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 14.99 0.499666 0.271333 0.27133372 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 12,5 mg COMPR. 12,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.13 0.656500 0.271333 0.27133373 C07AG02 CARVEDILOLUM CARVEDILOL LPH 12,5 mg COMPR. 12,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 22.00 0.733333 0.271333 0.27133374 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 12,5 mg COMPR. 12,5mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.14 0.271333 0.271333 0.27133375 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 12,5mg COMPR. 12,5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 19.06 0.953000 0.271333 0.27133376 C07AG02 CARVEDILOLUM DILATREND (R) 25 mg COMPR. 25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 32.45 1.158928 0.283666 0.28366677 C07AG02 CARVEDILOLUM CORYOL 25 mg COMPR. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. P-6L 28 20.69 0.738928 0.283666 0.28366678 C07AG02 CARVEDILOLUM TALLITON (R) 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 25.25 0.841666 0.283666 0.28366679 C07AG02 CARVEDILOLUM ATRAM 25 COMPR. 25mg ZENTIVA AS CEHIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 24.10 0.803333 0.283666 0.28366680 C07AG02 CARVEDILOLUM CARVEDILOL HELCOR 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 22.36 1.118000 0.283666 0.28366681 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.63 0.287666 0.283666 0.28366682 C07AG02 CARVEDILOLUM CARVEDILOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 32.71 1.090333 0.283666 0.28366683 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 25 mg COMPR. 25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 8.51 0.283666 0.283666 0.28366684 C07AG02 CARVEDILOLUM DILATREND (R) 6,25 mg COMPR. 6,25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 15.44 0.551428 0.189000 0.18900085 C07AG02 CARVEDILOLUM CORYOL (R) COMPR. 6,25mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. P-6L 28 6.04 0.215714 0.189000 0.18900086 C07AG02 CARVEDILOLUM TALLITON 6,25 mg COMPR. 6,25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 8.69 0.289666 0.189000 0.18900087 C07AG02 CARVEDILOLUM ATRAM 6,25 COMPR. 6,25mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 15 COMPR. P-6L 30 6.04 0.201333 0.189000 0.18900088 C07AG02 CARVEDILOLUM CARVEDILOL SANDOZ COMPR. 6,25mg HEXAL AG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 7.52 0.250666 0.189000 0.18900089 C07AG02 CARVEDILOLUM CARVEDILOL LPH 6,25 mg COMPR. 6,25mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-6L 30 8.44 0.281333 0.189000 0.18900090 C07AG02 CARVEDILOLUM CARVEDILOL TEVA 6,25 mg COMPR. 6,25mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 5.67 0.189000 0.189000 0.18900091 C07AG02 CARVEDILOLUM CARVEDILOL VIM SPECTRUM 6,25 mg COMPR. 6,25mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.61 0.430500 0.189000 0.18900092 C07AG02 CARVEDILOLUM CARVEDIGAMMA 12,5 mg COMPR. FILM. 12,5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 13.07 0.435666 0.435666 0.43566693 C07AG02 CARVEDILOLUM CARVEDIGAMMA 25 mg COMPR. FILM. 25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 22.80 0.760000 0.760000 0.76000094 C07AG02 CARVEDILOLUM CARVEDIGAMMA 6,25 mg COMPR. FILM. 6,25mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 8.51 0.283666 0.283666 0.28366695 C09AA01 CAPTOPRILUM CAPTOPRIL 12,5 mg COMPR. 12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 2.77 0.092333 0.092333 0.09233396 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 12,5 mg COMPR. 12,5mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.77 0.092333 0.092333 0.09233397 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 30 3.20 0.106666 0.106500 0.10650098 C09AA01 CAPTOPRILUM CAPTOPRIL 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.20 0.106666 0.106500 0.10650099 C09AA01 CAPTOPRILUM CAPTOPRIL 25 EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.84 0.142000 0.106500 0.106500

100 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.106500 0.106500101 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.20 0.106666 0.106500 0.106500102 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.13 0.137666 0.106500 0.106500103 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.24 0.108000 0.106500 0.106500104 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.106500 0.106500105 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.51 0.125500 0.122666 0.122666106 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL-PVC/PVDC X 10 COMPR. P-6L 20 4.18 0.209000 0.122666 0.122666107 C09AA01 CAPTOPRILUM CAPTOPRIL 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.25 0.141666 0.122666 0.122666108 C09AA01 CAPTOPRILUM CAPTOPRIL 50 EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.62 0.181000 0.122666 0.122666109 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.51 0.125500 0.122666 0.122666110 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.24 0.141333 0.122666 0.122666111 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.68 0.122666 0.122666 0.122666112 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 4.59 0.229500 0.124500 0.124500

Pagina 3 din 40

113 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.59 0.229500 0.124500 0.124500114 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.71 0.185500 0.124500 0.124500115 C09AA02 ENALAPRILUM EDNYT (R) 10 mg COMPR. 10mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 9.57 0.319000 0.124500 0.124500116 C09AA02 ENALAPRILUM ENALAP COMPR. 10mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.124500117 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 7.24 0.362000 0.124500 0.124500118 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 4.13 0.206500 0.124500 0.124500119 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 10 mg COMPR. 10mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.29 0.314500 0.124500 0.124500120 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 6.19 0.309500 0.124500 0.124500121 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 7.95 0.265000 0.124500 0.124500122 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 9.80 0.196000 0.124500 0.124500123 C09AA02 ENALAPRILUM ENALAPRIL AL 10 COMPR. 10mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 12.45 0.124500 0.124500 0.124500124 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 9.88 0.352857 0.124500 0.124500125 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 7.73 0.386500 0.124500 0.124500126 C09AA02 ENALAPRILUM ENAM 10 mg COMPR. 10mg REPREZENTANTA DR. REDDY'S LABORATORIES LTD. ROMANIA CUTIE X 2 BLIST. AL-PEJD/AL X10 COMPR. P-6L 20 5.55 0.277500 0.124500 0.124500127 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10 mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 6.84 0.342000 0.124500 0.124500128 C09AA02 ENALAPRILUM MUNEVER 10 mg COMPR. 10mg REPREZENTANTA DR. REDDY'S LABORATORIES LTD. ROMANIA CUTIE X 2 BLIST. AL-PEJD/AL X10 COMPR. P-6L 20 5.55 0.277500 0.124500 0.124500129 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.46 0.215333 0.124500 0.124500130 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 10.55 0.211000 0.124500 0.124500131 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 20.66 0.206600 0.124500 0.124500132 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 10.59 0.529500 0.124500 0.124500133 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 6.89 0.344500 0.124500 0.124500134 C09AA02 ENALAPRILUM EDNYT (R) 2,5 mg COMPR. 2,5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.75 0.258333 0.258333 0.258333135 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 7.46 0.373000 0.183700 0.183700136 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 20 mg COMPR. 20mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 9.55 0.477500 0.183700 0.183700137 C09AA02 ENALAPRILUM EDNYT (R) 20 mg COMPR. 20mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.53 0.551000 0.183700 0.183700138 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 10.48 0.524000 0.183700 0.183700139 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 9.55 0.477500 0.183700 0.183700140 C09AA02 ENALAPRILUM ENALAPRIL FABIOL 20 mg COMPR. 20mg FABIOL SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 6.69 0.334500 0.183700 0.183700141 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 18.37 0.183700 0.183700 0.183700142 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 15.41 0.308200 0.183700 0.183700143 C09AA02 ENALAPRILUM ENALAPRIL AL 20 COMPR. 20mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 10.91 0.363666 0.183700 0.183700144 C09AA02 ENALAPRILUM RENITEC 20 mg COMPR. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 16.07 0.573928 0.183700 0.183700145 C09AA02 ENALAPRILUM ENALAPRIL 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 11.77 0.588500 0.183700 0.183700146 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20 mg COMPR. 20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 10.45 0.522500 0.183700 0.183700147 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 10.46 0.348666 0.183700 0.183700148 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 FOLII X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.093100149 C09AA02 ENALAPRILUM ENALAPRIL 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.093100150 C09AA02 ENALAPRILUM ENALAPRIL SANDOZ 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 3.44 0.172000 0.093100 0.093100151 C09AA02 ENALAPRILUM EDNYT (R) 5 mg COMPR. 5mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST.X 10 COMPR. P-6L 30 7.75 0.258333 0.093100 0.093100152 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 4.93 0.164333 0.093100 0.093100153 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 100 9.31 0.093100 0.093100 0.093100154 C09AA02 ENALAPRILUM ENALAPRIL AL 5 COMPR. 5mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 50 7.95 0.159000 0.093100 0.093100155 C09AA02 ENALAPRILUM ENAP 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 3.59 0.179500 0.093100 0.093100156 C09AA02 ENALAPRILUM RENITEC 5 mg COMPR. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 7.40 0.264285 0.093100 0.093100

Pagina 4 din 40

157 C09AA02 ENALAPRILUM ENALAPRIL LPH (R) 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 5.24 0.262000 0.093100 0.093100158 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 10 COMPR. P-6L 20 3.68 0.184000 0.093100 0.093100159 C09AA02 ENALAPRILUM INVORIL 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 5.18 0.172666 0.093100 0.093100160 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 5.24 0.174666 0.093100 0.093100161 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 5 mg COMPR. 5mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 3.56 0.178000 0.093100 0.093100162 C09AA02 ENALAPRILUM ENAP (R) SOL. INJ. 1,25mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 14.50 2.900000 2.900000 2.900000163 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 14.51 0.518214 0.322666 0.322666164 C09AA03 LISINOPRILUM RANOLIP COMPR. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 14.07 0.469000 0.322666 0.322666165 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 10.09 0.504500 0.322666 0.322666166 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 9.54 0.477000 0.322666 0.322666167 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 10 mg COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.81 0.493666 0.322666 0.322666168 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 9.68 0.322666 0.322666 0.322666169 C09AA03 LISINOPRILUM LISIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 15.16 0.505333 0.322666 0.322666170 C09AA03 LISINOPRILUM LISINOPRIL 10 MEDO COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 13.56 0.452000 0.322666 0.322666171 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 12.08 0.402666 0.322666 0.322666172 C09AA03 LISINOPRILUM TONOLYSIN 2,5 mg COMPR. 2,5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.21 0.293214 0.293214 0.293214173 C09AA03 LISINOPRILUM TONOLYSIN 20 mg COMPR. 20mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 21.51 0.768214 0.471333 0.471333174 C09AA03 LISINOPRILUM RANOLIP COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 21.69 0.723000 0.471333 0.471333175 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 14.70 0.735000 0.471333 0.471333176 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 14.14 0.471333 0.471333 0.471333177 C09AA03 LISINOPRILUM LISIGAMMA 20 mg COMPR. 20mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 26.79 0.893000 0.471333 0.471333178 C09AA03 LISINOPRILUM LISINOPRIL 20 MEDO COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 13.56 0.678000 0.471333 0.471333179 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 6.98 0.698000 0.471333 0.471333180 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 20 mg COMPR. 20mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 22.05 0.735000 0.471333 0.471333181 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 20 mg COMPR. 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 21.94 0.731333 0.471333 0.471333182 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 36.91 1.230333 1.230333 1.230333183 C09AA03 LISINOPRILUM LISINOPRIL ANTIBIOTICE 40 mg COMPR. 40mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-6L 10 12.94 1.294000 1.230333 1.230333184 C09AA03 LISINOPRILUM TONOLYSIN 5 mg COMPR. 5mg GEDEON RICHTER PLC UNGARIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 8.72 0.311428 0.224000 0.224000185 C09AA03 LISINOPRILUM RANOLIP COMPR. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 7.18 0.239333 0.224000 0.224000186 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 5 mg COMPR. 5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 6.72 0.224000 0.224000 0.224000187 C09AA03 LISINOPRILUM LISIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 9.49 0.316333 0.224000 0.224000188 C09AA03 LISINOPRILUM LISINOPRIL 5 MEDO COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 8.14 0.271333 0.224000 0.224000189 C09AA03 LISINOPRILUM LISINOPRIL ACTAVIS 5 mg COMPR. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 6.90 0.230000 0.224000 0.224000190 C09AA05 RAMIPRILUM EMREN 10 mg COMPR. 10 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 32.02 1.067333 0.357900 0.357900191 C09AA05 RAMIPRILUM VIVACE 10 mg COMPR. 10 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 25.12 0.897142 0.357900 0.357900192 C09AA05 RAMIPRILUM TRITACE 10 COMPR. 10mg SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 33.62 1.200714 0.357900 0.357900193 C09AA05 RAMIPRILUM PIRAMIL 10 mg COMPR. 10mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 23.68 0.845714 0.357900 0.357900194 C09AA05 RAMIPRILUM RAMIPRIL-AC 10 mg COMPR. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 41.98 1.399333 0.357900 0.357900195 C09AA05 RAMIPRILUM AMPRIL 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 39.43 1.314333 0.357900 0.357900196 C09AA05 RAMIPRILUM HARTIL 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 45.33 1.618928 0.357900 0.357900197 C09AA05 RAMIPRILUM ZENRA 10 COMPR. 10mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 35.85 1.280357 0.357900 0.357900198 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/AL X 10 COMPR. P-6L/S 100 35.79 0.357900 0.357900 0.357900199 C09AA05 RAMIPRILUM RAMIGAMMA 10 mg COMPR. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/AL X 10 COMPR. P-6L 20 9.86 0.493000 0.357900 0.357900200 C09AA05 RAMIPRILUM EMREN 2,5 mg COMPR. 2,5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 10.51 0.350333 0.250357 0.250357

Pagina 5 din 40

201 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L 28 7.01 0.250357 0.250357 0.250357202 C09AA05 RAMIPRILUM TRITACE (R) 2,5 COMPR. 2,5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 13.53 0.483214 0.250357 0.250357203 C09AA05 RAMIPRILUM PIRAMIL 2,5 mg COMPR. 2,5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 10.06 0.359285 0.250357 0.250357204 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 12.20 0.406666 0.250357 0.250357205 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 13.08 0.436000 0.250357 0.250357206 C09AA05 RAMIPRILUM HARTIL 2,5 mg COMPR. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 13.70 0.489285 0.250357 0.250357207 C09AA05 RAMIPRILUM ZENRA 2,5 COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 10.31 0.368214 0.250357 0.250357208 C09AA05 RAMIPRILUM EMREN 5 mg COMPR. 5 mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 19.24 0.641333 0.242800 0.242800209 C09AA05 RAMIPRILUM VIVACE 5 mg COMPR. 5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 12.48 0.445714 0.242800 0.242800210 C09AA05 RAMIPRILUM TRITACE (R) 5 COMPR. 5mg AVENTIS PHARMA DEUTSCHLAND GMBH GERMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 14.67 0.523928 0.242800 0.242800211 C09AA05 RAMIPRILUM PIRAMIL 5 mg COMPR. 5mg SANDOZ SRL ROMANIA CUTIE X 4 FOLII AL-LDPE/LDPE-AL X 7 COMPR. P-6L 28 11.79 0.421071 0.242800 0.242800212 C09AA05 RAMIPRILUM RAMIPRIL-AC 5 mg COMPR. 5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 32.92 1.097333 0.242800 0.242800213 C09AA05 RAMIPRILUM AMPRIL 5 mg COMPR. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 21.59 0.719666 0.242800 0.242800214 C09AA05 RAMIPRILUM HARTIL 5 mg COMPR. 5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. AL/AL X 7 COMPR. P-6L 28 24.19 0.863928 0.242800 0.242800215 C09AA05 RAMIPRILUM ZENRA 5 COMPR. 5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 20.63 0.736785 0.242800 0.242800216 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. A/AL X 10 COMPR. P-6L/S 100 24.28 0.242800 0.242800 0.242800217 C09AA05 RAMIPRILUM RAMIGAMMA 5 mg COMPR. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. A/AL X 10 COMPR. P-6L 20 6.66 0.333000 0.242800 0.242800218 C09AA05 RAMIPRILUM RAMIRAN 1,25 mg COMPR. FILM. 1,25mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 6.47 0.215666 0.215666 0.215666219 C09AA05 RAMIPRILUM RAMIRAN 10 mg COMPR. FILM. 10mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 32.02 1.067333 1.067333 1.067333220 C09AA05 RAMIPRILUM RAMIRAN 2,5 mg COMPR. FILM. 2,5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 10.54 0.351333 0.351333 0.351333221 C09AA05 RAMIPRILUM RAMIRAN 5 mg COMPR. FILM. 5mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL/PEJD X 10 COMPR. FILM. P-6L 30 19.24 0.641333 0.641333 0.641333222 C09CA03 VALSARTANUM** DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 109.48 3.910000 3.910000 3.910000223 C09CA03 VALSARTANUM** DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 68.73 2.454642 2.454642 2.454642224 C09CA03 VALSARTANUM** DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-6L 28 86.27 3.081071 3.081071 3.081071

225 C09CA06CANDESARTANUM CILEXETIL** ATACAND COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 64.82 2.315000 2.315000 2.315000

226 C09CA06CANDESARTANUM CILEXETIL** ATACAND COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. DIN PE, PREV. CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. P-6L 28 52.67 1.881071 1.881071 1.881071

1 B01AA07 ACENOCUMAROLUM* TROMBOSTOP 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.94 0.098000 0.098000 0.0980002 B01AA07 ACENOCUMAROLUM* SINTROM (R) COMPR. 4mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.35 0.317500 0.317500 0.317500

Tratamentul se initiază de către medicul în specialitatea cardiologie si chirurgie cardiaca si a vaselor mari

1 B01AC04 CLOPIDOGRELUM*** PLAVIX 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 30X1 COMPR. FILM. (BLIST. AL/AL PERFORATE UNIDOZA) P-RF 30 737.48 24.582666 24.582666 24.582666

2 B01AC04 CLOPIDOGRELUM*** PLAVIX 75mg COMPR. FILM. 75mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 28 179.46 6.409285 6.409285 6.409285(cel mult 9 luni)

Tratamentul se initiază de către medicul în specialitatea cardiologie

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C şi D - G4

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3

Pagina 6 din 40

1 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2,219.85 369.975000 369.975000 369.975000

2 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 248.03 41.338333 34.180000 34.180000

3 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 311.55 31.155000 31.155000 31.155000

4 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 506.75 84.458333 84.458333 84.458333

5 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 717.00 119.500000 119.500000 119.500000

6 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1,405.01 1405.010000 1405.010000 1405.010000

7 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 576.62 57.662000 57.662000 57.662000

8 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0,4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 930.20 155.033333 123.031666 123.031666

9 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,627.37 271.228333 271.228333 271.228333

10 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,730.88 288.480000 271.228333 271.228333

11 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 205.08 34.180000 34.180000 34.180000

12 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 224.10 37.350000 34.180000 34.180000

13 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 404.17 67.361666 67.361666 67.361666

14 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 435.08 72.513333 67.361666 67.361666

15 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 571.20 95.200000 95.200000 95.200000

16 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 617.68 102.946666 95.200000 95.200000

17 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 738.19 123.031666 123.031666 123.031666

18 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 794.92 132.486666 123.031666 123.031666

19 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 905.14 150.856666 150.856666 150.856666

20 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 982.53 163.755000 150.856666 150.856666

21 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,164.90 194.150000 194.150000 194.150000

22 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,529.62 254.936666 254.936666 254.936666

23 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,207.69 367.948333 367.948333 367.948333

24 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 262.83 43.805000 43.805000 43.805000

25 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 498.48 83.080000 83.080000 83.080000

26 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,107.18 1107.180000 1107.180000 1107.180000

27 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 925.50 154.250000 154.250000 154.250000

28 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,138.88 189.813333 189.813333 189.813333

29 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 135.15 22.525000 22.525000 22.525000

30 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 575.63 4.111642 4.111642 4.11164231 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 625.75 3.724702 3.724702 3.72470232 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 261.71 9.346785 9.346785 9.34678533 J05AF05 LAMIVUDINUM**** EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 376.23 6.270500 6.270500 6.27050034 J05AF05 LAMIVUDINUM**** EPIVIR 10mg/ml SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 106.45 106.450000 106.450000 106.450000

35 J05AF05 LAMIVUDINUM**** ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 123.49 123.490000 123.490000 123.490000

36 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1,815.58 60.519333 60.519333 60.519333

37 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1,646.23 54.874333 54.874333 54.874333

38 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1,824.44 60.814666 60.814666 60.814666

39 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 306.12 306.120000 306.120000 306.120000

40 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 486.97 486.970000 486.970000 486.970000

41 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 245.48 245.480000 245.480000 245.480000

42 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 404.39 404.390000 404.390000 404.390000

43 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 18Mui/0,6ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF 1 403.07 403.070000 403.070000 403.070000

Pagina 7 din 40

44 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF 1 82.11 82.110000 82.110000 82.110000

45 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 465.15 465.150000 465.150000 465.150000

46 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 729.73 729.730000 729.730000 729.730000

47 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 774.27 774.270000 774.270000 774.270000

48 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 914.98 914.980000 914.980000 914.980000

49 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1,125.13 1125.130000 1125.130000 1125.130000

50 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 422.84 422.840000 422.840000 422.840000

51 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 135 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 135mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 733.57 733.570000 733.570000 733.570000

52 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 919.96 919.960000 919.960000 919.960000

53 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 16.02 0.320400 0.320400 0.320400

1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 30.63 0.612600 0.612600 0.6126002 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 27.83 1.391500 1.391500 1.3915003 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 6.13 0.204333 0.204333 0.2043334 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.26 8.260000 8.260000 8.2600005 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 63.83 4.255333 4.255333 4.2553336 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 29.12 29.120000 29.120000 29.120000

7 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 19.21 19.210000 19.210000 19.210000

8 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 89.78 29.926666 29.926666 29.926666

9 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 33.52 11.173333 11.173333 11.173333

10 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 75.98 0.759800 0.759800 0.759800Tratamentul se initiază de către medicul în specialitatea gastroenterologie

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 116.69 1.166900 1.166900 1.1669002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.32 1.366400 1.166900 1.1669003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 64.58 1.291600 1.166900 1.166900

Tratamentul se initiază de către medicul în specialitatea gastroenterologie

7. CIROZA HEPATICA - G7

1 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 10.29 10.290000 10.290000 10.290000

2 A06AD11 LACTULOSUM* LACTULOSE AL SIROP SIROP 66,7% ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 11.77 11.770000 10.290000 10.290000

3 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 7.15 7.150000 7.150000 7.1500004 A07AA11 RIFAXIMINUM* NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. P-RF 12 34.39 2.865833 2.865833 2.8658335 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2,219.85 369.975000 369.975000 369.975000

6 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 248.03 41.338333 34.180000 34.180000

7 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 311.55 31.155000 31.155000 31.155000

Tratamentul se initiază de către medicul în specialitatea gastroenterologie / boli infectioase si nefrologie (doar pentru pacientii cu afectare renala consecutiva infectiei cu virusuri hepatitice)

5. HEPATITA AUTOIMUNA - G5

6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6

Pagina 8 din 40

8 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 506.75 84.458333 84.458333 84.458333

9 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 717.00 119.500000 119.500000 119.500000

10 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1,405.01 1405.010000 1405.010000 1405.010000

11 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 576.62 57.662000 57.662000 57.662000

12 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0,4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 930.20 155.033333 123.031666 123.031666

13 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,627.37 271.228333 271.228333 271.228333

14 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,730.88 288.480000 271.228333 271.228333

15 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 205.08 34.180000 34.180000 34.180000

16 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 224.10 37.350000 34.180000 34.180000

17 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 404.17 67.361666 67.361666 67.361666

18 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 435.08 72.513333 67.361666 67.361666

19 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 571.20 95.200000 95.200000 95.200000

20 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 617.68 102.946666 95.200000 95.200000

21 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 738.19 123.031666 123.031666 123.031666

22 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 794.92 132.486666 123.031666 123.031666

23 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 905.14 150.856666 150.856666 150.856666

24 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 982.53 163.755000 150.856666 150.856666

25 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,164.90 194.150000 194.150000 194.150000

26 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,529.62 254.936666 254.936666 254.936666

27 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,207.69 367.948333 367.948333 367.948333

28 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 262.83 43.805000 43.805000 43.805000

29 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 498.48 83.080000 83.080000 83.080000

30 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,107.18 1107.180000 1107.180000 1107.180000

31 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 925.50 154.250000 154.250000 154.250000

32 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,138.88 189.813333 189.813333 189.813333

33 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 135.15 22.525000 22.525000 22.525000

34 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 1.53 0.076500 0.075500 0.07550035 C03CA01 FUROSEMIDUM FUROSEMID SLAVIA COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.13 0.106500 0.075500 0.07550036 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.83 0.091500 0.075500 0.07550037 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.53 0.076500 0.075500 0.07550038 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.88 0.144000 0.075500 0.07550039 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 1.51 0.075500 0.075500 0.07550040 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 3.14 0.628000 0.628000 0.62800041 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 26.75 0.891666 0.891666 0.89166642 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 15.69 0.523000 0.523000 0.52300043 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA EEL 25 mg COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.05 0.202500 0.202500 0.20250044 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 10.14 0.202800 0.202500 0.20250045 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 12.68 0.253600 0.202500 0.20250046 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 4.05 0.202500 0.202500 0.20250047 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 12.91 0.645500 0.645500 0.64550048 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 89.78 29.926666 29.926666 29.926666

49 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 33.52 11.173333 11.173333 11.173333

50 J05AB04 RIBAVIRINUM**** REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 2,302.53 16.446642 16.446642 16.446642

51 J05AB04 RIBAVIRINUM**** COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 625.75 3.724702 3.724702 3.724702

Pagina 9 din 40

52 J05AF05 LAMIVUDINUM**** ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 261.71 9.346785 9.346785 9.34678553 J05AF05 LAMIVUDINUM**** EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 376.23 6.270500 6.270500 6.27050054 J05AF05 LAMIVUDINUM**** EPIVIR 10mg/ml SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 106.45 106.450000 106.450000 106.450000

55 J05AF05 LAMIVUDINUM**** ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 123.49 123.490000 123.490000 123.490000

56 J05AF08 ADEFOVIRUM DIPIVOXILUM**** HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 1,815.58 60.519333 60.519333 60.519333

57 J05AF10 ENTECAVIRUM**** BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 1,646.23 54.874333 54.874333 54.874333

58 J05AF10 ENTECAVIRUM**** BARACLUDE 1mg COMPR. FILM. 1mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM.(BLIST. AL/AL UNIDOZA) P-RF/R 30 1,824.44 60.814666 60.814666 60.814666

59 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 306.12 306.120000 306.120000 306.120000

60 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML S/P-RF 1 486.97 486.970000 486.970000 486.970000

61 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. S/P-RF/R 1 245.48 245.480000 245.480000 245.480000

62 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. S/P-RF/R 1 404.39 404.390000 404.390000 404.390000

63 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 18Mui/0,6ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. S/P-RF 1 403.07 403.070000 403.070000 403.070000

64 L03AB04 INTERFERONUM ALFA 2A**** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL S/P-RF 1 82.11 82.110000 82.110000 82.110000

65 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 465.15 465.150000 465.150000 465.150000

66 L03AB05 INTERFERONUM ALFA 2B**** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 729.73 729.730000 729.730000 729.730000

67 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 774.27 774.270000 774.270000 774.270000

68 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 914.98 914.980000 914.980000 914.980000

69 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 1,125.13 1125.130000 1125.130000 1125.130000

70 L03AB10 PEGINTERFERON ALFA-2B**** PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SP EUROPE BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FIOLA SOLV. P-RF/R 1 422.84 422.840000 422.840000 422.840000

71 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 135 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 135mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 733.57 733.570000 733.570000 733.570000

72 L03AB11 PEGINTERFERON ALFA-2A**** PEGASYS 180 mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 180mcg/0,5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 919.96 919.960000 919.960000 919.960000

73 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 16.02 0.320400 0.320400 0.320400Tratamentul se inițiază de către medicul in specialitatea gastroenterologie sau boli infectioase

1 A04AA01 ONDANSETRONUM** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 17.87 1.787000 1.787000 1.7870002 A04AA01 ONDANSETRONUM** ZOFRAN 4 mg COMPR. FILM. 4mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 5 COMPR. FILM. P-RF 10 64.45 6.445000 1.787000 1.7870003 A04AA01 ONDANSETRONUM** SETRONON 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 17.87 1.787000 1.787000 1.7870004 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 31.28 3.128000 3.128000 3.1280005 A04AA01 ONDANSETRONUM** SETRONON 8 mg COMPR. FILM. 8mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 10 31.28 3.128000 3.128000 3.1280006 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN POLIAMIDA/AL/PVC X 10 COMPR. ORODISPERSABILE P-RF 10 18.00 1.800000 1.800000 1.8000007 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN AL/PE X 10 COMPR. ORODISPERSABILE P-RF 10 18.00 1.800000 1.800000 1.8000008 A04AA01 ONDANSETRONUM** ONDARAN MD 8 mg COMPR. ORODISPERSABILE 8mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FOLE PA/AL/PVC X 10 COMPR. ORODISPERSABILE P-RF 10 31.51 3.151000 3.151000 3.1510009 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 22.33 4.466000 4.426000 4.426000

10 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 41.10 8.220000 8.216000 8.21600011 A04AA01 ONDANSETRONUM** ZOFRAN 4mg/2ml SOL. INJ. 4mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 128.36 25.672000 4.426000 4.42600012 A04AA01 ONDANSETRONUM** ZOFRAN 8mg/4ml SOL. INJ. 8mg/4ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL. INJ. S/P-RF 5 165.32 33.064000 8.216000 8.21600013 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. S/P-RF 5 22.34 4.468000 4.426000 4.42600014 A04AA01 ONDANSETRONUM** EMESET 8 mg/4 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. S/P-RF 5 41.08 8.216000 8.216000 8.21600015 A04AA01 ONDANSETRONUM** SETRONON 4 mg/2 ml SOL. INJ./PERF. 4mg/2ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL INJ/PERF. S/P-RF 5 22.13 4.426000 4.426000 4.42600016 A04AA01 ONDANSETRONUM** SETRONON 8 mg/4 ml SOL. INJ./PERF. 8mg/4 ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL.INJ./PERF. S/P-RF 5 41.10 8.220000 8.216000 8.216000

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10

Pagina 10 din 40

17 A04AA02 GRANISETRONUM** KYTRIL (R) 1 mg COMPR. FILM. 1mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 270.04 27.004000 27.004000 27.004000

18 A04AA02 GRANISETRONUM** GRANISETRON TEVA 1mg/1ml CONC. PT. SOL. PERF./INJ. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF./INJ. S 5 67.17 13.434000 13.434000 13.434000

19 A04AA02 GRANISETRONUM** GRANISETRON TEVA 3mg/3ml CONC. PT. SOL. PERF./INJ. 3mg/3ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA X 3 ML CONC. PT. SOL. PERF./INJ. S 5 187.67 37.534000 37.534000 37.534000

20 A04AA02 GRANISETRONUM** KYTRIL SOL. INJ. 3mg/3ml ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FIOLA X 3 ML SOL. INJ. S/P-RF 1 64.12 64.120000 64.120000 64.120000

21 A04AA05 PALONOSETRONUM** ALOXI SOL. INJ. 250 mcg/5ml HELSINN BIREX PHARMACEUTICALS LTD. IRLANDA CUTIE X 1 FLAC. DIN STICLA X 5 ML SOL. INJ. P-RF 1 360.75 360.750000 360.750000 360.750000

22 B03XA01 EPOETINUM ALFA*** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2,219.85 369.975000 369.975000 369.975000

23 B03XA01 EPOETINUM ALFA*** EPREX (R) 1000 UI SOL. INJ. 1000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 248.03 41.338333 34.180000 34.180000

24 B03XA01 EPOETINUM ALFA*** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 311.55 31.155000 31.155000 31.155000

25 B03XA01 EPOETINUM ALFA*** EPREX (R) 2000 UI SOL. INJ. 2000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 506.75 84.458333 84.458333 84.458333

26 B03XA01 EPOETINUM ALFA*** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 717.00 119.500000 119.500000 119.500000

27 B03XA01 EPOETINUM ALFA*** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1,405.01 1405.010000 1405.010000 1405.010000

28 B03XA01 EPOETINUM ALFA*** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 576.62 57.662000 57.662000 57.662000

29 B03XA01 EPOETINUM ALFA*** EPREX (R) 4000 UI SOL. INJ. 4000ui/0,4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 930.20 155.033333 123.031666 123.031666

30 B03XA01 EPOETINUM ALFA*** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,627.37 271.228333 271.228333 271.228333

31 B03XA01 EPOETINUM ALFA*** ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,730.88 288.480000 271.228333 271.228333

32 B03XA01 EPOETINUM ALFA*** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 205.08 34.180000 34.180000 34.180000

33 B03XA01 EPOETINUM ALFA*** ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 224.10 37.350000 34.180000 34.180000

34 B03XA01 EPOETINUM ALFA*** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 404.17 67.361666 67.361666 67.361666

35 B03XA01 EPOETINUM ALFA*** ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 435.08 72.513333 67.361666 67.361666

36 B03XA01 EPOETINUM ALFA*** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 571.20 95.200000 95.200000 95.200000

37 B03XA01 EPOETINUM ALFA*** ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 617.68 102.946666 95.200000 95.200000

38 B03XA01 EPOETINUM ALFA*** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 738.19 123.031666 123.031666 123.031666

39 B03XA01 EPOETINUM ALFA*** ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 794.92 132.486666 123.031666 123.031666

40 B03XA01 EPOETINUM ALFA*** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 905.14 150.856666 150.856666 150.856666

41 B03XA01 EPOETINUM ALFA*** ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 982.53 163.755000 150.856666 150.856666

42 B03XA01 EPOETINUM ALFA*** ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,164.90 194.150000 194.150000 194.150000

43 B03XA01 EPOETINUM ALFA*** ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,529.62 254.936666 254.936666 254.936666

44 B03XA01 EPOETINUM BETA*** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,207.69 367.948333 367.948333 367.948333

45 B03XA01 EPOETINUM BETA*** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 262.83 43.805000 43.805000 43.805000

46 B03XA01 EPOETINUM BETA*** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 498.48 83.080000 83.080000 83.080000

47 B03XA01 EPOETINUM BETA*** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,107.18 1107.180000 1107.180000 1107.180000

48 B03XA01 EPOETINUM BETA*** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 925.50 154.250000 154.250000 154.250000

49 B03XA01 EPOETINUM BETA*** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,138.88 189.813333 189.813333 189.813333

50 B03XA01 EPOETINUM BETA*** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 135.15 22.525000 22.525000 22.525000

51 B03XA02 DARBEPOETINUM ALFA*** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,983.68 745.920000 745.920000 745.920000

52 B03XA02 DARBEPOETINUM ALFA*** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 369.99 92.497500 92.497500 92.497500

53 B03XA02 DARBEPOETINUM ALFA*** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,425.31 1106.327500 1106.327500 1106.327500

54 B03XA02 DARBEPOETINUM ALFA*** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 518.36 129.590000 129.590000 129.590000

55 B03XA02 DARBEPOETINUM ALFA*** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 664.07 166.017500 166.017500 166.017500

56 B03XA02 DARBEPOETINUM ALFA*** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2,078.14 2078.140000 2078.140000 2078.140000

57 B03XA02 DARBEPOETINUM ALFA*** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 952.18 238.045000 238.045000 238.045000

58 B03XA02 DARBEPOETINUM ALFA*** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,242.77 310.692500 310.692500 310.692500

59 B03XA02 DARBEPOETINUM ALFA*** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,416.34 3416.340000 3416.340000 3416.340000

60 B03XA02 DARBEPOETINUM ALFA*** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,531.80 382.950000 382.950000 382.950000

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61 B03XA02 DARBEPOETINUM ALFA*** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,823.26 455.815000 455.815000 455.815000

62 B03XA02 DARBEPOETINUM ALFA*** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,404.28 601.070000 601.070000 601.070000

63 G03HA01 CYPROTERONUM** ANDROCUR COMPR. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. P-RF 50 152.43 3.048600 3.048600 3.04860064 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 120.26 1.202600 0.865500 0.86550065 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 6.55 1.310000 0.865500 0.86550066 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF/S 100 86.55 0.865500 0.865500 0.86550067 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 10 9.74 0.974000 0.865500 0.86550068 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 72.22 4.814666 3.290666 3.29066669 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 49.36 3.290666 3.290666 3.29066670 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 116.70 7.780000 3.290666 3.29066671 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 116.66 7.777333 3.290666 3.29066672 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 86.10 5.740000 3.290666 3.29066673 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 112.79 7.519333 3.290666 3.29066674 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,682.94 131.533571 131.533571 131.533571

75 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 973.64 34.772857 34.772857 34.772857

76 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 508.98 508.980000 508.980000 508.980000

77 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,295.40 2295.400000 2295.400000 2295.400000

78 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2,804.00 2804.000000 2804.000000 2804.000000

79 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,270.77 1270.770000 1270.770000 1270.770000

80 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1,636.91 1636.910000 1636.910000 1636.910000

81 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0,5mg ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA CUTIE X 1 FLAC. DIN PE X 42 CAPS. P-RF 42 826.79 19.685476 16.242400 16.242400

82 L01XX35 ANAGRELIDUM*** THROMBOREDUCTIN CAPS. 0,5mg ORPHA-DEVEL HANDELS UND VERTRIEBS GMBH AUSTRIA CUTIE X 1 FLAC. DIN PE X 100 CAPS. P-RF/S 100 1,624.24 16.242400 16.242400 16.242400

83 L04AD02 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 446.87 8.937400 8.937400 8.93740084 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 131.29 2.625800 1.767600 1.76760085 L04AD02 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 88.38 1.767600 1.767600 1.76760086 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 131.44 2.628800 1.767600 1.76760087 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 274.32 5.486400 3.566200 3.56620088 L04AD02 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 178.31 3.566200 3.566200 3.56620089 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 286.57 5.731400 3.566200 3.56620090 L04AD02 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 406.57 406.570000 406.570000 406.570000

91 N02AA01 MORPHYNUM SEVREDOL 10 mg COMPR. FILM. 10mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS 56 44.09 0.787321 0.787321 0.78732192 N02AA01 MORPHYNUM SEVREDOL 20 mg COMPR. FILM. 20mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 4 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-TS 56 63.23 1.129107 1.129107 1.12910793 N02AA01 MORPHYNUM MST CONTINUS 100 mg COMPR. FILM. ELIB. MODIF. 100mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 232.99 3.883166 2.662000 2.66200094 N02AA01 MORPHYNUM MST CONTINUS 10 mg COMPR. FILM. ELIB. MODIF. 10mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 43.30 0.721666 0.721666 0.72166695 N02AA01 MORPHYNUM MST CONTINUS 200 mg COMPR. FILM. ELIB. MODIF. 200mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 COMPR. FILM. CU ELIB. MOD. P-TS 60 401.08 6.684666 6.684666 6.68466696 N02AA01 MORPHYNUM MST CONTINUS 30 mg COMPR. FILM. ELIB. MODIF. 30mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 71.80 1.196666 0.846000 0.84600097 N02AA01 MORPHYNUM MST CONTINUS 60 mg COMPR. FILM. ELIB. MODIF. 60mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 30 COMPR. FILM. CU ELIB. MOD. P-TS 60 145.21 2.420166 1.746666 1.74666698 N02AA01 MORPHYNUM VENDAL (R) RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 79.86 2.662000 2.662000 2.66200099 N02AA01 MORPHYNUM VENDAL (R) RETARD 10 mg COMPR. FILM. ELIB. PREL. 10mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 23.76 0.792000 0.721666 0.721666

100 N02AA01 MORPHYNUM VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL. 30mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 25.39 0.846333 0.846000 0.846000101 N02AA01 MORPHYNUM VENDAL (R) RETARD 30 mg COMPR. FILM. ELIB. PREL. 30mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 8.46 0.846000 0.846000 0.846000102 N02AA01 MORPHYNUM VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL. 60mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 30 52.40 1.746666 1.746666 1.746666103 N02AA01 MORPHYNUM VENDAL (R) RETARD 60 mg COMPR. FILM. ELIB. PREL. 60mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-TS 10 18.04 1.804000 1.746666 1.746666104 N02AA01 MORPHYNUM MSI 10 mg MUNDIPHARMA SOL. INJ. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-TS 10 24.22 2.422000 2.422000 2.422000

Pagina 12 din 40

105 N02AA01 MORPHYNUM MSI 20 mg MUNDIPHARMA SOL. INJ. 20mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. P-TS 10 45.93 4.593000 4.593000 4.593000106 N02AA01 MORPHYNUM MORFINA 20 mg/ml SOL. INJ. 20mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML P-TS 5 7.78 1.556000 1.556000 1.556000107 N02AA05 OXYCODONUM OXYCONTIN (R) 10 mg COMPR. FILM. ELIB. MODIF. 10 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 109.69 1.958750 1.958750 1.958750108 N02AA05 OXYCODONUM OXYCONTIN (R) 20 mg COMPR. FILM. ELIB. MODIF. 20 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 201.54 3.598928 3.598928 3.598928109 N02AA05 OXYCODONUM OXYCONTIN (R) 40 mg COMPR. FILM. ELIB. MODIF. 40 mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 373.69 6.673035 6.673035 6.673035110 N02AA05 OXYCODONUM OXYCONTIN (R) 80 mg COMPR. FILM. ELIB. MODIF. 80mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. X 56 COMPR. FILM. ELIB. MODIF. P-TS 56 617.28 11.022857 11.022857 11.022857

111 N02AA08 DIHYDROCODEINUM DHC CONTINUS 120 mg COMPR. ELIB. PREL. 120mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 125.00 2.232142 2.232142 2.232142112 N02AA08 DIHYDROCODEINUM DHC CONTINUS 60 mg COMPR. ELIB. PREL. 60mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 27.55 0.491964 0.491964 0.491964113 N02AA08 DIHYDROCODEINUM DHC CONTINUS 90 mg COMPR. ELIB. PREL. 90mg MUNDIPHARMA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PP X 56 COMPR. ELIB. PREL. P-RF 56 95.49 1.705178 1.705178 1.705178114 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS 5 7.32 1.464000 1.464000 1.464000115 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 75mcg/h PLASTURE TRANSDERM. 17,34mg/31,50cmp SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS 5 145.14 29.028000 29.028000 29.028000

116 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 100mcg/h PLASTURE TRANSDERM. 23,12mg/42.00cmp SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS 5 179.57 35.914000 35.914000 35.914000

117 N02AB03 FENTANYLUM** FENTANYL SANDOZ 100 mcg/h PLASTURE TRANSDERMIC 100mcg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 179.57 35.914000 35.914000 35.914000

118 N02AB03 FENTANYLUM** DOLFORIN 100 mcg/ORA PLASTURE TRANSDERMIC 100mcg/ora GEDEON RICHTER PLC UNGARIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 290.81 58.162000 58.162000 58.162000

119 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 100micrograme/h PLASTURE TRANSDERMIC 100micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 307.09 61.418000 61.418000 61.418000

120 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 50mcg/h PLASTURE TRANSDERMIC 11,56mg/21,00cmp SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS 5 113.40 22.680000 22.680000 22.680000

121 N02AB03 FENTANYLUM** FENTANYL SANDOZ 25 mcg/h PLASTURE TRANSDERMIC 25mcg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 68.61 13.722000 13.722000 13.722000

122 N02AB03 FENTANYLUM** DOLFORIN 25 mcg/ORA PLASTURE TRANSDERMIC 25mcg/ora GEDEON RICHTER PLC UNGARIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 97.36 19.472000 19.472000 19.472000

123 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 25micrograme/h PLASTURE TRANSDERMIC 25micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 95.67 19.134000 19.134000 19.134000

124 N02AB03 FENTANYLUM** FENTANYL SANDOZ MATRIX 25mcg/h PLASTURE TRANSDERMIC 5,78mg/10,5cmp SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI MULTISTRAT X 1 PLASTURE TRANSDERMIC P-TS 5 68.61 13.722000 13.722000 13.722000

125 N02AB03 FENTANYLUM** FENTANYL SANDOZ 50 mcg/h PLASTURE TRANSDERMIC 50mcg/h SANDOZ S.R.L. ROMANIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 113.40 22.680000 22.680000 22.680000

126 N02AB03 FENTANYLUM** DOLFORIN 50 mcg/ORA PLASTURE TRANSDERMIC 50mcg/ora GEDEON RICHTER PLC UNGARIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 179.09 35.818000 35.818000 35.818000

127 N02AB03 FENTANYLUM** FENTANYL ACTAVIS 50micrograme/h PLASTURE TRANSDERMIC 50micrograme/h ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 5 PLICURI MULTISTRAT DIN HARTIE -PEJD- AL- SURLYN X 1 PLASTURE TRANSDERMIC P-TS 5 172.43 34.486000 34.486000 34.486000

128 N02AB03 FENTANYLUM** FENTANYL SANDOZ 75 mcg/h PLASTURE TRANSDERMIC 75mcg/h SANDOZ S.R.L. AUSTRIA CUTIE X 5 PLICURI DIN HARTIE/PE/AL/AL X 1 PLASTURE TRANSDERMIC CU REZERVOR P-TS 5 145.14 29.028000 29.028000 29.028000

129 N02AB03 FENTANYLUM** DOLFORIN 75 mcg/ORA PLASTURE TRANSDERMIC 75mcg/ora GEDEON RICHTER PLC UNGARIA CUTIE X 5 PLICURI DIN PES-AL-PP X 1 PLASTURE TRANSDERMIC P-TS 5 255.23 51.046000 51.046000 51.046000

130 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 11.09 0.554500 0.274500 0.274500131 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.43 0.371500 0.274500 0.274500132 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5.49 0.274500 0.274500 0.274500133 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. P-RF 30 12.26 0.408666 0.274500 0.274500134 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. P-RF/S 50 21.39 0.427800 0.274500 0.274500135 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. P-RF/S 100 41.39 0.413900 0.274500 0.274500136 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 3.82 0.382000 0.274500 0.274500137 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 4.68 0.468000 0.274500 0.274500138 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 7.21 0.360500 0.274500 0.274500139 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 6.07 0.607000 0.274500 0.274500140 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 12.67 0.633500 0.274500 0.274500141 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 4.35 0.435000 0.274500 0.274500142 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 8.44 0.422000 0.274500 0.274500143 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 7.21 0.360500 0.360500 0.360500144 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 11.14 0.557000 0.360500 0.360500145 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.35 0.467500 0.360500 0.360500146 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. P-RF 10 7.06 0.706000 0.592333 0.592333147 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. P-RF 30 17.77 0.592333 0.592333 0.592333148 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 50 45.52 0.910400 0.592333 0.592333

Pagina 13 din 40

149 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 9.26 0.926000 0.592333 0.592333150 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 25.62 0.854000 0.592333 0.592333151 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. P-RF 5 6.96 1.392000 0.592333 0.592333152 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. P-RF 30 37.10 1.236666 0.592333 0.592333153 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 31.51 1.050333 1.050333 1.050333154 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 19.77 1.977000 1.050333 1.050333155 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 10 25.82 2.582000 1.622333 1.622333156 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 10 18.86 1.886000 1.622333 1.622333157 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. P-RF 30 48.67 1.622333 1.622333 1.622333158 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. P-RF 10 26.22 2.622000 2.393333 2.393333159 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. P-RF 30 71.80 2.393333 2.393333 2.393333160 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-RF 30 9.98 0.332666 0.332666 0.332666161 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 14.39 1.439000 1.439000 1.439000162 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 20.68 2.068000 1.954333 1.954333163 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 58.63 1.954333 1.954333 1.954333164 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. P-RF 10 26.47 2.647000 2.375333 2.375333165 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 71.26 2.375333 2.375333 2.375333166 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. P-RF 1 94.31 94.310000 6.040000 6.040000167 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 11.83 11.830000 6.040000 6.040000168 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-RF 1 6.04 6.040000 6.040000 6.040000169 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. P-RF 1 13.00 13.000000 6.040000 6.040000170 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 7.27 7.270000 6.040000 6.040000171 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 100 128.64 1.286400 1.286400 1.286400172 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 11.53 2.306000 1.286400 1.286400173 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 7.10 1.420000 1.368000 1.368000174 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 10.06 2.012000 1.368000 1.368000175 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S/P-RF 5 10.79 2.158000 1.368000 1.368000176 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 6.84 1.368000 1.368000 1.368000177 N02AX02 TRAMADOLUM TRAMAL (R) 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 12.74 2.548000 1.286400 1.286400178 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 12.30 2.460000 1.286400 1.286400179 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE X 2 ML S/P-RF 10 18.06 1.806000 1.286400 1.286400180 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 9.06 1.812000 1.286400 1.286400181 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 8.49 1.698000 1.286400 1.286400182 N02AX02 TRAMADOLUM TRAMAL (R) SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 FOLIE PP/AL/PE X 5 SUPOZ. P-RF 5 12.13 2.426000 1.048000 1.048000183 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. P-RF 5 5.24 1.048000 1.048000 1.048000184 N07BC02 METHADONUM SINTALGON 2,5 mg COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS 50 12.30 0.246000 0.246000 0.246000185 R05DA04 CODEINUM FOSFAT DE CODEINA 15 mg COMPR. 15mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 4.61 0.153666 0.139500 0.139500186 R05DA04 CODEINUM CODEINA FOSFORICA COMPR. 15mg BIO EEL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 4.81 0.192400 0.139500 0.139500187 R05DA04 CODEINUM FARMACOD COMPR. 15mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.84 0.142000 0.139500 0.139500188 R05DA04 CODEINUM CODEINA FOSFAT 15 mg COMPR. 15mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.79 0.139500 0.139500 0.139500189 R05DA04 CODEINUM CODEINA FOSFAT COMPR. 15mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 2.84 0.142000 0.139500 0.139500190 R05DA04 CODEINUM CODEINA FOSFAT LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-RF 20 3.00 0.150000 0.139500 0.139500

191 V03AC01 DEFEROXAMINUM**3 DESFERAL LIOF. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. S/P-RF 10 129.13 12.913000 12.913000 12.913000

192 V03AC03 DEFERASIROXUM*** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) P-RF/R 28 743.82 26.565000 24.877976 24.877976

Pagina 14 din 40

193 V03AC03 DEFERASIROXUM*** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) P-RF/R 84 2,089.75 24.877976 24.877976 24.877976

194 V03AC03 DEFERASIROXUM*** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 84 4,465.73 53.163452 53.163452 53.163452

195 V03AC03 DEFERASIROXUM*** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 1,535.81 54.850357 53.163452 53.163452

196 V03AC03 DEFERASIROXUM*** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 84 8,146.44 96.981428 96.981428 96.981428

197 V03AC03 DEFERASIROXUM*** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) P-RF/R 28 2,762.71 98.668214 96.981428 96.981428

Tratamentul se initiaza de catre medicul in specialitatea oncologie sau hematologie

1 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100 mg ZENTIVA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 2.60 0.104000 0.104000 0.1040002 N03AA02 PHENOBARBITALUM FENOBARBITAL 100 mg COMPR. 100mg SC ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR. P-RF 10 1.08 0.108000 0.104000 0.1040003 N03AA02 PHENOBARBITALUM FENOBARBITAL 200 mg/ 2 ml SOL. INJ. 10% ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 5 4.87 0.974000 0.974000 0.9740004 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.14 0.057000 0.057000 0.0570005 N03AB02 PHENYTOINUM PHENHYDAN (R)SOLUTIE INJECTABILA SOL. INJ. 50mg/ml DESITIN GERMANIA CUTIE X 5 FIOLE X 5ML P-RF 5 48.79 9.758000 9.758000 9.7580006 N03AE01 CLONAZEPAMUM RIVOTRIL COMPR. 0,5mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. P-RF 50 6.47 0.129400 0.129400 0.1294007 N03AE01 CLONAZEPAMUM RIVOTRIL (R) COMPR. 2mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 6.16 0.205333 0.205333 0.2053338 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVCX 10 COMPR. P-6L 20 4.25 0.212500 0.135600 0.1356009 N03AF01 CARBAMAZEPINUM NEUROTOP COMPR. 200mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.135600

10 N03AF01 CARBAMAZEPINUM TEGRETOL (R) 200 COMPR. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. P-6L 50 16.33 0.326600 0.135600 0.13560011 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA LPH 200 mg COMPR. 200mg LABORMED PHARMA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 11.46 0.229200 0.135600 0.13560012 N03AF01 CARBAMAZEPINUM CARBAVIM COMPR. 200mg VIM SPECTRUM SRL ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 13.90 0.278000 0.135600 0.13560013 N03AF01 CARBAMAZEPINUM CARBEPSIL 200 COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 15.13 0.302600 0.135600 0.13560014 N03AF01 CARBAMAZEPINUM TAVER COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 6.78 0.135600 0.135600 0.13560015 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.81 0.240500 0.135600 0.13560016 N03AF01 CARBAMAZEPINUM CARBAMAZEPIN EEL COMPR. 200mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.93 0.246500 0.135600 0.13560017 N03AF01 CARBAMAZEPINUM FINLEPSIN COMPR. 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. P-6L 50 10.62 0.212400 0.135600 0.13560018 N03AF01 CARBAMAZEPINUM CARBAMAZEPINA ARENA 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.65 0.232500 0.135600 0.13560019 N03AF01 CARBAMAZEPINUM CARBEPSIL 400 COMPR. 400mg AC HELCOR SRL ROMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 24.65 0.493000 0.493000 0.49300020 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 300 mg COMPR. ELIB. PREL. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL P-6L 50 19.41 0.388200 0.387000 0.38700021 N03AF01 CARBAMAZEPINUM NEUROTOP (R) RETARD 600 mg COMPR. ELIB. PREL. 600mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 5 BLIST. AL/PVDC-PVC X 10 COMPR. ELIB. PREL. P-6L 50 34.36 0.687200 0.686000 0.68600022 N03AF01 CARBAMAZEPINUM FINLEPSIN 400 RETARD COMPR. FILM. 400mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE CERATA/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 25.45 0.509000 0.509000 0.50900023 N03AF01 CARBAMAZEPINUM TEGRETOL CR 200 COMPR. FILM. ELIB. PREL. 200mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 50 18.00 0.360000 0.233800 0.23380024 N03AF01 CARBAMAZEPINUM TEGRETOL CR 400 COMPR. FILM. ELIB. PREL. 400mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL-PVC/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-6L 30 23.79 0.793000 0.793000 0.79300025 N03AF01 CARBAMAZEPINUM TIMONIL 150 RETARD COMPR. RET. 150mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 14.22 0.284400 0.284400 0.28440026 N03AF01 CARBAMAZEPINUM TIMONIL 300 RETARD COMPR. RET. 300mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 19.35 0.387000 0.387000 0.38700027 N03AF01 CARBAMAZEPINUM TIMONIL 600 RETARD COMPR. RET. 600mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR. RET. P-6L 50 34.30 0.686000 0.686000 0.68600028 N03AF01 CARBAMAZEPINUM FINLEPSIN 200 RETARD COMPR.FILM.ELIB.PREL 200mg AWD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. AL-HARTIE/PVC-PVDC X 10 COMPR. FILM. ELIB. PREL. P-6L 50 11.69 0.233800 0.233800 0.23380029 N03AF01 CARBAMAZEPINUM TIMONIL SIROP SUSP. ORALA 100mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML SUSP.ORALA + MASURA DOZATOARE P-6L 1 21.14 21.140000 21.140000 21.140000

30 N03AF02 OXCARBAZEPINUM TRILEPTAL (R) 300 mg COMPR. FILM. 300mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 50 60.78 1.215600 1.215600 1.21560031 N03AF02 OXCARBAZEPINUM TRILEPTAL (R) 600 mg COMPR. FILM. 600mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-6L 50 111.08 2.221600 2.221600 2.221600

32 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL LONG 150 mg CAPS. ELIB. PREL. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 20.60 0.412000 0.412000 0.412000

33 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL LONG 300 mg CAPS. ELIB. PREL. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL. P-6L 50 34.50 0.690000 0.690000 0.690000

9. EPILEPSIE - G11

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34 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX (R) 150 mg CAPS. MOI GASTROREZ. 150mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 19.03 0.190300 0.190300 0.190300

35 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 31.25 0.312500 0.312500 0.312500

36 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX (R) 500 mg CAPS. MOI GASTROREZ. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. P-6L 100 48.00 0.480000 0.480000 0.480000

37 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 300 mg COMPR. FILM. ELIB. MODIF. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. FILM. ELIB. MODIF. P-6L 50 21.34 0.426800 0.337300 0.337300

38 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 300 mg COMPR. FILM. ELIB. MODIF. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PEID X 50 COMPR. FILM. ELIB. MODIF. CU CAPAC SNAP-ON P-6L 50 21.34 0.426800 0.337300 0.337300

39 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 300 mg COMPR. FILM. ELIB. MODIF. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PEID X 50 COMPR. FILM. ELIB. MODIF. CU CAPAC SCREW CAP P-6L 50 21.34 0.426800 0.337300 0.337300

40 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 500 mg COMPR. FILM. ELIB. MODIF. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. FILM. ELIB. MODIF. P-6L 50 32.56 0.651200 0.502666 0.502666

41 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 500 mg COMPR. FILM. ELIB. MODIF. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PEID X 50 COMPR. FILM. ELIB. MODIF. CU CAPAC SNAP-ON P-6L 50 32.56 0.651200 0.502666 0.502666

42 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 500 mg COMPR. FILM. ELIB. MODIF. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PEID X 50 COMPR. FILM. ELIB. MODIF. CU CAPAC SCREW CAP P-6L 50 32.56 0.651200 0.502666 0.502666

43 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ. 300mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE P-6L 100 33.73 0.337300 0.337300 0.337300

44 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILE P-6L 30 15.08 0.502666 0.502666 0.502666

45 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL 150 COMPR. FILM. GASTROREZ. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ. P-6L 100 27.37 0.273700 0.273700 0.273700

46 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. FILM. GASTROREZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. P-6L 40 10.08 0.252000 0.252000 0.252000

47 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL 300 COMPR. FILM. GASTROREZ. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ. P-6L 100 35.28 0.352800 0.352800 0.352800

48 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL 600 COMPR. FILM. GASTROREZ. 600mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ. P-6L 50 37.56 0.751200 0.751200 0.751200

49 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. LIOF. + SOLV. PT. SOL. 400mg/4ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF 4 123.57 30.892500 30.892500 30.892500

50 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 89.13 1.782600 1.782600 1.782600

51 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL LONG 500 mg MINICOMPR. ELIB. PREL. 500mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 55.84 1.116800 1.116800 1.116800

52 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML P-6L 1 34.04 34.040000 34.040000 34.040000

53 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX 50mg/ml SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) P-6L 1 8.17 8.170000 8.170000 8.170000

54 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57,64mg/ml SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA P-6L 1 21.71 21.710000 21.710000 21.710000

55 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 32.22 1.150714 0.903333 0.90333356 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 33.40 1.113333 0.903333 0.90333357 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 54.75 1.825000 0.903333 0.90333358 N03AX09 LAMOTRIGINUM** LAMOLEP 100 mg COMPR. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 54.28 1.809333 0.903333 0.90333359 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 27.10 0.903333 0.903333 0.90333360 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 36.80 1.226666 0.903333 0.90333361 N03AX09 LAMOTRIGINUM** XEBARIN 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 29.98 1.070714 0.903333 0.903333

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62 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 100 mg COMPR. 100mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 37.87 1.262333 0.903333 0.90333363 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 40.35 1.345000 0.903333 0.90333364 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 107.64 3.588000 1.946071 1.94607165 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 86.44 3.087142 1.946071 1.94607166 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 93.45 3.115000 1.946071 1.94607167 N03AX09 LAMOTRIGINUM** XEBARIN 200 mg COMPR. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 54.49 1.946071 1.946071 1.94607168 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.46 0.348666 0.080357 0.08035769 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 13.57 0.484642 0.080357 0.08035770 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 14.55 0.485000 0.080357 0.08035771 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 19.72 0.657333 0.080357 0.08035772 N03AX09 LAMOTRIGINUM** LAMOLEP 25 mg COMPR. 25mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 17.86 0.595333 0.080357 0.08035773 N03AX09 LAMOTRIGINUM** EPIMIL 25mg COMPR. 25mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. P-6L 30 6.80 0.226666 0.080357 0.08035774 N03AX09 LAMOTRIGINUM** PLEXXO (R) 25 mg COMPR. 25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.21 0.540333 0.080357 0.08035775 N03AX09 LAMOTRIGINUM** XEBARIN 25 mg COMPR. 25mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 2.25 0.080357 0.080357 0.08035776 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 25 mg COMPR. 25mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 14.79 0.493000 0.080357 0.08035777 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 26.19 0.873000 0.451000 0.45100078 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 21.86 0.780714 0.451000 0.45100079 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 23.42 0.780666 0.451000 0.45100080 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 33.40 1.113333 0.451000 0.45100081 N03AX09 LAMOTRIGINUM** LAMOLEP 50 mg COMPR. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 32.80 1.093333 0.451000 0.45100082 N03AX09 LAMOTRIGINUM** EPIMIL 50 mg COMPR. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 13.53 0.451000 0.451000 0.45100083 N03AX09 LAMOTRIGINUM** XEBARIN 50 mg COMPR. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 15.41 0.550357 0.451000 0.45100084 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 50 mg COMPR. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 24.81 0.827000 0.451000 0.45100085 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 20.82 0.694000 0.451000 0.45100086 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 28.03 0.934333 0.934333 0.93433387 N03AX09 LAMOTRIGINUM** LAMOTRIN 100 mg COMPR. DISP. 100mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 36.09 1.203000 0.934333 0.93433388 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 25 mg COMPR. DISP. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 0.71 0.023666 0.023666 0.02366689 N03AX09 LAMOTRIGINUM** LAMOTRIN 25 mg COMPR. DISP. 25mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 3.57 0.119000 0.023666 0.02366690 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 14.05 0.468333 0.468333 0.46833391 N03AX09 LAMOTRIGINUM** LAMOTRIN 50 mg COMPR. DISP. 50mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 24.84 0.828000 0.468333 0.46833392 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. DISP./MAST. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 17.09 0.569666 0.023666 0.02366693 N03AX11 TOPIRAMATUM** TOPAMAX 100 mg COMPR. FILM. 100mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 121.67 4.345357 2.678333 2.67833394 N03AX11 TOPIRAMATUM** TOPRAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 229.36 3.822666 2.678333 2.67833395 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 84.74 2.824666 2.678333 2.67833396 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 100 mg COMPR. FILM. 100mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 240.76 4.012666 2.678333 2.67833397 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 79.09 2.824642 2.678333 2.67833398 N03AX11 TOPIRAMATUM** ZIDOXER 100 mg COMPR. FILM. 100mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 160.70 2.678333 2.678333 2.67833399 N03AX11 TOPIRAMATUM** TOPILEX 100 mg COMPR. FILM. 100mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 84.74 2.824666 2.678333 2.678333

100 N03AX11 TOPIRAMATUM** TOPAMAX 200 mg COMPR. FILM. 200mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 214.47 7.659642 4.978571 4.978571101 N03AX11 TOPIRAMATUM** TOPRAN 200 mg COMPR. FILM. 200mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 433.73 7.228833 4.978571 4.978571102 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 200 mg COMPR. FILM. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 149.37 4.979000 4.978571 4.978571103 N03AX11 TOPIRAMATUM** ZIDOXER 200 mg COMPR. FILM. 200mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 139.40 4.978571 4.978571 4.978571104 N03AX11 TOPIRAMATUM** ZIDOXER 200 mg COMPR. FILM. 200mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 298.72 4.978666 4.978571 4.978571105 N03AX11 TOPIRAMATUM** TOPAMAX 25 mg COMPR. FILM. 25mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 38.14 1.362142 0.885500 0.885500

Pagina 17 din 40

106 N03AX11 TOPIRAMATUM** TOPRAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 63.54 1.059000 0.885500 0.885500107 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 25 mg COMPR. FILM. 25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 27.44 0.914666 0.885500 0.885500108 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 25 mg COMPR. FILM. 25mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 84.97 1.416166 0.885500 0.885500109 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 25.62 0.915000 0.885500 0.885500110 N03AX11 TOPIRAMATUM** ZIDOXER 25 mg COMPR. FILM. 25mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 53.13 0.885500 0.885500 0.885500111 N03AX11 TOPIRAMATUM** TOPILEX 25 mg COMPR. FILM. 25mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 27.44 0.914666 0.885500 0.885500112 N03AX11 TOPIRAMATUM** TOPAMAX 50 mg COMPR. FILM. 50mg JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 4 BLIST. OPA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 69.97 2.498928 1.595666 1.595666113 N03AX11 TOPIRAMATUM** TOPRAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 120.87 2.014500 1.595666 1.595666114 N03AX11 TOPIRAMATUM** TOPIRAMAT TEVA 50 mg COMPR. FILM. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 50.40 1.680000 1.595666 1.595666115 N03AX11 TOPIRAMATUM** TOPIRAMAT ACTAVIS 50 mg COMPR. FILM. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 6 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 60 113.29 1.888166 1.595666 1.595666116 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 47.04 1.680000 1.595666 1.595666117 N03AX11 TOPIRAMATUM** ZIDOXER 50 mg COMPR. FILM. 50mg OZONE LABORATORIES BV OLANDA CUTIE X BLIST. PVC-PVDC/AL X 60 COMPR. FILM. P-6L 60 95.74 1.595666 1.595666 1.595666118 N03AX11 TOPIRAMATUM** TOPILEX 50 mg COMPR. FILM. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE CU BLIST. PVC-PE - PVDC/AL X 30 COMPR. FILM. P-6L 30 50.40 1.680000 1.595666 1.595666119 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 56.90 0.569000 0.536800 0.536800120 N03AX12 GABAPENTINUM*** GABAGAMMA 100 mg CAPS. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 29.15 0.583000 0.536800 0.536800121 N03AX12 GABAPENTINUM*** GABALEPT 100 mg CAPS. 100mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 53.68 0.536800 0.536800 0.536800122 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 67.75 1.355000 1.249700 1.249700123 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 32.22 1.611000 1.249700 1.249700124 N03AX12 GABAPENTINUM*** GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 125.41 1.254100 1.249700 1.249700125 N03AX12 GABAPENTINUM*** GABARAN 300 mg CAPS. 300mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 64.06 1.281200 1.249700 1.249700126 N03AX12 GABAPENTINUM*** GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 124.97 1.249700 1.249700 1.249700127 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 88.76 1.775200 1.390200 1.390200128 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-6L 20 40.38 2.019000 1.390200 1.390200129 N03AX12 GABAPENTINUM*** GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 164.48 1.644800 1.390200 1.390200130 N03AX12 GABAPENTINUM*** GABARAN 400 mg CAPS. 400mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L 50 69.51 1.390200 1.390200 1.390200131 N03AX12 GABAPENTINUM*** GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 158.84 1.588400 1.390200 1.390200132 N03AX12 GABAPENTINUM*** GABARAN 600 mg COMPR. FILM. 600mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 61.23 2.041000 2.041000 2.041000133 N03AX12 GABAPENTINUM*** GABARAN 800 mg COMPR. FILM. 800mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P-6L 30 97.88 3.262666 3.262666 3.262666134 N03AX14 LEVETIRACETAMUM** KEPPRA 1000 mg COMPR. FILM. 1000mg UCB PHARMA SA BELGIA CUTIE X 30 COMPR. FILM.1 (BLIST. AL/PVC) P-RF 30 324.12 10.804000 10.804000 10.804000

135 N03AX14 LEVETIRACETAMUM** KEPPRA 250 mg COMPR. FILM. 250mg UCB PHARMA SA BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF 30 85.55 2.851666 2.851666 2.851666136 N03AX14 LEVETIRACETAMUM** KEPPRA 500 mg COMPR. FILM. 500mg UCB PHARMA LTD BELGIA CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF 30 161.05 5.368333 5.368333 5.368333137 N03AX14 LEVETIRACETAMUM** KEPPRA 100 mg/ml SOL. ORALA 100mg/ml UCB PHARMA SA BELGIA CUTIE X 1 FLACON X 300 ML SOL. ORALA + SERINGA PT. ADMIN. ORALA P-RF 1 318.56 318.560000 318.560000 318.560000

138 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 71.51 5.107857 4.843928 4.843928139 N03AX16 PREGABALINUM*** LYRICA 150 mg CAPS. 150mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 271.26 4.843928 4.843928 4.843928140 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 401.20 7.164285 7.164285 7.164285141 N03AX16 PREGABALINUM*** LYRICA 300 mg CAPS. 300mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 107.30 7.664285 7.164285 7.164285142 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF 14 50.44 3.602857 3.244821 3.244821143 N03AX16 PREGABALINUM*** LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF 56 181.71 3.244821 3.244821 3.244821

Tratamentul se initiaza de catre medicul in specialitatea neurologie

10. BOALA PARKINSON - G12

1 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 13.85 0.277000 0.277000 0.2770002 N04AA02 BIPERIDENUM AKINETON COMPR. 2mg DESMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-6L 50 9.92 0.198400 0.198400 0.198400

Pagina 18 din 40

3 N04BA02

COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR HBS CAPS. ELIB. MODIF. 100mg+25mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 CAPS. CU ELIB. MODIF. P-6L 100 55.28 0.552800 0.552800 0.552800

4 N04BA02

COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR (R) 250 COMPR. 200mg+50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 45.40 1.513333 0.758000 0.758000

5 N04BA02

COMBINATII (LEVODOPUM+BENSERAZIDUM)** MADOPAR 250 COMPR. 200mg+50mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-6L 30 22.74 0.758000 0.758000 0.758000

6 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** ZIMOX COMPR. 250mg+25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 18.04 0.601333 0.400700 0.400700

7 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** CREDANIL 25/250 COMPR. 250mg+25mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 18.12 0.906000 0.400700 0.400700

8 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** CARBIDOPA / LEVODOPA TEVA 25/250 COMPR. 250mg+25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 10 BLIST. X 10 COMPR. P-6L 100 40.07 0.400700 0.400700 0.400700

9 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** NAKOM COMPR. 250mg+25mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-6L 100 58.26 0.582600 0.400700 0.400700

10 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** ISICOM 250 mg/25 mg COMPR. 250mg/25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 10 BLIST. PP/AL X 10 COMPR. P-6L 100 71.26 0.712600 0.400700 0.400700

11 N04BA02

COMBINATII (LEVODOPUM+CARBIDOPUM)** DUODOPA GEL INT. FARA CONCENTRATIE SOLVAY PHARMACEUTICALS BV GERMANIA CUTIE X 7 CASETE BRUNE TRANSPARENTE X 100 GEL INT. IN PUNGA PVC S/P-RF 7 3,220.07 460.010000 460.010000 460.010000

12 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 100 mg/25 mg/200 mg COMPR. FILM. 100mg/25mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 393.05 3.930500 3.930500 3.930500

13 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 150 mg/37,5 mg/200 mg COMPR. FILM. 150mg/37,5mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 393.05 3.930500 3.930500 3.930500

14 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 200 mg/50 mg/200 mg COMPR. FILM. 200mg/50mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 515.96 5.159600 5.159600 5.159600

15 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)*** STALEVO 50 mg/12,5 mg/200 mg COMPR. FILM. 50mg/12,5mg/200mg ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. P-RF 100 393.05 3.930500 3.930500 3.930500

16 N04BB01 AMANTADINUM** VIREGYT (R)- K CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 50 CAPS. P-6L 50 16.02 0.320400 0.320400 0.32040017 N04BC01 BROMOCRIPTINUM BROCRIPTIN (N04BC01) DRAJ. 2,5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 19.86 0.496500 0.496500 0.49650018 N04BC04 ROPINIROLUM** REQUIP 0,25 mg COMPR. FILM. 0,25mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 4 FOLII = 1 X 21 COMPR.FILM. + 1 X 42 COMPR.FILM. + 1 X 63 COMPR.FILM. + 1 X 84 COMPR.FILM. P-6L 210 102.50 0.488095 0.488095 0.48809519 N04BC04 ROPINIROLUM** ALETA 0,25mg COMPR. FILM. 0,25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 15.28 0.509333 0.488095 0.48809520 N04BC04 ROPINIROLUM** ALETA 0,25mg COMPR. FILM. 0,25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 15.28 0.509333 0.488095 0.48809521 N04BC04 ROPINIROLUM** ALETA 0,5mg COMPR. FILM. 0,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 24.28 0.809333 0.809333 0.809333

Pagina 19 din 40

22 N04BC04 ROPINIROLUM** ALETA 0,5mg COMPR. FILM. 0,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 24.28 0.809333 0.809333 0.80933323 N04BC04 ROPINIROLUM** REQUIP 1 mg COMPR. FILM. 1mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 33.18 1.580000 1.443333 1.44333324 N04BC04 ROPINIROLUM** ALETA 1mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 43.30 1.443333 1.443333 1.44333325 N04BC04 ROPINIROLUM** ALETA 1mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X 3 BLIST.PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 43.30 1.443333 1.443333 1.44333326 N04BC04 ROPINIROLUM** REQUIP 2 mg COMPR. FILM. 2mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 52.90 2.519047 2.237000 2.23700027 N04BC04 ROPINIROLUM** ALETA 2mg COMPR. FILM. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 67.11 2.237000 2.237000 2.23700028 N04BC04 ROPINIROLUM** ALETA 2mg COMPR. FILM. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 67.11 2.237000 2.237000 2.23700029 N04BC04 ROPINIROLUM** REQUIP 5 mg COMPR. FILM. 5mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 21 COMPR.FILM. P-6L 21 114.48 5.451428 4.384333 4.38433330 N04BC04 ROPINIROLUM** ALETA 5mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 30 131.53 4.384333 4.384333 4.38433331 N04BC04 ROPINIROLUM** ALETA 5mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. P-RF 30 131.53 4.384333 4.384333 4.38433332 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 2 mg COMPR. FILM. ELIB. PREL. 2mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. P-RF 28 57.62 2.057857 2.057857 2.05785733 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 4 mg COMPR. FILM. ELIB. PREL. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL, P-RF 28 109.35 3.905357 3.905357 3.90535734 N04BC04 ROPINIROLUM** REQUIP-MODUTAB 8 mg COMPR. FILM. ELIB. PREL. 8mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. ELIB. PREL. P-RF 28 207.47 7.409642 7.409642 7.40964235 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,088mg COMPR. 0,088mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 18.55 0.618333 0.618333 0.61833336 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,18 mg COMPR. 0,18mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 46.73 1.557666 1.193000 1.19300037 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,18mg COMPR. 0,18mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 35.79 1.193000 1.193000 1.19300038 N04BC05 PRAMIPEXOLUM** MIRAPEXIN 0,7 mg COMPR. 0,7mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-RF 30 157.60 5.253333 3.965000 3.96500039 N04BC05 PRAMIPEXOLUM** OPRYMEA 0,7mg COMPR. 0,7mg KRKA D.D. SLOVENIA CUTIE X 30 COMPR. (BLIST. AL/AL) P-RF 30 118.95 3.965000 3.965000 3.96500040 N04BC09 ROTIGOTINUM*** NEUPRO 2mg/24h PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 346.36 12.370000 12.370000 12.370000

41 N04BC09 ROTIGOTINUM*** NEUPRO 2mg/24h PLASTURE TRANSDERMIC 2mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 92.16 13.165714 12.370000 12.370000

42 N04BC09 ROTIGOTINUM*** NEUPRO 4mg/24h PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 95.45 13.635714 12.926071 12.926071

43 N04BC09 ROTIGOTINUM*** NEUPRO 4mg/24h PLASTURE TRANSDERMIC 4mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 361.93 12.926071 12.926071 12.926071

44 N04BC09 ROTIGOTINUM*** NEUPRO 6mg/24h PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 452.74 16.169285 16.169285 16.169285

45 N04BC09 ROTIGOTINUM*** NEUPRO 6mg/24h PLASTURE TRANSDERMIC 6mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 124.05 17.721428 16.169285 16.169285

46 N04BC09 ROTIGOTINUM*** NEUPRO 8mg/24h PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 28 PLASTURI TRANSDERMICI P-RF 28 540.86 19.316428 19.316428 19.316428

47 N04BC09 ROTIGOTINUM*** NEUPRO 8mg/24h PLASTURE TRANSDERMIC 8mg/24h SCHWARZ PHARMA LTD IRLANDA CUTIE X 7 PLASTURI TRANSDERMICI P-RF 7 144.76 20.680000 19.316428 19.316428

48 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 BLIST. DIN AL/PVC X 10 COMPR. P-6L 50 34.09 0.681800 0.660700 0.66070049 N04BD01 SELEGILINUM SELEGOS COMPR. 5mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. DIN AL/PVC X 10 COMPR. P-6L 100 66.07 0.660700 0.660700 0.66070050 N04BD01 SELEGILINUM JUMEX 5 mg COMPR. 5mg CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 5 BLIST. AL/AL X 10 COMPR. P-6L 50 39.19 0.783800 0.660700 0.66070051 N04BD02 RASAGILINUM*** AZILECT 1mg COMPR. 1mg TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF 30 495.95 16.531666 16.531666 16.531666

52 N04BX02 ENTACAPONUM*** COMTAN 200mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 100 COMPR. FILM. P-RF 100 370.08 3.700800 3.700800 3.70080053 N04BX02 ENTACAPONUM*** COMTAN 200mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA CU SISTEM DE INCHIDERE SECURIZAT X 30 COMPR. FILM. P-RF 30 117.61 3.920333 3.700800 3.70080054 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 100.26 2.005200 2.005200 2.00520055 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 31.59 0.631800 0.631800 0.631800

Tratamentul se initiaza de catre medicul in specialitatea neurologie

1 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.0776662 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.0776663 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.0776664 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.0776665 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.077666

6 L01BA01 METHOTREXATUM4METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.072500

11. MIASTENIA GRAVIS - G13

Pagina 20 din 40

7 L01BA01 METHOTREXATUM4METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.072500

8 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 84.17 84.170000 84.170000 84.170000

9 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 378.95 378.950000 378.950000 378.950000

10 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 226.36 45.272000 45.272000 45.272000

11 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 22.37 2.237000 2.237000 2.23700012 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 12.51 12.510000 12.510000 12.510000

13 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 75.98 0.759800 0.759800 0.75980014 N07AA01 NEOSTIGMINI BROMIDUM NEOSTIGMINA LPH 15 mg COMPR. 15mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 12.94 0.647000 0.647000 0.64700015 N07AA01 NEOSTIGMINI BROMIDUM MIOSTIN 0,5 mg/ml SOL. INJ. 0,5mg/ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S/P-RF 5 3.57 0.714000 0.714000 0.71400016 N07AA02 PYRIDOSTIGMINI BROMIDUM MESTINON 60 mg DRAJ. 60mg ICN POLFA RZESZOW S.A. POLONIA CUTIE X 1 FLAC. X 20 DRAJ. S/P-RF 20 9.37 0.468500 0.468500 0.468500

Tratamentul se initiaza de catre medicul in specialitatea neurologie

12. SCLEROZA MULTIPLA - G14

1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 30.63 0.612600 0.612600 0.6126002 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 27.83 1.391500 1.391500 1.3915003 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 6.13 0.204333 0.204333 0.2043334 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.26 8.260000 8.260000 8.2600005 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 63.83 4.255333 4.255333 4.2553336 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 29.12 29.120000 29.120000 29.120000

7 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 19.21 19.210000 19.210000 19.210000

8 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.0776669 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.077666

10 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.07766611 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.07766612 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.077666

13 L01BA01 METHOTREXATUM4METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.072500

14 L01BA01 METHOTREXATUM4METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.072500

15 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 84.17 84.170000 84.170000 84.170000

16 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 378.95 378.950000 378.950000 378.950000

17 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 226.36 45.272000 45.272000 45.272000

18 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 22.37 2.237000 2.237000 2.23700019 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 12.51 12.510000 12.510000 12.510000

20 L01DB07 MITOXANTRONUM*** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S 1 608.66 608.660000 608.660000 608.660000

21 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 75.98 0.759800 0.759800 0.759800

Tratamentul se initiaza de catre medicul in specialitatea neurologie

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURARI SCHIZOTIPALE SI DELIRANTE, TULBURARI AFECTIVE MAJORE, TULBURARI PSIHOTICE ACUTE SI BOLI PSIHICE COPII, AUTISM) - G15

Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de boli neurologice (Subprogramul de tratament al screlozei multiple)

Pagina 21 din 40

1 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL LONG 150 mg CAPS. ELIB. PREL. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 20.60 0.412000 0.412000 0.412000

2 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL LONG 300 mg CAPS. ELIB. PREL. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 CAPS. CU MINICOMPR. CU ELIB. PREL. P-6L 50 34.50 0.690000 0.690000 0.690000

3 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX (R) 150 mg CAPS. MOI GASTROREZ. 150mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 19.03 0.190300 0.190300 0.190300

4 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX (R) 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVC X 10 CAPS. MOI GASTROREZ. P-6L 100 31.25 0.312500 0.312500 0.312500

5 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX (R) 500 mg CAPS. MOI GASTROREZ. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 10 BLIST. AL/PVDC-PVCX 10 CAPS. MOI GASTROREZ. P-6L 100 48.00 0.480000 0.480000 0.480000

6 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 300 mg COMPR. FILM. ELIB. MODIF. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. FILM. ELIB. MODIF. P-6L 50 21.34 0.426800 0.337300 0.337300

7 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 300 mg COMPR. FILM. ELIB. MODIF. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PEID X 50 COMPR. FILM. ELIB. MODIF. CU CAPAC SNAP-ON P-6L 50 21.34 0.426800 0.337300 0.337300

8 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 300 mg COMPR. FILM. ELIB. MODIF. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PEID X 50 COMPR. FILM. ELIB. MODIF. CU CAPAC SCREW CAP P-6L 50 21.34 0.426800 0.337300 0.337300

9 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 500 mg COMPR. FILM. ELIB. MODIF. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 COMPR. FILM. ELIB. MODIF. P-6L 50 32.56 0.651200 0.502666 0.502666

10 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 500 mg COMPR. FILM. ELIB. MODIF. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PEID X 50 COMPR. FILM. ELIB. MODIF. CU CAPAC SNAP-ON P-6L 50 32.56 0.651200 0.502666 0.502666

11 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX RETARD 500 mg COMPR. FILM. ELIB. MODIF. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLAC. DIN PEID X 50 COMPR. FILM. ELIB. MODIF. CU CAPAC SCREW CAP P-6L 50 32.56 0.651200 0.502666 0.502666

12 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ. 300mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 FLAC. DIN PP X 50 COMPR. FILM. ELIB. PREL., DIVIZIBILE P-6L 100 33.73 0.337300 0.337300 0.337300

13 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. DIVIZIBILE P-6L 30 15.08 0.502666 0.502666 0.502666

14 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL 150 COMPR. FILM. GASTROREZ. 150mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 COMPR.FILM. GASTROREZ. P-6L 100 27.37 0.273700 0.273700 0.273700

15 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. FILM. GASTROREZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. DIN PP X 40 COMPR. FILM. GASTROREZ. P-6L 40 10.08 0.252000 0.252000 0.252000

16 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL 300 COMPR. FILM. GASTROREZ. 300mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 100 COMPR. FILM. GASTROREZ. P-6L 100 35.28 0.352800 0.352800 0.352800

17 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL 600 COMPR. FILM. GASTROREZ. 600mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. FILM. GASTROREZ. P-6L 50 37.56 0.751200 0.751200 0.751200

18 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE (R) 400 mg/4 ml LIOFILIZAT SI SOLVENT PENTRU SOLUTIE INJECTABILA i.v. LIOF. + SOLV. PT. SOL. 400mg/4ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 4 FLAC. CU LIOF. PT. SOL. INJ. + 4 FIOLE SOLV. X 4ML S/P-RF 4 123.57 30.892500 30.892500 30.892500

19 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 89.13 1.782600 1.782600 1.782600

20 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL LONG 500 mg MINICOMPR. ELIB. PREL. 500mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 50 MINIPLICURI. DIN PET/AL/PE CU MINICOMPR. CU ELIB. PRELUNG. P-6L 50 55.84 1.116800 1.116800 1.116800

21 N03AG01ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 1 FLACON X 250 ML + LINGURITA DOZATOARE PP A 5 ML P-6L 1 34.04 34.040000 34.040000 34.040000

22 N03AG01ACIDUM VALPROICUM + SARURI CONVULEX 50mg/ml SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SIROP + 1 SERINGA PT. ADMIN. ORALA (0,5-10,0 ML) P-6L 1 8.17 8.170000 8.170000 8.170000

23 N03AG01ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57,64mg/ml SANOFI - AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 150 ML + 1 SERINGA PT. ADMIN. ORALA P-6L 1 21.71 21.710000 21.710000 21.710000

24 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 32.22 1.150714 0.903333 0.90333325 N03AX09 LAMOTRIGINUM** LAMOTIRAN 100 mg COMPR. 100mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 33.40 1.113333 0.903333 0.90333326 N03AX09 LAMOTRIGINUM** LAMOTRIX 100 mg COMPR. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 54.75 1.825000 0.903333 0.90333327 N03AX09 LAMOTRIGINUM** LAMOLEP 100 mg COMPR. 100mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 54.28 1.809333 0.903333 0.903333

Pagina 22 din 40

28 N03AX09 LAMOTRIGINUM** EPIMIL 100 mg COMPR. 100mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 27.10 0.903333 0.903333 0.90333329 N03AX09 LAMOTRIGINUM** PLEXXO (R) 100 mg COMPR. 100mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 36.80 1.226666 0.903333 0.90333330 N03AX09 LAMOTRIGINUM** XEBARIN 100 mg COMPR. 100mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 29.98 1.070714 0.903333 0.90333331 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 100 mg COMPR. 100mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 37.87 1.262333 0.903333 0.90333332 N03AX09 LAMOTRIGINUM** LAMICTAL 100 mg COMPR. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 40.35 1.345000 0.903333 0.90333333 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 107.64 3.588000 1.946071 1.94607134 N03AX09 LAMOTRIGINUM** LAMOTIRAN 200 mg COMPR. 200mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 86.44 3.087142 1.946071 1.94607135 N03AX09 LAMOTRIGINUM** LAMOTRIX 200 mg COMPR. 200mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 93.45 3.115000 1.946071 1.94607136 N03AX09 LAMOTRIGINUM** XEBARIN 200 mg COMPR. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 54.49 1.946071 1.946071 1.94607137 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 10.46 0.348666 0.080357 0.08035738 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 13.57 0.484642 0.080357 0.08035739 N03AX09 LAMOTRIGINUM** LAMOTIRAN 25 mg COMPR. 25mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 14.55 0.485000 0.080357 0.08035740 N03AX09 LAMOTRIGINUM** LAMOTRIX 25 mg COMPR. 25mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 19.72 0.657333 0.080357 0.08035741 N03AX09 LAMOTRIGINUM** LAMOLEP 25 mg COMPR. 25mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 17.86 0.595333 0.080357 0.08035742 N03AX09 LAMOTRIGINUM** EPIMIL 25mg COMPR. 25mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC--PVDC/PVC-AL X 10 COMPR. P-6L 30 6.80 0.226666 0.080357 0.08035743 N03AX09 LAMOTRIGINUM** PLEXXO (R) 25 mg COMPR. 25mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 16.21 0.540333 0.080357 0.08035744 N03AX09 LAMOTRIGINUM** XEBARIN 25 mg COMPR. 25mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 2.25 0.080357 0.080357 0.08035745 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 25 mg COMPR. 25mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 14.79 0.493000 0.080357 0.08035746 N03AX09 LAMOTRIGINUM** PLEXXO (R) 50 mg COMPR. 50mg DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE X 3 BLIST. X 10 COMPR. P-6L 30 26.19 0.873000 0.451000 0.45100047 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-6L 28 21.86 0.780714 0.451000 0.45100048 N03AX09 LAMOTRIGINUM** LAMOTIRAN 50 mg COMPR. 50mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-6L 30 23.42 0.780666 0.451000 0.45100049 N03AX09 LAMOTRIGINUM** LAMOTRIX 50 mg COMPR. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 33.40 1.113333 0.451000 0.45100050 N03AX09 LAMOTRIGINUM** LAMOLEP 50 mg COMPR. 50mg GEDEON RICHTER PLC UNGARIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 32.80 1.093333 0.451000 0.45100051 N03AX09 LAMOTRIGINUM** EPIMIL 50 mg COMPR. 50mg IVAX PHARMCEUTICALS S.R.O. CEHIA CUTIE X 3 BLIST. PVC-PVDC/PVC-AL X 10 COMPR. P-6L 30 13.53 0.451000 0.451000 0.45100052 N03AX09 LAMOTRIGINUM** XEBARIN 50 mg COMPR. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. P-6L 28 15.41 0.550357 0.451000 0.45100053 N03AX09 LAMOTRIGINUM** LAMOTRIGINE FARMAL 50 mg COMPR. 50mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 24.81 0.827000 0.451000 0.45100054 N03AX09 LAMOTRIGINUM** LAMICTAL 50 mg COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. P-6L 30 20.82 0.694000 0.451000 0.45100055 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 100 mg COMPR. DISP. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 28.03 0.934333 0.934333 0.93433356 N03AX09 LAMOTRIGINUM** LAMOTRIN 100 mg COMPR. DISP. 100mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 36.09 1.203000 0.934333 0.93433357 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 25 mg COMPR. DISP. 25mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 0.71 0.023666 0.023666 0.02366658 N03AX09 LAMOTRIGINUM** LAMOTRIN 25 mg COMPR. DISP. 25mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 3.57 0.119000 0.023666 0.02366659 N03AX09 LAMOTRIGINUM** LAMOTRIGIN STADA 50 mg COMPR. DISP. 50mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. DISP. P-6L 30 14.05 0.468333 0.468333 0.46833360 N03AX09 LAMOTRIGINUM** LAMOTRIN 50 mg COMPR. DISP. 50mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISPERSABILE P-6L 30 24.84 0.828000 0.468333 0.46833361 N03AX09 LAMOTRIGINUM** LAMICTAL 25 mg COMPR. DISP./MAST. 25mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. DISP./MAST. P-6L 30 17.09 0.569666 0.023666 0.02366662 N04AA01 TRIHEXYPHENIDYLUM ROMPARKIN (R) 2 mg COMPR. 2mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 13.85 0.277000 0.277000 0.27700063 N05AD01 HALOPERIDOLUM HALOPERIDOL LAROPHARM 0,5 mg COMPR. 0,5mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.05 0.152500 0.152500 0.15250064 N05AD01 HALOPERIDOLUM HALDOL COMPR. 5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 16.84 0.673600 0.673600 0.67360065 N05AD01 HALOPERIDOLUM HALOPERIDOL 2 mg/ml PIC. ORALE-SOL. 2mg/ml GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10ML PICATURI ORALE-SOLUTIE P-RF 1 6.26 6.260000 4.410000 4.41000066 N05AD01 HALOPERIDOLUM HALOPERIDOL PICATURI ORALE-SOL. 2mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 4.41 4.410000 4.410000 4.41000067 N05AD01 HALOPERIDOLUM HALOPERIDOL DECANOAT SOL. INJ. 50mg/ml GEDEON RICHTER PLC. UNGARIA CUTIE X 5 FIOLE X 1 ML P-RF 5 41.81 8.362000 8.362000 8.36200068 N05AD01 HALOPERIDOLUM HALOPERIDOL RICHTER 5 mg/ml SOL. INJ. 5mg/ml GEDEON RICHTER PLC. UNGARIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 5 11.71 2.342000 2.342000 2.34200069 N05AE03 SERTINDOL** SERDOLECT 12 mg COMPR. FILM. 12mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 352.18 12.577857 12.577857 12.577857

70 N05AE03 SERTINDOL** SERDOLECT 16 mg COMPR. FILM. 16mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 459.50 16.410714 16.410714 16.410714

71 N05AE03 SERTINDOL** SERDOLECT 20 mg COMPR. FILM. 20mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 506.82 18.100714 18.100714 18.100714

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72 N05AE03 SERTINDOL** SERDOLECT 4 mg COMPR. FILM. 4mg H. LUNDBECK A/S DANEMARCA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 124.34 4.144666 4.144666 4.14466673 N05AE04 ZIPRASIDONUM** ZELDOX (R) 40 mg CAPS. 40mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 395.57 7.063750 7.063750 7.06375074 N05AE04 ZIPRASIDONUM** ZELDOX (R) 60 mg CAPS. 60mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 513.40 9.167857 9.167857 9.16785775 N05AE04 ZIPRASIDONUM** ZELDOX (R) 80 mg CAPS. 80mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. X 14 CAPS. P-RF 56 551.82 9.853928 9.853928 9.85392876 N05AE04 ZIPRASIDONUM** ZELDOX (R) 20 mg/ml LIOF. PT. SOL. INJ. + SOLV. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 1,2 ML SOLV. S/P-RF 1 62.36 62.360000 62.360000 62.360000

77 N05AF01 FLUPENTIXOLUM** FLUANXOL DEPOT SOL. INJ. 20mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 68.63 6.863000 6.863000 6.86300078 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 21.71 0.434200 0.434200 0.43420079 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) 25 mg COMPR. FILM. 25mg H. LUNDBECK A/S DANEMARCA FLAC. X 50 COMPR. FILM. P-RF 50 32.57 0.651400 0.651400 0.65140080 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL 20 mg/ml PIC. ORALE-SOL. 20mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLAC. + CAPAC SECURIZAT PT. COPII X 20 ML P-RF 1 30.69 30.690000 30.690000 30.690000

81 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL (R) DEPOT SOL. INJ. 200mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 10 FIOLE X 1 ML P-RF 10 148.17 14.817000 14.817000 14.817000

82 N05AF05 ZUCLOPENTHIXOLUM** CLOPIXOL ACUPHASE (R) SOL. INJ. 50mg/ml H. LUNDBECK A/S DANEMARCA CUTIE X 5 FIOLE X 1 ML P-RF 5 43.65 8.730000 8.730000 8.73000083 N05AH02 CLOZAPINUM** LEPONEX (R) 100 mg COMPR. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 100.26 2.005200 2.005200 2.00520084 N05AH02 CLOZAPINUM** LEPONEX (R) 25 mg COMPR. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 BLIST. X 10 COMPR. P-RF 50 31.59 0.631800 0.631800 0.63180085 N05AH03 OLANZAPINUM** ZYPREXA 10 mg COMPR. FILM. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF 28 442.21 15.793214 15.793214 15.793214

86 N05AH03 OLANZAPINUM** ZYPREXA 5 mg COMPR. FILM. 5mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 COMPR. FILM. ( BLIST.AL ABUTISATE LA RECE) P-RF 28 228.72 8.168571 8.168571 8.16857187 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 10 mg COMPR. ORODISPERSABILE 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 442.10 15.789285 15.789285 15.789285

88 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 15 mg COMPR. ORODISPERSABILE 15mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 734.74 26.240714 26.240714 26.240714

89 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 20 mg COMPR. ORODISPERSABILE 20mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 956.03 34.143928 34.143928 34.143928

90 N05AH03 OLANZAPINUM** ZYPREXA VELOTAB 5 mg COMPR. ORODISPERSABILE 5mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28COMPR. ORODISPERSABILE (BLIST. AL/AL ) P-RF 28 228.67 8.166785 8.166785 8.16678591 N05AH03 OLANZAPINUM** ZYPADHERA 210mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 210mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC X 210MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 843.40 843.400000 843.400000 843.400000

92 N05AH03 OLANZAPINUM** ZYPADHERA 300mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 300mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC X 300MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 1,299.93 1299.930000 1299.930000 1299.930000

93 N05AH03 OLANZAPINUM** ZYPADHERA 405mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 405mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC X 405MG PULB. + 1 FLAC. X 3ML SOLVENT P-RF/R 1 1,615.95 1615.950000 1615.950000 1615.950000

94 N05AH03 OLANZAPINUM** ZYPREXA 10 mg PULB. PT. SOL. INJ. 10mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. X 10 MG PULB.PT.SOL.INJ. P-RF 1 18.74 18.740000 18.740000 18.740000

95 N05AH04 QUETIAPINUM** SEROQUEL 100mg COMPR. FILM. 100mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/ PVC X 10 COMPR. FILM. P-RF 60 241.96 4.032666 4.032666 4.03266696 N05AH04 QUETIAPINUM** SEROQUEL 200 mg COMPR. FILM. 200mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 60 385.33 6.422166 6.422166 6.42216697 N05AH04 QUETIAPINUM** SEROQUEL (R) 300 mg COMPR. FILM. 300mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 522.28 8.704666 8.704666 8.70466698 N05AH04 QUETIAPINUM** SEROQUEL XR 200 mg COMPR. FILM. ELIB. PREL. 200mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF 60 470.16 7.836000 7.836000 7.83600099 N05AH04 QUETIAPINUM** SEROQUEL XR 300 mg COMPR. FILM. ELIB. PREL. 300mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 6 BLIST. OPACE AL/PVC-PCTFE X 10 COMPR. FILM. ELIB. PREL. P-RF 60 545.26 9.087666 9.087666 9.087666

100 N05AL01 SULPIRIDUM EGLONYL (R) 50 mg CAPS. 50mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 2 BLIST. X 15 CAPS. P-RF 30 10.12 0.337333 0.337333 0.337333101 N05AL01 SULPIRIDUM EGLONYL (R) 200 mg COMPR. 200mg SANOFI-SYNTHELABO FRANCE FRANTA CUTIE X 1 BLIST. X 12 COMPR. P-RF 12 9.88 0.823333 0.823333 0.823333102 N05AL01 SULPIRIDUM EGLONYL 100 mg/2 ml SOL. INJ. 50mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 6 FIOLE X 2 ML P-RF 6 4.73 0.788333 0.788333 0.788333103 N05AL05 AMISULPRIDUM** SOLIAN 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. DIVIZ. P-RF 30 124.14 4.138000 4.138000 4.138000104 N05AL05 AMISULPRIDUM** SOLIAN 400 mg COMPR. FILM. 400mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 124.92 4.164000 4.164000 4.164000105 N05AX08 RISPERIDONUM** RISSET 1 mg COMPR. FILM. 1 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 7.33 0.366500 0.366500 0.366500106 N05AX08 RISPERIDONUM** RISSET 1 mg COMPR. FILM. 1 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 23.24 0.387333 0.366500 0.366500107 N05AX08 RISPERIDONUM** RISPOLEPT (R) 1 mg COMPR. FILM. 1mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 33.77 1.688500 0.366500 0.366500108 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 22.19 0.443800 0.366500 0.366500109 N05AX08 RISPERIDONUM** RISPEN 1 COMPR. FILM. 1mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 8.88 0.444000 0.366500 0.366500110 N05AX08 RISPERIDONUM** RILEPTID 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 48.22 0.803666 0.366500 0.366500111 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.83 0.391500 0.366500 0.366500112 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 23.11 0.385166 0.366500 0.366500113 N05AX08 RISPERIDONUM** RISPERIDONA 1 mg COMPR. FILM. 1mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 8.24 0.412000 0.366500 0.366500114 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 1 mg COMPR. FILM. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF 60 22.10 0.368333 0.366500 0.366500115 N05AX08 RISPERIDONUM** XENOMA 1 mg COMPR. FILM. 1mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 20 7.60 0.380000 0.366500 0.366500

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116 N05AX08 RISPERIDONUM** XENOMA 1 mg COMPR. FILM. 1mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 22.79 0.379833 0.366500 0.366500117 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 1 mg COMPR. FILM. 1mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 22.50 0.450000 0.366500 0.366500118 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 42.94 0.858800 0.700833 0.700833119 N05AX08 RISPERIDONUM** RISPEN 2 COMPR. FILM. 2 mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 17.75 0.887500 0.700833 0.700833120 N05AX08 RISPERIDONUM** RISSET 2 mg COMPR. FILM. 2 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 44.38 0.739666 0.700833 0.700833121 N05AX08 RISPERIDONUM** RISSET 2 mg COMPR. FILM. 2 mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 15.28 0.764000 0.700833 0.700833122 N05AX08 RISPERIDONUM** RISPOLEPT (R) 2 mg COMPR. FILM. 2mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 65.30 3.265000 0.700833 0.700833123 N05AX08 RISPERIDONUM** RILEPTID 2 mg COMPR. FILM. 2mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 95.15 1.585833 0.700833 0.700833124 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 2 mg COMPR. FILM. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 15.10 0.755000 0.700833 0.700833125 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 2 mg COMPR. FILM. 2mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 43.84 0.730666 0.700833 0.700833126 N05AX08 RISPERIDONUM** RISON 2 mg COMPR. FILM. 2mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 20.96 1.048000 0.700833 0.700833127 N05AX08 RISPERIDONUM** RISPERIDONA 2 mg COMPR. FILM. 2mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 16.43 0.821500 0.700833 0.700833128 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 2 mg COMPR. FILM. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 42.05 0.700833 0.700833 0.700833129 N05AX08 RISPERIDONUM** XENOMA 2 mg COMPR. FILM. 2mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 43.24 0.720666 0.700833 0.700833130 N05AX08 RISPERIDONUM** ESSENS 2 mg COMPR. FILM. 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM. P-RF 30 22.93 0.764333 0.700833 0.700833131 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 2 mg COMPR. FILM. 2mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 41.75 0.835000 0.700833 0.700833132 N05AX08 RISPERIDONUM** RISPOLEPT (R) 3 mg COMPR. FILM. 3mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 93.07 4.653500 1.091166 1.091166133 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 64.42 1.288400 1.091166 1.091166134 N05AX08 RISPERIDONUM** RISPEN 3 COMPR. FILM. 3mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 26.63 1.331500 1.091166 1.091166135 N05AX08 RISPERIDONUM** RISSET 3 mg COMPR. FILM. 3mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMP. FILM. P-RF 60 71.39 1.189833 1.091166 1.091166136 N05AX08 RISPERIDONUM** RISSET 3 mg COMPR. FILM. 3mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 25.90 1.295000 1.091166 1.091166137 N05AX08 RISPERIDONUM** RILEPTID 3 mg COMPR. FILM. 3mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 136.40 2.273333 1.091166 1.091166138 N05AX08 RISPERIDONUM** TORENDO 3 mg COMPR. FILM. 3mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 33.61 1.120333 1.091166 1.091166139 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 3 mg COMPR. FILM. 3mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 25.52 1.276000 1.091166 1.091166140 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 3 mg COMPR. FILM. 3mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 70.86 1.181000 1.091166 1.091166141 N05AX08 RISPERIDONUM** RISON 3 mg COMPR. FILM. 3mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 32.03 1.601500 1.091166 1.091166142 N05AX08 RISPERIDONUM** RISPERIDONA 3 mg COMPR. FILM. 3mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 27.80 1.390000 1.091166 1.091166143 N05AX08 RISPERIDONUM** RISPERIDONA ACCORD 3 mg COMPR. FILM. 3mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 65.47 1.091166 1.091166 1.091166144 N05AX08 RISPERIDONUM** XENOMA 3 mg COMPR. FILM. 3mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 71.48 1.191333 1.091166 1.091166145 N05AX08 RISPERIDONUM** ESSENS 3 mg COMPR. FILM. 3mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVDC-PVC/AL X 10 COMPR. FILM. P-RF 30 37.58 1.252666 1.091166 1.091166146 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 3 mg COMPR. FILM. 3mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 63.42 1.268400 1.091166 1.091166147 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg ZENTIVA AS CEHIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 50 81.57 1.631400 1.490666 1.490666148 N05AX08 RISPERIDONUM** RISPEN 4 COMPR. FILM. 4 mg ZENTIVA AS CEHIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 34.36 1.718000 1.490666 1.490666149 N05AX08 RISPERIDONUM** RISPOLEPT (R) 4 mg COMPR. FILM. 4mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 2 BLIST. PVC-LDPE-PVDC/AL X 10 COMPR. FILM. P-RF 20 123.29 6.164500 1.490666 1.490666150 N05AX08 RISPERIDONUM** RISSET 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 2 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 20 33.40 1.670000 1.490666 1.490666151 N05AX08 RISPERIDONUM** RISSET 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 6 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 60 95.16 1.586000 1.490666 1.490666152 N05AX08 RISPERIDONUM** RILEPTID 4 mg COMPR. FILM. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 182.47 3.041166 1.490666 1.490666153 N05AX08 RISPERIDONUM** TORENDO 4 mg COMPR. FILM. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 30 44.72 1.490666 1.490666 1.490666154 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 4 mg COMPR. FILM. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 60 94.65 1.577500 1.490666 1.490666155 N05AX08 RISPERIDONUM** RISPERIDONE TEVA 4 mg COMPR. FILM. 4mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 33.22 1.661000 1.490666 1.490666156 N05AX08 RISPERIDONUM** RISON 4 mg COMPR. FILM. 4mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 42.94 2.147000 1.490666 1.490666157 N05AX08 RISPERIDONUM** RISPERIDONA 4 mg COMPR. FILM. 4mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL-PVDC X 10 COMPR. FILM. P-RF 20 34.36 1.718000 1.490666 1.490666158 N05AX08 RISPERIDONUM** ESSENS 4 mg COMPR. FILM. 4mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 47.06 1.568666 1.490666 1.490666159 N05AX08 RISPERIDONUM** XENOMA 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 60 93.63 1.560500 1.490666 1.490666

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160 N05AX08 RISPERIDONUM** RISPERIDONA FARMAL 4 mg COMPR. FILM. 4mg FARMAL INTERNATIONAL S.R.L. ROMANIA CUTIE X 5 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 50 87.80 1.756000 1.490666 1.490666161 N05AX08 RISPERIDONUM** ESSENS 6 mg COMPR. FILM. 6mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 63.83 2.127666 2.127666 2.127666162 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 1mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PA/AL X 4 COMPR. ORODISPERSABILE P-RF 56 135.44 2.418571 0.616333 0.616333163 N05AX08 RISPERIDONUM** TORENDO Q-TAB 1 mg COMPR. ORODISPERSABILE 1mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 18.49 0.616333 0.616333 0.616333164 N05AX08 RISPERIDONUM** ESSENS OD 1 mg COMPR. ORODISPERSABILE 1mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 19.60 0.653333 0.616333 0.616333165 N05AX08 RISPERIDONUM** RISPOLEPT QUICKLET COMPR. ORODISPERSABILE 2mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 14 BLIST. PVC-AL-PA/AL X 4 COMPR. ORODISPERSABILE P-RF 56 265.96 4.749285 1.289333 1.289333166 N05AX08 RISPERIDONUM** TORENDO Q-TAB 2 mg COMPR. ORODISPERSABILE 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 38.68 1.289333 1.289333 1.289333167 N05AX08 RISPERIDONUM** ESSENS OD 2 mg COMPR. ORODISPERSABILE 2mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 41.75 1.391666 1.289333 1.289333168 N05AX08 RISPERIDONUM** ESSENS OD 3 mg COMPR. ORODISPERSABILE 3mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE P-RF 30 66.02 2.200666 2.200666 2.200666169 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 25 mg PULB. + SOLV. PT. SOL. INJ. 25mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 402.67 402.670000 402.670000 402.670000

170 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 37,5 mg PULB. + SOLV. PT. SOL. INJ. 37,5mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 565.30 565.300000 565.300000 565.300000

171 N05AX08 RISPERIDONUM** RISPOLEPT CONSTA (R) 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLAC. PULB. PT. SUSP. INJ. + 1 SERINGA PREUMPLUTA X 2 ML SOLV. + 1 CUTIE X 2 ACE HYPOINT S S/P-RF 1 679.46 679.460000 679.460000 679.460000

172 N05AX08 RISPERIDONUM** RISPOLEPT SOL. ORALA 1mg/ml JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + 1 PIPETA P-RF 1 147.07 147.070000 48.970000 48.970000

173 N05AX08 RISPERIDONUM** RISPOLEPT SOL. ORALA 1mg/ml JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 FLACON DIN STICLA BRUNA X 30 ML SOL. ORALA + 1 PIPETA P-RF 1 48.97 48.970000 48.970000 48.970000

174 N05AX12 ARIPIPRAZOLUM** ABILIFY 10mg COMPR. 10mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF 28 458.05 16.358928 16.358928 16.358928

175 N05AX12 ARIPIPRAZOLUM** ABILIFY 15mg COMPR. 15mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF 28 458.05 16.358928 16.358928 16.358928

176 N05AX12 ARIPIPRAZOLUM** ABILIFY 7,5mg/ml SOL. INJ. 7,5mg/ml OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1FLAC. X 1,3ML SOL.INJ P-RF 1 19.72 19.720000 19.720000 19.720000

177 N06AB04 CITALOPRAMUM** CITALORAN 10 mg COMPR. FILM. 10mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 6.93 0.247500 0.247500 0.247500178 N06AB04 CITALOPRAMUM** LINISAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 39.51 1.317000 0.247500 0.247500179 N06AB04 CITALOPRAMUM** CITALORAN 20mg COMPR. FILM. 20mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 10.08 0.360000 0.360000 0.360000180 N06AB04 CITALOPRAMUM** LINISAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 74.71 2.490333 0.360000 0.360000181 N06AB04 CITALOPRAMUM** CITALORAN 40 mg COMPR. FILM. 40mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 2 BLIST. PVDC-PVC/AL X 14 COMPR. FILM. P-RF 28 31.53 1.126071 1.126071 1.126071182 N06AB04 CITALOPRAMUM** LINISAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 135.23 4.507666 1.126071 1.126071183 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 84.85 3.030357 3.030357 3.030357184 N06AB10 ESCITALOPRAMUM** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 14 58.17 4.155000 3.030357 3.030357185 N06AB10 ESCITALOPRAMUM** CIPRALEX 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 46.64 1.665714 1.665714 1.665714186 N06AX05 TRAZODONUM** TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 20 23.42 1.171000 1.171000 1.171000187 N06AX14 TIANEPTINUM** COAXIL (R) DRAJ. 12,5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 32.73 1.091000 1.091000 1.091000188 N06AX16 VENLAFAXINUM** EFECTIN ER 150 mg CAPS. ELIB. PREL. 150mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 168.45 6.016071 3.298666 3.298666189 N06AX16 VENLAFAXINUM** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 97.95 3.498214 3.298666 3.298666190 N06AX16 VENLAFAXINUM** ALVENTA 150mg CAPS. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 104.43 3.481000 3.298666 3.298666191 N06AX16 VENLAFAXINUM** FOBILESS 150 mg CAPS. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 98.96 3.298666 3.298666 3.298666192 N06AX16 VENLAFAXINUM** NOPEKAR 150 mg CAPS. ELIB. PREL. 150mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 97.95 3.498214 3.298666 3.298666193 N06AX16 VENLAFAXINUM** ADOXA EP 150 mg CAPS. ELIB. PREL. 150mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 128.42 4.280666 3.298666 3.298666194 N06AX16 VENLAFAXINUM** ELIFY EP 150 mg CAPS. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 117.82 3.927333 3.298666 3.298666195 N06AX16 VENLAFAXINUM** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 33.40 1.113333 1.113333 1.113333196 N06AX16 VENLAFAXINUM** NOPEKAR 37,5 mg CAPS. ELIB. PREL. 37,5mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 43.72 1.561428 1.113333 1.113333197 N06AX16 VENLAFAXINUM** ADOXA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 39.13 1.304333 1.113333 1.113333198 N06AX16 VENLAFAXINUM** EFECTIN ER 75 mg CAPS. ELIB. PREL. 75mg WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 1 BLIST. ACLAR/PE/PVC/AL X 28 CAPS. ELIB. PREL. P-RF 28 104.68 3.738571 1.816428 1.816428199 N06AX16 VENLAFAXINUM** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 50.86 1.816428 1.816428 1.816428200 N06AX16 VENLAFAXINUM** ALVENTA 75 mg CAPS. ELIB. PREL. 75mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. P-RF 30 54.93 1.831000 1.816428 1.816428201 N06AX16 VENLAFAXINUM** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 62.39 2.079666 1.816428 1.816428202 N06AX16 VENLAFAXINUM** NOPEKAR 75 mg CAPS. ELIB. PREL. 75mg OZONE LABORATORIES BV OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. ELIB. PREL. P-RF 28 50.86 1.816428 1.816428 1.816428203 N06AX16 VENLAFAXINUM** ADOXA EP 75 mg CAPS. ELIB. PREL. 75mg RANBAXY (UK) LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 67.86 2.262000 1.816428 1.816428

Pagina 26 din 40

204 N06AX16 VENLAFAXINUM** ELIFY EP 75 mg CAPS. ELIB. PREL. 75mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 62.03 2.067666 1.816428 1.816428205 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 27.49 0.916333 0.916333 0.916333206 N06AX16 VENLAFAXINUM** ADOXA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-ACLAR/AL X 10 COMPR. P-RF 30 27.49 0.916333 0.916333 0.916333207 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 37,5 mg COMPR. 37,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-RF 60 58.50 0.975000 0.975000 0.975000208 N06AX16 VENLAFAXINUM** VELAXIN 37,5 mg COMPR. 37,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 77.60 1.385714 0.975000 0.975000209 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 30.23 1.007666 0.975000 0.975000210 N06AX16 VENLAFAXINUM** ADOXA 37,5 mg COMPR. 37,5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 30.23 1.007666 0.975000 0.975000211 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 36.14 1.204666 1.204666 1.204666212 N06AX16 VENLAFAXINUM** ADOXA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 36.14 1.204666 1.204666 1.204666213 N06AX16 VENLAFAXINUM** VENLAFAXINA LPH 75 mg COMPR. 75mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 72.90 1.215000 1.215000 1.215000214 N06AX16 VENLAFAXINUM** VELAXIN 75 mg COMPR. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. P-RF 56 104.20 1.860714 1.215000 1.215000215 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-RF 30 66.02 2.200666 1.215000 1.215000216 N06AX16 VENLAFAXINUM** ADOXA 75 mg COMPR. 75mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 30 66.02 2.200666 1.215000 1.215000217 N06AX16 VENLAFAXINUM** ARGOFAN 150 SR COMPR. ELIB. PREL. 150mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 164.11 5.470333 5.470333 5.470333218 N06AX16 VENLAFAXINUM** ARGOFAN 75 SR COMPR. ELIB. PREL. 75mg ZENTIVA A.S. SLOVACIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P-RF 30 88.03 2.934333 2.934333 2.934333219 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 37,5 mg COMPR. FILM. 37,5 mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 35.79 0.639107 0.639107 0.639107220 N06AX16 VENLAFAXINUM** VENLAFAXINA ACTAVIS 75 mg COMPR. FILM. 75mg ACTAVIS S.R.L. ROMANIA CUTIE X 4 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 56 61.97 1.106607 1.106607 1.106607221 N06AX17 MILNACIPRANUM** IXEL CAPS. 25mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 67.17 1.199464 1.199464 1.199464222 N06AX17 MILNACIPRANUM** IXEL CAPS. 50mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 4 BLIST. AL/PVC X 14 CAPS. P-RF 56 110.10 1.966071 1.966071 1.966071223 N06AX21 DULOXETINUM** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 98.96 3.534285 3.534285 3.534285224 N06AX21 DULOXETINUM** CYMBALTA 60mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 167.97 5.998928 5.998928 5.998928

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie

1 N06DA02 DONEPEZILUM*** ARICEPT (R) 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF 28 336.90 12.032142 9.631000 9.6310002 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 288.93 9.631000 9.631000 9.6310003 N06DA02 DONEPEZILUM*** DAVIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 30 288.93 9.631000 9.631000 9.6310004 N06DA02 DONEPEZILUM*** ARICEPT (R) 5 mg COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 286.84 10.244285 7.901666 7.9016665 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 237.05 7.901666 7.901666 7.9016666 N06DA02 DONEPEZILUM*** DAVIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 30 237.05 7.901666 7.901666 7.9016667 N06DA02 DONEPEZILUM*** ARICEPT EVESS COMPR. ORODISPERSABILE 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE P-RF 28 358.63 12.808214 12.808214 12.808214

8 N06DA02 DONEPEZILUM*** ARICEPT EVESS COMPR. ORODISPERSABILE 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE P-RF 28 286.84 10.244285 10.244285 10.244285

9 N06DA03 RIVASTIGMINUM*** EXELON 1,5mg CAPS. 1,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 327.39 5.846250 5.846250 5.84625010 N06DA03 RIVASTIGMINUM*** EXELON 3mg CAPS. 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 311.98 5.571071 5.571071 5.57107111 N06DA03 RIVASTIGMINUM*** EXELON 4,6mg/24h PLASTURE TRANSDERMIC 4,6mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 369.07 12.302333 12.302333 12.302333

12 N06DA03 RIVASTIGMINUM*** EXELON 9,5mg/24h PLASTURE TRANSDERMIC 9,5mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 369.07 12.302333 12.302333 12.302333

13 N06DA04 GALANTAMINUM*** REMINYL 16 mg CAPS. ELIB. PREL. 16mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 353.59 12.628214 12.628214 12.628214

14 N06DA04 GALANTAMINUM*** REMINYL 24 mg CAPS. ELIB. PREL. 24mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 396.27 14.152500 14.152500 14.152500

15 N06DA04 GALANTAMINUM*** REMINYL 8 mg CAPS. ELIB. PREL. 8mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 4 BLIST. PVC-PE-PVDC X 7 CAPS. CU ELIB. PREL. P-RF 28 188.81 6.743214 6.743214 6.74321416 N06DA04 GALANTAMINUM*** REMINYL (R) 12 mg COMPR. FILM. 12mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 4 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 56 375.05 6.697321 6.697321 6.69732117 N06DA04 GALANTAMINUM*** REMINYL (R) 4 mg COMPR. FILM. 4mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 14 64.40 4.600000 4.600000 4.60000018 N06DA04 GALANTAMINUM*** REMINYL (R) 8 mg COMPR. FILM. 8mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 4 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 56 333.89 5.962321 5.962321 5.96232119 N06DA04 GALANTAMINUM*** REMINYL (R) 8 mg COMPR. FILM. 8mg JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 BLIST. AL/PVC-PE-PVDC X 14 COMPR. FILM. P-RF 14 88.03 6.287857 5.962321 5.962321

14. DEMENTE(DEGENERATIVE, VASCULARE, MIXTE) - G 16

Pagina 27 din 40

20 N06DA04 GALANTAMINUM*** REMINYL (R) 4 mg/ml SOL. ORALA 4mg/ml JANSSEN-PHARMACEUTICA NV BELGIA CUTIE X 1 FLACON X 100 ML + 1 PIPETA DOZATOARE P-RF 1 238.71 238.710000 238.710000 238.710000

21 N06DX01 MEMANTINUM*** EBIXA 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) P-RF/R 56 396.08 7.072857 7.072857 7.07285722 N06DX01 MEMANTINUM*** EBIXA 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 28 COMPR. FILM. (BLIST. AL/PP) P-RF/R 28 201.78 7.206428 7.072857 7.07285723 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 50 G SOLUTIE P-RF/R 1 357.42 357.420000 160.970000 160.970000

24 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 100 G SOLUTIE P-RF/R 1 681.25 681.250000 160.970000 160.970000

25 N06DX01 MEMANTINUM*** EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 20 G SOLUTIE P-RF/R 1 160.97 160.970000 160.970000 160.970000

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie

1 H02AB04 METHYLPREDNISOLONUM5 MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 30.63 0.612600 0.612600 0.612600

2 H02AB04 METHYLPREDNISOLONUM5 MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 27.83 1.391500 1.391500 1.391500

3 H02AB04 METHYLPREDNISOLONUM5 MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 6.13 0.204333 0.204333 0.2043334 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 24.53 0.490600 0.490600 0.4906005 L01AA01 CYCLOPHOSPHAMIDUM* ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 14.92 14.920000 14.920000 14.920000

6 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 75.98 0.759800 0.759800 0.7598007 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31.40 0.523333 0.523333 0.523333

Tratamentul se initiaza si monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie si boli infectioase.

1 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 26.50 0.530000 0.293400 0.2934002 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 29.34 0.293400 0.293400 0.2934003 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 33.51 6.702000 6.702000 6.702000

4 H02AB04 METHYLPREDNISOLONUM5 MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 30.63 0.612600 0.612600 0.612600

5 H02AB04 METHYLPREDNISOLONUM5 MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 27.83 1.391500 1.391500 1.391500

6 H02AB04 METHYLPREDNISOLONUM5 MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 6.13 0.204333 0.204333 0.204333

7 L01BA01 METHOTREXATUM4METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.072500

8 L01BA01 METHOTREXATUM4METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.072500

9 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 84.17 84.170000 84.170000 84.170000

10 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 378.95 378.950000 378.950000 378.950000

11 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 226.36 45.272000 45.272000 45.272000

12 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 22.37 2.237000 2.237000 2.23700013 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 12.51 12.510000 12.510000 12.510000

14 L04AA13 LEFLUNOMIDUM** ARAVA 10mg COMPR. FILM. 10mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 262.94 8.764666 8.764666 8.76466615 L04AA13 LEFLUNOMIDUM** ARAVA 20mg COMPR. FILM. 20mg SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. P-RF/R 30 274.79 9.159666 9.159666 9.15966616 L04AD02 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 446.87 8.937400 8.937400 8.93740017 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 131.29 2.625800 1.767600 1.76760018 L04AD02 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 88.38 1.767600 1.767600 1.76760019 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 131.44 2.628800 1.767600 1.76760020 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 274.32 5.486400 3.566200 3.56620021 L04AD02 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 178.31 3.566200 3.566200 3.566200

15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMICOZA, VASCULITE SISTEMICE) - G 17

16. POLIARTRITA REUMATOIDA , ARTROPATIA PSORIAZICA SI ARTRITA JUVENILA - G 18

Pagina 28 din 40

22 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 286.57 5.731400 3.566200 3.56620023 L04AD02 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 406.57 406.570000 406.570000 406.570000

24 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 75.98 0.759800 0.759800 0.75980025 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 44.79 2.239500 2.239500 2.23950026 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 19.23 0.641000 0.641000 0.64100027 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 15.21 0.507000 0.507000 0.50700028 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.68 0.368000 0.368000 0.36800029 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 6.16 0.616000 0.159500 0.15950030 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.55 0.427500 0.159500 0.15950031 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 3.19 0.159500 0.159500 0.15950032 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 5.36 0.178666 0.178666 0.17866633 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 6.16 0.308000 0.105500 0.10550034 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.13 0.106500 0.105500 0.10550035 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.31 0.115500 0.105500 0.10550036 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.11 0.105500 0.105500 0.10550037 M01AB05 DICLOFENACUM DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.57 0.178500 0.105500 0.10550038 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 4.24 0.141333 0.141333 0.14133339 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 2.19 0.219000 0.219000 0.21900040 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.81 0.193666 0.193666 0.19366641 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.50 0.125000 0.119500 0.11950042 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.39 0.119500 0.119500 0.11950043 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 8.83 1.766000 0.762000 0.76200044 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 5.73 1.146000 0.762000 0.76200045 M01AB05 DICLOFENACUM REFEN (R) SOL. INJ. 25mg/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 5 FIOLE X 3 ML P-RF 5 3.81 0.762000 0.762000 0.76200046 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 13.37 2.674000 2.674000 2.67400047 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 6.16 1.232000 0.762000 0.76200048 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 9.31 0.931000 0.762000 0.76200049 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 9.58 1.916000 0.762000 0.76200050 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 9.12 1.824000 0.762000 0.76200051 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 12.63 1.263000 0.762000 0.76200052 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 30.88 1.029333 0.762000 0.76200053 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 2.77 0.461666 0.288000 0.28800054 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.13 1.026000 0.288000 0.28800055 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.88 0.288000 0.288000 0.28800056 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 3.00 0.300000 0.288000 0.28800057 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 3.33 0.666000 0.288000 0.28800058 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 4.73 0.473000 0.473000 0.47300059 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.74 1.623333 1.623333 1.62333360 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 8.88 0.888000 0.888000 0.88800061 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.04 1.506666 1.506666 1.50666662 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 31.40 0.523333 0.523333 0.523333

Tratamentul se initiaza si monitorizeaza de catre medicul in specialitatea reumatologie, nefrologie, medicina interna sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice pt specialitatea recuperare, medicina fizica balneofizioterapie )

Pagina 29 din 40

1 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 26.50 0.530000 0.293400 0.2934002 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 29.34 0.293400 0.293400 0.2934003 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 33.51 6.702000 6.702000 6.7020004 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 44.79 2.239500 2.239500 2.2395005 M01AB05 DICLOFENACUM DICLOFENAC DUO PHARMASWISS 75 mg CAPS. ELIB. PREL. 75mg PHARMASWISS CESKA REPUBLIKA S.R.O. CEHIA CUTIE X 3 BLIST. PVC/PVDC/AL X 10 CAPS. ELIB. PREL. P-6L 30 19.23 0.641000 0.641000 0.6410006 M01AB05 DICLOFENACUM TRATUL 50 CAPS. GASTROREZ. 50mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. P-6L 30 15.21 0.507000 0.507000 0.5070007 M01AB05 DICLOFENACUM DICLAC (R) 75 ID COMPR. ELIB. MODIF. 75mg HEXAL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR. ELIB. MODIF. P-6L 10 3.68 0.368000 0.368000 0.3680008 M01AB05 DICLOFENACUM VOLTAREN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL. X 10 COMPR. FILM. ELIB. PREL. P-6L 10 6.16 0.616000 0.159500 0.1595009 M01AB05 DICLOFENACUM REFEN (R) RETARD COMPR. FILM. ELIB. PREL. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM. ELIB. PREL. P-6L 20 8.55 0.427500 0.159500 0.159500

10 M01AB05 DICLOFENACUM DICLOTARD (R) 100 mg COMPR. FILM. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 20 3.19 0.159500 0.159500 0.15950011 M01AB05 DICLOFENACUM RHEUMAVEK COMPR. FILM. GASTROREZ. 25mg FARAN LABORATORIES S.A. GRECIA CUTIE X 3 BLIST. PVC-AL/PVDC X 10 COMPR. FILM. GASTROREZ. P-6L 30 5.36 0.178666 0.178666 0.17866612 M01AB05 DICLOFENACUM VOLTAREN (R) 50 COMPR. FILM. GASTROREZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. GASTROREZ. P-6L 20 6.16 0.308000 0.105500 0.10550013 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.13 0.106500 0.105500 0.10550014 M01AB05 DICLOFENACUM CLAFEN 50 mg COMPR. FILM. GASTROREZ. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.31 0.115500 0.105500 0.10550015 M01AB05 DICLOFENACUM DICLOFENAC 50 mg COMPR. FILM. GASTROREZ. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 2.11 0.105500 0.105500 0.10550016 M01AB05 DICLOFENACUM DICLOGESIC 50 COMPRIMATE FILMATE GASTROREZISTENTE COMPR. FILM. GASTROREZ. 50mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 20 3.57 0.178500 0.105500 0.10550017 M01AB05 DICLOFENACUM EPIFENAC COMPR. GASTROREZ. 25mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 3 BLIST. X 10 COMPR. GASTROREZ. P-6L 30 4.24 0.141333 0.141333 0.14133318 M01AB05 DICLOFENACUM VOLTAREN RAPID (R) DRAJ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 DRAJ. P-6L 10 2.19 0.219000 0.219000 0.21900019 M01AB05 DICLOFENACUM DICLOFENAC 25 mg DRAJ. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. GASTROREZ. P-6L 30 5.81 0.193666 0.193666 0.19366620 M01AB05 DICLOFENACUM DICLOFENAC 50 mg DRAJ. GASTROREZ. 50mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ GASTROREZ. P-6L 20 2.50 0.125000 0.119500 0.11950021 M01AB05 DICLOFENACUM N - DICLOFENAC DRAJ. GASTROREZ. 50mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 DRAJ. GASTROREZ. P-6L 20 2.39 0.119500 0.119500 0.11950022 M01AB05 DICLOFENACUM VOLTAREN (R) SOL. INJ. 25mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE CU PUNCT DE RUPERE X 3 ML P-RF 5 8.83 1.766000 0.762000 0.76200023 M01AB05 DICLOFENACUM RHEUMAVEK SOL. INJ. 25mg/ml FARAN LABORATORIES S.A. GRECIA CUTIE X 5 FIOLE DE STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 3 ML P-RF 5 5.73 1.146000 0.762000 0.76200024 M01AB05 DICLOFENACUM REFEN (R) SOL. INJ. 25mg/ml STADA HEMOFARM S.R.L. ROMANIA CUTIE X 5 FIOLE X 3 ML P-RF 5 3.81 0.762000 0.762000 0.76200025 M01AB05 DICLOFENACUM TRATUL (R) SOL. INJ. 30mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 1 BLIST PVC X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. P-RF 5 13.37 2.674000 2.674000 2.67400026 M01AB05 DICLOFENACUM DICLAC SOL. INJ. 75mg HEXAL AG GERMANIA CUTIE X 5 FIOLE X 3 ML SOL. INJ. P-RF 5 6.16 1.232000 0.762000 0.76200027 M01AB05 DICLOFENACUM ALMIRAL SOL. INJ. 75mg/3ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE, IN 2 SUPORTURI TERMOFORMATE DIN MATERIAL PLASTI P-RF 10 9.31 0.931000 0.762000 0.76200028 M01AB05 DICLOFENACUM DICLOFENAC 75 mg SOL. INJ. 75mg/3ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 3 ML P-RF 5 9.58 1.916000 0.762000 0.76200029 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 5 9.12 1.824000 0.762000 0.76200030 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF 10 12.63 1.263000 0.762000 0.76200031 M01AB05 DICLOFENACUM DICLOFENAC AL I.M. SOL. INJ. 75mg/3ml ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 30 FIOLE DIN STICLA INCOLORA X 3ML SOL. INJ. P-RF/S 30 30.88 1.029333 0.762000 0.76200032 M01AB05 DICLOFENACUM CLAFEN 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDANTE X 3 SUPOZ. P-6L 6 2.77 0.461666 0.288000 0.28800033 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 100mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FOLIE PVC/PE-JD X 5 SUPOZ. P-6L 5 5.13 1.026000 0.288000 0.28800034 M01AB05 DICLOFENACUM DICLOFENAC 100 mg SUPOZ. 100mg SINTOFARM SA ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 2.88 0.288000 0.288000 0.28800035 M01AB05 DICLOFENACUM DICLOFENAC SODIC 100 mg SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 3.00 0.300000 0.288000 0.28800036 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 3.33 0.666000 0.288000 0.28800037 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12,5mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 4.73 0.473000 0.473000 0.47300038 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.74 1.623333 1.623333 1.62333339 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 8.88 0.888000 0.888000 0.88800040 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 9.04 1.506666 1.506666 1.506666

17. SPONDILITA ANKILOZANTA - G 19

Pagina 30 din 40

1 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 2 COMPR. P-RF 2 40.92 20.460000 14.522500 14.522500

2 G02CB03 CABERGOLINUM** DOSTINEX COMPR. 0,5mg PFIZER EUROPE MA EEG MAREA BRITANIE CUTIE X 1 FLAC. X 8 COMPR. P-RF 8 116.18 14.522500 14.522500 14.522500

3 H01AX01 PEGVISOMANTUM**** SOMAVERT 10 mg LIOF. + SOLV. PT. SOL. INJ. 10mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 FLAC. CU PULB., INSOTITE DE 30 FLAC. X 8 ML SOLV. PT. RECONSTITUIRE P-RF/R 30 8,082.27 269.409000 269.409000 269.409000

4 H01AX01 PEGVISOMANTUM**** SOMAVERT 20 mg LIOF. + SOLV. PT. SOL. INJ. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 FLAC. CU LIOF., INSOTITE DE 30 FLAC. A 8 ML SOLV. PT. RECONSTITUIRE P-RF/R 30 16,093.69 536.456333 536.456333 536.456333

5 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0,2mg FERRING AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF 30 183.38 6.112666 6.112666 6.1126666 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 20 mg PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 3,600.22 3600.220000 3600.220000 3600.220000

7 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 10 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 2,258.35 2258.350000 2258.350000 2258.350000

8 H01CB02 OCTREOTIDUM**** SANDOSTATIN LAR 30 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE S/P-RF 1 4,970.44 4970.440000 4970.440000 4970.440000

9 H01CB02 OCTREOTIDUM**** SANDOSTATIN (R) SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 143.31 28.662000 28.662000 28.662000

10 H01CB03 LANREOTIDUM**** SOMATULINE (R) PR 30 mg LIOF. PT. SOL. INJ. + SOLV. 30mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLACON LIOF. + 1 FIOLA X 2 ML SOLV. + 1 SERINGA X 3 ML + 2 ACE S 1 1,481.48 1481.480000 1481.480000 1481.480000

11 H01CB03 LANREOTIDUM**** SOMATULINE AUTOGEL 60 mg SOL. INJ. CU ELIB. PREL. 60mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. CU ELIB. PREL., IN PUNGA AL/NYLON/PE + AC S/P-RF 1 2,830.73 2830.730000 2830.730000 2830.730000

12 H02AA02 FLUDROCORTISONUM ASTONIN H COMPR. 0,1mg MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN PP X 50 COMPR. P-RF 50 44.85 0.897000 0.897000 0.89700013 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 250 LIOF. + SOLV. PT. SOL. INJ. 250mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. DIN STICLA INCOLORA X 250 MG FIOF. PT. SOL. INJ. + 3 FIOLE X 5 ML SOLV. P-RF 3 89.78 29.926666 29.926666 29.926666

14 H02AB06 PREDNISOLONUM SOLU - DECORTIN H 50 LIOF. + SOLV. PT. SOL. INJ. 50mg MERCK KGAA GERMANIA CUTIE X 3 FLAC. X 50 MG LIOF. PT. SOL. INJ. + 3 FIOLE X 1 ML SOLVENT P-RF 3 33.52 11.173333 11.173333 11.173333

15 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766616 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.07766617 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.07766618 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.07766619 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766620 H02AB09 HYDROCORTISONUM HYDROCORTISONE 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. S 1 3.67 3.670000 3.670000 3.67000021 H02AB09 HYDROCORTISONUM HYDROCORTISONE SUCCINAT SODIC LIOF. + SOLV. PT. SOL. INJ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 3.67 3.670000 3.670000 3.67000022 H02AB09 HYDROCORTISONUM HYDROCORTISONE 500 mg LIOF. PT. SOL. INJ. + SOLV. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 4 ML SOLV. S 1 11.19 11.190000 11.190000 11.190000

23 H02AB09 HYDROCORTISONUM HIDROCORTIZON HEMISUCCINAT SOL. INJ. I.V. 25mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE X 1 ML SOL. A + 5 FIOLE X 4 ML SOL. B S/P-RF 5 12.77 2.554000 2.554000 2.55400024 H03AA01 LEVOTHYROXINUM THYRO - 4 0,1 mg COMPR. 0,1mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-6L 100 7.15 0.071500 0.071500 0.07150025 H03AA01 LEVOTHYROXINUM THYRO - 4 0,2 mg COMPR. 0,2mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-6L 100 8.94 0.089400 0.089400 0.08940026 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 10.97 0.109700 0.109700 0.10970027 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 11.71 0.117100 0.109700 0.10970028 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 22.68 0.226800 0.226800 0.22680029 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 25 COMPR. 25mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 8.94 0.089400 0.089400 0.08940030 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 50 COMPR. 50mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-6L 100 7.77 0.077700 0.077700 0.07770031 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L/S 100 7.89 0.078900 0.077700 0.07770032 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-RF 100 11.59 0.115900 0.115900 0.11590033 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 11.59 0.115900 0.115900 0.11590034 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. P-RF 100 18.06 0.180600 0.180600 0.18060035 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-RF 100 18.06 0.180600 0.180600 0.18060036 N04BC01 BROMOCRIPTINUM BROCRIPTIN (N04BC01) DRAJ. 2,5mg BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 20 DRAJ. P-RF 40 19.86 0.496500 0.496500 0.496500

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau oncologie

Tratamentul se initiaza si monitorizeaza de catre medicul in specialitatea reumatologie sau recuperare medicina fizica balneofizioterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice pt specialitatea recuperare, medicina fizica balneofizioterapie )

18. BOLI ENDOCRINE (GUSA ENDEMICA, INSUFICIENTA SUPRARELNALA CRONICA, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARA SI TUMORI NEUROENDOCRINE) - G 22

Pagina 31 din 40

1 M01CC01 PENICILLAMINUM**4 CUPRENIL COMPR. FILM. 250mg CN UNIFARM ROMANIA CUTIE X 1FLAC. X 100 COMPR. FILM. X 100 106.78 1.067800 1.067800 1.067800

Tratamentul se initiaza de catre medicul in specialitatea endocrinologie sau neurologie

1 A11CC07 PARICALCITOLUM** ZEMPLAR 1mcg CAPS. MOI 1mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 443.76 15.848571 15.848571 15.848571

2 A11CC07 PARICALCITOLUM** ZEMPLAR 2mcg CAPS. MOI 2mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. P-RF 28 878.67 31.381071 31.381071 31.381071

3 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 450.17 90.034000 90.034000 90.034000

4 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. S 5 851.29 170.258000 170.258000 170.258000

5 B03AC02

COMPLEX DE HIDROXID DE FER (III) SUCROZA** VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 140.63 28.126000 28.126000 28.126000

6 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML S/P-RF 6 2,219.85 369.975000 369.975000 369.975000

7 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 248.03 41.338333 34.180000 34.180000

8 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 311.55 31.155000 31.155000 31.155000

9 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML S/P-RF 6 506.75 84.458333 84.458333 84.458333

10 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML S/P-RF 6 717.00 119.500000 119.500000 119.500000

11 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML S/P-RF 1 1,405.01 1405.010000 1405.010000 1405.010000

12 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. S/P-RF 10 576.62 57.662000 57.662000 57.662000

13 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0,4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML S/P-RF 6 930.20 155.033333 123.031666 123.031666

14 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,627.37 271.228333 271.228333 271.228333

15 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 1,730.88 288.480000 271.228333 271.228333

16 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 205.08 34.180000 34.180000 34.180000

17 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ S/P-RF/R 6 224.10 37.350000 34.180000 34.180000

18 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 404.17 67.361666 67.361666 67.361666

19 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. S/P-RF/R 6 435.08 72.513333 67.361666 67.361666

20 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. S/P-RF/R 6 571.20 95.200000 95.200000 95.200000

21 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. S/P-RF/R 6 617.68 102.946666 95.200000 95.200000

22 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 738.19 123.031666 123.031666 123.031666

23 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. S/P-RF/R 6 794.92 132.486666 123.031666 123.031666

24 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 905.14 150.856666 150.856666 150.856666

25 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. S/P-RF/R 6 982.53 163.755000 150.856666 150.856666

26 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. S/P-RF/R 6 1,164.90 194.150000 194.150000 194.150000

27 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. S/P-RF/R 6 1,529.62 254.936666 254.936666 254.936666

28 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 2,207.69 367.948333 367.948333 367.948333

29 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 262.83 43.805000 43.805000 43.805000

30 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 498.48 83.080000 83.080000 83.080000

31 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 1,107.18 1107.180000 1107.180000 1107.180000

32 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 925.50 154.250000 154.250000 154.250000

33 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 1,138.88 189.813333 189.813333 189.813333

34 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE S/P-RF/R 6 135.15 22.525000 22.525000 22.525000

19. BOALA WILSON - G23

20. BOALA CRONICA DE RINICHI - faza predializa - G 25

Pagina 32 din 40

35 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 2,983.68 745.920000 745.920000 745.920000

36 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 369.99 92.497500 92.497500 92.497500

37 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 4,425.31 1106.327500 1106.327500 1106.327500

38 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML P-RF/R 4 518.36 129.590000 129.590000 129.590000

39 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 664.07 166.017500 166.017500 166.017500

40 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 2,078.14 2078.140000 2078.140000 2078.140000

41 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 952.18 238.045000 238.045000 238.045000

42 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 1,242.77 310.692500 310.692500 310.692500

43 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 3,416.34 3416.340000 3416.340000 3416.340000

44 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 1,531.80 382.950000 382.950000 382.950000

45 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 1,823.26 455.815000 455.815000 455.815000

46 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 2,404.28 601.070000 601.070000 601.070000

47 C09CA04 IRBESARTANUM** APROVEL 150mg COMPR. FILM. 150mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 74.87 2.673928 2.673928 2.67392848 C09CA04 IRBESARTANUM** APROVEL 300mg COMPR. FILM. 300mg SANOFI PHARMA - BRISTOL MYERS SQUIBB FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 101.17 3.613214 3.613214 3.61321449 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766650 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.07766651 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.07766652 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.07766653 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766654 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 24.53 0.490600 0.490600 0.49060055 L04AD02 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 446.87 8.937400 8.937400 8.93740056 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 131.29 2.625800 1.767600 1.76760057 L04AD02 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 88.38 1.767600 1.767600 1.76760058 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 131.44 2.628800 1.767600 1.76760059 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 274.32 5.486400 3.566200 3.56620060 L04AD02 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 178.31 3.566200 3.566200 3.56620061 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 286.57 5.731400 3.566200 3.56620062 L04AD02 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 406.57 406.570000 406.570000 406.570000

63 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 75.98 0.759800 0.759800 0.75980064 V06DDN1 COMBINATII (AMINOACIZI)** KETOSTERIL COMPR. FILM. FARA CONCENTRATIE FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE X 5 BLIST. DIN PVC/AL X 20 COMPR. FILM. P-RF 100 219.70 2.197000 2.197000 2.197000

1 S01EC03 DORZOLAMIDUM DORZOPT 20 mg/ml PIC. OFT., SOL 20mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PEJD X 5 ML PIC. OFT., SOL P-RF 1 28.92 28.920000 28.920000 28.920000

2 S01EC03 DORZOLAMIDUM TRUSOPT SOL. OFT. 20mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCULOMETER PLUS X 5 ML SOL. OFT. P-6L 1 38.28 38.280000 28.920000 28.920000

3 S01EC04 BRINZOLAMIDUM AZOPT 10mg/ml PICATURI OFT.-SUSP. 10mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML P-6L 1 47.84 47.840000 47.840000 47.840000

4 S01ED01 TIMOLOLUM NYOLOL GEL GEL OFT. 1mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON DIN PEID X 5 G GEL OFTALMIC , PREVAZUT CU PICURATOR P-6L 1 14.44 14.440000 14.440000 14.440000

5 S01ED01 TIMOLOLUM TIMOLOL RPH 0,25% PIC. OFT., SOL. 2,5mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. P-6L 1 3.79 3.790000 2.940000 2.9400006 S01ED01 TIMOLOLUM TIMABAK 2,5 mg/ml PIC. OFT.,SOL. 2,5mg/ml LABORATOIRES THEA FRANTA CUTIE X 1 FLAC. DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 24.65 24.650000 2.940000 2.9400007 S01ED01 TIMOLOLUM TIMABAK 5 mg/ml PIC. OFT.,SOL. 5mg/ml LABORATORIES THEA FRANTA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFT. SOL. P-6L 1 25.89 25.890000 4.670000 4.6700008 S01ED01 TIMOLOLUM TIMOLOL RPH 0,5% PIC. OFT.,SOL. 5mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. PICURATOR DIN PEID X 5 ML PIC. OFTALMICE, SOL. P-6L 1 4.67 4.670000 4.670000 4.670000

Tratamentul se initiaza de catre medicul in specialitatea nefrologie. Medicamentele specifice se prescriu numai pentru pacientii inclusi in Programul National de supleere a functiei renale la bolnavii cu insuficienta renala cronica.

21. GLAUCOM - G 26

Pagina 33 din 40

9 S01ED01 TIMOLOLUM TIMOPTIC PIC. OFT.-SOL. 2,5mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE, SOL. P-6L 1 8.86 8.860000 2.940000 2.94000010 S01ED01 TIMOLOLUM TIMOPTIC PIC. OFT.-SOL. 5mg/ml MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON TIP OCUMETER PLUS X 5 ML PIC. OFTALMICE SOL. P-6L 1 9.49 9.490000 4.670000 4.67000011 S01ED01 TIMOLOLUM TIMOLOL 0,25% PICATURI OFT.-SOL. 0,25% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON PEID, PREVAZUT CU PICURATOR X 5 ML P-6L 1 2.94 2.940000 2.940000 2.94000012 S01ED01 TIMOLOLUM TIMOLOL 0,5% PICATURI OFT.-SOL. 0,5% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON CU PICURATOR X 5 ML P-6L 1 5.07 5.070000 4.670000 4.67000013 S01ED01 TIMOLOLUM UNITIMOLOL (R) PICATURI OFT.-SOL. 0,5% UNIMED PHARMA LTD. SLOVACIA CUTIE X 1 FLACON PICURATOR PEJD X 10 ML PIC. OFT. SOL. P-6L 1 9.86 9.860000 4.670000 4.67000014 S01ED01 TIMOLOLUM TIMO-GAL (R) PICATURI OFT.-SOL. 0,5% TERAPIA SA ROMANIA CUTIE X 1 FLACON X 10 ML P-6L 1 4.71 4.710000 4.670000 4.67000015 S01ED02 BETAXOLOLUM BETAXOLOL PIC. OFT., SOL. 5mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON DIN PEJD X 10 ML PIC. OFTALMICE, SOL. P-6L 1 5.53 5.530000 4.990000 4.99000016 S01ED02 BETAXOLOLUM BETAX PIC. OFT.-SOL. 5mg/ml ROMPHARM SRL ROMANIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 4.99 4.990000 4.990000 4.99000017 S01ED02 BETAXOLOLUM BETOPTIC PIC.OFTALMICE,SOL. 5mg/ml ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD PREV. CU PICURATOR X 5 ML PIC.OFTALMICE, SOL. P-6L 1 14.38 14.380000 4.990000 4.99000018 S01ED02 BETAXOLOLUM BETOPTIC - S PICATURI OFT.-SUSP. 0,25% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD X 5ML PIC. OFT.SUSP. P-6L 1 14.38 14.380000 14.380000 14.380000

19 S01ED05 CARTEOLOLUM FORTINOL EP 2% PIC. OFTALMICE CU ELIB. PREL. 20mg/ml DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH GERMANIA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFTALMICE CU ELIB. PREL. P-6L 1 12.76 12.760000 12.760000 12.760000

20 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 2% S.I.F.I. SPA ITALIA CUTIE X 30 FLACOANE UNIDOZA DIN PEJD X 0,3 ML P-6L/S 1 31.68 31.680000 31.680000 31.680000

21 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 20mg/ml S.I.F.I. SPA ITALIA CUTIE X 1 FLACON DIN PEJD X 5 ML PIC. OFTALMICE, SOL. P-6L 1 14.98 14.980000 14.980000 14.980000

22 S01ED51

COMBINATII (BIMATOPROSTUM + TIMOLOLUM) GANFORT PIC. OFT.,SOL. 300mcg/ml+5mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC.OFT.SOL. P-RF 1 76.85 76.850000 76.850000 76.850000

23 S01ED51

COMBINATII (DORZOLAMIDUM+TIMOLOLUM) COSOPT PIC. OFT.-SOL. FARA CONCENTRATIE MERCK SHARP & DOHME ROMANIA CUTIE X 1 FLACON DE TIP OCUMETER PLUS X 5ML PIC. OFT., SOL. P-6L 1 65.48 65.480000 65.480000 65.480000

24 S01ED51

COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALCOM (R) SOL. OFT. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML P-6L 1 77.79 77.790000 77.790000 77.790000

25 S01ED51

COMBINATII (TAVOPROSTUM+TIMOLOLUM) DUOTRAV 40mcg/ml + 5mg/ml PIC. OFT.-SOL. 40mcg/ml + 5mg/ml ALCON LABORATORIES (UK) LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE P-RF 1 83.10 83.100000 83.100000 83.100000

26 S01EE01 LATANOPROSTUM XALATAN (R) PICATURI OFT.-SOL. 0,005% PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON PICURATOR PE X 2,5 ML P-6L 1 71.93 71.930000 71.930000 71.930000

27 S01EE03 BIMATOPROSTUM LUMIGAN 0,3mg/ml PIC. OFT.,SOL. 0,3mg/ml ALLERGAN PHARMACEUTICALS IRELAND IRLANDA CUTIE X 1 FLAC. DIN PEJD X 3 ML PIC. OFT. SOL. P-RF 1 69.36 69.360000 69.360000 69.360000

28 S01EE04 TRAVOPROSTUM TRAVATAN 40mcg/ml PICATURI OFT.SOL. 40mcg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 2,5 ML P-6L 1 67.63 67.630000 67.630000 67.630000

Tratamentul se initiaza de catre medicul in specialitatea oftalmologie

1 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 100 120.26 1.202600 0.865500 0.8655002 H02AB02 DEXAMETHASONUM DEXAMETHASONE SODIUM PHOSPHATE SOL. INJ. 8mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 5 6.55 1.310000 0.865500 0.8655003 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF/S 100 86.55 0.865500 0.865500 0.8655004 H02AB02 DEXAMETHASONUM DEXAMED SOL. INJ. 8mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 10 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. P-RF 10 9.74 0.974000 0.865500 0.8655005 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 30.63 0.612600 0.612600 0.6126006 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 27.83 1.391500 1.391500 1.3915007 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 6.13 0.204333 0.204333 0.2043338 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML S/P-RF 1 8.26 8.260000 8.260000 8.2600009 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML S/P-RF 15 63.83 4.255333 4.255333 4.255333

10 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML S/P-RF 1 29.12 29.120000 29.120000 29.120000

11 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 19.21 19.210000 19.210000 19.210000

12 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766613 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.47 0.082333 0.077666 0.07766614 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 2.33 0.077666 0.077666 0.077666

22. PEMFIGUS - G 27

Pagina 34 din 40

15 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 2.37 0.079000 0.077666 0.07766616 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.68 0.084000 0.077666 0.07766617 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 24.53 0.490600 0.490600 0.49060018 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 14.92 14.920000 14.920000 14.920000

19 L01BA01 METHOTREXATUM4METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.072500

20 L01BA01 METHOTREXATUM4METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. X 20 21.45 1.072500 1.072500 1.072500

21 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 84.17 84.170000 84.170000 84.170000

22 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 378.95 378.950000 378.950000 378.950000

23 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 226.36 45.272000 45.272000 45.272000

24 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 22.37 2.237000 2.237000 2.23700025 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 12.51 12.510000 12.510000 12.510000

26 L04AD02 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 446.87 8.937400 8.937400 8.93740027 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 131.29 2.625800 1.767600 1.76760028 L04AD02 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 88.38 1.767600 1.767600 1.76760029 L04AD02 CICLOSPORINUM* CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 131.44 2.628800 1.767600 1.76760030 L04AD02 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 274.32 5.486400 3.566200 3.56620031 L04AD02 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 178.31 3.566200 3.566200 3.56620032 L04AD02 CICLOSPORINUM* CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 286.57 5.731400 3.566200 3.56620033 L04AD02 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 406.57 406.570000 406.570000 406.570000

34 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 75.98 0.759800 0.759800 0.759800

35 J04BA02 DAPSONUM4 DISULONE COMPR. 100mg CN UNIFARM ROMANIA CUTIE X 100 COMPR. X 100 32.00 0.320000 0.320000 0.320000Tratamentul se initiaza de catre medicul in specialitatea dermatologie

1 A16AB02 IMIGLUCERASUM**** CEREZYME 200U PULB. PT.CONC. PT.SOL. PERF. 200U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 2,662.94 2662.940000 2662.940000 2662.940000

2 A16AB02 IMIGLUCERASUM**** CEREZYME 400U PULB. PT.CONC. PT.SOL. PERF. 400U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 5,254.89 5254.890000 5254.890000 5254.890000

3 A16AX06 MIGLUSTATUM**** ZAVESCA CAPS. 100mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST AL/ACLAR X 21 CAPS. P-RF/R 84 26,057.03 310.202738 310.202738 310.202738

1 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 6.56 0.328000 0.240000 0.2400002 J01AA02 DOXYCYCLINUM DOXICICLINA 100 mg CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 2.40 0.240000 0.240000 0.2400003 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.37 0.337000 0.240000 0.2400004 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 9.00 0.900000 0.900000 0.9000005 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.67 0.133500 0.110000 0.1100006 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.57 0.128500 0.110000 0.1100007 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.84 0.142000 0.110000 0.1100008 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.20 0.110000 0.110000 0.1100009 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 1 000 000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 2.40 2.400000 1.940000 1.940000

10 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.94 1.940000 1.940000 1.940000

23. BOALA GAUCHER - G 29

După precizarea diagnosticului de catre laboratoarele de specialitate, va putea fi prescris de către medicul de specialitatea gastroenterologie, hematologie, neurologie si pediatrie.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30

Pagina 35 din 40

11 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 400 000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.45 1.450000 1.310000 1.31000012 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 400000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.31 1.310000 1.310000 1.310000

13 J01CE02PHENOXYMETHYLPENICILLINUM PENICILINA V 1 000 000 U.I. COMPR. 1000000ui EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 8.55 0.427500 0.427500 0.427500

14 J01CE02PHENOXYMETHYLPENICILLINUM OSPEN (R) 1000 COMPR. FILM. 1000000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 3.25 0.270833 0.270833 0.270833

15 J01CE02PHENOXYMETHYLPENICILLINUM OSPEN (R) 1500 COMPR. FILM. 1500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 5.73 0.477500 0.477500 0.477500

16 J01CE02PHENOXYMETHYLPENICILLINUM OSPEN (R) 500 COMPR. FILM. 500000ui SANDOZ GMBH AUSTRIA CUTIE X 1 BLIST. AL/PVC-PVDC X 12 COMPR. FILM. P-RF 12 2.47 0.205833 0.205833 0.205833

17 J01CE02PHENOXYMETHYLPENICILLINUM OSPEN 400 SIROP 400000ui/5ml SANDOZ GMBH AUSTRIA CUTIE X 1 FLACON X 60ML P-RF 1 8.94 8.940000 8.940000 8.940000

18 J01CE08BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 1200000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.96 1.960000 1.960000 1.960000

19 J01CE08BENZATHINI BENZYLPENICILLINUM MOLDAMIN (R) PULB. PT. SUSP. INJ. 600000ui ANTIBIOTICE SA ROMANIA FLACON PULB. PT. SUSP. INJ. P-RF/S 1 1.31 1.310000 1.310000 1.310000

20 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 27.04 2.704000 2.704000 2.70400021 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 6.66 0.333000 0.333000 0.33300022 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 9.01 0.450500 0.333000 0.33300023 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 7.94 0.397000 0.333000 0.33300024 J01FA01 ERYTHROMYCINUM ERITROMICINA EUROPHARM 200 mg COMPR. 200mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 9.49 0.474500 0.333000 0.33300025 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200mg/5ml PULB. PT. SUSP. ORALA 200mg/5ml SANDOZ S.R.L. ROMANIA CUTIE X 1 FLAC. X 30G + PULB. PT. 60 ML SUSP. ORALA + O LIGURITA DOZATOARE P-RF 1 10.75 10.750000 10.750000 10.750000

26 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. P-RF 8 35.61 4.451250 4.263333 4.26333327 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 25.58 4.263333 4.263333 4.26333328 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 23.81 3.968333 3.968333 3.96833329 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 45.84 7.640000 6.958333 6.95833330 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. P-RF 6 41.75 6.958333 6.958333 6.95833331 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. P-RF 6 41.75 6.958333 6.958333 6.95833332 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 35.85 11.950000 8.026666 8.02666633 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 41.42 13.806666 8.026666 8.02666634 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 45.84 15.280000 8.026666 8.02666635 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. P-RF 3 24.08 8.026666 8.026666 8.02666636 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 34.89 11.630000 8.026666 8.02666637 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 34.89 11.630000 8.026666 8.02666638 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 41.89 13.963333 13.963333 13.963333

39 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 41.89 13.963333 13.963333 13.963333

40 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. P-RF 1 59.64 59.640000 59.640000 59.640000

41 J01FA10 AZITHROMYCINUM SUMAMED (R) LIOF. PT. SOL. PERF. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF. S/P-RF 5 151.88 30.376000 30.376000 30.376000

42 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. P-RF 1 17.50 17.500000 17.500000 17.500000

43 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 21.08 21.080000 21.080000 21.080000

44 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP P-RF 1 33.34 33.340000 17.500000 17.500000

45 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 23.64 23.640000 17.500000 17.500000

46 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 45.63 45.630000 17.500000 17.500000

47 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 56.66 56.660000 17.500000 17.500000

48 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 7.53 0.627500 0.627500 0.62750049 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.41 0.641000 0.447000 0.447000

Pagina 36 din 40

50 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 6.41 0.641000 0.447000 0.44700051 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 7.33 0.733000 0.447000 0.44700052 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.41 0.641000 0.447000 0.44700053 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 15.08 0.754000 0.447000 0.44700054 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 7.40 0.740000 0.447000 0.44700055 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 6.52 0.652000 0.447000 0.44700056 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 8.95 0.895000 0.447000 0.44700057 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 4.47 0.447000 0.447000 0.44700058 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 5.73 0.573000 0.447000 0.44700059 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.60900060 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.60900061 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 13.07 1.307000 0.609000 0.60900062 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.60900063 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 7.95 0.795000 0.609000 0.60900064 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. P-RF 10 14.18 1.418000 0.609000 0.60900065 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 8.24 0.824000 0.609000 0.60900066 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 12.42 1.242000 0.609000 0.60900067 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. P-RF 10 17.87 1.787000 0.609000 0.60900068 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 6.09 0.609000 0.609000 0.60900069 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 15.62 1.562000 0.609000 0.60900070 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 8.67 0.867000 0.609000 0.60900071 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 36.14 3.614000 3.614000 3.61400072 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 79.53 11.361428 11.361428 11.361428

73 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 25.95 8.650000 8.650000 8.65000074 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 130.55 2.611000 2.611000 2.61100075 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 15.76 3.152000 2.611000 2.61100076 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. S/P-RF 1 4.50 4.500000 4.500000 4.50000077 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 1 9.00 9.000000 9.000000 9.00000078 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. S 10 152.66 15.266000 9.000000 9.00000079 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML S/P-RF 5 665.12 133.024000 133.024000 133.024000

80 J01MA02 CIPROFLOXACINUM CIPRINOL (R) SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML S/P-RF 1 18.12 18.120000 18.120000 18.120000

1 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7,047.00 2349.000000 2349.000000 2349.000000

2 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 4,823.35 2411.675000 2349.000000 2349.000000

3 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

Tratamentul se initiaza de catre medicul in specialitatea dermatologie si obstetrica-ginecologie (pentru gonoree si infectia cu Chlamidia)

IMUNOSUPRESOARE SELECTIVE - G3125. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a

Tratamentul se prescrie și monitorizează de către medicul în specialitatea gastro-enterologie și medicină internă (unități sanitare nominalizate de către Ministerul Sănătății Publice)

Pagina 37 din 40

1 L01XC02 RITUXIMABUM**** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 2,313.85 1156.925000 1156.925000 1156.925000

2 L01XC02 RITUXIMABUM**** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 5,678.51 5678.510000 5678.510000 5678.510000

3 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4,291.33 1072.832500 1072.832500 1072.832500

4 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2,140.66 535.165000 533.947500 533.947500

5 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

6 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

7 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

8 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7,047.00 2349.000000 2349.000000 2349.000000

9 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 4,823.35 2411.675000 2349.000000 2349.000000

10 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

1 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4,291.33 1072.832500 1072.832500 1072.832500

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2,140.66 535.165000 533.947500 533.947500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

4 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

5 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

6 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7,047.00 2349.000000 2349.000000 2349.000000

7 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 4,823.35 2411.675000 2349.000000 2349.000000

8 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

1 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4,291.33 1072.832500 1072.832500 1072.832500

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2,140.66 535.165000 533.947500 533.947500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

4 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

5 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

6 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7,047.00 2349.000000 2349.000000 2349.000000

7 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 4,823.35 2411.675000 2349.000000 2349.000000

8 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

28. SPONDILITA ANKILOZANTA - G 31d

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna sau recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

29. ARTRITA JUVENILA - G 31e

26. POLIARTITRITA REUMATOIDA - G31b

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie, medicina interna, nefrologie (pentru pacienţii cu afectare renală), medicina interna sau recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

27. ARTROPATIA PSORIAZICA - G31c

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

Pagina 38 din 40

1 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4,291.33 1072.832500 1072.832500 1072.832500

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2,140.66 535.165000 533.947500 533.947500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

4 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

5 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

1 L04AB01 ETANERCEPTUM**** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA P-RF/R 4 4,291.33 1072.832500 1072.832500 1072.832500

2 L04AB01 ETANERCEPTUM**** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL P-RF/R 4 2,140.66 535.165000 533.947500 533.947500

3 L04AB01 ETANERCEPTUM**** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

4 L04AB01 ETANERCEPTUM**** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 2,135.79 533.947500 533.947500 533.947500

5 L04AB01 ETANERCEPTUM**** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL P-RF/R 4 4,200.73 1050.182500 1050.182500 1050.182500

6 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 3 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 3 7,047.00 2349.000000 2349.000000 2349.000000

7 L04AB02 INFLIXIMABUM**** REMICADE 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg CENTOCOR B.V. OLANDA CUTIE X 2 FLAC. DIN STICLA CU LIOF. PT. CONC. PT. SOL. PERF. S 2 4,823.35 2411.675000 2349.000000 2349.000000

8 L04AB04 ADALIMUMABUM**** HUMIRA 40 mg SOL. INJ. IN SERINGA PREUMPLUTA 40mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 1 SERINGA PREUMPLUTA X 0,8 ML + 1 TAMPON CU ALCOOL P-RF/R 2 4,463.59 2231.795000 2231.795000 2231.795000

L04AA21 EFALIZUMABUM ****

NOTA:

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

- Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul MSP;

30. PSORIAZIS CRONIC SEVER - G 31f

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea dermatologie (unitati sanitare nominalizate de catre Ministerul Sanatatii

- Pentru medicamentele corespunzatoare acestei sectiuni initierea tratamentului se face de catre medicul de specialitate altul decat medicul de familie, exceptie facand medicamentele din G1-INSUFICIENTA CARDIACA CRONICA (CLASA III SAU IV NYHA) pozitiile 2, 3, 4, 5, 6, 7, 9 pentru care initierea tratamentului poate fi efectuata si de medicul de familie;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP;

Tratamentul se prescrie si monitorizeaza de catre medicul in specialitatea reumatologie si recuperare medicina fizica şi balneofizioieterapie (unitati sanitare nominalizate de catre Ministerul Sanatatii Publice)

Pagina 39 din 40

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (5) se utilizeaza numai pentru cazurile fara raspuns terapeutic la prednisonum.

NOTĂ: Medicamentele din această sublistă se eliberează prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

Pagina 40 din 40

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

Nr.crtGrupa

terapeutica

Denumire genericaDenumire

comerciala

Forma farmaceutica

Concentratie / U.T.

Firma Tara Ambalaj al U.T. Cantitate

Pret cu

ridicata

maximal /

ambalaj

Pret cu amanu

ntul maxim

al / ambala

j

Pret cu amanuntul maximal / U.T. = Pret

de decontare /

U.T.

1 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM. 12 26.29 34.39 2.8658332 D01AC02 MICONAZOLUM MEDACTER CREMA 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 30G 1 5.94 8.03 8.0300003 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G 1 4.74 6.41 6.4100004 D01AC02 MICONAZOLUM MICONAL ECOBI CREMA 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 30 G CREMA 1 6.61 8.94 8.9400005 D06BB03 ACICLOVIRUM CLOVIRAL (R) 5% CREMA 5% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL. X 12 G 1 4.45 6.01 6.0100006 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA 1 14.63 19.78 19.7800007 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 5 G CREMA 1 3.46 4.67 4.6700008 D06BB03 ACICLOVIRUM ACICLOVIR 5% CREMA 5% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB X 15 G CREMA 1 5.28 7.13 7.1300009 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G 1 2.92 3.94 3.940000

10 D06BB03 ACICLOVIRUM ACICLOVIR MK CREMA 5% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G 1 4.68 6.32 6.32000011 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 5 G CREMA 1 4.11 5.55 5.55000012 D06BB03 ACICLOVIRUM ACIKLOVIR CREMA CREMA 50mg/g A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB X 10 G CREMA 1 6.16 8.32 8.32000013 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA 1 3.26 4.41 4.41000014 D06BB03 ACICLOVIRUM ACICLOVIR HYPERION CREMA 50mg/g HYPERION S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA 1 5.08 6.87 6.87000015 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA 1 3.26 4.41 4.410000

VALABILĂ ÎNCEPÂND CU 8 FEBRUARIE 2009

ANEXA 4

SECŢIUNEA C2 - CU PROCENT DE COMPENSARE 100% din pret de decontare - cuprinde denumirile comune internaţionale corespunzătoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de

sănătate cu scop curativ in tratamentul ambulatoriu si spitalicesc CONFORM HG NR. 367/2008

Pagina 1 din 56

16 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI 6 4.14 5.59 0.93166617 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI 3 3.97 5.36 1.78666618 G01AF04 MICONAZOLUM MEDACTER CREMA VAG. 2% FARAN LABORATORIES S.A. GRECIA CUTIE X 1 TUB X 78 G 1 13.45 18.18 18.18000019 G01AF04 MICONAZOLUM MICONAL ECOBI CREMA VAG. 20mg/g FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 1 TUB DIN AL X 78 G CREMA VAGINALA + CANULA 1 9.67 13.07 13.07000020 G01AF04 MICONAZOLUM MICONAL ECOBI OVULE 50mg FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 3 FOLII PREFORMATE PVC/PE X 5 OVULE 15 6.24 8.44 0.56266621 G01AF04 MICONAZOLUM MICONAL ECOBI SOL. VAGINALA 2mg/ml FARMACEUTICI ECOBI S.A.S ITALIA CUTIE X 5 FLACOANE DIN PEJD X 150 ML SOL. VAG. + 5 CANULE 5 12.50 16.89 3.37800022 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 4.68 6.33 0.31650023 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 181.29 221.32 0.22132024 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 4.68 6.33 0.31650025 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 216.05 263.76 0.26376026 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST.AL/PVC X 12 CAPS. 12 4.24 5.73 0.47750027 J01CF04 OXACILLINUM OXACILINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 5.36 7.24 0.36200028 J01CF04 OXACILLINUM OXACILINA CAPS. 250mg FARMACOM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. 20 3.94 5.33 0.26650029 J01CF04 OXACILLINUM OXACILINA 250 mg CAPS. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 4.20 5.67 0.28350030 J01CF04 OXACILLINUM OXACILINA FARMEX 250 mg CAPS. 250mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 4.68 6.32 0.31600031 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. X 10 CAPS. 1000 250.61 305.95 0.30595032 J01CF04 OXACILLINUM OXACILINA 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. 10 4.30 5.81 0.58100033 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 4.30 5.81 0.58100034 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 50 BLIST. AL/PVC X 10 CAPS. 500 183.19 223.64 0.44728035 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 7.75 10.48 0.52400036 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 4.89 6.61 0.66100037 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 4.30 5.81 0.58100038 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. 1 1.98 2.67 2.67000039 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. 1 3.34 4.51 4.51000040 J01CF04 OXACILLINUM OXACILINA ANTIBIOTICE 250 mg PULB. PT. SOL. INJ./PERF.I.M./I.V. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V. 1 1.21 1.63 1.630000

41 J01CR01AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 1,5 G 1 17.54 23.71 23.710000

42 J01CR01AMPICILLINUM + SULBACTAM AMPIPLUS (R) 1,5 g PULB. PT. SOL. INJ. 1g+500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. PULB. PT. SOL. INJ. X 1,5 G 50 596.92 688.79 13.775800

43 J01CR01AMPICILLINUM + SULBACTAM AMPIPLUS (R) 750 mg PULB. PT. SOL. INJ. 500mg+250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. PULB. PT. SOL. INJ. X 750 MG 100 605.01 697.61 6.976100

44 J01CR01AMPICILLINUM + SULBACTAM AMPIPLUS (R) 750 mg PULB. PT. SOL. INJ. 500mg+250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. X 750MG 1 7.01 9.48 9.480000

45 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 250/62,5 COMPR. DISP. 250/62,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. PA-AL-PVC/AL X 4 COMPR. DISP. 20 16.78 22.68 1.134000

46 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 500/125 COMPR. DISP. 500/125mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 5 BLIST. PA-AL-PVC/AL X 4 COMPR. DISP. 20 17.24 23.30 1.165000

47 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM FORCID SOLUTAB 875/125 COMPR. DISP. 875mg+125mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. DISP. 14 31.15 40.74 2.910000

48 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. 14 28.09 36.74 2.624285

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49 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 1000 mg COMPR. FILM. 1000mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL-PVC/AL X 7 COMPR. FILM. 14 29.23 38.23 2.730714

50 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 375 mg COMPR. FILM. 250mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. 16 15.73 21.26 1.328750

51 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 625 mg COMPR. FILM. 500mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA 14 11.58 15.65 1.117857

52 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 625 mg COMPR. FILM. 500mg+125mg MEDOCHEMIE LTD. CIPRU CUTIE X 4 BLIST. X 4 COMPR. FILM. 16 20.67 27.94 1.746250

53 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 625 mg COMPR. FILM. 625mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM. 14 19.50 26.35 1.882142

54 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 FOLII AL-PEJD X 7 COMPR. FILM. 21 17.22 23.28 1.108571

55 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 625 mg COMPR. FILM. 625mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. 28 22.97 31.05 1.108928

56 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 1 g COMPR. FILM. 875mg+125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLIST. AL/PVDC-PVC X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOA 14 20.28 27.41 1.957857

57 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN™ SR COMPR. FILM. ELIB. PREL. 1062,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 7 BLIST. AL/PVC-AL SAU AL/PP-AL X 4 COMPR. FILM. ELIB. PREL. 28 50.25 63.54 2.269285

58 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 1000 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 1000mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 14 45.60 59.64 4.260000

59 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg BIOMEDIAL PHARMA S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 14 25.31 33.10 2.364285

60 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1,2g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLACOANE CU PULB. PT. SOL. INJ. / PERF. 100 314.60 381.06 3.810600

61 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1,2g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLACOANE CU PULB. PT. SOL. INJ. / PERF. 50 157.30 192.03 3.840600

62 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1,2 g PULB. PT. SOL. INJ./PERF. 1,2g ANTIBIOTICE SA ROMANIA CUTIE X 1 FLACON CU PULB. PT. SOL. INJ. / PERF. 1 3.26 4.41 4.410000

63 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 1,2g PULB. PT. SOL. INJ./PERF. 1000mg+200mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. 10 50.25 63.54 6.354000

64 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLACON CU PULB. PT. SOL INJ. / PERF. 1 4.68 6.33 6.330000

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65 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLACOANE CU PULB. PT. SOL INJ. / PERF. 100 418.56 494.38 4.943800

66 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 600 mg PULB. PT. SOL. INJ./PERF. 600mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLACOANE CU PULB. PT. SOL INJ. / PERF. 50 216.05 263.76 5.275200

67 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN INTRAVENOS 2,2g PULB. PT. SOL. PERF. 2000mg+200mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. 1 13.64 18.44 18.440000

68 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV 156,25 mg/5 ml PULB. PT. SUSP. ORALA 125mg+31,25/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE 1 10.35 13.99 13.990000

69 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA 1 8.12 10.97 10.970000

70 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM MEDOCLAV FORTE 312,5mg/5ml PULB. PT. SUSP. ORALA 250mg+62,5mg/5ml MEDOCHEMIE LTD. CIPRU CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP. 1 15.35 20.75 20.750000

71 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE 1 13.84 18.71 18.710000

72 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS PULB. PT. SUSP. ORALA 400mg+57mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERIGA PT. ADM. ORALA 1 6.92 9.35 9.350000

73 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN (R) ES PULB. PT. SUSP. ORALA 642,90mg/5ml SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE 1 24.62 33.28 33.280000

74 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE 1 16.69 22.56 22.560000

75 J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 312,5 mg/5 ml PULB. PT.SUSP. ORALA 312,5mg/5ml RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. SUSP. ORALA MARCAT PT. 100ML+ MASURA DOZATOARE 1 15.78 21.33 21.330000

76 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 652.44 749.31 62.442500

77 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 378.48 450.69 37.557500

78 J01CR50

COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g PULB. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G 1 26.97 35.28 35.280000

79 J01DD04 CEFTRIAXONUM NOVOSEF 500 mg i.m. PULB. + SOLV. PT. SOL. INJ. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ. I.M.+ 1 FIOLA DIN STICLA 1 4.20 5.67 5.67000080 J01DD04 CEFTRIAXONUM NOVOSEF 0,5 g i.m. PULB. + SOLV. PT. SOL. INJ./PERF. 0.5g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB.+ 1 FIOLA SOLV. X 2ML 1 4.20 5.67 5.67000081 J01DD04 CEFTRIAXONUM NOVOSEF 0,5 g i.v. PULB. PT. SOL. INJ. 0.5g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV. X 5ML 1 4.20 5.67 5.67000082 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.v. PULB. PT. SOL. INJ. 1g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV. X 10ML 1 5.65 7.64 7.64000083 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.m. PULB. PT. SOL. INJ. 1g ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. + 1 FIOLA SOLV. X 3.5ML 1 5.65 7.64 7.64000084 J01DD04 CEFTRIAXONUM NOVOSEF 500mg i.v. PULB. PT. SOL. INJ. I.V./PERF. 500mg ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15ML CONTINAND PULB. PT. SOL INJ./PERF. + 1 FIOLA DIN STICLA I 1 4.20 5.67 5.67000085 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. 10 125.66 153.41 15.34100086 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ.PERF. 50 309.16 375.14 7.502800

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87 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ.PERF. 100 557.01 645.29 6.45290088 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.PERF. 1 6.41 8.66 8.66000089 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF. 10 51.30 64.86 6.48600090 J01DD04 CEFTRIAXONUM MEDAXONE 2 g PULB. PT. SOL. INJ./PERF. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF. 10 314.25 380.68 38.06800091 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF. 10 259.12 316.33 31.63300092 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. CU PULB. PT. SOL. INJ./PERF. 50 557.01 645.29 12.90580093 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. CU PULB. PT. SOL. INJ./PERF. 100 1,062.01 1,195.74 11.95740094 J01DD04 CEFTRIAXONUM CEFORT 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ./PERF. 1 13.01 17.58 17.58000095 J01DD04 CEFTRIAXONUM ROCEPHIN (R) PULB. PT. SOL. PERF. 2g ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. X 2 G 1 41.31 54.04 54.04000096 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.m. PULB.+SOLV. PT. SOL. INJ. 1g ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ.+ 1 FIOLA DIN STICLA INCOLO 1 5.65 7.64 7.64000097 J01DD04 CEFTRIAXONUM NOVOSEF 1 g i.v. PULB.+SOLV. PT. SOL. INJ./PERF. 1g ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 15 ML CONTINAND PULB. PT. SOL. INJ./PERF.+ 1 FIOLA DIN STICLA 1 5.65 7.64 7.64000098 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 20.01 27.04 2.70400099 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 1,654.87 1,841.96 1.841960

100 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. 10 145.07 177.10 17.710000101 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. 10 241.78 295.17 29.517000102 J01DD12 CEFOPERAZONUM LYZONE 2 g PULB. PT. SOL. INJ. 2g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. 1 18.84 25.47 25.470000103 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. 1 3.64 4.92 4.920000104 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. 1 10.90 14.73 14.730000105 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. 1 6.61 8.94 8.940000106 J01DE02 CEFPIROMUM CEFROM (R) 1 g PULB. PT. SOL. INJ./PERF. 1g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. 1 56.27 71.15 71.150000107 J01DE02 CEFPIROMUM CEFROM (R) 2 g PULB. PT. SOL. INJ./PERF. 2g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. 1 97.89 123.77 123.770000108 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) 10 969.60 1,095.01 109.501000109 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) 10 508.50 592.42 59.242000

110 J01DH51IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. 10 420.10 496.06 49.606000

111 J01DH51IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. 25 1,005.25 1,133.87 45.354800

112 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM CAPS. RET. 400mg/80mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 2.63 3.56 0.178000

113 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 1.54 2.08 0.104000

114 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 2.87 3.88 0.194000

115 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 2.32 3.14 0.157000

116 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 2.32 3.14 0.157000

117 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE 1 5.70 7.70 7.700000

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118 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML 1 3.31 4.47 4.470000

119 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1,5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. 16 6.84 9.24 0.577500120 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. 10 19.37 26.18 2.618000121 J01FA06 ROXITHROMYCINUM ROXAMED (R) 150 COMPR. FILM. 150mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 10.58 14.30 1.430000122 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. 14 19.84 26.81 1.915000123 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. 14 22.39 30.26 2.161428124 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. 20 23.90 32.30 1.615000125 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. 14 13.07 17.66 1.261428126 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 10.19 13.77 0.983571127 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 10.19 13.77 0.983571128 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. 14 11.58 15.65 1.117857129 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. 14 41.92 54.83 3.916428130 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. 14 25.40 33.22 2.372857131 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 22.30 30.14 2.152857132 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. 20 31.84 41.65 2.082500133 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 22.30 30.14 2.152857134 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. 14 22.66 30.63 2.187857135 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. 5 12.77 17.26 3.452000136 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. 7 17.88 24.16 3.451428137 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. 7 25.26 33.04 4.720000138 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. 5 26.15 34.21 6.842000139 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. 7 19.52 26.38 3.768571140 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 1 28.10 36.76 36.760000141 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 1 17.01 22.99 22.990000142 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. 1 16.17 21.86 21.860000143 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 18.21 24.61 24.610000144 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA 1 21.96 29.68 29.680000145 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA 1 13.17 17.80 17.800000146 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 44.17 57.78 57.780000147 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 32.19 42.11 42.110000148 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA 1 36.67 47.97 47.970000149 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA 1 22.00 29.74 29.740000150 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. 1 38.61 50.50 50.500000151 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. 8 27.22 35.61 4.451250152 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. 6 18.93 25.58 4.263333153 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. 6 17.62 23.81 3.968333154 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. 6 35.05 45.84 7.640000155 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM. 6 31.92 41.75 6.958333156 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM. 6 31.92 41.75 6.958333157 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. 3 27.41 35.85 11.950000158 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. 3 31.67 41.42 13.806666159 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. 3 35.05 45.84 15.280000160 J01FA10 AZITHROMYCINUM ZITROCIN 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM. 3 17.82 24.08 8.026666

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161 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. 3 26.67 34.89 11.630000162 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. 3 26.67 34.89 11.630000163 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. 3 32.03 41.89 13.963333164 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. 3 32.03 41.89 13.963333165 J01FA10 AZITHROMYCINUM ZMAX 2 g GRAN. ELIB. PREL. PT. SUSP. ORALA 2g PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON DIN PEID CU GRAN. CU ELIB. PREL. 1 45.60 59.64 59.640000166 J01FA10 AZITHROMYCINUM SUMAMED (R) LIOF. PT. SOL. PERF. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FLAC. LIOF. PT. SOL. PERF. 5 124.41 151.88 30.376000167 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV. 1 12.95 17.50 17.500000168 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP 1 15.60 21.08 21.080000169 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP 1 24.67 33.34 33.340000170 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE 1 17.49 23.64 23.640000171 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE 1 34.89 45.63 45.630000172 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE 1 43.32 56.66 56.660000173 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. 10 4.96 6.70 0.670000174 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. 50 29.78 38.95 0.779000175 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. 10 6.66 9.00 0.900000176 J01GB03 GENTAMICINUM PAN - GENTAMICINE SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. 10 4.70 6.35 0.635000177 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML 1 2.46 3.33 3.330000178 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML 1 2.46 3.33 3.330000179 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML 1 4.83 6.53 6.530000180 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML 1 4.83 6.53 6.530000181 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 150mg/1,5ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 1,5 ML 1 13.30 17.98 17.980000182 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML 1 16.86 22.79 22.790000183 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML 1 5.28 7.13 7.130000184 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 34.78 45.49 4.549000185 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 13.91 18.80 1.880000186 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 7.89 10.66 1.066000187 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. 5 19.06 25.76 5.152000188 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. 10 36.25 47.42 4.742000189 J01MA01 OFLOXACINUM OFLOXIN (R) INF SOL. PERF. 200mg/100ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. 1 14.09 19.04 19.040000190 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. 12 5.57 7.53 0.627500191 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. 10 4.74 6.41 0.641000192 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. 10 4.74 6.41 0.641000193 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 5.42 7.33 0.733000194 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 4.74 6.41 0.641000195 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. 20 11.16 15.08 0.754000196 J01MA02 CIPROFLOXACINUM CIPROFLOXACIN 250 mg COMPR. FILM. 250mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 5.39 7.29 0.729000197 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. 10 5.47 7.40 0.740000198 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. 10 4.82 6.52 0.652000199 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. 10 6.62 8.95 0.895000200 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 3.31 4.47 0.447000201 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 4.24 5.73 0.573000202 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 3.31 4.47 0.447000203 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. 10 9.19 12.42 1.242000204 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 9.19 12.42 1.242000

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205 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 9.67 13.07 1.307000206 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 9.19 12.42 1.242000207 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 5.88 7.95 0.795000208 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. 10 10.49 14.18 1.418000209 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. 10 6.10 8.24 0.824000210 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 9.19 12.42 1.242000211 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. 10 13.22 17.87 1.787000212 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 4.51 6.09 0.609000213 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 11.56 15.62 1.562000214 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 6.41 8.67 0.867000215 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 4.51 6.09 0.609000216 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. 10 27.63 36.14 3.614000217 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. 7 62.90 79.53 11.361428218 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. 3 19.20 25.95 8.650000219 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML 50 106.94 130.55 2.611000220 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML 5 11.66 15.76 3.152000221 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. 1 3.33 4.50 4.500000222 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. 1 6.66 9.00 9.000000223 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML 5 575.20 665.12 133.024000224 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. 10 125.05 152.66 15.266000225 J01MA02 CIPROFLOXACINUM CIPRINOL (R) SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML 1 13.41 18.12 18.120000226 J01MA03 PEFLOXACINUM ABAKTAL COMPR. FILM. 400mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 19.35 26.16 2.616000227 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 33.49 43.81 4.381000228 J01MA03 PEFLOXACINUM ABAKTAL 400mg/5ml CONC. PT. SOL. PERF. 400mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 10 28.55 37.34 3.734000229 J01MA06 NORFLOXACINUM NORFLOXACINA - 400 CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 CAPS. 10 7.16 9.68 0.968000230 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 14 COMPR. FILM. 14 8.56 11.57 0.826428231 J01MA06 NORFLOXACINUM H - NORFLOXACIN 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. 20 15.31 20.69 1.034500232 J01MA06 NORFLOXACINUM NORFLOXACIN 400 mg COMPR. FILM. 400mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 6.47 8.74 0.874000233 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. 20 10.94 14.78 0.739000234 J01MA06 NORFLOXACINUM NORFLOX - 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 4.30 5.81 0.581000235 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. 20 12.23 16.53 0.826500236 J01MA06 NORFLOXACINUM EPINOR COMPR. FILM. 400mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 2 BLIST. X 7 COMPR. FILM. 14 5.36 7.24 0.517142237 J01MA06 NORFLOXACINUM NORFLOXACIN OZONE 400 mg COMPR. FILM. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 3.97 5.36 0.536000238 J01MA06 NORFLOXACINUM NORFLOXACINA TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA SA ROMANIA CUTIE X 1 FOLIE TERMOSUDATA DIN AL-PEJD X 10 COMPR. FILM. 10 4.06 5.49 0.549000239 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. 7 58.24 73.64 10.520000240 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg SANOFI - AVENTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. 7 37.39 48.91 6.987142241 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. 7 85.12 107.63 15.375714242 J01MA12 LEVOFLOXACINUM TAVANIC I.V. 500 mg SOL. PERF. 5mg/ml SANOFI- AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. 1 107.25 130.93 130.930000243 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. 5 61.93 78.31 15.662000244 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML 5 583.75 674.44 134.888000245 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 1g TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. 1 45.60 59.64 59.640000246 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 500mg TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. 1 22.80 30.82 30.820000247 J01XA01 VANCOMYCINUM EDICIN LIOF. PT. SOL. PERF./INJ. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 500 MG LIOF. PT. SOL. PERF./INJ. 1 36.89 48.25 48.250000248 J01XA01 VANCOMYCINUM EDICIN PULB.LIOF.PT.SOL.PERF./INJ 1g LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ. 1 53.42 67.54 67.540000

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249 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. 1 110.96 135.46 135.460000250 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. 100 1,510.15 1,684.22 16.842200251 J01XB01 COLISTINUM COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. 50 770.08 877.54 17.550800252 J01XD01 METRONIDAZOLUM METRONIDAZOL 250 mg (J01XD01) COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 0.97 1.31 0.065500253 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 1.38 1.86 0.062000254 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. 20 5.84 7.89 0.394500255 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML 12 74.45 94.13 7.844166256 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML 1 6.33 8.55 8.550000257 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML 12 73.00 92.30 7.691666258 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML 1 6.18 8.35 8.350000259 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. 10 35.11 45.93 4.593000260 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF. 10 34.72 45.42 4.542000261 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. 20 214.20 261.49 13.074500262 J01XD01 METRONIDAZOLUM FLAGYL 4 % (J01XD01) SUSP. ORALA 4% LABORATOIRE AVENTIS FRANTA CUTIE X 1 FLACON X 120 ML SUSP. ORALA + LINGURITA DOZATOARE X 5 ML 1 5.53 7.47 7.470000263 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. 10 1,507.24 1,681.04 168.104000264 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML 1 827.52 940.15 940.150000265 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML 10 1,507.24 1,681.04 168.104000266 J02AB02 KETOCONAZOLUM KETOCONAZOL OZONE 200 mg COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 4.79 6.47 0.647000267 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. 10 14.21 19.21 1.921000268 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. 10 4.79 6.47 0.647000269 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 6.37 8.61 0.861000270 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 4.78 6.46 0.646000271 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 8.77 11.85 1.185000272 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 4.78 6.46 0.646000273 J02AB02 KETOCONAZOLUM KETOCONAZOL COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR. 10 5.82 7.87 0.787000274 J02AB02 KETOCONAZOLUM KETOCONAZOL FABIOL 200 mg COMPR. 200mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 4.82 6.52 0.652000275 J02AB02 KETOCONAZOLUM KETOCONAZOL FARMEX 200 mg COMPR. 200mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 5.84 7.90 0.790000276 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. 28 181.83 221.98 7.927857277 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. 4 17.79 24.04 6.010000278 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 31.12 40.71 5.815714279 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. 16 61.37 77.60 4.850000280 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. 2 6.56 8.86 4.430000281 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 21.89 29.58 4.225714282 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. 1 15.64 21.14 21.140000283 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. 4 58.38 73.82 18.455000284 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. 2 31.06 40.62 20.310000285 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. 1 6.90 9.32 9.320000286 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 17.42 23.54 23.540000287 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. 1 13.11 17.72 17.720000288 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 10.12 13.68 13.680000289 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 6.90 9.32 9.320000290 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.640000291 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. 3 22.23 30.05 10.016666292 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 11.45 15.47 15.470000

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293 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.190000294 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.73 9.09 9.090000295 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.28 8.49 8.490000296 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 5.70 7.70 7.700000297 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. 1 7.38 9.98 9.980000298 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.190000299 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.640000300 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.28 8.49 8.490000301 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 28.26 36.96 5.280000302 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. 7 44.30 57.94 8.277142303 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. 7 15.68 21.19 3.027142304 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 40.58 53.08 7.582857305 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. 7 20.57 27.80 3.971428306 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 30.10 39.37 5.624285307 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 15.68 21.19 3.027142308 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. 8 13.22 17.87 2.233750309 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 17.74 23.98 2.398000310 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 11.58 15.65 2.235714311 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.68 18.49 2.641428312 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.60 18.38 2.625714313 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.28 17.95 2.564285314 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 11.22 15.16 2.165714315 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. 7 16.99 22.97 3.281428316 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 10.96 14.81 2.115714317 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML 1 40.58 53.08 53.080000318 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML 1 125.05 152.66 152.660000319 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML 1 29.09 38.05 38.050000320 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML 1 32.90 43.03 43.030000321 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. 1 28.68 37.52 37.520000322 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. 1 40.05 52.38 52.380000323 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. 1 129.05 157.55 157.550000324 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. 1 38.14 49.89 49.890000325 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. 15 57.12 72.22 4.814666326 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. 15 37.74 49.36 3.290666327 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. 15 92.30 116.70 7.780000328 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. 15 92.26 116.66 7.777333329 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. 15 68.10 86.10 5.740000330 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. 15 89.20 112.79 7.519333331 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) 28 3,343.84 3,682.94 131.533571332 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) 28 858.25 973.64 34.772857333 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML 1 431.95 508.98 508.980000334 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA 1 2,070.87 2,295.40 2,295.400000335 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA 1 2,537.47 2,804.00 2,804.000000336 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. 1 1,130.84 1,270.77 1,270.770000

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337 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. 1 1,466.75 1,636.91 1,636.910000338 J04AB04 RIFABUTINUM MYCOBUTIN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 CAPS. 30 287.10 350.49 11.683000339 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. X 10 COMPR. 1500 47.80 62.52 0.041680340 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 0.57 0.77 0.038500341 J04AC01 ISONIAZIDUM IZONIAZIDA ANTIBIOTICE 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. 1500 203.10 247.94 0.165293342 J04AC01 ISONIAZIDUM IZONIAZIDA 500 mg SOL. INJ. 500mg/10ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 10 ML 100 61.74 78.07 0.780700343 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. 1500 333.94 402.14 0.268093344 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 4.60 6.22 0.311000345 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 2.09 2.82 0.141000346 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 3.56 4.81 0.240500347 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 50 CAPS. 50 8.06 10.89 0.217800348 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. 1500 189.97 231.92 0.154613349 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. 1500 301.72 367.02 0.244680350 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 317.18 383.88 0.383880351 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 2.95 3.99 0.399000352 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.06 19.00 0.950000353 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.88 20.11 1.005500354 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 663.00 760.82 0.760820355 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 13.53 18.29 1.829000356 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 9.03 12.20 0.610000357 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. 20 11.96 16.16 0.808000358 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 11.41 15.42 0.771000359 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. 20 9.57 12.94 0.647000360 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 9.03 12.20 0.610000361 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. 10 13.36 18.06 1.806000362 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. 20 5.03 6.80 0.340000363 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. 10 2.60 3.51 0.351000364 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. 35 41.04 53.68 1.533714365 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. 5 217.64 265.70 53.140000366 J05AB04 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg SP EUROPE BELGIA CUTIE X 140CAPS. ( BLIST. PVC/PE/PVDC ) 140 2,077.41 2,302.53 16.446642367 J05AB04 RIBAVIRINUM COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. 168 2,261.34 2,503.01 14.898869368 J05AB06 GANCICLOVIRUM CYMEVENE LIOF. PT. SOL. INJ. 500mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. 1 87.13 110.17 110.170000369 J05AB11 VALACYCLOVIRUM VALDACIR 500 mg COMPR. FILM 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. 10 54.03 68.32 6.832000370 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 74.74 94.50 9.450000371 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. 60 4,568.11 5,017.40 83.623333372 J05AB15 BRIVUDINUM BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. 7 255.81 312.29 44.612857373 J05AE01 SAQUINAVIRUM INVIRASE 200mg CAPS. 200mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 270 CAPS. 270 960.19 1,084.76 4.017629374 J05AE01 SAQUINAVIRUM INVIRASE 500 mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 120 COMPR. FILM. 120 953.85 1,077.85 8.982083375 J05AE02 INDINAVIRUM CRIXIVAN 200mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 360 CAPS. 360 157.33 192.07 0.533527376 J05AE02 INDINAVIRUM CRIXIVAN 400mg CAPS. 400mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC DIN PEID. X 180 CAPS. 180 157.33 192.07 1.067055377 J05AE03 RITONAVIRUM** NORVIR 100 mg CAPS. MOI 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 FLAC. PEID X 84 CAPS. MOI 336 1,041.08 1,172.93 3.490863378 J05AE04 NELFINAVIRUM VIRACEPT 250 mg COMPR. FILM. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 270 COMPR. FILM. 270 960.19 1,084.76 4.017629379 J05AE06 LOPINAVIRUM+RITONAVIRUM** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. 120 1,470.92 1,641.45 13.678750380 J05AE06 LOPINAVIRUM+RITONAVIRUM** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML 5 1,398.88 1,562.93 312.586000

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381 J05AE07 FOSAMPRENAVIRUM** TELZIR 700mg COMPR. FILM. 700mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII 60 1,146.98 1,288.36 21.472666382 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL 6X1) 60 1,485.28 1,657.11 27.618500383 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 CAPS. 30 1,590.00 1,771.25 59.041666384 J05AE09 TIPRANAVIRUM** APTIVUS 250mg CAPS. MOI 250mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI 120 2,790.00 3,079.25 25.660416385 J05AE10 DARUNAVIRUM** PREZISTA 300mg COMPR. FILM. 300mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. 120 2,601.24 2,873.51 23.945916386 J05AF01 ZIDOVUDINUM RETROVIR (R) CAPS. 100mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. AL/PVC X 10 CAPS. 100 61.60 77.89 0.778900387 J05AF02 DIDANOSINUM VIDEX EC 125 mg CAPS. GASTROREZ. 125mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. 30 202.40 247.09 8.236333388 J05AF02 DIDANOSINUM VIDEX EC 200 mg CAPS. GASTROREZ. 200mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. 30 323.84 391.14 13.038000389 J05AF02 DIDANOSINUM VIDEX EC 250 mg CAPS. GASTROREZ. 250mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. 30 398.01 471.98 15.732666390 J05AF02 DIDANOSINUM VIDEX EC 400 mg CAPS. GASTROREZ. 400mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ. 30 618.81 712.65 23.755000391 J05AF04 STAVUDINUM ZERIT 15 mg CAPS. 15mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLA/AL X 14 CAPS. 56 425.79 502.26 8.968928392 J05AF04 STAVUDINUM ZERIT 20 mg CAPS. 20mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. 56 440.55 518.35 9.256250393 J05AF04 STAVUDINUM ZERIT 30 mg CAPS. 30mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. 56 459.51 539.02 9.625357394 J05AF04 STAVUDINUM ZERIT 40 mg CAPS. 40mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. 56 473.84 554.64 9.904285395 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) 28 214.38 261.71 9.346785396 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. 60 310.16 376.23 6.270500397 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR 1 84.19 106.45 106.450000398 J05AF05 LAMIVUDINUM ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE 1 97.67 123.49 123.490000399 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. 60 595.85 687.63 11.460500400 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE 1 179.27 218.85 218.850000

401 J05AF07

TENOFOVIRUM DISOPROXIL FUMARATE VIREAD 245mg COMPR. FILM. 245mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM 30 1,031.89 1,162.91 38.763666

402 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 CAPS. 30 618.00 711.77 23.725666403 J05AG01 NEVIRAPINUM VIRAMUNE 200mg COMPR. 200mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. X 10 COMPR. 60 588.81 679.95 11.332500404 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON 1 175.45 214.19 214.190000405 J05AG03 EFAVIRENZUM STOCRIN 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII 30 11.31 15.28 0.509333406 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII 30 63.33 80.08 2.669333407 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 BLIST. AL PERFORAT X 30 COMPR. FILM. 30 63.33 80.08 2.669333

408 J05AR01ZIDOVUDINUM+LAMIVUDINUM** COMBIVIR 150mg/300mg COMPR. FILM. 150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. 60 635.25 730.57 12.176166

409 J05AR02ABACAVIRUM+LAMIVUDINUM** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL ) 30 1,249.51 1,400.12 46.670666

410 J05AR04

ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. 60 1,161.70 1,304.41 21.740166

411 J05AX07 ENFUVIRTIDUM** FUZEON 90mg/ml PULB. + SOLV. PT. SOL. INJ. 90mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T 60 5,720.87 6,273.91 104.565166412 J06BB16 PALIVIZUMABUM** SYNAGIS 100 mg PULB. + SOLV. PT. SOL. INJ. 100mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. 1 3,287.40 3,621.42 3,621.420000413 J06BB16 PALIVIZUMABUM** SYNAGIS 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. 1 1,991.52 2,208.91 2,208.910000414 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 250.75 306.12 306.120000415 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 411.76 486.97 486.970000416 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. 1 201.08 245.48 245.480000417 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. 1 336.00 404.39 404.390000418 P01BC02 MEFLOQUINUM4 ELOQUINE 250 mg COMPR. 250mg CN UNIFARM ROMANIA CUTIE X 10 BLIST. X 10 COMPR. 100 132.00 161.15 1.611500419 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML 1 7.02 9.49 9.490000

Pagina 12 din 56

420 S01AA23 NETILMICINUM NETTACIN (R) PICATURI OFT.-SOL. 0,3% S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML 15 20.11 27.18 1.812000421 S01AA23 NETILMICINUM NETTAVISC 3mg/g UNG. OFT. 3mg/g S.I.F.I. SPA ITALIA CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR 1 22.57 30.51 30.510000422 S01AX17 LOMEFLOXACINUM OKACIN PICATURI OFT.-SOL. 3mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON PICURATOR PEJD X 5 ML 1 10.22 13.81 13.810000423 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE 1 5.23 7.07 7.070000424 S01BA01 DEXAMETHASONUM DEXAMETAZONA RPH 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE 1 9.57 12.93 12.930000425 S01BA01 DEXAMETHASONUM MAXIDEX (R) PICATURI OFT.-SUSP. 0,1% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML 1 5.93 8.01 8.010000426 S03AAN2 NORFLOXACINUM NORFLOX PICATURI OFT./AURIC.-SOL. 0,3% CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEJD X 5 ML 1 3.31 4.47 4.470000

1 A11HA02 PYRIDOXINUM VITAMINA B6 250 mg COMPR. 250 mg ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. 20 1.29 1.74 0.0870002 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. 20 1.29 1.74 0.0870003 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. 5 3.71 5.02 1.0040004 A11HA02 PYRIDOXINUM SICOVIT B6 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. 5 2.32 3.14 0.6280005 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 1.24 1.68 0.0840006 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. 1000 41.72 54.57 0.0545707 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 1.83 2.47 0.0823338 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. 30 1.72 2.33 0.0776669 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 1.75 2.37 0.079000

10 H02AB07 PREDNISONUM PREDNISON COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR.; (2 ANI) 30 4.14 5.59 0.18633311 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. 20 1.24 1.68 0.08400012 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. 14 19.84 26.81 1.91500013 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. 14 22.39 30.26 2.16142814 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. 20 23.90 32.30 1.61500015 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. 14 13.07 17.66 1.26142816 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 10.19 13.77 0.98357117 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 10.19 13.77 0.98357118 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. 14 11.58 15.65 1.11785719 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. 14 41.92 54.83 3.91642820 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. 14 25.40 33.22 2.37285721 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 22.30 30.14 2.15285722 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. 20 31.84 41.65 2.082500

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

Pentamidinum4

Primaquinum4

Pyrimerthaminum4

Pyrimethaminum+sulfadiazinum4

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

Amphotericinum B liposomal4

Atovaquona4

Flucytosinum4

Mupirocinum4

Paromomycinum4

Trimethoprim4

Pagina 13 din 56

23 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 22.30 30.14 2.15285724 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. 14 22.66 30.63 2.18785725 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. 5 12.77 17.26 3.45200026 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. 7 17.88 24.16 3.45142827 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. 7 25.26 33.04 4.72000028 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. 5 26.15 34.21 6.84200029 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. 7 19.52 26.38 3.76857130 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 1 28.10 36.76 36.76000031 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 1 17.01 22.99 22.99000032 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. 1 16.17 21.86 21.86000033 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 18.21 24.61 24.61000034 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA 1 21.96 29.68 29.68000035 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA 1 13.17 17.80 17.80000036 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 44.17 57.78 57.78000037 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 32.19 42.11 42.11000038 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA 1 36.67 47.97 47.97000039 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA 1 22.00 29.74 29.74000040 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. 1 38.61 50.50 50.50000041 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. 100 260.93 318.54 3.18540042 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. 50 131.20 160.17 3.20340043 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 10 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. 10 27.36 35.79 3.57900044 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML 1 2.46 3.33 3.33000045 J01GB06 AMIKACINUM AMIKOZIT (R) 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML 1 2.46 3.33 3.33000046 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ECZACIBASI PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML 1 4.83 6.53 6.53000047 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML 1 4.83 6.53 6.53000048 J01MA01 OFLOXACINUM OFLOXACIN 200 mg COMPR. FILM. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 34.78 45.49 4.54900049 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 13.91 18.80 1.88000050 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 7.89 10.66 1.06600051 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 5 COMPR. FILM. ELIB. PREL. 5 19.06 25.76 5.15200052 J01MA01 OFLOXACINUM ZANOCIN (R) OD 400 COMPR. FILM. ELIB. PREL. 400mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 2 BLIST. X 5 COMPR. FILM. ELIB. PREL. 10 36.25 47.42 4.74200053 J01MA01 OFLOXACINUM OFLOXIN (R) INF SOL. PERF. 200mg/100ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. 1 14.09 19.04 19.04000054 J01MA02 CIPROFLOXACINUM EUCIPRIN CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. 12 5.57 7.53 0.62750055 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. 10 4.74 6.41 0.64100056 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. 10 4.74 6.41 0.64100057 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 5.42 7.33 0.73300058 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 4.74 6.41 0.64100059 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. 20 11.16 15.08 0.75400060 J01MA02 CIPROFLOXACINUM CIPROFLOXACIN 250 mg COMPR. FILM. 250mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 5.39 7.29 0.72900061 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 250 mg COMPR. FILM. 250mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. 10 5.47 7.40 0.74000062 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. 10 4.82 6.52 0.65200063 J01MA02 CIPROFLOXACINUM CIPHIN 250 COMPR. FILM. 250mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. 10 6.62 8.95 0.89500064 J01MA02 CIPROFLOXACINUM CIPROLET 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 3.31 4.47 0.44700065 J01MA02 CIPROFLOXACINUM EUCIPRIN 250 mg COMPR. FILM. 250mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 4.24 5.73 0.57300066 J01MA02 CIPROFLOXACINUM ALVEBAR 250 mg COMPR. FILM. 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 3.31 4.47 0.447000

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67 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. 10 9.19 12.42 1.24200068 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 9.19 12.42 1.24200069 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 9.67 13.07 1.30700070 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 9.19 12.42 1.24200071 J01MA02 CIPROFLOXACINUM CIPROZONE FORTE 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 5.88 7.95 0.79500072 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ALKALOID 500 mg COMPR. FILM. 500mg ALKALOID D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 COMPR. FILM. 10 10.49 14.18 1.41800073 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. 10 6.10 8.24 0.82400074 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 9.19 12.42 1.24200075 J01MA02 CIPROFLOXACINUM CIPHIN 500 COMPR. FILM. 500mg ZENTIVA A.S. SLOVACIA CUTIE X 1 BLIST. PVDC/PVC/AL X 10 COMPR. FILM. 10 13.22 17.87 1.78700076 J01MA02 CIPROFLOXACINUM CIPROLET 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 4.51 6.09 0.60900077 J01MA02 CIPROFLOXACINUM CIPRODAR COMPR. FILM. 500mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. 10 11.56 15.62 1.56200078 J01MA02 CIPROFLOXACINUM EUCIPRIN 500 mg COMPR. FILM. 500mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 6.41 8.67 0.86700079 J01MA02 CIPROFLOXACINUM ALVEBAR 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 4.51 6.09 0.60900080 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. 10 27.63 36.14 3.61400081 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. 7 62.90 79.53 11.36142882 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. 3 19.20 25.95 8.65000083 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML 50 106.94 130.55 2.61100084 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML 5 11.66 15.76 3.15200085 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 100mg/50ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF. 1 3.33 4.50 4.50000086 J01MA02 CIPROFLOXACINUM CIPRINOL SOL. PERF. 200mg/100ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF. 1 6.66 9.00 9.00000087 J01MA02 CIPROFLOXACINUM CIPROBAY (R) 400 SOL. PERF. 2mg/ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE X 200 ML 5 575.20 665.12 133.02400088 J01MA02 CIPROFLOXACINUM UFEXIL 2 mg/ ml SOL. PERF. 2mg/ml DEMO SA GRECIA CUTIE X 10 PUNGI PP X 100 ML SOL. PERF. 10 125.05 152.66 15.26600089 J01MA02 CIPROFLOXACINUM CIPRINOL (R) SOL. PERF. 400mg/200ml KRKA D.D. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 200 ML 1 13.41 18.12 18.12000090 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg COMPR. FILM. 400mg BAYER HEALTHCARE AG GERMANIA CUTIE X 1 BLIST. ALB OPAC PP/AL X 5 COMPR. FILM. 5 61.93 78.31 15.66200091 J01MA14 MOXIFLOXACINUM AVELOX (R) 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER HEALTHCARE AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML 5 583.75 674.44 134.88800092 J04AB01 CICLOSERINUM CICLOSERINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. 100 326.44 393.97 3.93970093 J04AB01 CICLOSERINUM CICLOSERINA ANTIBIOTICE 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 5 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. 50 164.88 201.28 4.02560094 J04AB02 RIFAMPICINUM RIFAMPICINA 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 122.84 149.96 0.14996095 J04AB02 RIFAMPICINUM RIFAMPICINA 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 2.68 3.62 0.36200096 J04AB02 RIFAMPICINUM RIFAMPICINA 150 mg CAPS. 150mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. 20 6.58 8.89 0.44450097 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 122.84 149.96 0.14996098 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 3.00 4.05 0.20250099 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. 1000 281.94 344.19 0.344190

100 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 3.14 4.25 0.425000101 J04AB04 RIFABUTINUM MYCOBUTIN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 15 CAPS. 30 287.10 350.49 11.683000102 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. X 10 COMPR. 1500 47.80 62.52 0.041680103 J04AC01 ISONIAZIDUM ISONIAZIDA 100 mg COMPR. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 0.57 0.77 0.038500104 J04AC01 ISONIAZIDUM IZONIAZIDA ANTIBIOTICE 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. 1500 203.10 247.94 0.165293105 J04AC01 ISONIAZIDUM IZONIAZIDA 500 mg SOL. INJ. 500mg/10ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE DIN STICLA BRUNA X 10 ML 100 61.74 78.07 0.780700106 J04AD01 PROTIONAMIDUM PROTIONAMIDA 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN POLISTIREN X 50 COMPR. FILM. 50 28.76 37.62 0.752400107 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. 1500 333.94 402.14 0.268093108 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ANTIBIOTICE 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 4.60 6.22 0.311000109 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 2.09 2.82 0.141000110 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 3.56 4.81 0.240500

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111 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 50 CAPS. 50 8.06 10.89 0.217800112 J04AK02 ETHAMBUTOLUM ETAMBUTOL 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. 1500 189.97 231.92 0.154613113 J04AK02 ETHAMBUTOLUM ETAMBUTOL 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. 1500 301.72 367.02 0.244680

114 J04AM02

COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 317.18 383.88 0.383880

115 J04AM02

COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 2.95 3.99 0.399000

J04AA01J04AB30J01GB04 KANAMYCINUM

1 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. X 50 COMPR. 50 124.86 152.43 3.0486002 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. 50 18.15 24.53 0.4906003 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ 1 11.04 14.92 14.9200004 L01AA02 CHLORAMBUCILUM LEUKERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. FILM. 25 4.93 6.66 0.2664005 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. 25 6.47 8.75 0.3500006 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. 1 87.00 110.00 110.0000007 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. 25 10.90 14.73 0.5892008 L01AD02 LOMUSTINUM4 CEENU CAPS. MOI 40mg CN UNIFARM ROMANIA CUTIE X 1 BLIST. 20 CAPS. MOI 20 375.10 447.01 22.3505009 L01AX03 TEMOZOLOMIDUM** TEMODAL 100 mg CAPS. 100mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. 5 1,509.03 1,682.99 336.598000

10 L01AX03 TEMOZOLOMIDUM** TEMODAL 20 mg CAPS. 20mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. 5 331.61 399.60 79.92000011 L01AX03 TEMOZOLOMIDUM** TEMODAL 250 mg CAPS. 250mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. 5 3,655.09 4,022.20 804.44000012 L01AX03 TEMOZOLOMIDUM** TEMODAL 5 mg CAPS. 5mg SP EUROPE BELGIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. 5 86.07 108.83 21.76600013 L01BA01 METHOTREXATUM METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. 20 15.87 21.45 1.07250014 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML 5 185.42 226.36 45.27200015 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML 1 66.57 84.17 84.17000016 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML 1 312.66 378.95 378.95000017 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML 10 16.55 22.37 2.23700018 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML 1 9.26 12.51 12.51000019 L01BA04 PEMETREXEDUM**** ALIMTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. 1 1,182.02 1,326.55 1,326.55000020 L01BA04 PEMETREXEDUM**** ALIMTA 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. 1 4,738.98 5,203.65 5,203.65000021 L01BB02 MERCAPTOPURINUM PURI - NETHOL COMPR. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. 25 33.38 43.66 1.74640022 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 25 COMPR. 25 71.59 90.52 3.62080023 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML 1 1,350.00 1,509.65 1,509.65000024 L01BB05 FLUDARABINUM**** FLUDARA ORAL 10 mg COMPR. FILM. 10mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. 20 1,579.47 1,759.77 87.98850025 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. 5 2,270.00 2,512.45 502.49000026 L01BC01 CYTARABINUM CYTOSAR™ 100 mg PULB. + SOLV. PT. SOL. INJ. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. + 1 FIOLA DIN STICLA INCOLORA X 5 ML SOLV. 1 9.92 13.41 13.41000027 L01BC01 CYTARABINUM ALEXAN 20mg/ml SOL. INJ. 20mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ. 10 91.62 115.84 11.58400028 L01BC01 CYTARABINUM ALEXAN 20mg/ml SOL. INJ. 20mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 2 ML SOL. INJ. 1 4.34 5.86 5.86000029 L01BC01 CYTARABINUM ALEXAN 50mg/ml SOL. INJ. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML. SOL. INJ. 1 71.68 90.63 90.630000

Acidum paraaminosalicilic (TBC multirezistent)4

Capreomicinum (TBC multirezistent)4

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

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30 L01BC01 CYTARABINUM ALEXAN 50mg/ml SOL. INJ. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 10 ML. SOL. INJ. 1 42.45 55.53 55.53000031 L01BC01 CYTARABINUM DEPOCYTE 50mg SUSP. INJ. 50mg PACIRA LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML) 1 6,546.99 7,174.38 7,174.38000032 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF. 1 3.28 4.44 4.44000033 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. 1 13.27 17.94 17.94000034 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF. 1 84.63 107.00 107.00000035 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF. 1 6.66 9.00 9.00000036 L01BC05 GEMCITABINUM** GEMCITABINA SINDAN 1 g PULB. PT. SOL. PERF. 1g ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. 1 922.35 1,043.51 1,043.51000037 L01BC05 GEMCITABINUM** DERCIN 1 g PULB. PT. SOL. PERF. 1g EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. PERF. 1 351.26 421.02 421.02000038 L01BC05 GEMCITABINUM** NALLIAN1 g PULB. PT. SOL. PERF. 1g GEDEON RICHTER PLC. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. CONTINAND 1 G GEMCITABINA 1 928.35 1,050.05 1,050.05000039 L01BC05 GEMCITABINUM** DAPLAX 1 g PULB. PT. SOL. PERF. 1g DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA 1 623.35 717.60 717.60000040 L01BC05 GEMCITABINUM** GEMCITABINA SINDAN 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF. 1 222.49 271.62 271.62000041 L01BC05 GEMCITABINUM** DERCIN 200 mg PULB. PT. SOL. PERF. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF. 1 71.96 90.99 90.99000042 L01BC05 GEMCITABINUM** NALLIAN 200 mg PULB. PT. SOL. PERF. 200mg GEDEON RICHTER PLC. UNGARIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA 1 222.49 271.62 271.62000043 L01BC05 GEMCITABINUM** DAPLAX 200 mg PULB. PT. SOL. PERF. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA 1 134.86 164.64 164.64000044 L01BC06 CAPECITABINUM XELODA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM. 60 225.46 275.24 4.58733345 L01BC06 CAPECITABINUM XELODA 500 mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM. 120 1,389.76 1,552.99 12.94158346 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. PVC-PVDC/AL X 12 CAPS. 120 1,852.20 2,057.05 17.14208347 L01BC53 COMBINATII (TAGAFUR+URACIL) UFT CAPS. 100mg+224mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 12 CAPS. 36 576.64 666.69 18.51916648 L01CA02 VINCRISTINUM SINDOVIN 1 mg LIOF. PT. SOL. INJ./PERF. I.V. 1mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V. 1 19.40 26.22 26.22000049 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE 1 183.17 223.62 223.62000050 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT PRODUCTION FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE 1 274.74 335.40 335.40000051 L01CA04 VINORELBINUM VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF. 1 351.76 421.57 421.57000052 L01CA04 VINORELBINUM VINORELBIN EBEWE 10 mg/ ml CONC. PT. SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF. 1 81.09 102.53 102.53000053 L01CA04 VINORELBINUM VINORELBIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 1 332.35 400.41 400.41000054 L01CA04 VINORELBINUM VINORELBIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. 1 67.72 85.63 85.63000055 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. 1 423.32 499.57 499.57000056 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. 1 91.84 116.12 116.12000057 L01CA04 VINORELBINUM NAVELBINE (R) SOL. INJ. 10mg/ml LAB. PIERRE FABRE FRANTA CUTIE X 10 FIOLE X 1 ML 10 960.44 1,085.03 108.50300058 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. 10 292.36 356.91 35.69100059 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. 20 289.74 353.71 17.68550060 L01CB01 ETOPOSIDUM ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML 1 36.66 47.95 47.95000061 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 1 30.83 40.32 40.32000062 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. 1 30.01 39.25 39.25000063 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. 1 57.35 72.51 72.51000064 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 16,7 ML CONC. PT. SOL. PERF. 1 337.00 405.48 405.48000065 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. 1 527.00 612.58 612.58000066 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 50 ML CONC. PT. SOL. PERF. 1 1,035.30 1,166.63 1,166.63000067 L01CD01 PACLITAXELUM** ONXOL 6mg/ml CONC. PT. SOL. PERF. 6mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. 1 109.87 134.13 134.13000068 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. 1 783.13 891.76 891.76000069 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. 1 1,536.26 1,712.68 1,712.68000070 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF. 1 511.97 596.20 596.20000071 L01CD01 PACLITAXELUM** PACLITAXEL EBEWE 6mg/ml CONC. PT. SOL. PERF. 6mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 1 172.26 210.30 210.30000072 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML 1 951.04 1,074.78 1,074.78000073 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 10 FLAC. X 5 ML 10 921.89 1,043.01 104.301000

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74 L01CD01 PACLITAXELUM** PACLITAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml PHARMEXPRESS S.R.L. ROMANIA CUTIE X 4 FLAC. X 16,7 ML 4 1,190.11 1,335.37 333.84250075 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. 1 337.03 405.51 405.51000076 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. 1 1,035.33 1,166.66 1,166.66000077 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 1 109.90 134.16 134.16000078 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. 1 527.10 612.69 612.69000079 L01CD01 PACLITAXELUM** SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. 1 855.74 970.91 970.91000080 L01CD02 DOCETAXELUM** TAXOTERE 20 mg CONC. + SOLV. PT. SOL. PERF. 20mg AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV. 1 513.76 598.15 598.15000081 L01CD02 DOCETAXELUM** TAXOTERE 80 mg CONC. + SOLV. PT. SOL. PERF. 80mg AVENTIS PHARMA SA FRANTA CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV. 1 1,965.08 2,180.09 2,180.09000082 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML 1 1,359.02 1,519.48 1,519.48000083 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml SP EUROPE BELGIA CUTIE X 1 FLACON DIN STICLA X 25 ML 1 3,352.53 3,692.41 3,692.41000084 L01DB01 DOXORUBICINUM DOXORUBICIN "EBEWE" 2mg/ml CONC. PT. SOL. PERF. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA) 1 103.44 126.28 126.28000085 L01DB01 DOXORUBICINUM DOXORUBICIN "EBEWE" 2mg/ml CONC. PT. SOL. PERF. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA) 1 26.49 34.65 34.65000086 L01DB01 DOXORUBICINUM ADRIBLASTINA RD 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. 1 26.80 35.06 35.06000087 L01DB01 DOXORUBICINUM ADRIBLASTINA RD 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. 1 109.13 133.22 133.22000088 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN 1 25.51 33.37 33.37000089 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CONTINAND 50 MG CLORHIDRAT DE DOXORUBICI 1 99.21 125.44 125.44000090 L01DB01 DOXORUBICINUM DOXORUBICIN TEVA 2 mg/ml SOL. INJ. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. 1 62.41 78.91 78.91000091 L01DB01 DOXORUBICINUM DOXORUBICIN TEVA 2 mg/ml SOL. INJ. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML SOL. INJ. 1 83.78 105.93 105.93000092 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML 1 45.69 59.76 59.76000093 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML 1 428.56 505.28 505.28000094 L01DB03 EPIRUBICINUM EPIRUBICIN "EBEWE" 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 25 ML 1 217.63 265.68 265.68000095 L01DB03 EPIRUBICINUM EPISINDAN 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. 1 40.13 52.49 52.49000096 L01DB03 EPIRUBICINUM FARMORUBICIN RD 10 mg LIOF. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 MG LIOF. PT. SOL. INJ. 1 56.07 70.89 70.89000097 L01DB03 EPIRUBICINUM EPISINDAN 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ. 1 219.38 267.82 267.82000098 L01DB03 EPIRUBICINUM FARMORUBICIN (R) RD 50 mg LIOF. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 MG LIOF. PT. SOL. INJ. 1 245.85 300.13 300.13000099 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. 1 190.92 233.07 233.070000

100 L01DB06 IDARUBICINUM ZAVEDOS 5 mg LIOF. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. 1 134.59 164.31 164.310000101 L01DB07 MITOXANTRONUM** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. 1 523.40 608.66 608.660000102 L01DC01 BLEOMYCINUM SULFAS BLEOCIN LIOF. PT. SOL. INJ. 15mg EURO NIPPON KAYAKU GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. 1 56.85 71.88 71.880000103 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. 1 8.62 11.65 11.650000104 L01XA01 CISPLATINUM CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 ML 1 8.35 11.28 11.280000105 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. 1 22.91 30.97 30.970000106 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. 1 7.27 9.83 9.830000107 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. 1 20.70 27.98 27.980000108 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. 1 29.64 38.77 38.770000109 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. 1 167.20 204.12 204.120000110 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. 1 20.52 27.73 27.730000111 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. 1 58.69 74.21 74.210000112 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. 1 44.55 58.27 58.270000113 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. 1 124.70 152.23 152.230000114 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 1 16.94 22.90 22.900000115 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. 1 46.96 61.42 61.420000116 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. 1 124.92 152.50 152.500000117 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF. 1 1,440.32 1,608.10 1,608.100000

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118 L01XA03 OXALIPLATINUM ELOXATIN 5mg/ml CONC. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF. 1 735.32 839.65 839.650000119 L01XA03 OXALIPLATINUM ELOXATIN 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 100 MG OXALIPLATINA 1 1,440.32 1,608.10 1,608.100000120 L01XA03 OXALIPLATINUM ELOXATIN 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. X 50 MG OXALIPLATINA 1 735.32 839.65 839.650000121 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF. 1 1,230.00 1,378.85 1,378.850000122 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF. 1 630.00 724.85 724.850000123 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT 1 1,512.68 1,686.97 1,686.970000124 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT 1 820.20 932.17 932.170000125 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI 1 431.20 508.16 508.160000126 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml PULB. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 100 MG GEMCITABINA 1 1,230.00 1,378.85 1,378.850000127 L01XC02 RITUXIMABUM**** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML 2 2,087.80 2,313.85 1,156.925000128 L01XC02 RITUXIMABUM**** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) 1 5,174.64 5,678.51 5,678.510000129 L01XC03 TRASTUZUMABUM**** HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. 1 2,463.56 2,723.43 2,723.430000130 L01XC04 ALEMTUZUMABUM**** MABCAMPATH 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML 3 4,624.59 5,078.96 1,692.986666131 L01XC04 ALEMTUZUMABUM**** MABCAMPATH 30 mg/ml CONC. PT. SOL. PERF. 30mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML 3 4,624.96 5,079.36 1,693.120000132 L01XC06 CETUXIMABUM**** ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. 1 819.85 931.79 931.790000133 L01XC07 BEVACIZUMABUM**** AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. 1 4,928.20 5,409.89 5,409.890000134 L01XC07 BEVACIZUMABUM**** AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. 1 1,253.04 1,403.96 1,403.960000135 L01XE01 IMATINIBUM**** GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. 120 8,483.35 9,285.01 77.375083136 L01XE03 ERLOTINIBUM**** TARCEVA 100 mg COMPR. FILM. 100mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) 30 5,921.75 6,492.87 216.429000137 L01XE03 ERLOTINIBUM**** TARCEVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) 30 7,880.79 8,628.22 287.607333138 L01XE03 ERLOTINIBUM**** TARCEVA 25 mg COMPR. FILM. 25mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) 30 1,796.52 1,996.36 66.545333139 L01XE04 SUNITINIBUM**** SUTENT 12,5 mg CAPS. 12,5mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. 30 4,736.50 5,200.94 173.364666140 L01XE04 SUNITINIBUM**** SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. 30 9,443.00 10,331.03 344.367666141 L01XE04 SUNITINIBUM**** SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. 30 18,855.99 20,591.21 686.373666142 L01XE05 SORAFENIBUM**** NEXAVAR 200 mg COMPR. FILM. 200mg BAYER HEALTHCARE AG GERMANIA CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM. 112 13,699.49 14,970.61 133.666160143 L01XE06 DASATINIBUM**** SPRYCEL 20mg COMPR. FILM. 20 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. 60 7,229.82 7,918.66 131.977666144 L01XE06 DASATINIBUM**** SPRYCEL 50mg COMPR. FILM. 50 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. 60 14,429.67 15,766.51 262.775166145 L01XE06 DASATINIBUM**** SPRYCEL 70mg COMPR. FILM. 70 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. 60 14,429.67 15,766.51 262.775166146 L01XX02 ASPARAGINAZUM ASPARAGINASE 10000 MEDAC LIOF. PT. SOL. INJ./PERF. 10000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 5 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF. 5 1,102.00 1,239.33 247.866000147 L01XX02 ASPARAGINAZUM ASPARAGINASE 5000 MEDAC LIOF. PT. SOL. INJ./PERF. 5000ui MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE X 5 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF. 5 710.00 812.05 162.410000148 L01XX05 HYDROXYCARBAMIDUM HYDREA CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. 100 61.71 78.03 0.780300149 L01XX11 ESTRAMUSTINUM ESTRACYT CAPS. 140mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 100 CAPS. 100 325.87 393.35 3.933500150 L01XX14 TRETINOINUM4 VESANOID 10 mg CAPS. MOI 10mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 100 CAPS. MOI 100 702.48 803.85 8.038500151 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. 10 1,488.08 1,660.16 166.016000152 L01XX17 TOPOTECAMUM HYCAMTIN 4 mg PULB.CONC.SOL.PERF. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. 1 924.32 1,045.66 1,045.660000153 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ. 1 413.33 488.68 488.680000154 L01XX19 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. 1 156.91 191.56 191.560000155 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. PERF. 1 602.30 694.66 694.660000156 L01XX19 IRINOTECANUM CAMPTO CONC. PT. SOL. PERF. 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PP X 15 ML CONC. PT. SOL. PERF. 1 2,001.20 2,219.46 2,219.460000157 L01XX32 BORTEZOMIBUM**** VELCADE 3,5 mg PULB. PT. SOL. INJ. 3,5mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS INTR-UN BLISTER TRANSPARENT 1 4,309.02 4,734.99 4,734.990000158 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. 30 91.78 116.05 3.868333159 L02AE02 LEUPRORELINUM** ELIGARD 22,5 mg LIOF. SI SOLV. PT. SOL. INJ. 22,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE 1 959.84 1,084.38 1,084.380000160 L02AE02 LEUPRORELINUM** ELIGARD 7,5 mg LIOF. SI SOLV. PT. SOL. INJ. 7,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN PUNGI LAMINATE 1 348.52 418.04 418.040000161 L02AE02 LEUPRORELINUM** LUCRIN DEPOT 11,25mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA 1 826.04 938.54 938.540000

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162 L02AE02 LEUPRORELINUM** LUCRIN DEPOT 3,75mg LIOF.+ SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB 1 339.14 407.81 407.810000163 L02AE03 GOSERELINUM** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT 1 979.06 1,105.33 1,105.330000164 L02AE03 GOSERELINUM** ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG 1 345.00 414.20 414.200000165 L02AE04 TRIPTORELINUM** DIPHERELINE 0,1 mg LIOF. + SOLV. PT. SOL. INJ. 0,1mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. 7 103.53 126.39 18.055714166 L02AE04 TRIPTORELINUM** DIPHERELINE (R) 11,25 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 11,25mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE 1 989.60 1,116.81 1,116.810000167 L02AE04 TRIPTORELINUM** DIPHERELINE (R) 3,75 mg LIOF.+ SOLV. PT. SUSP. INJ. I.M. ELIB. PREL. 3,75mg BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 1 FLAC. LIOF. + 1 FIOLA X 2 ML SOLV. + O SERINGA X 3 ML + 2 ACE PTR. INJECTIE 1 348.50 418.02 418.020000168 L02BA01 TAMOXIFENUM TAMOXIFEN 10 TEVA COMPR. 10mg PHARMACHEMIE BV OLANDA CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. 100 15.13 20.45 0.204500169 L02BA01 TAMOXIFENUM TAMONEPRIN (R) 10 mg COMPR. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 60 COMPR. 60 20.07 27.12 0.452000170 L02BA01 TAMOXIFENUM TAMOXIFEN (R) 10 HEXAL COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. 100 37.35 48.85 0.488500171 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. 100 37.35 48.85 0.488500172 L02BA03 FULVESTRANTUM** FASLODEX 250mg/5ml SOL. INJ. 250mg/5ml ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC 1 1,459.01 1,628.47 1,628.470000173 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. 100 206.92 252.61 2.526100174 L02BB01 FLUTAMIDUM FLUTASIN 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR. 30 28.93 37.84 1.261333175 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. 28 556.45 644.68 23.024285176 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. 28 270.51 330.24 11.794285177 L02BB03 BICALUTAMIDUM CALUMID COMPR. FILM. 50mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM. 30 402.01 476.34 15.878000178 L02BB03 BICALUTAMIDUM BICALUTAMIDA SANDOZ 50 mg COMPR. FILM. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. 30 241.21 294.47 9.815666179 L02BB03 BICALUTAMIDUM BICALTON 50 mg COMPR. FILM. 50mg MEDICO UNO PHARMA KFT. UNGARIA CUTIE CU BLIST. AL/PVC X 28 COMPR. FILM. 28 294.80 359.89 12.853214180 L02BG01 AMINOGLUTETHIMIDUM ROGLUTEN (R) 250 mg COMPR. 250mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 40 COMPR. 40 116.43 142.14 3.553500181 L02BG03 ANASTROZOLUM ARIMIDEX COMPR. FILM. 1mg ACTAVIS S.R.L. ROMANIA CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. 28 425.16 501.57 17.913214182 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. 28 313.54 379.91 13.568214183 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 30 COMPR. FILM. 30 335.40 403.74 13.458000184 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. 50 513.52 597.89 11.957800185 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. 84 801.71 912.02 10.857380186 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. 98 885.44 1,003.28 10.237551187 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. 100 902.88 1,022.29 10.222900188 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. 300 2,516.28 2,780.90 9.269666189 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. 20 223.92 273.36 13.668000190 L02BG03 ANASTROZOLUM ENZAMIDEX 1mg COMPR. FILM. 1mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. 30 229.24 279.86 9.328666191 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. 30 213.53 260.68 8.689333192 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. 90 910.80 1,030.92 11.454666193 L02BG04 LETROZOLUM FEMARA 2,5 mg COMPR. FILM. 2,5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. 30 446.50 524.84 17.494666194 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. 30 291.26 355.57 11.852333195 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 250.75 306.12 306.120000196 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 411.76 486.97 486.970000197 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. 1 201.08 245.48 245.480000198 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. 1 336.00 404.39 404.390000199 L03AA13 PEGFILGRASTIMUM*** NEULASTA 6mg SOL. INJ. 6mg AMGEN EUROPE B.V. OLANDA CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. 1 3,640.88 4,006.71 4,006.710000200 L03AB04 INTERFERONUM ALFA 2A*** ROFERON A SOL. INJ. 18Mui/0,6ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 CARTUS MULTIDOZA X 0,6 ML SOL. INJ. 1 334.79 403.07 403.070000201 L03AB04 INTERFERONUM ALFA 2A*** ROFERON A SOL. INJ. 3Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL 1 64.94 82.11 82.110000202 L03AB05 INTERFERONUM ALFA 2B*** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE 1 391.74 465.15 465.150000203 L03AB05 INTERFERONUM ALFA 2B*** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. SP EUROPE BELGIA CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE 1 634.48 729.73 729.730000204 M05BA02 ACIDUM CLODRONICUM** SINDRONAT (R) 400 mg CAPS. 400mg ACTAVIS S.R.L. ROMANIA CUTIE X 12 BLIST. X 10 CAPS. 120 273.36 333.72 2.781000205 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 400 mg CAPS. 400mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 1 FLAC. PEID X 100 CAPS. 100 483.01 564.63 5.646300

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206 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 800 mg COMPR. FILM. 800mg BAYER SCHERING PHARMA AG FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. 60 599.71 691.84 11.530666207 M05BA02 ACIDUM CLODRONICUM** BONEFOS (R) 60 mg/ml CONC. PT. SOL. PERF. 60mg/ml BAYER SCHERING PHARMA AG FINLANDA CUTIE X 5 FIOLE X 5 ML 5 144.68 176.62 35.324000208 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML 1 174.46 212.98 212.980000209 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML 1 103.98 126.94 126.940000210 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 6 ML 1 499.40 582.50 582.500000211 M05BA03 ACIDUM PAMIDRONICUM** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML 1 341.60 410.49 410.490000212 M05BA03 ACIDUM PAMIDRONICUM** PAMIRED 30 LIOF. PT. SOL. PERF. I.V. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. 1 143.55 175.25 175.250000213 M05BA03 ACIDUM PAMIDRONICUM** PAMIRED 60 LIOF. PT. SOL. PERF. I.V. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. 1 223.30 272.60 272.600000214 M05BA03 ACIDUM PAMIDRONICUM** AREDIA (R) 15 mg LIOF.+ SOLV. PT. SOL. PERF. 15mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV. 4 561.31 649.98 162.495000215 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) 1 99.47 125.77 125.770000216 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 3 COMPR. FILM.( BLIST. AL/AL) 3 307.51 373.34 124.446666217 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. 28 907.07 1,026.86 36.673571218 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. 1 848.18 962.67 962.670000219 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC 1 334.71 402.98 402.980000220 M05BA08 ACIDUM ZOLEDRONICUM** ZOMETA 4 mg PULB. + SOLV. SOL. PERF. 4mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV. 1 1,033.24 1,164.38 1,164.380000221 M05BA08 ACIDUM ZOLEDRONICUM** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. 1 1,316.11 1,472.71 1,472.710000222 V03AF01 MESNUM UROMITEXAN (R) 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML 15 42.13 55.11 3.674000223 V03AF03 CALCII FOLINAS CALCIUM FOLINAT "EBEWE" 15 mg CAPS. 15mg EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X1 FLAC. X 20 CAPS. 20 27.34 35.76 1.788000224 V03AF03 CALCII FOLINAS LEUCOVORIN-TEVA 100 mg/10 ml SOL. INJ. 10mg/ml TEVA PHARM. IND. LTD. OLANDA CUTIE X 1 FLACON X 10 ML 1 27.70 36.23 36.230000225 V03AF03 CALCII FOLINAS FOLCASIN (R) 100 mg/10 ml SOL. INJ. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML 1 34.56 45.21 45.210000226 V03AF03 CALCII FOLINAS FOLCASIN (R) 30 mg/10 ml SOL. INJ. 3mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON X 10 ML 1 12.70 17.16 17.160000227 V03AF03 CALCII FOLINAS CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 10 ML 5 133.49 162.96 32.592000228 V03AF03 CALCII FOLINAS CALCIUMFOLINAT "EBEWE" 10 mg/ml SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 3 ML 5 47.15 61.67 12.334000229 V03AF05 AMIFOSTINUM** ETHYOL LIOF. PT. SOL. PERF. 375mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. PERF. 5 1,882.25 2,089.80 417.960000230 V03AF05 AMIFOSTINUM** ETHYOL (R) LIOF. PT. SOL. PERF. 500mg SCHERING PLOUGH EUROPE BELGIA CUTIE X 3 FLAC. DIN STICLA INCOLORA CONTINAND 500 MG LIOF. PT. SOL. PERF. 3 1,770.03 1,967.49 655.830000

L01CA01 Vinblastinum4

L01DA04 Dactinomicinum4

L01DC03 Mitomicinum4

L01XB01 Procarbazinum4

1 L03AB07INTERFERONUM BETA 1A**** AVONEX 30 mcg BIO-SET PULB. + SOLV. PT. SOL. INJ. 30mcg (6 mil. UI) BIOGEN IDEC LIMITED MAREA BRITANIE CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT 4 2,898.76 3,197.80 799.450000

2 L03AB07INTERFERONUM BETA 1A**** REBIF 22 micrograme SOL. INJ. 22mcg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ. 12 2,189.37 2,424.57 202.047500

3 L03AB07INTERFERONUM BETA 1A**** REBIF 22 micrograme SOL. INJ. 22mcg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 3 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ. 3 575.21 665.13 221.710000

4 L03AB07INTERFERONUM BETA 1A**** REBIF 22 micrograme SOL. INJ. 22mcg/0,5ml SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. 1 200.97 245.34 245.340000

5 L03AB07INTERFERONUM BETA 1A**** REBIF 44 micrograme SOL. INJ. 44mcg SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 12 3,929.99 4,321.85 360.154166

6 L03AB07INTERFERONUM BETA 1A**** REBIF 44 micrograme SOL. INJ. 44mcg SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. 1 245.63 299.87 299.870000

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE Subprogramul de tratament al sclerozei multiple

Pagina 21 din 56

7 L03AB07INTERFERONUM BETA 1A**** REBIF 44 micrograme SOL. INJ. 44mcg SERONO EUROPE LTD. MAREA BRITANIE CUTIE X 3 SERINGI PREUMPLUTE X 0,5 ML SOL. INJ. 3 691.21 791.57 263.856666

8 L03AB08INTERFERONUM BETA 1-B**** BETAFERON 250mcg/ml PULB. + SOLV. PT. SOL. INJ. 250mcg/ml BAYER SCHERING AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. 15 3,101.51 3,418.80 227.920000

9 L03AX13 GLATIRAMER ACETAT**** COPAXONE SOL. INJ. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX 28 2,896.75 3,195.61 114.12892810 L04AA23 NATALIZUMABUM**** TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml ELAN PHARMA INTERNATIONAL LTD IRLANDA CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF 1 6,529.47 7,155.28 7,155.28000011 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. 100 60.09 75.98 0.759800

1 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. 1 40.67 53.20 53.2000002 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. 5 85.42 108.01 21.6020003 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. 5 90.11 113.94 22.7880004 A10AB01 INSULINE UMANE ACTRAPID PENFILL 100 UI/ml SOL. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. 5 74.41 94.09 18.8180005 A10AB01 INSULINE UMANE ACTRAPID 100 UI/ml SOL. INJ. IN FLACON 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLACON X 10 ML 1 40.67 53.20 53.2000006 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. 5 129.14 157.65 31.5300007 A10AB01 INSULINE UMANE ACTRAPID NOVOLET 100 UI/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML 5 77.25 97.68 19.5360008 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml OPTISET SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ. 5 90.11 113.94 22.7880009 A10AB04 INSULINUM LISPRO** HUMALOG 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ. 5 121.08 147.82 29.564000

10 A10AB04 INSULINUM LISPRO** HUMALOG KWIKPEN100U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. 5 146.96 179.41 35.88200011 A10AB05 INSULINUM ASPART** NOVORAPID PENFILL 100 U/ml SOL. INJ. IN CARTUS 100Uml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. 5 102.94 125.67 25.13400012 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. 5 122.58 149.65 29.93000013 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN FLACON 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON X 10 ML SOL. INJ. 1 74.44 94.12 94.12000014 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (OPTISET®) X 3 ML SOL. INJ. 5 130.64 159.49 31.89800015 A10AB06 INSULINUM GLULIZINA** APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ. 5 122.58 149.65 29.93000016 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ. 1 40.67 53.20 53.20000017 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. 5 85.42 108.01 21.60200018 A10AC01 INSULINE UMANE INSULATARD NOVOLET 100 UI/ml SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML 5 78.14 98.80 19.76000019 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. 5 126.06 153.89 30.77800020 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. 5 92.96 117.54 23.50800021 A10AC01 INSULINE UMANE INSULATARD PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML 5 74.41 94.09 18.81800022 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. 5 129.14 157.65 31.53000023 A10AC04 INSULINUM LISPRO** HUMALOG BASAL KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ. 5 146.96 179.41 35.88200024 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ. 1 40.67 53.20 53.20000025 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. 5 85.42 108.01 21.60200026 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. 5 90.11 113.94 22.78800027 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml OPTISET SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. 5 126.06 153.89 30.77800028 A10AD01 INSULINE UMANE MIXTARD 30 NOVOLET 100 UI/ml SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. 5 78.14 98.80 19.76000029 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. 5 92.96 117.54 23.50800030 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. 5 92.96 117.54 23.50800031 A10AD01 INSULINE UMANE MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. 5 74.41 94.09 18.81800032 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. 5 129.14 157.65 31.53000033 A10AD04 INSULINUM LISPRO** HUMALOG MIX50 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. 5 126.50 154.43 30.88600034 A10AD04 INSULINUM LISPRO** HUMALOG MIX25 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ. 5 127.74 155.94 31.188000

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT Tratamentul medicamentos al bolnavilor cu diabet zaharat

Pagina 22 din 56

35 A10AD04 INSULINUM LISPRO** HUMALOG MIX25 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. 5 146.96 179.41 35.88200036 A10AD04 INSULINUM LISPRO** HUMALOG MIX50 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SUSP. INJ. 5 146.96 179.41 35.88200037 A10AD05 INSULINUM ASPART** NOVOMIX 30 FLEXPEN SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UIml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI PREUMPLUTE X 3 ML SUSP. INJ. 5 137.54 167.91 33.58200038 A10AE04 INSULINUM GLARGINE** LANTUS 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. 5 211.20 257.83 51.56600039 A10AE04 INSULINUM GLARGINE** LANTUS 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ. 1 144.59 176.51 176.51000040 A10AE04 INSULINUM GLARGINE** LANTUS OptiSet SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML 5 211.20 257.83 51.56600041 A10AE04 INSULINUM GLARGINE** LANTUS SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML 5 211.20 257.83 51.56600042 A10AE05 INSULINUM DETEMIR** LEVEMIR FLEXPEN 100 U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML 5 215.24 262.77 52.55400043 A10BA02 METFORMINUM METFORMIN 1000 mg COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. 200 66.96 84.66 0.42330044 A10BA02 METFORMINUM METFORMIN 1000 mg COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE X 10 BLIST. AL/PVC X 5 COMPR. 50 17.51 23.67 0.47340045 A10BA02 METFORMINUM METFORMIN 500 mg COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. 60 3.37 4.55 0.07583346 A10BA02 METFORMINUM METFORMIN 500 mg COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. 20 1.12 1.51 0.07550047 A10BA02 METFORMINUM METFORMIN 500 mg COMPR. 500mg ARENA GROUP SA ROMANIA FLAC. DIN PE X 1000 COMPR. 1000 61.01 77.14 0.07714048 A10BA02 METFORMINUM DIAFORMIN (R) 850 mg COMPR. 850mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 6 COMPR. 30 7.21 9.75 0.32500049 A10BA02 METFORMINUM METFORMIN 850 mg COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 200 BLIST. AL/PVC X 5 COMPR. 1000 231.00 282.00 0.28200050 A10BA02 METFORMINUM METFORMIN 850 mg COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. 15 3.60 4.87 0.32466651 A10BA02 METFORMINUM SIOFOR 1000 COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. 60 12.60 17.03 0.28383352 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM 120 26.77 35.01 0.29175053 A10BA02 METFORMINUM METFORMIN TEVA 1000 mg COMPR. FILM. 1000mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. 60 5.93 8.01 0.13350054 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. 60 19.47 26.32 0.43866655 A10BA02 METFORMINUM MEGUAN (R) 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. 20 3.00 4.05 0.20250056 A10BA02 METFORMINUM METFOGAMMA (R) 500 COMPR. FILM. 500mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVDC-PVC X 10 COMPR. FILM. 120 16.14 21.82 0.18183357 A10BA02 METFORMINUM METFORMIN LPH (R) 500 mg COMPR. FILM. 500mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. 30 5.20 7.03 0.23433358 A10BA02 METFORMINUM DIPIMET 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. 30 4.41 5.96 0.19866659 A10BA02 METFORMINUM METFORMIN-TEVA 500 mg COMPR. FILM. 500mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. 60 3.83 5.18 0.08633360 A10BA02 METFORMINUM METFORMIN AL 500 COMPR. FILM. 500mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM. 60 3.74 5.05 0.08416661 A10BA02 METFORMINUM METFORMIN AL 500 COMPR. FILM. 500mg ALIUD R PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. 30 1.87 2.53 0.08433362 A10BA02 METFORMINUM METFORMIN AL 500 COMPR. FILM. 500mg ALIUD R PHARMA GMBH & CO.KG GERMANIA CUTIE X 12 BLIST. X 10 COMPR. FILM. 120 10.94 14.79 0.12325063 A10BA02 METFORMINUM SIOFOR (R) 850 COMPR. FILM. 850mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. X 15 COMPR. FILM. 60 12.63 17.07 0.28450064 A10BA02 METFORMINUM GLUCOPHAGE 850 mg COMPR. FILM. 850mg MERCK SANTE FRANTA CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. 100 17.56 23.73 0.23730065 A10BA02 METFORMINUM MEGUAN (R) 850 mg COMPR. FILM. 850mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. 20 4.21 5.69 0.28450066 A10BA02 METFORMINUM MEDIFOR 850 COMPR. FILM. 850mg STD CHEMICALS LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. 56 9.26 12.51 0.22339267 A10BA02 METFORMINUM METFORMIN LPH (R) 850 mg COMPR. FILM. 850mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. 30 9.42 12.73 0.42433368 A10BA02 METFORMINUM METFOGAMMA 850 COMPR. FILM. 850mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM. 120 21.89 29.58 0.24650069 A10BA02 METFORMINUM METFORMIN AL 850 COMPR. FILM. 850mg ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. AL/PVC X 15 COMPR. FILM. 60 5.29 7.15 0.11916670 A10BA02 METFORMINUM METFORMIN-TEVA 850 mg COMPR. FILM. 850mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE X 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. 60 5.47 7.40 0.12333371 A10BA02 METFORMINUM METFORMIN AL 850 COMPR. FILM. 850mg ALIUD R PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 COMPR. FILM. 30 2.64 3.57 0.11900072 A10BA02 METFORMINUM METFORMIN AL 850 COMPR. FILM. 850mg ALIUD R PHARMA GMBH & CO.KG GERMANIA CUTIE X 12 BLIST. X 10 COMPR. FILM. 120 15.32 20.71 0.17258373 A10BA02 METFORMINUM FORMIRAN 1000 mg COMPR. PT. SOL. ORALA 1000mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA 30 6.47 8.75 0.29166674 A10BA02 METFORMINUM FORMIRAN 1000 mg COMPR. PT. SOL. ORALA 1000mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL. ORALA 30 6.47 8.75 0.29166675 A10BA02 METFORMINUM FORMIRAN 500 mg COMPR. PT. SOL. ORALA 500mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL ORALA 30 2.68 3.62 0.12066676 A10BA02 METFORMINUM FORMIRAN 500 mg COMPR. PT. SOL. ORALA 500mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA 30 2.68 3.62 0.12066677 A10BA02 METFORMINUM FORMIRAN 850 mg COMPR. PT. SOL. ORALA 850mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PVC-ACLAR/AL X 6 COMPR. PT. SOL. ORALA 30 4.60 6.22 0.20733378 A10BA02 METFORMINUM FORMIRAN 850 mg COMPR. PT. SOL. ORALA 850mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. PA-AL-PVC/AL X 6 COMPR. PT. SOL. ORALA 30 4.60 6.22 0.207333

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79 A10BA03 BUFORMINUM SILUBIN RETARD DRAJ. RET. 100mg DITA IMPORT EXPORT SRL ROMANIA CUTIE X 4 BLLIST. X 15 DRAJ.RET. 60 13.27 17.94 0.29900080 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ANTIBIOTICE 1,75 mg COMPR. 1,75 mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 1.33 1.80 0.06000081 A10BB01 GLIBENCLAMIDUM MANINIL 1,75 mg COMPR. 1,75mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR. 120 8.21 11.09 0.09241682 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 1,75 mg COMPR. 1,75mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. 60 5.25 7.10 0.11833383 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. 100 8.07 10.91 0.10910084 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. 1000 52.17 65.97 0.06597085 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID 1,75 mg COMPR. 1.75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. 30 2.57 3.47 0.11566686 A10BB01 GLIBENCLAMIDUM MANINIL 3,5 mg COMPR. 3,5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 FLAC. X 120 COMPR. 120 5.94 8.03 0.06691687 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. 100 9.99 13.50 0.13500088 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID LPH 3,5 mg COMPR. 3,5mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. 60 7.84 10.60 0.17666689 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 3.90 5.27 0.17566690 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. 1000 71.77 90.75 0.09075091 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ANTIBIOTICE 3,5 mg COMPR. 3,5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 0.95 1.29 0.04300092 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID 3,5 mg COMPR. 3.5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 30 COMPR. 30 3.58 4.84 0.16133393 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID COMPR. 5mg LAROPHARM SRL ROMANIA CUTIE X 3 BLIST. X 10 COMPR. 30 1.21 1.63 0.05433394 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA FARA FORMA AMB 30 0.76 1.03 0.03433395 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 100 COMPR. 100 2.59 3.50 0.03500096 A10BB03 TOLBUTAMIDUM TOLBUTAMID COMPR. 500mg SINTOFARM SA ROMANIA CUTIE X 1 FLAC. X 50 COMPR. 50 3.26 4.41 0.08820097 A10BB07 GLIPIZIDUM GLIPIZID LPH 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 13.52 18.27 0.60900098 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E 30 33.20 43.42 1.44733399 A10BB07 GLIPIZIDUM GLUCOTROL XL 5mg COMPR. FILM. ELIB. MODIF. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL 30 16.60 22.43 0.747666

100 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. 60 19.14 25.87 0.431166101 A10BB09 GLICLAZIDUM DIABREZIDE COMPR. 80mg L. MOLTENI ITALIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 20 COMPR. 40 9.12 12.33 0.308250102 A10BB09 GLICLAZIDUM ESQUEL (R) 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. 30 6.84 9.24 0.308000103 A10BB09 GLICLAZIDUM GLICLAZID LPH COMPR. 80mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. 60 14.61 19.75 0.329166104 A10BB09 GLICLAZIDUM DIAPREL MR COMPR. ELIB. MODIF. 30mg LES LABORATOIRES SERVIER FRANTA CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF. 60 17.53 23.70 0.395000105 A10BB09 GLICLAZIDUM GLICLAZID MR LPH 30 mg COMPR. ELIB. PREL. 30mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. 60 22.23 30.05 0.500833106 A10BB09 GLICLAZIDUM GLICLAZIDA EP ANTIBIOTICE 30 mg COMPR. ELIB. PREL. 30mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. 30 10.43 14.10 0.470000107 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. 10 3.14 4.25 0.425000108 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. 20 5.65 7.64 0.382000109 A10BB09 GLICLAZIDUM GLITOPP MR 30 mg COMPR. ELIB. PREL. 30mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. ELIB. PREL. 30 7.38 9.98 0.332666110 A10BB12 GLIMEPIRIDUM TINERIL 4 mg COMPR 4mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 21.91 29.61 0.987000111 A10BB12 GLIMEPIRIDUM AMYX 1 COMPR. 1 mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. 30 6.76 9.14 0.304666112 A10BB12 GLIMEPIRIDUM MEGLIMID 1 mg COMPR. 1mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 6.32 8.54 0.284666113 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 1 mg COMPR. 1mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 11.99 16.21 0.540333114 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. 30 4.83 6.53 0.217666115 A10BB12 GLIMEPIRIDUM GLIMERAN 1 mg COMPR. 1mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 4.83 6.53 0.217666116 A10BB12 GLIMEPIRIDUM OLTAR 1 mg COMPR. 1mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. 30 4.43 5.99 0.199666117 A10BB12 GLIMEPIRIDUM TINERIL 1 mg COMPR. 1mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 4.68 6.32 0.210666118 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. 30 4.17 5.64 0.188000119 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 1 mg COMPR. 1mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. 30 3.06 4.13 0.137666120 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 1 mg COMPR. 1mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 120 COMPR. 120 17.96 24.28 0.202333121 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 4.49 6.07 0.202333122 A10BB12 GLIMEPIRIDUM MEGLIMID 2 mg COMPR. 2mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 12.53 16.93 0.564333

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123 A10BB12 GLIMEPIRIDUM AMYX 2 COMPR. 2mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. 30 10.14 13.71 0.457000124 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 2 mg COMPR. 2mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 18.44 24.92 0.830666125 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 10.12 13.68 0.456000126 A10BB12 GLIMEPIRIDUM GLIMERAN 2 mg COMPR. 2mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. 30 10.12 13.68 0.456000127 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 2 mg COMPR. 2mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 9.37 12.67 0.422333128 A10BB12 GLIMEPIRIDUM TINERIL 2 mg COMPR. 2mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 10.66 14.41 0.480333129 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. 30 9.51 12.85 0.428333130 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 2 mg COMPR. 2mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. 30 6.58 8.89 0.296333131 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 2 mg COMPR. 2mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 120 COMPR. 120 34.17 44.69 0.372416132 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 7.74 10.46 0.348666133 A10BB12 GLIMEPIRIDUM MEGLIMID 3 mg COMPR. 3mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 17.36 23.47 0.782333134 A10BB12 GLIMEPIRIDUM AMYX 3 COMPR. 3mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. 30 13.02 17.60 0.586666135 A10BB12 GLIMEPIRIDUM GLIMEPIRID LPH 3 mg COMPR. 3mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 20.97 28.34 0.944666136 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. 30 14.46 19.55 0.651666137 A10BB12 GLIMEPIRIDUM GLIMERAN 3 mg COMPR. 3mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 14.46 19.55 0.651666138 A10BB12 GLIMEPIRIDUM OLTAR 3 mg COMPR. 3mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. 30 15.51 20.96 0.698666139 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 3 mg COMPR. 3mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 15.83 21.39 0.713000140 A10BB12 GLIMEPIRIDUM TINERIL 3 mg COMPR. 3mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 15.33 20.72 0.690666141 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 3 mg COMPR. 3mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. 30 11.93 16.13 0.537666142 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 3 mg COMPR. 3mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. 30 9.40 12.70 0.423333143 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 3 mg COMPR. 3mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 120 COMPR. 120 62.18 78.62 0.655166144 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 14.46 19.54 0.651333145 A10BB12 GLIMEPIRIDUM AMYX 4 COMPR. 4mg ZENTIVA A.S. SLOVACIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. 30 20.34 27.49 0.916333146 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 COMPR. 30 20.61 27.86 0.928666147 A10BB12 GLIMEPIRIDUM GLIMERAN 4 mg COMPR. 4mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST AL/PVC X 10 COMPR. 30 20.61 27.86 0.928666148 A10BB12 GLIMEPIRIDUM GLIMEPIRIDA ACCORD 4mg COMPR. 4mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. 30 4.17 5.64 0.188000149 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 4 mg COMPR. 4mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. 30 25.90 33.88 1.129333150 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 4 mg COMPR. 4mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 120 COMPR. 120 89.01 112.55 0.937916151 A10BB12 GLIMEPIRIDUM AMARYL 4 mg COMPR. 4mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. 30 15.37 20.77 0.692333152 A10BB12 GLIMEPIRIDUM GLIMEGAMMA 6 mg COMPR. 6mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC TRANSPARENT /AL X 30 COMPR. 30 40.36 52.79 1.759666

153 A10BD02

COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS. 500 167.29 204.23 0.408460

154 A10BD02

COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS. 20 7.42 10.03 0.501500

155 A10BD02

COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIBOMET (R) COMPR. FILM. 2,5mg/400mg LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM. 60 17.90 24.19 0.403166

156 A10BD02

COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLIFORMIN COMPR. FILM. 400mg + 2,5mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. 60 19.61 26.50 0.441666

157 A10BD02

COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. 60 19.18 25.93 0.432166

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158 A10BD02

COMBINATII(GLIBENCLAMIDUM+METFORMINUM) GLUCOVANCE (R) 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA CUTIE X 4 BLIST. X 15 COMPR. FILM. 60 19.18 25.93 0.432166

159 A10BD03

COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 2mg/1000mg COMPR. FILM. 2mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM.( BLIST. PVC OPAC/PVDC/AL) 56 92.32 116.73 2.084464

160 A10BD03

COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 2mg/500mg COMPR. FILM. 2mg/500mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM. ( BLIST. PVC OPAC/PVDC/AL) 56 78.31 99.02 1.768214

161 A10BD03

COMBINATII (ROSIGLITAZONUM+METFORMINUM)*** AVANDAMET 4mg/1000mg COMPR. FILM. 4mg/1000mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 56 COMPR. FILM.( BLIST. PVC OPAC/PVDC/AL) 56 151.97 185.53 3.313035

162 A10BD04

COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM)*** AVAGLIM 4mg/4mg COMPR. FILM. 4mg/4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR. FILM. ( BLIST. PVC/PVDC/AL) 28 88.00 111.27 3.973928

163 A10BD04

COMBINATII (ROSIGLITAZONUM + GLIMEPIRIDUM)*** AVAGLIM 8mg/4mg COMPR. FILM. 8mg/4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR. FILM. ( BLIST. PVC/PVDC/AL) 28 158.89 193.97 6.927500

164 A10BD05

COMBINATII ( PIOGLITAZONUM + METFORMINUM)*** COMPETACT COMPR. FILM. 15mg/850mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL ) 56 149.98 183.09 3.269464

165 A10BF01 ACARBOSUM GLUCOBAY (R) 100 COMPR. 100mg BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. 120 63.38 80.14 0.667833166 A10BF01 ACARBOSUM GLUCOBAY (R) 50 COMPR. 50mg BAYER HEALTHCARE AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. 120 45.69 59.76 0.498000167 A10BG02 ROSIGLITAZONUM*** AVANDIA 4mg COMPR. FILM. 4mg SMITHKLINE BEECHAM PLC MAREA BRITANIE CUTIE X 28 COMPR.FILM. (BLIST.OPAC AL/PVC) 28 74.72 94.48 3.374285168 A10BG03 PIOGLITAZONUM*** ACTOS 15mg COMPR. 15mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR. (BLIST. AL/AL) 28 99.13 125.34 4.476428169 A10BG03 PIOGLITAZONUM*** ACTOS 30mg COMPR. 30mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL) 28 149.17 182.11 6.503928170 A10BG03 PIOGLITAZONUM*** ACTOS 45mg COMPR. 45mg TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD MAREA BRITANIE CUTIE X 28 COMPR.(BLIST. AL/AL) 28 193.82 236.62 8.450714171 A10BH01 SITAGLIPTINUM*** JANUVIA 100mg COMPR. FILM. 100mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) 28 150.92 184.24 6.580000172 A10BX02 REPAGLINIDUM NOVONORM 0,5 mg COMPR. 0,5mg NOVO NORDISK A/S DANEMARCA CUTIE X 90 COMPR. (BLIST. AL/AL) 90 53.22 67.29 0.747666173 A10BX02 REPAGLINIDUM NOVONORM 1 mg COMPR. 1mg NOVO NORDISK A/S DANEMARCA CUTIE X 90 COMPR. (BLIST. AL/AL) 90 53.22 67.29 0.747666174 A10BX02 REPAGLINIDUM NOVONORM 2 mg COMPR. 2mg NOVO NORDISK A/S DANEMARCA CUTIE X 90 COMPR. (BLIST. AL/AL) 90 53.22 67.29 0.747666175 A10BX04 EXENATIDUM*** BYETTA 10mcg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) 1 371.44 443.02 443.020000176 A10BX04 EXENATIDUM*** BYETTA 5mcg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5mcg/doza ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) 1 316.80 383.46 383.460000177 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. 50 19.96 26.98 0.539600178 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. 100 37.44 48.97 0.489700179 A11DBN1 COMBINATII** MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI 20 14.09 19.04 0.952000180 A11DBN1 COMBINATII** MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI 100 62.63 79.19 0.791900181 A11DBN1 COMBINATII** MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI 50 33.65 44.02 0.880400182 A11DBN1 COMBINATII** MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML 25 62.05 78.45 3.138000183 A11DBN1 COMBINATII** MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML 5 12.86 17.38 3.476000184 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. 100 62.63 79.19 0.791900185 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. 20 14.09 19.04 0.952000

Pagina 26 din 56

186 B03BA51 COMBINATII** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. 50 33.65 44.02 0.880400187 H04AA01 GLUCAGONUM GLUCAGEN HYPOKIT 1 mg PULB. + SOLV. PT. SOL. INJ. 1mg NOVO NORDISK A/S DANEMARCA CTUIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 1 ML SOLV. 1 61.60 77.89 77.890000

1 V03AC01 DEFEROXAMINUM**3 DESFERAL LIOF. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. 10 105.77 129.13 12.9130002 V03AC03 DEFERASIROXUM**** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) 28 647.40 743.82 26.5650003 V03AC03 DEFERASIROXUM**** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) 84 1,882.20 2,089.75 24.8779764 V03AC03 DEFERASIROXUM**** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) 84 4,061.99 4,465.73 53.1634525 V03AC03 DEFERASIROXUM**** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) 28 1,374.00 1,535.81 54.8503576 V03AC03 DEFERASIROXUM**** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) 84 7,438.79 8,146.44 96.9814287 V03AC03 DEFERASIROXUM**** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) 28 2,499.59 2,762.71 98.668214

B02BD06B02BD02 MOROCTOCOG ALFA **

B02BD02 OCTOCOG ALFA **B02BD03B02BD04B02BD08

1 D06AA04 TETRACYCLINUM TETRACICLINA CLORHIDRAT UNGUENT 3% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 12 G 1 2.13 2.88 2.8800002 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA 1 10.54 14.25 14.2500003 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT 1 10.54 14.25 14.250000

4 D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA FARA CONCENTRATIE LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA 1 15.09 20.40 20.400000

5 D07CC01 COMBINATII DIPROGENTA (R) CREMA FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G 1 8.69 11.74 11.7400006 D07CC01 COMBINATII TRIDERM (R) CREMA FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB AL X 15 G 1 10.58 14.30 14.3000007 D07CC01 COMBINATII BELOGENT CREMA FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB. DIN AL X 30 G CREMA 1 8.71 11.77 11.7700008 D07CC01 COMBINATII BELOGENT CREMA FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB. DIN AL X 15 G CREMA 1 7.61 10.29 10.2900009 D07CC01 COMBINATII DIPROGENTA (R) UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB X 15 G 1 8.69 11.74 11.740000

10 D07CC01 COMBINATII TRIDERM UNGUENT FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT 1 10.58 14.30 14.30000011 D07CC01 COMBINATII BELOGENT UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 30 G UNGUENT 1 8.71 11.77 11.77000012 D07CC01 COMBINATII BELOGENT UNGUENT FARA CONCENTRATIE A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT 1 7.61 10.29 10.290000

13 D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA 1 16.55 22.37 22.370000

14 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. 20 1.98 2.67 0.13350015 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. X 10 CAPS. 1000 94.61 119.63 0.119630

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.1: HEMOFILIE SI TALASEMIE

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RAREP6.2: EPIDERMOLIZA BULOASA

Factor VIII de coagulare si Factor Von Willebrand**

COMPLEX DE ANTIINHIBITORI AI COAGULARII **

FACTOR IX DE COAGULARE **EPTACOG ALFA ACTIVATUM **

Pagina 27 din 56

16 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 1.90 2.57 0.12850017 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. 20 2.10 2.84 0.14200018 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 1.63 2.20 0.11000019 N03AB02 PHENYTOINUM FENITOIN 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 0.84 1.14 0.05700020 N03AB02 PHENYTOINUM PHENHYDAN (R)SOLUTIE INJECTABILA SOL. INJ. 50mg/ml DESITIN GERMANIA CUTIE X 5 FIOLE X 5ML 5 37.30 48.79 9.758000

D05BB02 ACITRETINUMD06BA01 SULFADIAZINUM

1 C02KX01 BOSENTANUM** TRACLEER 125 mg COMPR. FILM. 125mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. 56 8,949.99 9,793.65 174.8866072 G04BE03 SILDENAFILUM** REVATIO 20 mg COMPR. FILM. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM. 90 1,761.01 1,957.65 21.751666

1 J01FA09 CLARITHROMYCINUM KLACID (R) COMPR. FILM. 250mg ABBOTT SPA ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM. 14 19.84 26.81 1.9150002 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 250 mg COMPR. FILM. 250mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. 14 22.39 30.26 2.1614283 J01FA09 CLARITHROMYCINUM CLAR 250 COMPR. FILM. 250mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. X 4 COMPR. FILM. 20 23.90 32.30 1.6150004 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. 14 13.07 17.66 1.2614285 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 10.19 13.77 0.9835716 J01FA09 CLARITHROMYCINUM CLARITROMICINA 250 mg COMPR. FILM. 250mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 10.19 13.77 0.9835717 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. 14 11.58 15.65 1.1178578 J01FA09 CLARITHROMYCINUM LEKOKLAR (R) 500 mg COMPR. FILM. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. X 7 COMPR. FILM. 14 41.92 54.83 3.9164289 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. 14 25.40 33.22 2.372857

10 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 22.30 30.14 2.15285711 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. 20 31.84 41.65 2.08250012 J01FA09 CLARITHROMYCINUM CLARITROMICINA 500 mg COMPR. FILM. 500mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. 14 22.30 30.14 2.15285713 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. 14 22.66 30.63 2.18785714 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 5 COMPR. FILM. ELIB. MODIF. 5 12.77 17.26 3.45200015 J01FA09 CLARITHROMYCINUM LEKOKLAR XL 500 mg COMPR. FILM. ELIB. MODIF. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FOLIE AL/AL X 7 COMPR. FILM. ELIB. MODIF. 7 17.88 24.16 3.45142816 J01FA09 CLARITHROMYCINUM KLABAX MR 500 mg COMPR. FILM. ELIB. MODIF. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL. 7 25.26 33.04 4.72000017 J01FA09 CLARITHROMYCINUM KLACID SR COMPR. FILM. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL. 5 26.15 34.21 6.84200018 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. 7 19.52 26.38 3.76857119 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 1 28.10 36.76 36.76000020 J01FA09 CLARITHROMYCINUM KLACID (R) GRAN. PT. SUSP. ORALA 125mg/5ml ABBOTT SPA ITALIA CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 1 17.01 22.99 22.99000021 J01FA09 CLARITHROMYCINUM FROMILID (R) 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP. 1 16.17 21.86 21.86000022 J01FA09 CLARITHROMYCINUM LEKOKLAR 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 18.21 24.61 24.61000023 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA 1 21.96 29.68 29.68000024 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA 1 13.17 17.80 17.80000025 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 68,3 G GRANULE PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 44.17 57.78 57.78000026 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ SRL ROMANIA CUTIE X 1 FLAC. DIN PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP 1 32.19 42.11 42.11000027 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA 1 36.67 47.97 47.970000

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.3: HIPERTENSIUNE PULMONARA

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.4: MUCOVISCIDOZA

Pagina 28 din 56

28 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA 1 22.00 29.74 29.74000029 J01FA09 CLARITHROMYCINUM KLACID I.V. LIOF. PT. SOL. PERF. 500mg ABBOTT LABORATORIES LTD. FRANTA CUTIE X 1 FLAC. LIOF. PT. SOL. PERF. 1 38.61 50.50 50.50000030 J01GB01 TOBRAMYCINUM** TOBI (R) SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N 28 7,618.79 8,342.64 297.95142831 R05CB13 DORNAZA ALFA** PULMOZYME SOL. INHAL. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL 6 519.76 604.69 100.781666

1 N07XX02 RILUZOLUM** RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR. 56 832.60 945.68 16.887142J06BA02

1 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML 1 174.46 212.98 212.9800002 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 1 ML 1 103.98 126.94 126.9400003 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 6 ML 1 499.40 582.50 582.5000004 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML 1 341.60 410.49 410.4900005 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 30 LIOF. PT. SOL. PERF. I.V. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V. 1 143.55 175.25 175.2500006 M05BA03 ACIDUM PAMIDRONICUM PAMIRED 60 LIOF. PT. SOL. PERF. I.V. 60mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V. 1 223.30 272.60 272.6000007 M05BA03 ACIDUM PAMIDRONICUM AREDIA (R) 15 mg LIOF.+ SOLV. PT. SOL. PERF. 15mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV. 4 561.31 649.98 162.495000

1 H01AC01 SOMATROPINUM** ZOMACTON LIOF. + SOLV. PT. SOL. INJ. 4mg (12ui) FERING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. 1 370.80 442.32 442.3200002 H01AC01 SOMATROPINUM** GENOTROPIN (R) 16 ui (5,3 mg) PULB. + SOLV. PT. SOL. INJ. 5,3mg/ml (16ui) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. 1 447.60 526.04 526.0400003 H01AC01 SOMATROPINUM** NORDITROPIN SIMPLEX x 10mg/1,5ml SOL. INJ. 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA X 1,5 ML SOL. INJ. 1 1,106.69 1,244.44 1,244.4400004 H01AC01 SOMATROPINUM** NUTROPINAq 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN LIMITED MAREA BRITANIE CUTIE X 1 CARTUS X 2 ML. SOL. INJ. 1 822.84 935.05 935.0500005 H01AC01 SOMATROPINUM** OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. 1 386.01 458.90 458.9000006 H01AC01 SOMATROPINUM** NORDITROPIN SIMPLEXx 5 mg/1,5 ml SOL. INJ. 5mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA X 1,5 ML SOL. INJ. 1 512.41 596.68 596.6800007 H01AC01 SOMATROPINUM** OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. 1 628.60 723.32 723.320000

1 A16AB04 AGALSIDASUM BETA** FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. 1 12,957.01 14,161.31 14,161.310000

1 A16AB07 ALGLUCOSIDASUM ALPHA** MYOZYME 50mg PULB. PT. CONC. PT. SOL. PERF. 50mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. 1 2,128.32 2,358.02 2,358.020000

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.9: BOALA POMPE

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.7: SINDROM PRADER WILLI

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.8: BOALA FABRY

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATORII

P6: PROGRAMUL NATIONAL DE HEMOFILIE, TALASEMIE SI ALTE BOLI RARE P6.6: OSTEOGENEZA IMPERFECTA

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

Pagina 29 din 56

1 A11CC02 DIHYDROTACHYSTEROLUM A.T. 10 (R) PICATURI ORALE-SOL. 1mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA PREVAZUT CU PICURATOR X 15 ML 1 18.06 24.41 24.4100002 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI 50 24.14 32.63 0.6526003 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI 30 21.81 29.48 0.9826664 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI 100 57.17 72.28 0.7228005 G03CA03 ESTRADIOLUM ESTROFEM 1 mg COMPR. FILM. 1mg NOVO NORDISK A/S DANEMARCA CUTIE X 1 DISC TIP CALENDAR X 28 COMPR.FILM. 1 11.36 15.35 15.3500006 G03CA03 ESTRADIOLUM VAGIFEM COMPR. VAG. 25mcg NOVO NORDISK A/S DANEMARCA CUTIE X 3 BLIST. AL/PVC X 5 APLICATOARE DIN PE/PP X 1 COMPR. VAG. 15 33.06 43.24 2.8826667 G03CA03 ESTRADIOLUM OESTROGEL (R) GEL 0,06% LAB. BESINS INTERNATIONAL FRANTA CUTIE X 1 TUB DIN AL X 80 G 1 11.53 15.59 15.5900008 G03CA03 ESTRADIOLUM ESTREVA (R) GEL 0,1% LAB. THERAMEX MONACO CUTIE X 1 FLACON PE, INCHIS CU POMPA DOZATOARE X 50 G 1 20.43 27.61 27.6100009 G03CA03 ESTRADIOLUM CLIMARA PLASTURE TRANSDERM. 50mcg/24ore BAYER SCHERING PHARMA AG GERMANIA CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM. 4 23.93 32.34 8.085000

10 G03DC05 TIBOLONUM LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. 28 55.04 69.59 2.48535711 G03DC05 TIBOLONUM LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. DIN AL-PVDC/PVC X 28 COMPR. 28 53.80 68.03 2.42964212 G03DC05 TIBOLONUM LADYBON COMPR. 2,5mg ZENTIVA A.S. CEHIA CUTIE X 3 BLIST. DIN AL-PVDC/PVC X 28 COMPR. 84 139.04 169.74 2.020714

13 G03FA15ESTRADIOLUMVALERAT+DIENOGEST KLIMODIEN DRAJ. FARA CONCENTRATIE BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 BLIST. X 28 DRAJ. 1 24.54 33.17 33.170000

14 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE 2 2,879.74 3,177.07 1,588.53500015 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. 50 22.66 30.63 0.61260016 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. 20 20.59 27.83 1.39150017 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. 30 4.54 6.13 0.20433318 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML 1 6.11 8.26 8.26000019 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML 15 48.80 63.83 4.25533320 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML 1 21.54 29.12 29.12000021 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO 1 14.21 19.21 19.21000022 H03AA01 LEVOTHYROXINUM THYRO - 4 0,1 mg COMPR. 0,1mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. 100 5.29 7.15 0.07150023 H03AA01 LEVOTHYROXINUM THYRO - 4 0,2 mg COMPR. 0,2mg FARAN LABORATORIES S.A. GRECIA CUTIE X 1 FLAC. PEID X 100 COMPR. 100 6.61 8.94 0.08940024 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. 100 8.12 10.97 0.10970025 H03AA01 LEVOTHYROXINUM L-THYROXIN 100 BERLIN - CHEMIE COMPR. 100mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. 100 8.66 11.71 0.11710026 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. 100 16.78 22.68 0.22680027 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 25 COMPR. 25mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. 100 6.61 8.94 0.08940028 H03AA01 LEVOTHYROXINUM EUTHYROX (R) 50 COMPR. 50mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. 100 5.75 7.77 0.07770029 H03AA01 LEVOTHYROXINUM L-THYROXIN 50 COMPR. 50mcg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. 100 5.84 7.89 0.07890030 H03AAN1 LEVOTIROXINUM+KALII IODIDUM JODTHYROX (R) 100/130,8 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 2 BLIST. PP/AL X 25 COMPR. 50 10.26 13.87 0.27740031 H03BB01 CARBIMAZOLUM CARBIMAZOLE 5 COMPR. FILM. 5mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM. 100 11.72 15.84 0.15840032 H03BB02 THIAMAZOLUM THYROZOL (R) 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. 50 14.59 19.72 0.39440033 H03BB02 THIAMAZOLUM THYROZOL (R) 20 mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 COMPR. FILM. 50 17.74 23.98 0.47960034 H03BB02 THIAMAZOLUM THYROZOL (R) 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. 100 21.43 28.97 0.28970035 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. 100 8.58 11.59 0.11590036 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. 100 8.58 11.59 0.11590037 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PP/AL X 25 COMPR. 100 13.36 18.06 0.18060038 H03CA01 KALII IODIDUM JODID 200 COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. 100 13.36 18.06 0.18060039 H05AA02 TERIPARATIDUM** FORSTEO 20mcg/80mcg SOL. INJ. 20mcg/80mcg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 3 ML (28 DOZE X 20 MCG/80MCL) 1 1,385.52 1,548.37 1,548.370000

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

Pagina 30 din 56

40 H05BA01 CALCITONINUM (SOMON) TONOCALCIN 100 UI SOL. INJ. 100UI ALFA WASSERMANN SPA ITALIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. 5 50.43 63.77 12.75400041 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SOL. INJ. 100UI/ml PROEL E.P. CORONIS SA GRECIA CUTIE X 5 FIOLE X 1ML 5 22.48 30.39 6.07800042 H05BA01 CALCITONINUM (SOMON) MIACALCIC (R) SOL. INJ. 50ui/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML 5 24.74 33.44 6.68800043 H05BA01 CALCITONINUM (SOMON) NYLEX 100 UI/doza SPRAY NAZ.,SOL. 100UI/doza PHARMACEUTICAL IND. PROEL EPAM. G.CORONIS SA GRECIA CUTIE X 1 FLACON PREVAZUT CU POMPA DOZATOARE X 2 ML SPRAY NAZAL, SOL. 1 34.71 45.40 45.40000044 H05BA01 CALCITONINUM (SOMON) NYLEX (R) SPRAY NAZAL - SOL. 200UI/doza PROEL E.P. CORONIS SA GRECIA CUTIE X 1 FLACON DIN STICLA PREVAZUT CU POMPA DOZATOARE CU APLICATOR NAZAL X 2 ML 1 53.89 68.14 68.14000045 M05BA04 ACIDUM ALENDRONICUM** TEVA NAT COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. 4 34.65 45.32 11.33000046 M05BA04 ACIDUM ALENDRONICUM** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. 2 26.65 34.86 17.43000047 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 COMPR. FILM.( BLIST. AL/AL) 1 99.47 125.77 125.77000048 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 150mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 3 COMPR. FILM.( BLIST. AL/AL) 3 307.51 373.34 124.44666649 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 50mg COMPR. FILM. 50mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X BLIST. AL/PVC X 28 COMPR. FILM. 28 907.07 1,026.86 36.67357150 M05BA06 ACIDUM IBANDRONICUM** BONDRONAT 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF. 1 848.18 962.67 962.67000051 M05BA06 ACIDUM IBANDRONICUM** BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 1mg/1ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC 1 334.71 402.98 402.98000052 M05BA07 ACIDUM RISEDRONICUM** RISENDROS 35 mg COMPR. FILM. 35mg ZENTIVA A.S. CEHIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. 4 85.70 108.36 27.09000053 M05BA07 ACIDUM RISEDRONICUM** RISEDRONAT TEVA 35 mg COMPR. FILM. 35mg TEVA PHARMACEUTICAL S.R.L. MAREA BRITANIE CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM. 4 67.20 84.97 21.24250054 M05BA07 ACIDUM RISEDRONICUM** JUVERITAL 35 mg COMPR. FILM. 35mg OZONE LABORATORIES BV OLANDA CUTIE X BLISTER PVC-PE-PVDC/AL X 4 COMPRIMATE FILMATE 4 62.58 79.12 19.78000055 M05BA07 ACIDUM RISEDRONICUM** ACTONEL (R) SAPTAMANAL COMPR. FILM. 35mg SANOFI - AVENTIS ROMANIA S.R.L. ROMANIA CUTIE X 1 BLIST. X 4 COMPR. FILM. 4 96.27 121.73 30.43250056 M05BA08 ACIDUM ZOLEDRONICUM** ZOMETA 4 mg PULB. + SOLV. SOL. PERF. 4mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV. 1 1,033.24 1,164.38 1,164.38000057 M05BA08 ACIDUM ZOLEDRONICUM** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. 1 1,316.11 1,472.71 1,472.710000

58 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) 4 66.73 84.37 21.092500

59 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) 2 33.96 44.42 22.210000

60 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) 2 33.96 44.42 22.210000

61 M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) 4 66.73 84.37 21.092500

62 M05BX03 STRONTIUM RANELATUM OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA 14 77.78 98.34 7.02428563 M05BX03 STRONTIUM RANELATUM OSSEOR 2 g GRAN. PT. SUSP. ORALA 2g LES LAB. SERVIER FRANTA CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA 28 134.29 163.94 5.855000

V09FX03 NATRIIIODIDUM(131l)

V10XA01 NATRIIIODIDUM(131l)

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.1: TRANSPLANT MEDULAR

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1 A04AA01 ONDANSETRONUM** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. 10 13.22 17.87 1.7870002 A04AA01 ONDANSETRONUM** ZOFRAN 4 mg COMPR. FILM. 4mg GLAXO WELLCOME UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 5 COMPR. FILM. 10 49.27 64.45 6.4450003 A04AA01 ONDANSETRONUM** SETRONON 4 mg COMPR. FILM. 4mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 13.22 17.87 1.7870004 A04AA01 ONDANSETRONUM** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. 10 23.14 31.28 3.1280005 A04AA01 ONDANSETRONUM** SETRONON 8 mg COMPR. FILM. 8mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR.FILM. 10 23.14 31.28 3.1280006 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN POLIAMIDA/AL/PVC X 10 COMPR. ORODISPERSABILE 10 13.32 18.00 1.8000007 A04AA01 ONDANSETRONUM** ONDARAN MD 4mg COMPR. ORODISPERSABILE 4mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 1 FOLIE DIN AL/PE X 10 COMPR. ORODISPERSABILE 10 13.32 18.00 1.8000008 A04AA01 ONDANSETRONUM** ONDARAN MD 8 mg COMPR. ORODISPERSABILE 8mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 FOLE PA/AL/PVC X 10 COMPR. ORODISPERSABILE 10 23.31 31.51 3.1510009 A04AA01 ONDANSETRONUM** OSETRON 4 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. 5 16.52 22.33 4.466000

10 A04AA01 ONDANSETRONUM** OSETRON 8 mg SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. 5 31.42 41.10 8.22000011 A04AA01 ONDANSETRONUM** ZOFRAN 4mg/2ml SOL. INJ. 4mg/2ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE X 2 ML SOL. INJ. 5 105.14 128.36 25.67200012 A04AA01 ONDANSETRONUM** ZOFRAN 8mg/4ml SOL. INJ. 8mg/4ml GLAXO WELLCOME UK LIMITED MAREA BRITANIE CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL. INJ. 5 135.42 165.32 33.06400013 A04AA01 ONDANSETRONUM** EMESET 8 mg/4 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF. 5 31.41 41.08 8.21600014 A04AA01 ONDANSETRONUM** EMESET 4 mg/2 ml SOL. INJ./PERF. 2mg/ml CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF. 5 16.53 22.34 4.46800015 A04AA01 ONDANSETRONUM** SETRONON 4 mg/2 ml SOL. INJ./PERF. 4mg/2ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 2 ML SOL INJ/PERF. 5 16.37 22.13 4.42600016 A04AA01 ONDANSETRONUM** SETRONON 8 mg/4 ml SOL. INJ./PERF. 8mg/4 ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 5 FIOLE DIN STICLA INCOLORA X 4 ML SOL.INJ./PERF. 5 31.42 41.10 8.22000017 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. 100 92.29 116.69 1.16690018 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. 50 54.03 68.32 1.36640019 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. 50 51.08 64.58 1.29160020 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML 10 62.72 79.30 7.93000021 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML 5 75.31 95.22 19.044000

22 B02AA02ACIDUM TRANEXAMICUM4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. 5 8.89 12.02 2.404000

23 B03XA01 EPOETINUM ALFA EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML 6 2,001.56 2,219.85 369.97500024 B03XA01 EPOETINUM ALFA EPREX (R) 1000 UI SOL. INJ. 1000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML 6 203.17 248.03 41.33833325 B03XA01 EPOETINUM ALFA EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. 10 255.20 311.55 31.15500026 B03XA01 EPOETINUM ALFA EPREX (R) 2000 UI SOL. INJ. 2000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML 6 429.91 506.75 84.45833327 B03XA01 EPOETINUM ALFA EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML 6 622.80 717.00 119.50000028 B03XA01 EPOETINUM ALFA EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML 1 1,254.00 1,405.01 1,405.01000029 B03XA01 EPOETINUM ALFA EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. 10 494.01 576.62 57.66200030 B03XA01 EPOETINUM ALFA EPREX (R) 4000 UI SOL. INJ. 4000ui/0,4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML 6 818.39 930.20 155.03333331 B03XA01 EPOETINUM ALFA BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 1,458.00 1,627.37 271.22833332 B03XA01 EPOETINUM ALFA ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 1,552.96 1,730.88 288.48000033 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 167.99 205.08 34.18000034 B03XA01 EPOETINUM ALFA ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ 6 183.57 224.10 37.35000035 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 335.80 404.17 67.36166636 B03XA01 EPOETINUM ALFA ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 364.16 435.08 72.51333337 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. 6 489.04 571.20 95.20000038 B03XA01 EPOETINUM ALFA ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. 6 531.68 617.68 102.94666639 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. 6 642.24 738.19 123.03166640 B03XA01 EPOETINUM ALFA ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. 6 694.28 794.92 132.48666641 B03XA01 EPOETINUM ALFA BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 795.40 905.14 150.85666642 B03XA01 EPOETINUM ALFA ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 866.40 982.53 163.75500043 B03XA01 EPOETINUM ALFA ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. 6 1,033.71 1,164.90 194.15000044 B03XA01 EPOETINUM ALFA ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. 6 1,368.32 1,529.62 254.936666

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45 B03XA01 EPOETINUM BETA NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE 6 1,990.40 2,207.69 367.94833346 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 215.29 262.83 43.80500047 B03XA01 EPOETINUM BETA NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE 6 422.32 498.48 83.08000048 B03XA01 EPOETINUM BETA NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC 1 980.76 1,107.18 1,107.18000049 B03XA01 EPOETINUM BETA NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 814.08 925.50 154.25000050 B03XA01 EPOETINUM BETA NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 1,009.84 1,138.88 189.81333351 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE 6 110.71 135.15 22.525000

52 J01CR03

TICARCILLINUM + ACIDUM CLAVULANICUM TIMENTIN 3,2 g PULB. PT. SOL. INJ./PERF. 3,2g BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. 10 199.64 243.72 24.372000

53 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 652.44 749.31 62.442500

54 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 378.48 450.69 37.557500

55 J01DH02 MEROPENEMUM MERONEM IV 1 g PULB. PT. SOL. INJ. I.V./PERF. 1g ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) 10 969.60 1,095.01 109.50100056 J01DH02 MEROPENEMUM MERONEM IV 500 mg PULB. PT. SOL. INJ. I.V./PERF. 500mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 10 FLAC. PULB. PT. SOL. INJ. (CAP. 20 ML) 10 508.50 592.42 59.242000

57 J01DH51IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. 10 420.10 496.06 49.606000

58 J01DH51IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. 25 1,005.25 1,133.87 45.354800

59 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 1g TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. 1 45.60 59.64 59.64000060 J01XA01 VANCOMYCINUM VANCOMYCIN TEVA LIOF. PT. SOL. PERF. 500mg TEVA PHARM. WORKS PRIVATE LTD. COMPANY UNGARIA CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF. 1 22.80 30.82 30.82000061 J01XA01 VANCOMYCINUM EDICIN LIOF. PT. SOL. PERF./INJ. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 500 MG LIOF. PT. SOL. PERF./INJ. 1 36.89 48.25 48.25000062 J01XA01 VANCOMYCINUM EDICIN PULB.LIOF.PT.SOL.PERF./INJ 1g LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ. 1 53.42 67.54 67.54000063 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. 1 110.96 135.46 135.46000064 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. 10 1,507.24 1,681.04 168.10400065 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML 1 827.52 940.15 940.15000066 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML 10 1,507.24 1,681.04 168.10400067 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. 28 181.83 221.98 7.92785768 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. 4 17.79 24.04 6.01000069 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 31.12 40.71 5.81571470 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. 16 61.37 77.60 4.85000071 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. 2 6.56 8.86 4.43000072 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 21.89 29.58 4.22571473 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. 1 15.64 21.14 21.14000074 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. 4 58.38 73.82 18.45500075 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. 2 31.06 40.62 20.31000076 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. 1 6.90 9.32 9.32000077 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 17.42 23.54 23.54000078 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. 1 13.11 17.72 17.72000079 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 10.12 13.68 13.68000080 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 6.90 9.32 9.32000081 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000082 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. 3 22.23 30.05 10.01666683 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 11.45 15.47 15.47000084 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.190000

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85 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.73 9.09 9.09000086 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.28 8.49 8.49000087 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 5.70 7.70 7.70000088 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. 1 7.38 9.98 9.98000089 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000090 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000091 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.28 8.49 8.49000092 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 28.26 36.96 5.28000093 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. 7 44.30 57.94 8.27714294 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. 7 15.68 21.19 3.02714295 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 40.58 53.08 7.58285796 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. 7 20.57 27.80 3.97142897 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 30.10 39.37 5.62428598 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 15.68 21.19 3.02714299 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. 8 13.22 17.87 2.233750

100 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 17.74 23.98 2.398000101 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 11.58 15.65 2.235714102 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.68 18.49 2.641428103 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.60 18.38 2.625714104 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.28 17.95 2.564285105 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 11.22 15.16 2.165714106 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. 7 16.99 22.97 3.281428107 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 10.96 14.81 2.115714108 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML 1 40.58 53.08 53.080000109 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML 1 125.05 152.66 152.660000110 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML 1 29.09 38.05 38.050000111 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML 1 32.90 43.03 43.030000112 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. 1 28.68 37.52 37.520000113 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. 1 40.05 52.38 52.380000114 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. 1 129.05 157.55 157.550000115 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. 1 38.14 49.89 49.890000116 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) 28 3,343.84 3,682.94 131.533571117 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) 28 858.25 973.64 34.772857118 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML 1 431.95 508.98 508.980000119 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA 1 2,070.87 2,295.40 2,295.400000120 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA 1 2,537.47 2,804.00 2,804.000000121 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. 1 1,130.84 1,270.77 1,270.770000122 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. 1 1,466.75 1,636.91 1,636.910000123 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.06 19.00 0.950000124 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.88 20.11 1.005500125 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 663.00 760.82 0.760820126 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 13.53 18.29 1.829000127 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 9.03 12.20 0.610000128 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. 20 11.96 16.16 0.808000

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129 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 11.41 15.42 0.771000130 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. 20 9.57 12.94 0.647000131 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 9.03 12.20 0.610000132 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. 10 13.36 18.06 1.806000133 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. 20 5.03 6.80 0.340000134 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. 10 2.60 3.51 0.351000135 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. 35 41.04 53.68 1.533714136 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. 5 217.64 265.70 53.140000137 J05AB11 VALACYCLOVIRUM VALDACIR 500 mg COMPR. FILM 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. 10 54.03 68.32 6.832000138 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 74.74 94.50 9.450000139 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. 60 4,568.11 5,017.40 83.623333140 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. 50 18.15 24.53 0.490600141 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ 1 11.04 14.92 14.920000142 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. 25 6.47 8.75 0.350000143 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. 1 87.00 110.00 110.000000144 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. 25 10.90 14.73 0.589200145 L01BA01 METHOTREXATUM METOTREXATE BELLON 2,5 mg COMPR. 2,5mg FARMEXINM S.R.L. ROMANIA CUTIE X 20 COMPR. 20 15.87 21.45 1.072500146 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML 5 185.42 226.36 45.272000147 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML 1 66.57 84.17 84.170000148 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML 1 312.66 378.95 378.950000149 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML 10 16.55 22.37 2.237000150 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML 1 9.26 12.51 12.510000151 L01BB05 FLUDARABINUM FLUDARA ORAL 10 mg COMPR. FILM. 10mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. 20 1,579.47 1,759.77 87.988500152 L01BB05 FLUDARABINUM FLUDARA LIOF. PT. SOL. INJ./PERF. 50mg BAYER SCHERING PHARMA AG GERMANIA CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF. 5 2,270.00 2,512.45 502.490000153 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS. 10 292.36 356.91 35.691000154 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. 20 289.74 353.71 17.685500155 L01CB01 ETOPOSIDUM ETOPOSID "EBEWE" 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML 1 36.66 47.95 47.950000156 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 1 30.83 40.32 40.320000157 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. 1 30.01 39.25 39.250000158 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. 1 57.35 72.51 72.510000159 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. 1 190.92 233.07 233.070000160 L01DB06 IDARUBICINUM ZAVEDOS 5 mg LIOF. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. 1 134.59 164.31 164.310000161 L01DB07 MITOXANTRONUM** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. 1 523.40 608.66 608.660000162 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF. 1 8.62 11.65 11.650000163 L01XA01 CISPLATINUM CISPLATIN TEVA 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 20 ML 1 8.35 11.28 11.280000164 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. 1 22.91 30.97 30.970000165 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. 1 7.27 9.83 9.830000166 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 25 mg/50 ml CONC. PT. SOL. PERF. 25mg/50ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF. 1 20.70 27.98 27.980000167 L01XA01 CISPLATINUM CISPLATIN "EBEWE" 50 mg/100 ml CONC. PT. SOL. PERF. 50mg/100ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF. 1 29.64 38.77 38.770000168 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF. 1 167.20 204.12 204.120000169 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. 1 20.52 27.73 27.730000170 L01XA02 CARBOPLATINUM CARBOPLATIN "EBEWE" 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF. 1 58.69 74.21 74.210000171 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF. 1 44.55 58.27 58.270000172 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF. 1 124.70 152.23 152.230000

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173 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 1 16.94 22.90 22.900000174 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. 1 46.96 61.42 61.420000175 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. 1 124.92 152.50 152.500000176 L01XC02 RITUXIMABUM** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML 2 2,087.80 2,313.85 1,156.925000177 L01XC02 RITUXIMABUM** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) 1 5,174.64 5,678.51 5,678.510000178 L01XC04 ALEMTUZUMABUM** MABCAMPATH 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FIOLE X 3 ML CONCENTRAT INTR-O FIOLA DE 5ML 3 4,624.59 5,078.96 1,692.986666179 L01XC04 ALEMTUZUMABUM** MABCAMPATH 30 mg/ml CONC. PT. SOL. PERF. 30mg/ml GENZYME EUROPE BV OLANDA CUTIE X 3 FLACOANE X 1 ML CONCENTRAT INTR-UN FLACON DE 2ML 3 4,624.96 5,079.36 1,693.120000180 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 250.75 306.12 306.120000181 L03AA02 FILGRASTIMUM (G-CSF)** NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 411.76 486.97 486.970000182 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. 1 201.08 245.48 245.480000183 L03AA02 FILGRASTIMUM (G-CSF)** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. 1 336.00 404.39 404.390000184 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. 100 427.05 503.63 5.036300185 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. 50 427.05 503.63 10.072600186 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 525.44 610.88 5.090666187 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 980.15 1,106.52 9.221000

188 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 COMPR. 100 283.85 346.53 3.465300

189 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. 50 283.85 346.53 6.930600

190 L04AA08 DACLIZUMABUM** ZENAPAX (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML 1 1,166.85 1,310.02 1,310.020000191 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) 30 461.26 540.92 18.030666192 L04AB01 ETANERCEPTUM** ENBREL 50 mg PULB+SOLV.PT.SOL.INJ 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. PULB. PT. SOL. INJ. + 4 SERINGI PREUMPLUTE CU SOLVENT + 4 ADAPTOARE PT. FLAC. + 8 TA 4 3,901.99 4,291.33 1,072.832500193 L04AB01 ETANERCEPTUM** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 TAMPOANE CU ALCOOL 4 1,928.91 2,140.66 535.165000194 L04AB01 ETANERCEPTUM** ENBREL DE UZ PEDIATRIC PULB. + SOLV. PT. SOL. INJ. 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE CU SOLV. + 8 SERINGI DIN PLASTIC GOALE + 20 ACE + 24 TAMPOANE 4 1,924.44 2,135.79 533.947500195 L04AB01 ETANERCEPTUM** ENBREL 25mg SOL. INJ. IN SERINGA PREUMPLUTA 25mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL 4 1,924.44 2,135.79 533.947500196 L04AB01 ETANERCEPTUM** ENBREL 50mg SOL. INJ. IN SERINGA PREUMPLUTA 50mg WYETH EUROPA LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL 4 3,818.88 4,200.73 1,050.182500197 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 374.97 446.87 8.937400198 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 107.54 131.29 2.625800199 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 69.90 88.38 1.767600200 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 107.67 131.44 2.628800201 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 224.70 274.32 5.486400202 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 146.06 178.31 3.566200203 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 234.74 286.57 5.731400204 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET 1 338.00 406.57 406.570000205 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 192.85 235.43 4.708600206 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 343.36 412.41 8.248200207 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 1,612.32 1,795.58 35.911600208 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 192.41 234.90 4.698000209 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 379.80 452.13 9.042600210 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 1,753.56 1,949.53 38.990600211 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML 10 1,452.71 1,621.61 162.161000212 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 8.21 11.09 0.554500213 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 5.50 7.43 0.371500214 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 4.06 5.49 0.274500215 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. 30 9.07 12.26 0.408666

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216 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. 50 15.83 21.39 0.427800217 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. 100 31.64 41.39 0.413900218 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. 10 2.83 3.82 0.382000219 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 3.46 4.68 0.468000220 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 5.33 7.21 0.360500221 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. 10 4.49 6.07 0.607000222 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 9.37 12.67 0.633500223 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. 10 3.22 4.35 0.435000224 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 6.24 8.44 0.422000225 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 5.33 7.21 0.360500226 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 8.24 11.14 0.557000227 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 6.92 9.35 0.467500228 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. 10 5.22 7.06 0.706000229 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. 30 13.15 17.77 0.592333230 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 50 34.80 45.52 0.910400231 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 10 6.85 9.26 0.926000232 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 30 18.96 25.62 0.854000233 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. 5 5.15 6.96 1.392000234 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. 30 28.36 37.10 1.236666235 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 30 23.31 31.51 1.050333236 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 10 14.63 19.77 1.977000237 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 10 19.10 25.82 2.582000238 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. 10 13.95 18.86 1.886000239 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. 30 37.21 48.67 1.622333240 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. 10 19.40 26.22 2.622000241 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. 30 56.79 71.80 2.393333242 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. 30 7.38 9.98 0.332666243 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. 10 10.65 14.39 1.439000244 N02AX02 TRAMADOLUM TRAMUNDIN RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.ELIM. PREL. 30 25.99 34.00 1.133333245 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. 10 15.30 20.68 2.068000246 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. 30 44.82 58.63 1.954333247 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. 10 19.58 26.47 2.647000248 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. 30 56.36 71.26 2.375333249 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. 1 74.59 94.31 94.310000250 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. 1 8.75 11.83 11.830000251 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. 1 4.47 6.04 6.040000252 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. 1 9.62 13.00 13.000000253 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML 1 5.38 7.27 7.270000254 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. 100 105.37 128.64 1.286400255 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. 5 8.53 11.53 2.306000256 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML 5 5.25 7.10 1.420000257 N02AX02 TRAMADOLUM TRAMAL (R) 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 2 ML 5 9.43 12.74 2.548000258 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML 5 9.10 12.30 2.460000259 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML 5 7.44 10.06 2.012000

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260 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE X 2 ML 10 13.36 18.06 1.806000261 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE X 2 ML 5 6.70 9.06 1.812000262 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. 5 7.98 10.79 2.158000263 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML 5 5.06 6.84 1.368000264 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML 5 6.28 8.49 1.698000265 N02AX02 TRAMADOLUM TRAMAL (R) SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 FOLIE PP/AL/PE X 5 SUPOZ. 5 8.97 12.13 2.426000266 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. 5 3.88 5.24 1.048000267 R05CB13 DORNAZA ALFA** PULMOZYME SOL. INHAL. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL 6 519.76 604.69 100.781666268 V03AC03 DEFERASIROXUM** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) 28 647.40 743.82 26.565000269 V03AC03 DEFERASIROXUM** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) 84 1,882.20 2,089.75 24.877976270 V03AC03 DEFERASIROXUM** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) 84 4,061.99 4,465.73 53.163452271 V03AC03 DEFERASIROXUM** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) 28 1,374.00 1,535.81 54.850357272 V03AC03 DEFERASIROXUM** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 84 COMPR. DISP. ( PVC/PE/PVDC/AL) 84 7,438.79 8,146.44 96.981428273 V03AC03 DEFERASIROXUM** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) 28 2,499.59 2,762.71 98.668214274 V03AF01 MESNUM UROMITEXAN (R) 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML 15 42.13 55.11 3.674000

L04AA04J01XC01 ACIDUM FUSIDICUM

B02BD08J06BA02

1 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML 10 62.72 79.30 7.9300002 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML 5 75.31 95.22 19.0440003 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML 100 59.32 75.01 0.750100

4 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 652.44 749.31 62.442500

5 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 378.48 450.69 37.557500

6 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. 10 145.07 177.10 17.7100007 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. 10 241.78 295.17 29.5170008 J01DD12 CEFOPERAZONUM LYZONE 2 g PULB. PT. SOL. INJ. 2g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. 1 18.84 25.47 25.4700009 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. 1 3.64 4.92 4.920000

10 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. 1 10.90 14.73 14.73000011 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. 1 6.61 8.94 8.940000

12 J01DH51IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. 10 420.10 496.06 49.606000

13 J01DH51IMIPENEMUM + CILASTATINUM TIENAM I.V. PULB. PT. SOL. PERF. 500mg/500mg MERCK SHARP & DOHME ROMANIA TAVA DIN PLASTIC X 25 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF. 25 1,005.25 1,133.87 45.354800

14 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. 10 1,507.24 1,681.04 168.10400015 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML 1 827.52 940.15 940.15000016 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML 10 1,507.24 1,681.04 168.10400017 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. 28 181.83 221.98 7.92785718 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. 4 17.79 24.04 6.010000

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.2: TRANSPLANT DE CORD

Imunoglobulina anti-limfocite umane**

EPTACOG ALFA ACTIVATUM **

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19 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 31.12 40.71 5.81571420 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. 16 61.37 77.60 4.85000021 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. 2 6.56 8.86 4.43000022 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 21.89 29.58 4.22571423 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. 1 15.64 21.14 21.14000024 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. 4 58.38 73.82 18.45500025 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. 2 31.06 40.62 20.31000026 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. 1 6.90 9.32 9.32000027 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 17.42 23.54 23.54000028 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. 1 13.11 17.72 17.72000029 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 10.12 13.68 13.68000030 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 6.90 9.32 9.32000031 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000032 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. 3 22.23 30.05 10.01666633 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 11.45 15.47 15.47000034 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000035 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.73 9.09 9.09000036 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.28 8.49 8.49000037 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 5.70 7.70 7.70000038 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. 1 7.38 9.98 9.98000039 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000040 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000041 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.28 8.49 8.49000042 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 28.26 36.96 5.28000043 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. 7 44.30 57.94 8.27714244 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. 7 15.68 21.19 3.02714245 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 40.58 53.08 7.58285746 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. 7 20.57 27.80 3.97142847 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 30.10 39.37 5.62428548 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 15.68 21.19 3.02714249 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. 8 13.22 17.87 2.23375050 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 17.74 23.98 2.39800051 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 11.58 15.65 2.23571452 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.68 18.49 2.64142853 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.60 18.38 2.62571454 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.28 17.95 2.56428555 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 11.22 15.16 2.16571456 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. 7 16.99 22.97 3.28142857 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 10.96 14.81 2.11571458 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML 1 40.58 53.08 53.08000059 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML 1 125.05 152.66 152.66000060 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML 1 29.09 38.05 38.05000061 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML 1 32.90 43.03 43.03000062 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. 1 28.68 37.52 37.520000

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63 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. 1 40.05 52.38 52.38000064 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. 1 129.05 157.55 157.55000065 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. 1 38.14 49.89 49.89000066 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) 28 3,343.84 3,682.94 131.53357167 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) 28 858.25 973.64 34.77285768 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML 1 431.95 508.98 508.98000069 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA 1 2,070.87 2,295.40 2,295.40000070 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. 60 4,568.11 5,017.40 83.62333371 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. 100 427.05 503.63 5.03630072 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. 50 427.05 503.63 10.07260073 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 525.44 610.88 5.09066674 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 980.15 1,106.52 9.221000

75 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 COMPR. 100 283.85 346.53 3.465300

76 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. 50 283.85 346.53 6.930600

77 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 374.97 446.87 8.93740078 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 107.54 131.29 2.62580079 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 69.90 88.38 1.76760080 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 107.67 131.44 2.62880081 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 224.70 274.32 5.48640082 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 146.06 178.31 3.56620083 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 234.74 286.57 5.73140084 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET 1 338.00 406.57 406.57000085 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 192.85 235.43 4.70860086 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 343.36 412.41 8.24820087 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 1,612.32 1,795.58 35.91160088 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 192.41 234.90 4.69800089 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 379.80 452.13 9.04260090 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 1,753.56 1,949.53 38.99060091 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML 10 1,452.71 1,621.61 162.161000

B05AA06 POLYGELINUM L04AA04

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. 100 92.29 116.69 1.1669002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. 50 54.03 68.32 1.3664003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. 50 51.08 64.58 1.2916004 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. 10 55.13 69.71 6.9710005 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. 10 111.19 135.74 13.5740006 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. 10 144.50 176.41 17.6410007 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. 2 37.47 49.01 24.5050008 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML 10 62.72 79.30 7.930000

Imunoglobulina anti-limfocite umane**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.3: TRANSPLANT HEPATIC

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9 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML 5 75.31 95.22 19.04400010 B01AC11 ILOPROSTUM** ILOMEDIN (R) 20 CONC. PT. SOL. PERF. 20µg/ml SCHERING AG GERMANIA CUTIE X 5 FIOLE X 1 ML 5 719.82 822.76 164.55200011 B01AC11 ILOPROSTUM** VENTAVIS 10mcg/ml SOL. DE INHALAT PRIN NEBULIZ. 10mcg/ml BAYER SCHERING PHARMA AG GERMANIA CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ. 30 1,830.00 2,032.85 67.76166612 B01AD02 ALTEPLASUM** ACTILYSE LIOF. + SOLV. PT. SOL. INJ. 50mg BOEHRINGER INGELHEIM PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER 1 1,401.73 1,566.04 1,566.04000013 B02AA02 ACIDUM TRANEXAMICUM4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. 5 8.89 12.02 2.404000

14 C03EB01

COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 10.88 14.71 0.735500

15 H01BA02 DESMOPRESSINUM MINIRIN 0,2 mg COMPR. 0,2mg FERRING AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. 30 150.21 183.38 6.112666

16 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 652.44 749.31 62.442500

17 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 378.48 450.69 37.557500

18 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. 10 1,507.24 1,681.04 168.10400019 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML 1 827.52 940.15 940.15000020 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML 10 1,507.24 1,681.04 168.10400021 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) 28 3,343.84 3,682.94 131.53357122 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) 28 858.25 973.64 34.77285723 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML 1 431.95 508.98 508.98000024 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA 1 2,070.87 2,295.40 2,295.40000025 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. 1 1,130.84 1,270.77 1,270.77000026 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. 1 1,466.75 1,636.91 1,636.91000027 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. 60 4,568.11 5,017.40 83.62333328 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 250.75 306.12 306.12000029 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 411.76 486.97 486.97000030 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. 1 201.08 245.48 245.48000031 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. 1 336.00 404.39 404.39000032 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. 100 427.05 503.63 5.03630033 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. 50 427.05 503.63 10.07260034 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 525.44 610.88 5.09066635 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 980.15 1,106.52 9.221000

36 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 COMPR. 100 283.85 346.53 3.465300

37 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. 50 283.85 346.53 6.930600

38 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) 30 461.26 540.92 18.03066639 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 374.97 446.87 8.93740040 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 107.54 131.29 2.62580041 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 69.90 88.38 1.76760042 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 107.67 131.44 2.62880043 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 224.70 274.32 5.48640044 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 146.06 178.31 3.56620045 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 234.74 286.57 5.73140046 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET 1 338.00 406.57 406.57000047 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 192.85 235.43 4.708600

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48 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 343.36 412.41 8.24820049 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 1,612.32 1,795.58 35.91160050 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 192.41 234.90 4.69800051 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 379.80 452.13 9.04260052 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 1,753.56 1,949.53 38.99060053 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML 10 1,452.71 1,621.61 162.161000

J06BB04

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. 100 92.29 116.69 1.1669002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. 50 54.03 68.32 1.3664003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. 50 51.08 64.58 1.2916004 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI 50 24.14 32.63 0.6526005 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI 30 21.81 29.48 0.9826666 B01AB04 DALTEPARINUM FRAGMIN 10000 UI/ml SOL. INJ. 10000ui/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 SUPORTURI TERMOFORMATATE X 5 FIOLE X 1 ML 10 205.23 250.55 25.0550007 B01AB04 DALTEPARINUM FRAGMIN 2500 UI/0,2 ml SOL. INJ. 2500ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML 10 57.62 72.85 7.2850008 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML 10 111.33 135.91 13.5910009 B01AB04 DALTEPARINUM FRAGMIN 7500 UI/0,3 ml SOL. INJ. 7500ui/0,3ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML 10 156.14 190.61 19.061000

10 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. 10 55.13 69.71 6.97100011 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. 10 111.19 135.74 13.57400012 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. 10 144.50 176.41 17.64100013 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. 2 37.47 49.01 24.50500014 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML 10 62.72 79.30 7.93000015 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML 5 75.31 95.22 19.04400016 B03XA01 EPOETINUM ALFA EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML 6 2,001.56 2,219.85 369.97500017 B03XA01 EPOETINUM ALFA EPREX (R) 1000 UI SOL. INJ. 1000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML 6 203.17 248.03 41.33833318 B03XA01 EPOETINUM ALFA EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. 10 255.20 311.55 31.15500019 B03XA01 EPOETINUM ALFA EPREX (R) 2000 UI SOL. INJ. 2000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML 6 429.91 506.75 84.45833320 B03XA01 EPOETINUM ALFA EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML 6 622.80 717.00 119.50000021 B03XA01 EPOETINUM ALFA EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML 1 1,254.00 1,405.01 1,405.01000022 B03XA01 EPOETINUM ALFA EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. 10 494.01 576.62 57.66200023 B03XA01 EPOETINUM ALFA EPREX (R) 4000 UI SOL. INJ. 4000ui/0,4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML 6 818.39 930.20 155.03333324 B03XA01 EPOETINUM ALFA BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 1,458.00 1,627.37 271.22833325 B03XA01 EPOETINUM ALFA ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 1,552.96 1,730.88 288.48000026 B03XA01 EPOETINUM ALFA BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 167.99 205.08 34.18000027 B03XA01 EPOETINUM ALFA ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ 6 183.57 224.10 37.35000028 B03XA01 EPOETINUM ALFA BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 335.80 404.17 67.36166629 B03XA01 EPOETINUM ALFA ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 364.16 435.08 72.51333330 B03XA01 EPOETINUM ALFA BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. 6 489.04 571.20 95.20000031 B03XA01 EPOETINUM ALFA ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. 6 531.68 617.68 102.94666632 B03XA01 EPOETINUM ALFA BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. 6 642.24 738.19 123.03166633 B03XA01 EPOETINUM ALFA ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. 6 694.28 794.92 132.486666

Imunoglobulina anti-hepatitica B**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

Pagina 42 din 56

34 B03XA01 EPOETINUM ALFA BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 795.40 905.14 150.85666635 B03XA01 EPOETINUM ALFA ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 866.40 982.53 163.75500036 B03XA01 EPOETINUM ALFA ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. 6 1,033.71 1,164.90 194.15000037 B03XA01 EPOETINUM ALFA ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. 6 1,368.32 1,529.62 254.93666638 B03XA01 EPOETINUM BETA NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE 6 1,990.40 2,207.69 367.94833339 B03XA01 EPOETINUM BETA NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 215.29 262.83 43.80500040 B03XA01 EPOETINUM BETA NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE 6 422.32 498.48 83.08000041 B03XA01 EPOETINUM BETA NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC 1 980.76 1,107.18 1,107.18000042 B03XA01 EPOETINUM BETA NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 814.08 925.50 154.25000043 B03XA01 EPOETINUM BETA NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 1,009.84 1,138.88 189.81333344 B03XA01 EPOETINUM BETA NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE 6 110.71 135.15 22.52500045 H01CB02 OCTREOTIDUM** SANDOSTATIN LAR 20 mg PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE 1 3,267.95 3,600.22 3,600.22000046 H01CB02 OCTREOTIDUM** SANDOSTATIN LAR 10 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE 1 2,036.88 2,258.35 2,258.35000047 H01CB02 OCTREOTIDUM** SANDOSTATIN LAR 30 mg PULB.+SOLV.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE 1 4,525.03 4,970.44 4,970.44000048 H01CB02 OCTREOTIDUM** SANDOSTATIN (R) SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML 5 117.39 143.31 28.662000

49 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 652.44 749.31 62.442500

50 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 378.48 450.69 37.557500

51 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg LIOF. + SOLV. PT. SOL. INJ. 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV. 1 110.96 135.46 135.46000052 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. 10 1,507.24 1,681.04 168.10400053 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML 1 827.52 940.15 940.15000054 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML 10 1,507.24 1,681.04 168.10400055 J02AB02 KETOCONAZOLUM KETOCONAZOL OZONE 200 mg COMPR. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 4.79 6.47 0.64700056 J02AB02 KETOCONAZOLUM NIZORAL 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 COMPR. 10 14.21 19.21 1.92100057 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. X 10 COMPR. 10 4.79 6.47 0.64700058 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 6.37 8.61 0.86100059 J02AB02 KETOCONAZOLUM KETOCONAZOL 200 mg COMPR. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 4.78 6.46 0.64600060 J02AB02 KETOCONAZOLUM KETOSTIN 200 mg COMPR. 200mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 8.77 11.85 1.18500061 J02AB02 KETOCONAZOLUM KEFUNGIN COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 4.78 6.46 0.64600062 J02AB02 KETOCONAZOLUM KETOCONAZOL COMPR. 200mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 10 COMPR. 10 5.82 7.87 0.78700063 J02AB02 KETOCONAZOLUM KETOCONAZOL FABIOL 200 mg COMPR. 200mg FABIOL S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 4.82 6.52 0.65200064 J02AB02 KETOCONAZOLUM KETOCONAZOL FARMEX 200 mg COMPR. 200mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. 10 5.84 7.90 0.79000065 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. 28 181.83 221.98 7.92785766 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. 4 17.79 24.04 6.01000067 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 31.12 40.71 5.81571468 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. 16 61.37 77.60 4.85000069 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. 2 6.56 8.86 4.43000070 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 21.89 29.58 4.22571471 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. 1 15.64 21.14 21.14000072 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. 4 58.38 73.82 18.45500073 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. 2 31.06 40.62 20.31000074 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. 1 6.90 9.32 9.32000075 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 17.42 23.54 23.54000076 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. 1 13.11 17.72 17.720000

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77 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 10.12 13.68 13.68000078 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 6.90 9.32 9.32000079 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000080 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. 3 22.23 30.05 10.01666681 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 11.45 15.47 15.47000082 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000083 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.73 9.09 9.09000084 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.28 8.49 8.49000085 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 5.70 7.70 7.70000086 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. 1 7.38 9.98 9.98000087 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000088 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000089 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.28 8.49 8.49000090 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 28.26 36.96 5.28000091 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. 7 44.30 57.94 8.27714292 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. 7 15.68 21.19 3.02714293 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 40.58 53.08 7.58285794 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. 7 20.57 27.80 3.97142895 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 30.10 39.37 5.62428596 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 15.68 21.19 3.02714297 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. 8 13.22 17.87 2.23375098 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 17.74 23.98 2.39800099 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 11.58 15.65 2.235714

100 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.68 18.49 2.641428101 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.60 18.38 2.625714102 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.28 17.95 2.564285103 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 11.22 15.16 2.165714104 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. 7 16.99 22.97 3.281428105 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 10.96 14.81 2.115714106 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML 1 40.58 53.08 53.080000107 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML 1 125.05 152.66 152.660000108 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML 1 29.09 38.05 38.050000109 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML 1 32.90 43.03 43.030000110 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. 1 28.68 37.52 37.520000111 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. 1 40.05 52.38 52.380000112 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. 1 129.05 157.55 157.550000113 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. 1 38.14 49.89 49.890000114 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. 15 57.12 72.22 4.814666115 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. 15 37.74 49.36 3.290666116 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. 15 92.30 116.70 7.780000117 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. 15 92.26 116.66 7.777333118 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. 15 68.10 86.10 5.740000119 J02AC02 ITRACONAZOLUM SPORILIN 100 mg CAPS. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 5 CAPS. 15 89.20 112.79 7.519333120 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) 28 3,343.84 3,682.94 131.533571

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121 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) 28 858.25 973.64 34.772857122 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML 1 431.95 508.98 508.980000123 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA 1 2,070.87 2,295.40 2,295.400000124 J02AX04 CASPOFUNGINUM** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. 1 1,130.84 1,270.77 1,270.770000125 J02AX04 CASPOFUNGINUM** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. 1 1,466.75 1,636.91 1,636.910000126 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.06 19.00 0.950000127 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.88 20.11 1.005500128 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 663.00 760.82 0.760820129 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 13.53 18.29 1.829000130 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 9.03 12.20 0.610000131 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. 20 11.96 16.16 0.808000132 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 11.41 15.42 0.771000133 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. 20 9.57 12.94 0.647000134 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 9.03 12.20 0.610000135 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. 10 13.36 18.06 1.806000136 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. 20 5.03 6.80 0.340000137 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. 10 2.60 3.51 0.351000138 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. 35 41.04 53.68 1.533714139 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. 5 217.64 265.70 53.140000140 J05AB11 VALACYCLOVIRUM VALDACIR 500 mg COMPR. FILM 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM. 10 54.03 68.32 6.832000141 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. 10 74.74 94.50 9.450000142 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. 60 4,568.11 5,017.40 83.623333143 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. 50 18.15 24.53 0.490600144 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ 1 11.04 14.92 14.920000145 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN (R) SOL. INJ. 30MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 250.75 306.12 306.120000146 L03AA02 FILGRASTIMUM (G-CSF) NEUPOGEN (R) SOL. INJ. 48MU/0,5ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML 1 411.76 486.97 486.970000147 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300mcg/0,5ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. 1 201.08 245.48 245.480000148 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480mcg/0,8ml TEVA GENERICS GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. 1 336.00 404.39 404.390000149 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. 100 427.05 503.63 5.036300150 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. 50 427.05 503.63 10.072600151 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 525.44 610.88 5.090666152 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 980.15 1,106.52 9.221000

153 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 COMPR. 100 283.85 346.53 3.465300

154 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. 50 283.85 346.53 6.930600

155 L04AA08 DACLIZUMABUM** ZENAPAX (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML 1 1,166.85 1,310.02 1,310.020000156 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) 30 461.26 540.92 18.030666157 L04AC02 BASILIXIMABUM** SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. 1 4,008.84 4,407.79 4,407.790000158 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 374.97 446.87 8.937400159 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 107.54 131.29 2.625800160 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 69.90 88.38 1.767600161 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 107.67 131.44 2.628800162 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 224.70 274.32 5.486400163 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 146.06 178.31 3.566200

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164 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 234.74 286.57 5.731400165 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET 1 338.00 406.57 406.570000166 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 192.85 235.43 4.708600167 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 343.36 412.41 8.248200168 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 1,612.32 1,795.58 35.911600169 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 192.41 234.90 4.698000170 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 379.80 452.13 9.042600171 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 1,753.56 1,949.53 38.990600172 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML 10 1,452.71 1,621.61 162.161000173 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. 100 60.09 75.98 0.759800174 M05BA04 ACIDUM ALENDRONICUM TEVA NAT COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. 4 34.65 45.32 11.330000175 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE X 1 BLIST. AL/AL IN PORTOFEL X 2 COMPR. 2 26.65 34.86 17.430000176 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML 5 5.42 7.32 1.464000

L04AA04J06BA02

1 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML 10 62.72 79.30 7.9300002 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML 5 75.31 95.22 19.0440003 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. 10 1,507.24 1,681.04 168.1040004 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML 1 827.52 940.15 940.1500005 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML 10 1,507.24 1,681.04 168.1040006 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) 28 3,343.84 3,682.94 131.5335717 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) 28 858.25 973.64 34.7728578 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML 1 431.95 508.98 508.9800009 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA 1 2,070.87 2,295.40 2,295.400000

10 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. 60 4,568.11 5,017.40 83.623333B05AA06 POLYGELINUM

1 B01AB05 ENOXAPARINUM CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. 10 55.13 69.71 6.9710002 B01AB05 ENOXAPARINUM CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. 10 111.19 135.74 13.5740003 B01AB05 ENOXAPARINUM CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. 10 144.50 176.41 17.6410004 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. 2 37.47 49.01 24.5050005 B01AB08 REVIPARINUM CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML 10 62.72 79.30 7.9300006 B01AB08 REVIPARINUM CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML 5 75.31 95.22 19.0440007 B02AA02 ACIDUM TRANEXAMICUM4 EXACYL SOL. INJ. 500mg/5ml CN UNIFARM ROMANIA CUTIE X 5 FIOLE X 5ML SOL. INJ. 5 8.89 12.02 2.4040008 C01CA24 EPINEPHRINUM ADRENALINA 1 mg SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML 100 59.32 75.01 0.750100

9 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 4,5 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 652.44 749.31 62.442500

10 J01CR05PIPERACILLINUM + TAZOBACTAMUM TAZOCIN 2,25 LIOF. PT. SOL. INJ. FARA CONCENTRATIE WYETH LEDERLE PHARMA GMBH AUSTRIA CUTIE X 12 FLAC. CU LIOF. PT. SOL. INJ. 12 378.48 450.69 37.557500

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **Imunoglobulina anti-limfocite umane**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.5: TRANSPLANT CELULE PANCREATICE

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA P9.6: TRANSPLANT PULMONAR

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11 J01XX08 LINEZOLIDUM ZYVOXID (R) COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. 10 1,507.24 1,681.04 168.10400012 J01XX08 LINEZOLIDUM ZYVOXID (R) GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML 1 827.52 940.15 940.15000013 J01XX08 LINEZOLIDUM ZYVOXID (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML 10 1,507.24 1,681.04 168.10400014 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. 28 181.83 221.98 7.92785715 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. 4 17.79 24.04 6.01000016 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 31.12 40.71 5.81571417 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. 16 61.37 77.60 4.85000018 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. 2 6.56 8.86 4.43000019 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 21.89 29.58 4.22571420 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. 1 15.64 21.14 21.14000021 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. 4 58.38 73.82 18.45500022 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. 2 31.06 40.62 20.31000023 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. 1 6.90 9.32 9.32000024 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 17.42 23.54 23.54000025 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. 1 13.11 17.72 17.72000026 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 10.12 13.68 13.68000027 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 6.90 9.32 9.32000028 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000029 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. 3 22.23 30.05 10.01666630 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 11.45 15.47 15.47000031 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000032 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.73 9.09 9.09000033 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.28 8.49 8.49000034 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 5.70 7.70 7.70000035 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. 1 7.38 9.98 9.98000036 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000037 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000038 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.28 8.49 8.49000039 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 28.26 36.96 5.28000040 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. 7 44.30 57.94 8.27714241 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. 7 15.68 21.19 3.02714242 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 40.58 53.08 7.58285743 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. 7 20.57 27.80 3.97142844 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 30.10 39.37 5.62428545 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 15.68 21.19 3.02714246 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. 8 13.22 17.87 2.23375047 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 17.74 23.98 2.39800048 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 11.58 15.65 2.23571449 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.68 18.49 2.64142850 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.60 18.38 2.62571451 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.28 17.95 2.56428552 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 11.22 15.16 2.16571453 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. 7 16.99 22.97 3.28142854 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 10.96 14.81 2.115714

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55 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML 1 40.58 53.08 53.08000056 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML 1 125.05 152.66 152.66000057 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML 1 29.09 38.05 38.05000058 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML 1 32.90 43.03 43.03000059 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. 1 28.68 37.52 37.52000060 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. 1 40.05 52.38 52.38000061 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. 1 129.05 157.55 157.55000062 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. 1 38.14 49.89 49.89000063 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) 28 3,343.84 3,682.94 131.53357164 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) 28 858.25 973.64 34.77285765 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML 1 431.95 508.98 508.98000066 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA 1 2,070.87 2,295.40 2,295.40000067 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.06 19.00 0.95000068 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.88 20.11 1.00550069 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 663.00 760.82 0.76082070 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 13.53 18.29 1.82900071 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 9.03 12.20 0.61000072 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. 20 11.96 16.16 0.80800073 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 11.41 15.42 0.77100074 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. 20 9.57 12.94 0.64700075 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 9.03 12.20 0.61000076 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. 10 13.36 18.06 1.80600077 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. 20 5.03 6.80 0.34000078 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. 10 2.60 3.51 0.35100079 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. 35 41.04 53.68 1.53371480 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. 5 217.64 265.70 53.14000081 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. 60 4,568.11 5,017.40 83.62333382 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. 100 427.05 503.63 5.03630083 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. 50 427.05 503.63 10.07260084 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 525.44 610.88 5.09066685 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 980.15 1,106.52 9.221000

86 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 COMPR. 100 283.85 346.53 3.465300

87 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. 50 283.85 346.53 6.930600

88 L04AC02 BASILIXIMABUM** SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. 1 4,008.84 4,407.79 4,407.79000089 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 374.97 446.87 8.93740090 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 107.54 131.29 2.62580091 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 69.90 88.38 1.76760092 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 107.67 131.44 2.62880093 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 224.70 274.32 5.48640094 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 146.06 178.31 3.56620095 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 234.74 286.57 5.73140096 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET 1 338.00 406.57 406.57000097 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. 100 60.09 75.98 0.759800

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98 N02AX02 TRAMADOLUM TRAMAL (R) CAPS. 50mg GRUNENTHAL GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 8.21 11.09 0.55450099 N02AX02 TRAMADOLUM TRALGIT 50 CAPS. 50mg ZENTIVA A.S. SLOVACIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 5.50 7.43 0.371500

100 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 4.06 5.49 0.274500101 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 3 BLIST. X 10 CAPS. 30 9.07 12.26 0.408666102 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. 50 15.83 21.39 0.427800103 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. 100 31.64 41.39 0.413900104 N02AX02 TRAMADOLUM TRAMADOL AL 50 CAPS. 50mg ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 BLIST. X 10 CAPS. 10 2.83 3.82 0.382000105 N02AX02 TRAMADOLUM MABRON 50 mg CAPS. 50mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 3.46 4.68 0.468000106 N02AX02 TRAMADOLUM K-ALMA (R) CAPS. 50mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 5.33 7.21 0.360500107 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. PVC/AL X 10 CAPS. 10 4.49 6.07 0.607000108 N02AX02 TRAMADOLUM TRAMADOL LPH 50 mg CAPS. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 9.37 12.67 0.633500109 N02AX02 TRAMADOLUM URGENDOL CAPS. 50mg MEDICAROM GROUP SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. 10 3.22 4.35 0.435000110 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 6.24 8.44 0.422000111 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 5.33 7.21 0.360500112 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 8.24 11.14 0.557000113 N02AX02 TRAMADOLUM TRAMADOL 50 mg COMPR. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 6.92 9.35 0.467500114 N02AX02 TRAMADOLUM TRAMADOLOR (R) 100 ID COMPR. ELIB. MODIF. 100mg HEXAL AG GERMANIA CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF. 10 5.22 7.06 0.706000115 N02AX02 TRAMADOLUM TRAMADOL (R) RETARD COMPR. ELIB. PREL. 100mg KRKA D.D. SLOVENIA CUTIE X 3 BLIST. X 10 COMPR. ELIB. PREL. 30 13.15 17.77 0.592333116 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 50 34.80 45.52 0.910400117 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 10 6.85 9.26 0.926000118 N02AX02 TRAMADOLUM TRALGIT SR 100 COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 30 18.96 25.62 0.854000119 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 5 COMPR.ELIM.PREL. 5 5.15 6.96 1.392000120 N02AX02 TRAMADOLUM NOAX UNO 100 mg COMPR. ELIB. PREL. 100mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIM.PREL. 30 28.36 37.10 1.236666121 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 30 23.31 31.51 1.050333122 N02AX02 TRAMADOLUM TRALGIT SR 150 COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 10 14.63 19.77 1.977000123 N02AX02 TRAMADOLUM TRALGIT SR 200 COMPR. ELIB. PREL. 200mg ZENTIVA AS SLOVACIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. 10 19.10 25.82 2.582000124 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. 10 13.95 18.86 1.886000125 N02AX02 TRAMADOLUM NOAX UNO 200 mg COMPR. ELIB. PREL. 200mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR.ELIB. PREL. 30 37.21 48.67 1.622333126 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 BLIST. X PVC-PVDC/AL X 10 COMPR. ELIB. PREL. 10 19.40 26.22 2.622000127 N02AX02 TRAMADOLUM NOAX UNO 300 mg COMPR. ELIB. PREL. 300mg CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 3 BLIST. X PVC-PE-ACLAR/AL X 10 COMPR. ELIB. PREL. 30 56.79 71.80 2.393333128 N02AX02 TRAMADOLUM TRADOLAN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. 30 7.38 9.98 0.332666129 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. 10 10.65 14.39 1.439000130 N02AX02 TRAMADOLUM TRAMUNDIN RETARD 100 mg COMPR. FILM. ELIB. PREL. 100mg MUNDIPHARMA GES.M.B.H AUSTRIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.ELIM. PREL. 30 25.99 34.00 1.133333131 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. 10 15.30 20.68 2.068000132 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. 30 44.82 58.63 1.954333133 N02AX02 TRAMADOLUM TRAMAL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL. 10 19.58 26.47 2.647000134 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. 30 56.36 71.26 2.375333135 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 96 ML PIC. ORALE, SOL. 1 74.59 94.31 94.310000136 N02AX02 TRAMADOLUM TRALGIT PIC. ORALE, SOL. 100mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. 1 8.75 11.83 11.830000137 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. 1 4.47 6.04 6.040000138 N02AX02 TRAMADOLUM TRAMADOL AL PICATURI PIC. ORALE, SOL. FARA CONCENTRATIE ALIUD PHARMA GMBH & CO.KG GERMANIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML PIC. ORALE, SOL. 1 9.62 13.00 13.000000139 N02AX02 TRAMADOLUM TRAMAL (R) PICATURI ORALE-SOL. 100mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 1 FLACON PICURATOR X 10 ML 1 5.38 7.27 7.270000140 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. 100 105.37 128.64 1.286400141 N02AX02 TRAMADOLUM TRALGIT 100 SOL. INJ. 100mg/2ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. 5 8.53 11.53 2.306000

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142 N02AX02 TRAMADOLUM TRAMAL (R) 50 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 1 ML 5 5.25 7.10 1.420000143 N02AX02 TRAMADOLUM TRAMAL (R) 100 SOL. INJ. 50mg/ml GRUNENTHAL GMBH GERMANIA CUTIE X 5 FIOLE X 2 ML 5 9.43 12.74 2.548000144 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML 5 9.10 12.30 2.460000145 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML 5 7.44 10.06 2.012000146 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 10 FIOLE X 2 ML 10 13.36 18.06 1.806000147 N02AX02 TRAMADOLUM TRAMADOL (R) AL 100 Fiole SOL. INJ. 50mg/ml ALIUD® PHARMA GMBH & CO.KG GERMANIA CUTIE X 5 FIOLE X 2 ML 5 6.70 9.06 1.812000148 N02AX02 TRAMADOLUM TRALGIT 50 SOL. INJ. 50mg/ml ZENTIVA A.S. SLOVACIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. 5 7.98 10.79 2.158000149 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 1 ML 5 5.06 6.84 1.368000150 N02AX02 TRAMADOLUM URGENDOL SOL. INJ. 50mg/ml MEDICAROM GROUP SRL ROMANIA CUTIE X 5 FIOLE X 2 ML 5 6.28 8.49 1.698000151 N02AX02 TRAMADOLUM TRAMAL (R) SUPOZ. 100mg GRUNENTHAL GMBH GERMANIA CUTIE X 1 FOLIE PP/AL/PE X 5 SUPOZ. 5 8.97 12.13 2.426000152 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 5 SUPOZ. 5 3.88 5.24 1.048000

L04AA04

1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. 100 92.29 116.69 1.1669002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. 50 54.03 68.32 1.3664003 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. 50 51.08 64.58 1.2916004 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML 6 2,001.56 2,219.85 369.9750005 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML 6 203.17 248.03 41.3383336 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. 10 255.20 311.55 31.1550007 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML 6 429.91 506.75 84.4583338 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML 6 622.80 717.00 119.5000009 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML 1 1,254.00 1,405.01 1,405.010000

10 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. 10 494.01 576.62 57.66200011 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0,4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML 6 818.39 930.20 155.03333312 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 1,458.00 1,627.37 271.22833313 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 1,552.96 1,730.88 288.48000014 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 167.99 205.08 34.18000015 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ 6 183.57 224.10 37.35000016 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 335.80 404.17 67.36166617 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 364.16 435.08 72.51333318 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. 6 489.04 571.20 95.20000019 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. 6 531.68 617.68 102.94666620 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. 6 642.24 738.19 123.03166621 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. 6 694.28 794.92 132.48666622 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 795.40 905.14 150.85666623 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 866.40 982.53 163.75500024 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. 6 1,033.71 1,164.90 194.15000025 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. 6 1,368.32 1,529.62 254.93666626 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE 6 1,990.40 2,207.69 367.94833327 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 215.29 262.83 43.805000

Imunoglobulina anti-limfocite umane**

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

Pagina 50 din 56

28 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE 6 422.32 498.48 83.08000029 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC 1 980.76 1,107.18 1,107.18000030 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 814.08 925.50 154.25000031 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 1,009.84 1,138.88 189.81333332 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE 6 110.71 135.15 22.52500033 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML 4 2,702.32 2,983.68 745.92000034 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML 4 304.44 369.99 92.49750035 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML 4 4,024.91 4,425.31 1,106.32750036 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML 4 440.56 518.36 129.59000037 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML 4 574.24 664.07 166.01750038 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML 1 1,871.55 2,078.14 2,078.14000039 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML 4 838.56 952.18 238.04500040 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML 4 1,105.15 1,242.77 310.69250041 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML 1 3,099.25 3,416.34 3,416.34000042 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML 4 1,370.32 1,531.80 382.95000043 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML 4 1,637.71 1,823.26 455.81500044 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML 4 2,170.76 2,404.28 601.07000045 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. 50 22.66 30.63 0.61260046 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. 20 20.59 27.83 1.39150047 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. 30 4.54 6.13 0.20433348 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML 1 6.11 8.26 8.26000049 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 15 FLAC. LIOF. + 15 FIOLE SOLV. X 1 ML 15 48.80 63.83 4.25533350 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML 1 21.54 29.12 29.12000051 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO 1 14.21 19.21 19.21000052 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 1.24 1.68 0.08400053 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. 1000 41.72 54.57 0.05457054 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 1.83 2.47 0.08233355 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. 30 1.72 2.33 0.07766656 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. 30 1.75 2.37 0.07900057 H02AB07 PREDNISONUM PREDNISON COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR.; (2 ANI) 30 4.14 5.59 0.18633358 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. 20 1.24 1.68 0.084000

59 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BISEPTRIM CAPS. RET. 400mg/80mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 2.63 3.56 0.178000

60 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 1.54 2.08 0.104000

61 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 2.87 3.88 0.194000

62 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 2.32 3.14 0.157000

63 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 2.32 3.14 0.157000

Pagina 51 din 56

64 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SIROP 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE 1 5.70 7.70 7.700000

65 J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML 1 3.31 4.47 4.470000

66 J02AC01 FLUCONAZOLUM DIFLAZON 100 mg CAPS. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 CAPS. 28 181.83 221.98 7.92785767 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. 4 17.79 24.04 6.01000068 J02AC01 FLUCONAZOLUM FLUCORIC 100 mg CAPS. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 31.12 40.71 5.81571469 J02AC01 FLUCONAZOLUM FUNGOLON 100 mg CAPS. 100mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 2 BLIST. PVC/AL X 8 CAPS. 16 61.37 77.60 4.85000070 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS. 2 6.56 8.86 4.43000071 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 21.89 29.58 4.22571472 J02AC01 FLUCONAZOLUM DIFLAZON 150 mg CAPS. 150mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 1 CAPS. 1 15.64 21.14 21.14000073 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 4 BLIST. AL/PVC X 1 CAPS. 4 58.38 73.82 18.45500074 J02AC01 FLUCONAZOLUM MYCOSYST 150 mg CAPS. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 2 BLIST. AL/PVC X 1 CAPS. 2 31.06 40.62 20.31000075 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. 1 6.90 9.32 9.32000076 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 17.42 23.54 23.54000077 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. 1 13.11 17.72 17.72000078 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 150 CAPS. 150mg SANDOZ SRL GERMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 10.12 13.68 13.68000079 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 6.90 9.32 9.32000080 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000081 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 3 CAPS. 3 22.23 30.05 10.01666682 J02AC01 FLUCONAZOLUM MYCOMAX 150 CAPS. 150mg ZENTIVA AS CEHIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 11.45 15.47 15.47000083 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000084 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.73 9.09 9.09000085 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 6.28 8.49 8.49000086 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. 1 5.70 7.70 7.70000087 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 1 CAPS. 1 7.38 9.98 9.98000088 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 150 mg CAPS. 150mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. 1 4.58 6.19 6.19000089 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.39 8.64 8.64000090 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDICO UNO 150 mg CAPS. 150mg MEDICO UNO PHARMACEUTICAL SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA 1 6.28 8.49 8.49000091 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 28.26 36.96 5.28000092 J02AC01 FLUCONAZOLUM DIFLAZON 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X 7 CAPS. 7 44.30 57.94 8.27714293 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. 7 15.68 21.19 3.02714294 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 40.58 53.08 7.58285795 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. 7 20.57 27.80 3.97142896 J02AC01 FLUCONAZOLUM FLUCONAZOL SANDOZ (R) 50 CAPS. 50mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 30.10 39.37 5.62428597 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 15.68 21.19 3.02714298 J02AC01 FLUCONAZOLUM FUNGOLON 50 mg CAPS. 50mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. PVC/AL X 8 CAPS. 8 13.22 17.87 2.23375099 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 17.74 23.98 2.398000

100 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 11.58 15.65 2.235714101 J02AC01 FLUCONAZOLUM FLUCONAZOL TERAPIA 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.68 18.49 2.641428102 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.60 18.38 2.625714103 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 13.28 17.95 2.564285104 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. 7 11.22 15.16 2.165714

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105 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 7 CAPS. 7 16.99 22.97 3.281428106 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 50 mg CAPS. 50mg LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. 7 10.96 14.81 2.115714107 J02AC01 FLUCONAZOLUM DIFLUCAN (R) 50 mg/5 ml PULB. PT. SUSP. ORALA 50mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID PULB. PT. 35 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 5 ML 1 40.58 53.08 53.080000108 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 200 ML 1 125.05 152.66 152.660000109 J02AC01 FLUCONAZOLUM DIFLUCAN (R) SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 50 ML 1 29.09 38.05 38.050000110 J02AC01 FLUCONAZOLUM DIFLAZON 2mg/ml SOL. PERF. 2mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML 1 32.90 43.03 43.030000111 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 50 ML SOL. PERF. 1 28.68 37.52 37.520000112 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 100 ML SOL. PERF. 1 40.05 52.38 52.380000113 J02AC01 FLUCONAZOLUM MYCOMAX (R) INF SOL. PERF. 2mg/ml ZENTIVA AS CEHIA CUTIE X 1 FLACON DIN STICLA X 200 ML SOL. PERF. 1 129.05 157.55 157.550000114 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOGALENICA 2mg/ml SOL. PERF. 2mg/ml LABORATOARELE PROF.DR.MORAIT S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. 1 38.14 49.89 49.890000115 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) 28 3,343.84 3,682.94 131.533571116 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) 28 858.25 973.64 34.772857117 J02AC03 VORICONAZOLUM** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML 1 431.95 508.98 508.980000118 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA 1 2,070.87 2,295.40 2,295.400000119 J02AC04 POSACONAZOLUM** NOXAFIL SP 40mg/ml SUSP. ORALA 40mg/ml SP EUROPE BELGIA CUTIE X 1 FLAC. X 105ML SUSP. ORALA 1 2,537.47 2,804.00 2,804.000000120 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.06 19.00 0.950000121 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. 20 14.88 20.11 1.005500122 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. 1000 663.00 760.82 0.760820123 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. 10 13.53 18.29 1.829000124 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 9.03 12.20 0.610000125 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. 20 11.96 16.16 0.808000126 J05AB01 ACICLOVIRUM CLOVIRAL 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. 20 11.41 15.42 0.771000127 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. 20 9.57 12.94 0.647000128 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. 20 9.03 12.20 0.610000129 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. 10 13.36 18.06 1.806000130 J05AB01 ACICLOVIRUM ACICLOVIR OZONE 200 mg COMPR. DISP. 200mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. DISP. 20 5.03 6.80 0.340000131 J05AB01 ACICLOVIRUM LOVIR 200 mg COMPR. DISP. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. DIN PVC-PVDC/AL X 10 COMPR. DISP. 10 2.60 3.51 0.351000132 J05AB01 ACICLOVIRUM ACIKLOVIR COMPR. FILM. 400mg A & G MED TRADING S.R.L. ROMANIA CUTIE X 7 BLIST. AL/PVC X 5 COMPR. FILM. 35 41.04 53.68 1.533714133 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. 5 217.64 265.70 53.140000134 J05AB14 VALGANCICLOVIRUM** VALCYTE (R) 450 mg COMPR. FILM. 450mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. X 60 COMPR. FILM. 60 4,568.11 5,017.40 83.623333135 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) 28 214.38 261.71 9.346785136 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. 60 310.16 376.23 6.270500137 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR 1 84.19 106.45 106.450000138 J05AF05 LAMIVUDINUM ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE 1 97.67 123.49 123.490000139 L04AA06 MYCOPHENOLATUM** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. 100 427.05 503.63 5.036300140 L04AA06 MYCOPHENOLATUM** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. 50 427.05 503.63 10.072600141 L04AA06 MYCOPHENOLATUM** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 525.44 610.88 5.090666142 L04AA06 MYCOPHENOLATUM** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. 120 980.15 1,106.52 9.221000

143 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 250mg CAPS. 250mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 100 COMPR. 100 283.85 346.53 3.465300

144 L04AA06MYCOPHENOLATUM MOFETILUM** MYFENAX 500mg CAPS. 500mg TEVA PHARMA BV OLANDA CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. 50 283.85 346.53 6.930600

145 L04AA10 SIROLIMUS** RAPAMUNE 1mg DRAJ. 1mg WYETH EUROPA LTD. MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) 30 461.26 540.92 18.030666146 L04AD02 CICLOSPORINUM EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 374.97 446.87 8.937400147 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 107.54 131.29 2.625800

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148 L04AD02 CICLOSPORINUM EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 69.90 88.38 1.767600149 L04AD02 CICLOSPORINUM CICLORAL 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 107.67 131.44 2.628800150 L04AD02 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI 50 224.70 274.32 5.486400151 L04AD02 CICLOSPORINUM EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI 50 146.06 178.31 3.566200152 L04AD02 CICLOSPORINUM CICLORAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI 50 234.74 286.57 5.731400153 L04AD02 CICLOSPORINUM EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET 1 338.00 406.57 406.570000154 L04AD02 TACROLIMUSUM** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 192.85 235.43 4.708600155 L04AD02 TACROLIMUSUM** PROGRAF (R) 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 343.36 412.41 8.248200156 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT 50 1,612.32 1,795.58 35.911600157 L04AD02 TACROLIMUSUM** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 192.41 234.90 4.698000158 L04AD02 TACROLIMUSUM** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 379.80 452.13 9.042600159 L04AD02 TACROLIMUSUM** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA GMBH GERMANIA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) 50 1,753.56 1,949.53 38.990600160 L04AD02 TACROLIMUSUM** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML 10 1,452.71 1,621.61 162.161000161 L04AX01 AZATHIOPRINUM* IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. 100 60.09 75.98 0.759800

1 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI 50 24.14 32.63 0.6526002 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI 30 21.81 29.48 0.9826663 A11CC04 CALCITRIOLUM** ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI 100 57.17 72.28 0.7228004 A11CC07 PARICALCITOLUM** ZEMPLAR 1mcg CAPS. MOI 1mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI 28 372.12 443.76 15.8485715 A11CC07 PARICALCITOLUM** ZEMPLAR 2mcg CAPS. MOI 2mcg ABBOTT LABORATORIES LTD. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. 28 771.12 878.67 31.3810716 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. 5 378.00 450.17 90.0340007 A11CC07 PARICALCITOLUM** ZEMPLAR SOL. INJ. 5 mcg/ml ABBOTT LABORATORIES LTD. SPANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. 5 746.00 851.29 170.2580008 B01AB01 HEPARINUM** HEPARINE SODIQUE PANPHARMA SOL. INJ. 5000ui/ml LAB. PANPHARMA FRANTA CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. 10 49.25 64.42 6.4420009 B01AB01 HEPARINUM** HEPARIN SOL. INJ. 5000ui/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 5 FIOLE X 1ML 5 6.02 8.14 1.628000

10 B01AB01 HEPARINUM** HEPARIN SOL. INJ. 5000ui/ml POLIPHARMA INDUSTRIES S.R.L. ROMANIA CUTIE X 10 FIOLE X 5ML 10 31.51 41.21 4.12100011 B01AB05 ENOXAPARINUM** CLEXANE 2000ui anti-Xa/0,2ml SOL. INJ. 2000ui anti-Xa/0,2ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. 10 55.13 69.71 6.97100012 B01AB05 ENOXAPARINUM** CLEXANE 4000ui anti-Xa/0,4ml SOL. INJ. 4000ui anti-Xa/0,4ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. 10 111.19 135.74 13.57400013 B01AB05 ENOXAPARINUM** CLEXANE 6000ui anti-Xa/0,6ml SOL. INJ. 6000ui anti-Xa/0,6ml LAB. AVENTIS FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. 10 144.50 176.41 17.64100014 B01AB05 ENOXAPARINUM** CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000ui anti-Xa/0,8ml LAB. AVENTIS FRANTA CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. 2 37.47 49.01 24.50500015 B01AB06 NADROPARINUM** FRAXODI 11400 UI anti-factor Xa/0,6ml SOL. INJ. 11400 uiAXa/0,6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. 10 204.42 249.56 24.95600016 B01AB06 NADROPARINUM** FRAXODI 15200 UI anti-factor Xa/0,8ml SOL. INJ. 15200 uiAXa/0,8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ. 10 281.03 343.08 34.30800017 B01AB06 NADROPARINUM** FRAXIPARINE (R) 2850 UI anti-factor Xa/0,3 ml SOL. INJ. 2850 ui AFXa/0,3ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,3 ML 10 57.00 72.07 7.20700018 B01AB06 NADROPARINUM** FRAXIPARINE (R) 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,4 ML 10 76.83 97.15 9.71500019 B01AB06 NADROPARINUM** FRAXIPARINE (R) 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,6 ML 10 101.88 124.37 12.43700020 B01AB06 NADROPARINUM** FRAXIPARINE (R) 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AXa/0,8ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 10 SERINGI PREUMPLUTE DIN STICLA, PREVAZUTE CU DISPOZITIV DE PROTECTIE A ACULUI X 0,8 ML 10 145.95 178.17 17.81700021 B01AB08 REVIPARINUM** CLIVARIN (R) 1432UI/0,25 ml SOL. INJ. 1432ui/0,25ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 2 BLIST. X 5 SERINGI PREUMPLUTE UNIDOZA X 0,25ML 10 62.72 79.30 7.93000022 B01AB08 REVIPARINUM** CLIVARIN (R) 3436 UI/0,6 ml SOL. INJ. 3436ui/0,6ml ABBOTT GMBH&CO.KG GERMANIA CUTIE X 1 BLIST X 5 SERINGI PREUMPLUTE UNIDOZA X 0,60 ML 5 75.31 95.22 19.04400023 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.45 ML SOL. INJ. (4500 U-AXA) 2 25.21 32.97 16.48500024 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0.35 ML SOL. INJ. (3500 U-AXA) 2 18.15 24.53 12.26500025 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 10000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2 ML SOL. INJ. (10000 U-AXA) 10 430.71 507.63 50.76300026 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 2ML SOL. INJ. (20000 U-AXA) 10 927.93 1,049.60 104.96000027 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,70 ML SOL. IN. (14000 U-AXA) 2 76.61 96.86 48.430000

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA

Pagina 54 din 56

28 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,90 ML SOL. IN. (18000 U-AXA) 2 97.75 123.59 61.79500029 B01AB10 TINZAPARINUM** INNOHEP SOL. INJ. 20000u ANTIF. Xa/ml LEO PHARMACEUTICAL PRODUCTS DANEMARCA CUTIE X 2 SERINGI PREUMPLUTE X 0,50 ML SOL. IN. (10000 U-AXA) 2 55.68 70.40 35.200000

30 B03AC02

COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML 5 115.19 140.63 28.126000

31 B03XA01 EPOETINUM ALFA** EPREX (R) 10000 UI SOL. INJ. 10000ui/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 1 ML 6 2,001.56 2,219.85 369.97500032 B03XA01 EPOETINUM ALFA** EPREX (R) 1000 UI SOL. INJ. 1000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML 6 203.17 248.03 41.33833333 B03XA01 EPOETINUM ALFA** EPOPHAR 2000 U.I. SOL. INJ. 2000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. 10 255.20 311.55 31.15500034 B03XA01 EPOETINUM ALFA** EPREX (R) 2000 UI SOL. INJ. 2000ui/0,5ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,5 ML 6 429.91 506.75 84.45833335 B03XA01 EPOETINUM ALFA** EPREX (R) 3000 UI SOL. INJ. 3000ui/0,3ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,3 ML 6 622.80 717.00 119.50000036 B03XA01 EPOETINUM ALFA** EPREX (R) 40 000 UI SOL. INJ. 40 000UI JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 FLACON DIN STICLA X 1 ML 1 1,254.00 1,405.01 1,405.01000037 B03XA01 EPOETINUM ALFA** EPOPHAR 4000 U.I. SOL. INJ. 4000UI GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 10 FLAC. X 1 ML SOL. INJ. 10 494.01 576.62 57.66200038 B03XA01 EPOETINUM ALFA** EPREX (R) 4000 UI SOL. INJ. 4000ui/0,4ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 2 BLIST. X 3 SERINGI PREUMPLUTE X 0,4 ML 6 818.39 930.20 155.03333339 B03XA01 EPOETINUM ALFA** BINOCRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 1,458.00 1,627.37 271.22833340 B03XA01 EPOETINUM ALFA** ABSEAMED 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 1,552.96 1,730.88 288.48000041 B03XA01 EPOETINUM ALFA** BINOCRIT 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 167.99 205.08 34.18000042 B03XA01 EPOETINUM ALFA** ABSEAMED 1000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,5ML SOL. INJ 6 183.57 224.10 37.35000043 B03XA01 EPOETINUM ALFA** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 335.80 404.17 67.36166644 B03XA01 EPOETINUM ALFA** ABSEAMED 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. 6 364.16 435.08 72.51333345 B03XA01 EPOETINUM ALFA** BINOCRIT 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. 6 489.04 571.20 95.20000046 B03XA01 EPOETINUM ALFA** ABSEAMED 3000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,3ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTEX 0,3ML SOL. INJ. 6 531.68 617.68 102.94666647 B03XA01 EPOETINUM ALFA** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. 6 642.24 738.19 123.03166648 B03XA01 EPOETINUM ALFA** ABSEAMED 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. 6 694.28 794.92 132.48666649 B03XA01 EPOETINUM ALFA** BINOCRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 795.40 905.14 150.85666650 B03XA01 EPOETINUM ALFA** ABSEAMED 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. 6 866.40 982.53 163.75500051 B03XA01 EPOETINUM ALFA** ABSEAMED 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ. 6 1,033.71 1,164.90 194.15000052 B03XA01 EPOETINUM ALFA** ABSEAMED 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml MEDICE ARZNEIMITTEL PUTTER GMBH & CO KG GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ. 6 1,368.32 1,529.62 254.93666653 B03XA01 EPOETINUM BETA** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE 6 1,990.40 2,207.69 367.94833354 B03XA01 EPOETINUM BETA** NEORECORMON 1000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 1000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 215.29 262.83 43.80500055 B03XA01 EPOETINUM BETA** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE 6 422.32 498.48 83.08000056 B03XA01 EPOETINUM BETA** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC 1 980.76 1,107.18 1,107.18000057 B03XA01 EPOETINUM BETA** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 814.08 925.50 154.25000058 B03XA01 EPOETINUM BETA** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE 6 1,009.84 1,138.88 189.81333359 B03XA01 EPOETINUM BETA** NEORECORMON 500UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 500UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ. + 6 ACE 6 110.71 135.15 22.52500060 B03XA02 DARBEPOETINUM ALFA** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML 4 2,702.32 2,983.68 745.92000061 B03XA02 DARBEPOETINUM ALFA** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML 4 304.44 369.99 92.49750062 B03XA02 DARBEPOETINUM ALFA** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML 4 4,024.91 4,425.31 1,106.32750063 B03XA02 DARBEPOETINUM ALFA** ARANESP 15mcg/0,375ml SOL. INJ. IN SERINGA PREUMPLUTA 15mcg/0,375ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,375 ML 4 440.56 518.36 129.59000064 B03XA02 DARBEPOETINUM ALFA** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML 4 574.24 664.07 166.01750065 B03XA02 DARBEPOETINUM ALFA** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML 1 1,871.55 2,078.14 2,078.14000066 B03XA02 DARBEPOETINUM ALFA** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML 4 838.56 952.18 238.04500067 B03XA02 DARBEPOETINUM ALFA** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML 4 1,105.15 1,242.77 310.69250068 B03XA02 DARBEPOETINUM ALFA** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML 1 3,099.25 3,416.34 3,416.34000069 B03XA02 DARBEPOETINUM ALFA** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML 4 1,370.32 1,531.80 382.95000070 B03XA02 DARBEPOETINUM ALFA** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML 4 1,637.71 1,823.26 455.815000

Pagina 55 din 56

71 B03XA02 DARBEPOETINUM ALFA** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML 4 2,170.76 2,404.28 601.07000072 H05BX01 CINACALCETUM**** MIMPARA 30 mg COMPR. FILM. 30mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. 28 709.92 811.96 28.99857173 H05BX01 CINACALCETUM**** MIMPARA 60 mg COMPR. FILM. 60mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. 28 1,300.59 1,455.79 51.99250074 H05BX01 CINACALCETUM**** MIMPARA 90 mg COMPR. FILM. 90mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. 28 1,849.56 2,054.17 73.36321475 V03AE02 SEVELAMER** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. 180 658.12 755.50 4.197222

B05DB COMBINATII

1 N07BB04 NALTREXONUM REVIA COMPR. FILM. 50mg TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 4 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM. 28 234.31 286.05 10.2160712 N07BB04 NALTREXONUM REVIA COMPR. FILM. 50mg TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 7 COMPR. FILM. 14 157.17 191.87 13.7050003 N07BC02 METHADONUM SINTALGON 2,5 mg COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. 50 9.10 12.30 0.246000

4 N07BC51

COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg COMPR. SUBLING. 2mg/0,5mg SP EUROPE BELGIA CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC) 7 20.70 27.98 3.997142

5 N07BC51

COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg COMPR. SUBLING. 8mg/2mg SP EUROPE BELGIA CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC) 7 79.92 101.05 14.435714

NOTA:

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

Medicamentele corespunzatoare DCI-urilor notate cu (4) se importa cu avizul Ministerului Sanatatii Publice;

Medicamentele din această sublistă se eliberează atât prin farmacii cu circuit închis cât și prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competenței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;

P11 PROGRAM NATIONAL DE SANATATE MINTALA

Pagina 56 din 56

ANEXA 5

Nr. crt cod_atc dci den_com forma_farm conc firma_det tara_det ambalaj pres cant_fl

PRET AMANUN

TUL MAXIMAL

(RON)

PRET AMANUNTUL MAXIMAL/UT

(RON)

VAL.SUPORTATAT CNAS/

UT(RON)-LEGEA NR.

95/2006 ART 213 alin.(1) lit.

a) si f)

VAL.SUPORTATAT CNAS/

UT (RON) PT. ADULTI

1 A03AD02 DROTAVERINUM NO - SPA 40 mg/2 ml SOL. INJ. 40mg/2ml CHINOIN PRIVATE CO. LTD. UNGARIA CUTIE X 25 FIOLE X 2ML SOL. INJ. P-RF 25 23.00 0.920000 0.920000 0.920000

2 A03BA01 ATROPINUM

SULFAT DE ATROPINA ZENTIVA 1 mg/ml SOL. INJ. 1mg/ml ZENTIVA S.A. ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. S 5 2.82 0.564000 0.564000 0.564000

3 A03BB01BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 3.14 0.628000 0.628000 0.628000

4 A03DA02 COMBINATII PIAFEN COMPR. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 2.30 0.115000 0.115000 0.1150005 A03DA02 COMBINATII ALGIFEN COMPRIMATE COMPR. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.14 0.157000 0.115000 0.115000

6 A03DA02 COMBINATIIALGIFEN SOLUTIE INJECTABILA SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 6.10 1.220000 1.220000 1.220000

7 A03DA02 COMBINATII PIAFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII X 3 SUPOZ. P-RF 6 2.10 0.350000 0.350000 0.3500008 A05BAN3 COMBINATII ASPATOFORT (R) SOL. INJ. FARA CONCENTRATIE TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 10 ML P-RF 10 9.92 0.992000 0.992000 0.992000

9 A06AD65 COMBINATII FORTRANS (R) PULB. PT. SOL. ORALA FARA CONCENTRATIE BEAUFOUR IPSEN INT. FRANTA

CUTIE X 4 PLICURI DIN HARTIE/AL/PE A CATE 74 G PULB. PT. SOL. ORALA P-RF 4 36.38 9.095000 7.186666 7.186666

10 A06AD65 COMBINATII ENDOFALK PULB. PT. SOL. ORALA FARA CONCENTRATIE DR. FALK PHARMA GMBH GERMANIA

CUTIE X 6 PLICURI DE HARTIE/AL/PEJD X 55,318 G PULB. PT. SOL. ORALA P-RF 6 43.12 7.186666 7.186666 7.186666

11 A07AX03 NIFUROXAZIDUM ERCEFURYL (R) 200 mg CAPS. 200mg SANOFI-SYNTHELABO OTC FRANTA CUTIE X 2 BLIST. X 14 CAPS. P-RF 28 10.71 0.382500 0.382500 0.38250012 A11CA01 RETINOLUM VITAMINA A FORTE CAPS. MOI 50000ui BIOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 CAPS. MOI P-6L 30 5.18 0.172666 0.172666 0.172666

13 A11CA01 RETINOLUMVITAMINA A BIOFARM 20mg/ml PIC. ORALE, SOL. 20mg/ml BIOFARM SA ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 10 ML PIC. ORALE, SOL. P-6L 1 2.33 2.330000 2.330000 2.330000

SECŢIUNEA C3 - CU PROCENT DE COMPENSARE 100% - CUPRINDE DCI-URILE DIN CANAMED, ALTELE DECÂT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII PÂNĂ LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENŢI SAU UCENICI DACĂ NU REALIZEAZĂ VENITURI,

PRECUM ŞI GRAVIDE ŞI LĂUZE CONFORM HG NR. 720/2008

VALABILĂ ÎNCEPÂND CU 8 APRILIE 2009

Pagina 1 din 12

14 A11CC02 DIHYDROTACHYSTEROLUM A.T. 10 (R) PICATURI ORALE-SOL. 1mg/ml MERCK KGAA GERMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA PREVAZUT CU PICURATOR X 15 ML P-6L 1 24.41 24.410000 24.410000 24.410000

15 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIACUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. MOI P-RF 100 72.28 0.722800 0.722800 0.722800

16 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 1000 COMPR. 1000UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 7.77 0.259000 0.259000 0.25900017 A11CC05 COLECALCIFEROLUM VIGANTOLETTEN 500 COMPR. 500UI MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.29 0.209666 0.209666 0.209666

18 A11CC05 COLECALCIFEROLUMVITAMINA D3 BIOFARM 18000UI/ml PIC. ORALE, SOL. 0,45mg/ml BIOFARM S.A. ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-6L 1 4.75 4.750000 4.750000 4.750000

19 A11CC05 COLECALCIFEROLUM VIGANTOL OIL PIC. ORALE, SOL. 0,5mg/ml MERCK KGAA GERMANIA

CUTIE X 1 FLACON DIN STICLA X 10 ML PIC. ORALE SOLUTIE, PREVAZUT CU PICURATOR P-6L 1 5.98 5.980000 5.980000 5.980000

20 A11CC20 COMBINATII

FLUOR VIGANTOLETTEN 1000 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 7.52 0.250666 0.250666 0.250666

21 A11CC20 COMBINATIIFLUOR VIGANTOLETTEN 500 COMPR. FARA CONCENTRATIE MERCK KGAA GERMANIA CUTIE X 1 BLIST. AL/PVC X 30 COMPR. P-6L 30 6.04 0.201333 0.201333 0.201333

22 A11DA01 THIAMINUM SICOVIT (R) B1 100 mg/2 ml SOL. INJ. 100mg/2ml ZENTIVA SA ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 3.14 0.628000 0.628000 0.628000

23 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 26.98 0.539600 0.489700 0.48970024 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 20 DRAJ. P-6L 100 48.97 0.489700 0.489700 0.48970025 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 20 19.04 0.952000 0.791900 0.79190026 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 100 79.19 0.791900 0.791900 0.79190027 A11DBN1 COMBINATII MILGAMMA (R) N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 50 44.02 0.880400 0.791900 0.791900

28 A11DBN1 COMBINATII MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA

CUTIE X 25 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 25 78.45 3.138000 3.138000 3.138000

29 A11DBN1 COMBINATII MILGAMMA (R) N SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML P-RF 5 17.38 3.476000 3.138000 3.138000

30 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 1 BLIST. X 20 COMPR. FILM. P-6L 20 10.48 0.524000 0.417500 0.41750031 A11DBN2 COMBINATII NEUROMULTIVIT (R) COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. X 20 COMPR. FILM. P-6L 100 41.75 0.417500 0.417500 0.417500

32 A11GA01ACIDUM ASCORBICUM VITAMINA C ARENA 750 mg SOL. INJ. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA X 5 ML SOL. INJ. P-RF 5 23.76 4.752000 4.752000 4.752000

33 A11HA02 PYRIDOXINUM VITAMINA B6 250 mg COMPR. 250 mg ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L 20 1.74 0.087000 0.087000 0.08700034 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 1.74 0.087000 0.087000 0.087000

35 A11HA02 PYRIDOXINUM SICOVIT B6 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 5.02 1.004000 1.004000 1.004000

36 A11HA02 PYRIDOXINUM SICOVIT B6 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 3.14 0.628000 0.628000 0.628000

37 A11HA03 TOCOFEROLUM VITAMIN E 200 CAPS. MOI 200mg ZENTIVA AS SLOVACIA CUTIE X 1 FLAC. STICLA X 30 CAPS. MOI P-6L 30 8.21 0.273666 0.273666 0.27366638 A11HA03 TOCOFEROLUM VITAMIN E 400 CAPS. MOI 400mg ZENTIVA AS SLOVACIA CUTIE X 1 FLAC. STICLA X 30 CAPS. MOI P-6L 30 15.19 0.506333 0.365833 0.36583339 A11HA03 TOCOFEROLUM VITAMINA E 400 mg CAPS. MOI 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 12 CAPS. MOI P-6L 24 8.78 0.365833 0.365833 0.36583340 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU 10% SOL. INJ. 10% B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FIOLE DIN PEJD X 10 ML SOL. INJ. P-RF 20 15.84 0.792000 0.792000 0.792000

Pagina 2 din 12

41 A12AA03 CALCII GLUCONAS GLUCONAT DE CALCIU SOL. INJ. FARA CONCENTRATIE ZENTIVA SA ROMANIA CUTIE X 5 FIOLE X 10 ML SOL. INJ. P-RF 5 7.78 1.556000 0.792000 0.79200042 A14AA03 METANDIENONUM NAPOSIM 5 mg COMPR. 5mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 3.99 0.199500 0.199500 0.19950043 A16AA01 LEVOCARNITINUM MIOCOR SOL. ORALA 10% ECOBI PHARMACEUTICI ITALIA CUTIE X 10 FLACOANE X 10ML P-6L 10 17.20 1.720000 1.720000 1.720000

44 A16AA01 LEVOCARNITINUM CARNIL (R) SOL. ORALA 100mg/ml ANFARM HELLAS S.A. PHARMACEUTICALS GRECIA

CUTIE X 10 FLACOANE DIN STICLA BRUNA, ACOPERITE CU UN CAPAC DIN AL. X 10 ML P-6L 10 28.06 2.806000 1.720000 1.720000

45 A16AXN1 DIVERSE ACTOVEGIN (R) DRAJ. 200mg NYCOMED AUSTRIA GMBH AUSTRIACUTIE X 1 FLAC. DIN STICLA BRUNA X 50 DRAJ. P-6L 50 136.22 2.724400 2.724400 2.724400

46 A16AXN1 DIVERSE ACTOVEGIN (R) SOL. INJ. 200mg/5ml NYCOMED AUSTRIA GMBH AUSTRIA CUTIE X 5 FIOLE PUNCT DE RUPERE X 5 ML P-RF 5 102.07 20.414000 20.414000 20.41400047 B02BX01 ETAMSYLATUM ETAMSILAT 250mg/2ml SOL. INJ. 250mg/2ml ZENTIVA S.A ROMANIA CUTIE X 5 FIOLE X 2 ML SOL. INJ. P-RF 5 3.25 0.650000 0.650000 0.650000

48 B02BX02CARBAZOCHROMI SALICYLAS ADRENOSTAZIN SOL. INJ. 0,3mg/ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 5 ML P-RF 5 4.56 0.912000 0.912000 0.912000

49 B03AA03 FERROSI GLUCONAS ASCOFER COMPR. FARA CONCENTRATIE ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 20 COMPR. P-6L 20 3.76 0.188000 0.188000 0.188000

50 B03ABN1 FERROCHOLINATUM FER-SOL SOL. ORALA IN PICATURI 24mg Fe/ml E.I.P.I.CO. MED S.R.L. ROMANIACUTIE X 1 FLACON X 15 ML + DISPOZITIV PT. PICURARE P-6L 1 3.13 3.130000 3.130000 3.130000

51 B03AD02 COMBINATII FERRETAB (R) CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIACUTIE X 5 BLIST. AL/PVC X 20 CAPS. ELIB. PREL. P-6L 100 25.89 0.258900 0.258900 0.258900

52 B03AD02 COMBINATII FERRETAB (R) CAPS. ELIB. PREL. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIACUTIE X 3 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 30 10.05 0.335000 0.258900 0.258900

53 B03AD03 COMBINATII FERRO SANOL GYN CAPS. FARA CONCENTRATIE SCHWARZ PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PE X 10 CAPS. P-6L 50 34.95 0.699000 0.699000 0.69900054 B03AD03 COMBINATII TARDYFERON FOL (R) DRAJ. ELIB. PREL. FARA CONCENTRATIE LAB. PIERRE FABRE FRANTA CUTIE X 3 BLIST. AL/PVDC-PE-PVC X 10 DRAJ. ELIB. PREL. P-6L 30 14.11 0.470333 0.470333 0.47033355 B03AD04 COMBINATII MALTOFER FOL COMPR. MAST. FARA CONCENTRATIE VIFOR FRANCE S.A. FRANTA CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. MAST. P-6L 30 16.78 0.559333 0.559333 0.55933356 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 CAPS. MOI P-RF 100 40.56 0.405600 0.405600 0.40560057 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. X 10 CAPS. MOI P-RF 50 22.80 0.456000 0.405600 0.40560058 B03AE01 COMBINATII FERRO - FOLGAMMA (R) CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. X 10 CAPS. MOI P-RF 20 9.86 0.493000 0.405600 0.40560059 B03AE10 COMBINATII TOT'HEMA SOL. ORALA FARA CONCENTRATIE LAB. INNOTHERA FRANTA CUTIE X 20 FIOLE X 10 ML P-6L 20 16.64 0.832000 0.832000 0.832000

60 B03BA01 CYANOCOBALAMINUM SICOVIT B12 50mcg/ml SOL. INJ. 50mcg/ml ZENTIVA SA ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 1 ML SOL. INJ. P-RF 5 3.14 0.628000 0.628000 0.628000

61 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 79.19 0.791900 0.791900 0.79190062 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 19.04 0.952000 0.791900 0.79190063 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 44.02 0.880400 0.791900 0.79190064 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. PVC/PVDC X 10 DRAJ. P-6L 100 79.19 0.791900 0.791900 0.79190065 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 2 BLIST. PVC/PVDC X 10 DRAJ. P-6L 20 19.04 0.952000 0.791900 0.79190066 B03BA51 COMBINATII MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 44.02 0.880400 0.791900 0.79190067 C02LA51 COMBINATII NEOCRYSTEPIN DRAJ. FARA CONCENTRATIE ZENTIVA AS CEHIA CUTIE X 2 BLIST. AL/PVC X 15 DRAJ. P-6L 30 8.01 0.267000 0.267000 0.26700068 C04AE01 CODERGOCRINUM REDERGIN 1 mg/ml PICATURI ORALE-SOL. 0,1% LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLACON X 50 ML P-6L 1 11.09 11.090000 2.060000 2.06000069 C04AE01 CODERGOCRINUM CO-DERGOCRIN SOL. ORALA IN PICATURI 0,1% TERAPIA SA ROMANIA CUTIE X 1 FLACON CU DOP PICATOR X 50 ML PIC.ORALE, SOL. P-6L 1 5.12 5.120000 2.060000 2.06000070 C04AE01 CODERGOCRINUM SECATOXIN SOL. ORALA IN PICATURI 1mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON X 10 ML + PICATOR P-6L 1 2.06 2.060000 2.060000 2.06000071 C05AA01 COMBINATII HEMORZON UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 3.87 3.870000 3.870000 3.87000072 C05AA08 COMBINATII ULTRAPROCT (R) SUPOZ. FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 2 FOLII X 5 SUPOZ. P-RF 10 12.14 1.214000 1.214000 1.21400073 C05AA08 COMBINATII ULTRAPROCT (R) UNGUENT RECTAL FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G + 1 CANULA RECTALA P-RF 1 13.68 13.680000 13.680000 13.680000

74 C05AD01 COMBINATII DOXIPROCT UNGUENT RECTAL FARA CONCENTRATIE OM PORTUGUESA S.A. PORTUGALIA

CUTIE X 1 TUB DIN AL X 30 G UNGUENT RECTAL + CANULA APLICATOARE P-6L 1 20.96 20.960000 20.960000 20.960000

75 C05BX01 CALCII DOBESILAS DOXILEK CAPS. 500mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 3 BLIST. AL/PVC. X 10 CAPS. P-6L 30 20.15 0.671666 0.671666 0.671666

Pagina 3 din 12

76 C05CA54TROXERUTINUM (COMBINATII) GINKOR FORT CAPS. FARA CONCENTRATIE BEAUFOUR IPSEN PHARMA FRANTA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 24.16 0.805333 0.805333 0.805333

77 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 100mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 7.40 0.740000 0.740000 0.74000078 C07AB08 CELIPROLOLUM CELIPRES (R) COMPR. FILM. 200mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR. FILM. P-6L 10 10.42 1.042000 1.042000 1.04200079 C07NAN1 COMBINATII DISTONOVAL COMPR. FARA CONCENTRATIE FABIOL S.A. ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 3.61 0.180500 0.180500 0.18050080 C07NAN1 COMBINATII DISTONOCALM (R) COMPR. FILM. FARA CONCENTRATIE ZENTIVA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 3.94 0.131333 0.131333 0.13133381 C08CA06 NIMODIPINUM NIMOTOP (R) COMPR. FILM. 30mg BAYER HEALTHCARE AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 105.73 1.057300 1.057300 1.057300

82 C08CA06 NIMODIPINUM NIMOTOP (R) SOL. PERF. 10mg/50ml BAYER HEALTHCARE AG GERMANIA

CUTIE X 5 CUTII X 1 FLACON DIN STICLA DE CULOARE BRUNA X 50 ML + 1 PERFUZOR DIN POLIETILENA S 5 285.20 57.040000 57.040000 57.040000

83 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 43.84 3.131428 2.771836 2.771836

84 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 82.48 2.945714 2.771836 2.771836

85 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 155.72 2.780714 2.771836 2.771836

86 C10AD02 ACIDUM NICOTINICUM NIASPAN 1000 mg COMPR. ELIB. PREL. 1000mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 271.64 2.771836 2.771836 2.771836

87 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 20.71 1.479285 1.246224 1.246224

88 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 39.72 1.418571 1.246224 1.246224

89 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 75.17 1.342321 1.246224 1.246224

90 C10AD02 ACIDUM NICOTINICUM NIASPAN 375 mg COMPR. ELIB. PREL. 375mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 122.13 1.246224 1.246224 1.246224

91 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 14 27.16 1.940000 1.665204 1.665204

92 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 28 52.13 1.861785 1.665204 1.665204

93 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 56 98.35 1.756250 1.665204 1.665204

94 C10AD02 ACIDUM NICOTINICUM NIASPAN 500 mg COMPR. ELIB. PREL. 500mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB. PREL. P-6L 98 163.19 1.665204 1.665204 1.665204

95 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 1 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 14 35.92 2.565714 2.223673 2.223673

96 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 2 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 28 69.07 2.466785 2.223673 2.223673

97 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 4 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 56 126.76 2.263571 2.223673 2.223673

98 C10AD02 ACIDUM NICOTINICUM NIASPAN 750 mg COMPR. ELIB. PREL. 750mg ABBOTT LABORATORIES LTD. MAREA BRITANIE

CUTIE X 7 BLIST. PVC-CFE-PE/AL X 14 COMPR. ELIB.PREL. P-6L 98 217.92 2.223673 2.223673 2.223673

99 D01AC05 ISOCONAZOLUM TRAVOGEN CREMA 10mg/1g INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 10.91 10.910000 10.910000 10.910000100 D01AC08 KETOCONAZOLUM NIZORAL CREMA 2% JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 1 TUB X 15 G P-RF 1 8.57 8.570000 5.560000 5.560000101 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA 2% TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB PEJD X 15 G P-RF 1 7.75 7.750000 5.560000 5.560000102 D01AC08 KETOCONAZOLUM KETOCONAZOL MK CREMA 2% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 7.23 7.230000 5.560000 5.560000103 D01AC08 KETOCONAZOLUM KETOCONAZOL CREMA CREMA 20mg/g SC HYPERION SA ROMANIA CUTIE X 1 TUB DIN AL X 20 MG CREMA P-RF 1 7.46 7.460000 5.560000 5.560000104 D01AC08 KETOCONAZOLUM KEFUNGIN 2mg/100mg CREMA 2mg/100mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 5.56 5.560000 5.560000 5.560000

Pagina 4 din 12

105 D01AC52 COMBINATII MYCOHEAL (R) HC CREMA FARA CONCENTRATIE DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 6.02 6.020000 6.020000 6.020000106 D05AXN1 COMBINATII ASORIAN SOL. CUT. FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 9.54 9.540000 9.540000 9.540000

107 D07AB10 ALCLOMETAZONUM AFLODERM CREMA 0,5mg/gA & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 40 G P-RF 1 29.89 29.890000 19.410000 19.410000

108 D07AB10 ALCLOMETAZONUM AFLODERM CREMA 0,5mg/gA & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 19.41 19.410000 19.410000 19.410000

109 D07AB10 ALCLOMETAZONUM AFLODERM UNGUENT 0,5mg/gA & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 40 G P-RF 1 29.89 29.890000 19.410000 19.410000

110 D07AB10 ALCLOMETAZONUM AFLODERM UNGUENT 0,5mg/gA & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 19.41 19.410000 19.410000 19.410000

111 D07AC04FLUOCINOLONI ACETONIDUM FLUOCINOLON ACETONID 0,025% UNGUENT 0,025% LAROPHARM SRL ROMANIA CUTIE X 1 TUB AL X 20 G P-RF 1 4.05 4.050000 4.050000 4.050000

112 D07AC05 FLUOCORTOLONUM ULTRALAN CREMA CREMA 0,25% INTENDIS GMBH GERMANIA CUTIE X 1 TUB X 15 G P-RF 1 11.56 11.560000 11.560000 11.560000113 D07AC05 FLUOCORTOLONUM ULTRALAN UNGUENT UNGUENT 0,25% SCHERING AG GERMANIA CUTIE X 1 TUB X 15 G UNGUENT P-RF 1 12.00 12.000000 12.000000 12.000000114 D07CB01 COMBINATII NIDOFLOR CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 3.87 3.870000 3.870000 3.870000

115 D07CB01 COMBINATII PANDERM UNGUENT FARA CONCENTRATIE

GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 7.20 7.200000 7.200000 7.200000

116 D07CC02 COMBINATII FLUOCINOLON G MK CREMA FARA CONCENTRATIE

FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 20 G CREMA P-RF 1 1.39 1.390000 1.390000 1.390000

117 D07CC02 COMBINATII FLUOCINOLON N UNGUENT FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 18 G P-RF 1 3.62 3.620000 3.620000 3.620000118 D07XB02 COMBINATII TRIAMCINOLON S CREMA FARA CONCENTRATIE ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB X 15 G P-RF 1 3.87 3.870000 3.870000 3.870000

119 D07XC01 COMBINATII DIPROSALIC SOL. CUT. FARA CONCENTRATIE

SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 FLACON DIN PEID X 30 ML SOL. CUT., PREVAZUT CU PICURATOR P-RF 1 15.16 15.160000 15.160000 15.160000

120 D07XC01 COMBINATII BELOSALIC SOL. CUT. FARA CONCENTRATIE

A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 FLAC. PEID X 50 ML, PREVAZUT CU PICURATOR P-RF 1 19.72 19.720000 15.160000 15.160000

121 D07XC01 COMBINATII DIPROSALIC UNGUENT FARA CONCENTRATIE

SCHERING-PLOUGH EUROPE BELGIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.11 10.110000 10.110000 10.110000

122 D07XC01 COMBINATII BELOSALIC UNGUENT FARA CONCENTRATIE

A & G MED TRADING S.R.L. ROMANIA CUTIE X 1 TUB AL X 30 G P-RF 1 12.14 12.140000 10.110000 10.110000

123 D07XC04 COMBINATII TRAVOCORT CREMA FARA CONCENTRATIE INTENDIS GMBH GERMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 11.96 11.960000 11.960000 11.960000124 D07XDN1 COMBINATII FLUOCINOLON D MK CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 20G P-RF 1 3.65 3.650000 3.650000 3.650000

125 D10AD01 TRETINOINUM RETIN - A (R) CREMA 0,05%JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE X 1 TUB X 30 G P-RF 1 13.16 13.160000 13.160000 13.160000

126 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g/30mlPIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 100 ML SOL. CUT. P-RF 1 19.74 19.740000 7.600000 7.600000

127 D10AF02 ERYTHROMYCINUM ERYFLUID SOL. CUT. 4g/30mlPIERRE FABRE DERMATOLOGIE FRANTA CUTIE X 1 FLACON X 30 ML SOL. CUT. P-RF 1 7.60 7.600000 7.600000 7.600000

128 D10AF52 COMBINATII ZINERYT PULB. + SOLV. SOL. CUT. 40mg/12mg/mlASTELLAS PHARMA EUROPE BV OLANDA

CUTIE X 1 FLAC. DIN PEID PULB. PT. SOL. CUTANATA + APLICATOR DIN PP CU SOLV. PT 30 ML SOL. CUTANATA P-RF 1 30.51 30.510000 30.510000 30.510000

129 D11AX15 PIMECROLIMUS ELIDEL 1% CREMA 10mgNOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB AL X 15 G CREMA P-RF 1 77.89 77.890000 77.890000 77.890000

130 G01AF01 METRONIDAZOLUM FLAGYL OVULE 500mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST. X 5 OVULE P-RF 10 8.03 0.803000 0.803000 0.803000131 G01AXN1 COMBINATII COLPOSEPTINE (R) COMPR. VAG. FARA CONCENTRATIE LAB. THERAMEX MONACO CUTIE X 3 BLIST. X 6 COMPR. VAG. P-RF 18 16.58 0.921111 0.921111 0.921111

132 G01BDN1 COMBINATII TERGYNAN COMPR. VAG. FARA CONCENTRATIE

LAB. BOUCHARA-RECORDATI FRANTA

CUTIE X 1 FOLIE HARTIE/PE/AL/PE X 10 COMPR. VAG. P-RF 10 20.57 2.057000 2.057000 2.057000

Pagina 5 din 12

133 G03AC06MEDROXYPROGESTERONUM DEPO-PROVERA SUSP. INJ. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 1 ML SUSP. INJ. S/P-RF 1 12.30 12.300000 12.300000 12.300000

134 G03DB04 NOMEGESTROLUM LUTENYL (R) COMPR. 5mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 29.58 2.958000 2.958000 2.958000

135 G03GA01GONADOTROPHINUM CHORIONICUM PREGNYL 5000 LIOF. + SOLV. PT. SOL. INJ. 5000ui/ml NV ORGANON OLANDA

CUTIE X 3 FIOLE CU LIOF. PREVAZUTE CU INEL DE RUPERE + 3 FIOLE X 1 ML SOLV. PREVAZUTE CU INEL DE RUP S/P-RF 3 40.16 13.386666 13.386666 13.386666

136 G03GA02 MENOTROPINUM MENOPUR LIOF. + SOLV. PT. SOL. INJ. FARA CONCENTRATIE FERRING LAEGEMIDLER A/S DANEMARCA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU LIOF. + 10 FIOLE X 1 ML SOLV. PT. SOL. INJ. S/P-RF 10 790.16 79.016000 79.016000 79.016000

137 G04BCN1 COMBINATII URALYT-U GRANULE FARA CONCENTRATIE MADAUS GMBH GERMANIA

CUTIE X 1 FLAC. PP X 280 G GRANULE + 1 LINGURITA DOZATOARE + 1 CALENDAR DE CONTROL + HARTIE INDICATO P-6L 1 53.46 53.460000 53.460000 53.460000

138 H03AA03 COMBINATII NOVOTHYRAL (R) 100 COMPR. 100mcg+20mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 27.18 0.271800 0.271800 0.271800139 J01CR50 COMBINATII AMPICLOX 250mg/250mg CAPS. 250mg+250 mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 6 CAPS. P-RF 12 7.69 0.640833 0.640833 0.640833

140 J01CR50

COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULPERAZON (R) 2 g PULB. PT. SOL. INJ. FARA CONCENTRATIE PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC X 2 G S/P-RF 1 35.28 35.280000 35.280000 35.280000

141 J01DB04 CEFAZOLINUM LYZOLIN PULB. PT. SOL. INJ. 1g MEDICAROM GROUP S.R.L. ROMANIA CUTIE X 1 FLAC/. PULB. S/P-RF 1 3.24 3.240000 3.240000 3.240000142 J01DE02 CEFPIROMUM CEFROM (R) 1 g PULB. PT. SOL. INJ./PERF. 1g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 71.15 71.150000 71.150000 71.150000143 J01DE02 CEFPIROMUM CEFROM (R) 2 g PULB. PT. SOL. INJ./PERF. 2g LAB. AVENTIS FRANTA CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF. S/P-RF 1 123.77 123.770000 123.770000 123.770000

144 J01EB05 SULFAFURAZOLUM SULFAFURAZOL COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 4.58 0.229000 0.229000 0.229000145 J01FA06 ROXITHROMYCINUM ROXAMED (R) 150 COMPR. FILM. 150mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 14.30 1.430000 1.430000 1.430000

146 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIACUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 6.70 0.670000 0.670000 0.670000

147 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIACUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF/S 50 38.95 0.779000 0.635000 0.635000

148 J01GB03 GENTAMICINUM GENTAMICIN KRKA SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIACUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 9.00 0.900000 0.635000 0.635000

149 J01GB03 GENTAMICINUM PAN - GENTAMICINE SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTACUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 6.35 0.635000 0.635000 0.635000

150 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 150mg/1,5ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 1,5 ML S/P-RF 1 17.98 17.980000 17.980000 17.980000151 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 200mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 22.79 22.790000 22.790000 22.790000152 J01GB07 NETILMICINUM NETROMYCINE (R) SOL. INJ. 50mg/2ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 FLACON X 2 ML S/P-RF 1 7.13 7.130000 7.130000 7.130000

153 J01XB01 COLISTINUM

COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA

CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 100 1,684.22 16.842200 16.842200 16.842200

154 J01XB01 COLISTINUM

COLISTINA ANTIBIOTICE 1000000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA

CUTIE X 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. S 50 877.54 17.550800 16.842200 16.842200

155 J02AC03 VORICONAZOLUM** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 3,682.94 131.533571 131.533571 131.533571

156 J02AC03 VORICONAZOLUM** VFEND 50mg COMPR. FILM. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL) P-RF 28 973.64 34.772857 34.772857 34.772857

Pagina 6 din 12

157 J02AC03 VORICONAZOLUM** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA P-RF 1 2,295.40 2295.400000 2295.400000 2295.400000

158 M01AA01 PHENYLBUTAZONUM FENILBUTAZONA 250 mg SUPOZ. 250mg SINTOFARM SA ROMANIACUTIE X 2 FOLII TERMOSUDATE PVC/PE X 5 SUPOZ. P-6L 10 2.77 0.277000 0.277000 0.277000

159 M01AB55 COMBINATII NEODOLPASSE SOL. PERF. FARA CONCENTRATIE FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 10 FLACOANE X 250 ML S 10 205.73 20.573000 20.573000 20.573000

160 M01AB55 COMBINATII ACECLOFEN SUPOZ. FARA CONCENTRATIE ANTIBIOTICE SA ROMANIACUTIE X 2 FOLII TERMOSUDATE AL/PE X 3 SUPOZ. P-6L 6 2.88 0.480000 0.480000 0.480000

161 M01AB55DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. 75mg+0,200mg PFIZER EUROPE MA EEIG MAREA BRITANIE

CUTIE X 2 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 20 26.81 1.340500 1.340500 1.340500

162 M01AB55DICLOFENACUM+MISOPROSTOLUM ARTHROTEC 75 COMPR. GASTROREZ. 75mg+0,200mg PFIZER EUROPE MA EEIG MAREA BRITANIE

CUTIE X 1 BLIST. AL X 10 COMPR. GASTROREZ. P-6L 10 15.64 1.564000 1.340500 1.340500

163 M01AE01 IBUPROFENUM PADUDEN (R) SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. X 10 CAPS. ELIB. PREL. P-6L 30 19.85 0.661666 0.661666 0.661666164 M01AE01 IBUPROFENUM PADUDEN (R) SR 300 mg CAPS. ELIB. PREL. 300mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. ELIB. PREL. P-6L 10 10.75 1.075000 0.661666 0.661666165 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 400mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 12 COMPR. FILM. P-6L 24 10.94 0.455833 0.134000 0.134000166 M01AE01 IBUPROFENUM REUPROFEN (R) 400 mg COMPR. FILM. 400mg AC HELCOR SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 7.12 0.237333 0.134000 0.134000167 M01AE01 IBUPROFENUM IBUPROFEN 400 COMPR. FILM. 400mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 2.68 0.134000 0.134000 0.134000168 M01AE01 IBUPROFENUM PROFINAL COMPR. FILM. 600mg GULF PHARMACEUTICAL IND. (JUPHAR) ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 12.51 0.625500 0.230500 0.230500169 M01AE01 IBUPROFENUM IBUPROFEN 600 COMPR. FILM. 600mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 4.61 0.230500 0.230500 0.230500

170 M01AE01 IBUPROFENUM NUROFEN FORTE DRAJ. 400mg

RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 12 DRAJ. P-6L 12 11.36 0.946666 0.946666 0.946666

171 M01AE01 IBUPROFENUM

NUROFEN (R) PENTRU COPII, cu aroma de portocala SUSP. ORALA 100mg/5ml

RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE

CUTIE X 1 FLAC. PE TEREFTALAT X 100 ML + 1 SERINGA DOZATOARE PP CU PISTON DIN PE P-RF 1 6.92 6.920000 6.920000 6.920000

172 M01AE01 IBUPROFENUM

NUROFEN (R) PENTRU COPII, cu aroma de capsuni SUSP. ORALA 100mg/5ml

RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD. MAREA BRITANIE

CUTIE X 1 FLAC. DIN TEREFTALAT DE POLIETILENA X 100 ML SUSP. ORALA + SERINGA DOZAT. PP + PISTON PE P-RF 1 6.92 6.920000 6.920000 6.920000

173 M01AE02 NAPROXENUM REUXEN 250 mg COMPR. 250mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 8.72 0.436000 0.436000 0.436000174 M01AE02 NAPROXENUM REUXEN 500 mg COMPR. 500mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 15.75 0.787500 0.787500 0.787500175 M01AG01 ACIDUM MEFENAMICUM VIDAN COMPR. FILM. 500mg VIANEX SA GRECIA CUTIE X 3 BLIST. AL/PVC X 8 COMPR. FILM. P-6L 24 9.38 0.390833 0.390833 0.390833

176 M01AH04 PARECOXIBUM DYNASTAT 40mg PULB. + SOLV. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE

CUTIE X 5 FLAC. PULB. X 40 MG + 5 FIOLE X 2 ML SOLV. S/P-RF 5 138.25 27.650000 27.260000 27.260000

177 M01AH04 PARECOXIBUM DYNASTAT 40mg PULB. PT. SOL. INJ. 40mg PFIZER LIMITED MAREA BRITANIE CUTIE X 10 FLAC. X 40 MG PULB. PT. SOL. INJ. S/P-RF 10 272.60 27.260000 27.260000 27.260000178 M03BB03 CHLORZOXAZONUM CLORZOXAZON 250 mg COMPR. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.42 0.121000 0.120000 0.120000179 M03BB03 CHLORZOXAZONUM CLORZOXAZONA COMPR. 250mg SINTOFARM SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.40 0.120000 0.120000 0.120000180 M03BB03 CHLORZOXAZONUM CLORZOXAZONA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 3.62 0.120666 0.120000 0.120000181 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 13.68 0.456000 0.456000 0.456000182 M03BX04 TOLPERISONUM MYDOCALM COMPR. FILM. 50mg GEDEON RICHTER PLC. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.84 0.228000 0.228000 0.228000183 M03BX04 TOLPERISONUM TOLPERISON 50 mg DRAJ. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-6L 30 4.95 0.165000 0.165000 0.165000

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184 M03BX04 TOLPERISONUM MYDOCALM SOL. INJ. 100mg/ml GEDEON RICHTER PLC. UNGARIA CUTIE X 5 FIOLE DIN STICLA X 1 ML SOL. INJ. P-RF 5 6.47 1.294000 1.294000 1.294000185 M09AX01 ACIDUM HIALURONICUM HYALGAN (R) SOL. INJ. 20mg/2ml CSC PHARMACEUTICALS HANDELS GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 2 ML P-RF 1 134.66 134.660000 134.660000 134.660000

186 N02AA59 COMBINATII PARADOREN 500mg/30mg COMPR. 30mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 11.96 0.598000 0.598000 0.598000187 N02AA59 COMBINATII PARADOREN 500mg/60mg COMPR. 60mg+500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 18.61 0.930500 0.930500 0.930500188 N02BA71 COMBINATII FASCONAL P COMPR. FARA CONCENTRATIE GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 4.35 0.217500 0.217500 0.217500189 N02BA71 COMBINATII FASCOREM COMPR. FARA CONCENTRATIE REMEDIA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 4.35 0.217500 0.217500 0.217500

190 N02BB02METAMIZOLUM NATRIUM NEVRALGIN PIC. ORALE, SOL. 500mg/ml TERAPIA SA ROMANIA CUTIE X 1 FLACON X 10 ML PIC. ORALE, SOL. P-RF 1 5.82 5.820000 5.820000 5.820000

191 N02BB02METAMIZOLUM NATRIUM ALGOCALMIN (R) 1 g/2 ml SOL. INJ. 1g/2ml ZENTIVA S.A. ROMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 3.70 0.740000 0.740000 0.740000

192 N05BA05 CLORAZEPAT DIKALII TRANXENE 10 mg CAPS. 10mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 5.93 0.197666 0.197666 0.197666193 N05BA05 CLORAZEPAT DIKALII TRANXENE 5 mg CAPS. 5mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 CAPS. P-RF 30 5.42 0.180666 0.180666 0.180666

194 N05BA23 TOFISOPAMUM GRANDAXIN COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIACUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-RF 20 5.04 0.252000 0.252000 0.252000

195 N05CD08 MIDAZOLAMUM DORMICUM (R) COMPR. FILM. 7,5mg ROCHE ROMANIA S.R.L. ROMANIACUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 5.24 0.524000 0.524000 0.524000

196 N05CD08 MIDAZOLAMUM DORMICUM (R) 7,5 mg COMPR. FILM. 7,5mg TERAPIA SA ROMANIACUTIE X 1 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P-RF 10 9.92 0.992000 0.524000 0.524000

197 N05CD08 MIDAZOLAMUM DORMICUM (R) SOL. INJ. 1mg/ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 10 FIOLE X 5 ML S/P-RF 10 27.37 2.737000 2.243000 2.243000198 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 2 ML SOL. INJ. S/P-RF 10 22.43 2.243000 2.243000 2.243000199 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 5 ML SOL. INJ. S/P-RF 10 32.08 3.208000 2.243000 2.243000200 N05CD08 MIDAZOLAMUM FULSED 5 mg/ml SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 30.96 3.096000 3.096000 3.096000201 N05CD08 MIDAZOLAMUM MIDAZOLAM 5 mg/ml SOL. INJ. 5mg/ml TERAPIA SA ROMANIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 31.88 3.188000 3.096000 3.096000202 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 1 ML SOL. INJ. S/P-RF 10 32.08 3.208000 3.096000 3.096000203 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 10 ML SOL. INJ. S/P-RF 10 184.08 18.408000 3.096000 3.096000204 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 5 mg/ml SOL. INJ. 5mg/ml TORREX CHIESI PHARMA GMBH AUSTRIA CUTIE X 10 FIOLE X 3 ML SOL. INJ. S/P-RF 10 62.21 6.221000 3.096000 3.096000

205 N05CD13 CINOLAZEPAMUM GERODORM (R) COMPR. 40mg GEROT PHARMAZEUTIKA GMBH AUSTRIACUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 21.63 0.721000 0.721000 0.721000

206 N06BA04 METHYLFENIDATUM*** CONCERTA 18 mg COMPR. FILM. ELIB. PREL. 18mg JANSSEN PHARMACEUTICA N.V. BELGIACUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 180.68 6.022666 6.022666 6.022666

207 N06BA04 METHYLFENIDATUM*** CONCERTA 36 mg COMPR. FILM. ELIB. PREL. 36mg JANSSEN PHARMACEUTICA N.V. BELGIACUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 215.24 7.174666 7.174666 7.174666

208 N06BA04 METHYLFENIDATUM*** CONCERTA 54 mg COMPR. FILM. ELIB. PREL. 54mg JANSSEN PHARMACEUTICA N.V. BELGIACUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. CU ELIB. PREL. P-RF/R 30 278.74 9.291333 9.291333 9.291333

209 N06BA09 ATOMOXETINUM*** STRATTERA 10 mg CAPS. 10mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 97.03 13.861428 13.861428 13.861428210 N06BA09 ATOMOXETINUM*** STRATTERA 18 mg CAPS. 18mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 1 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 7 97.03 13.861428 13.861428 13.861428211 N06BA09 ATOMOXETINUM*** STRATTERA 25 mg CAPS. 25mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 366.80 13.100000 13.100000 13.100000212 N06BA09 ATOMOXETINUM*** STRATTERA 40 mg CAPS. 40mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 366.80 13.100000 13.100000 13.100000213 N06BA09 ATOMOXETINUM*** STRATTERA 60 mg CAPS. 60mg ELI LILLY AND COMPANY LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC-PE-PCTFE/AL X 7 CAPS. P-RF 28 366.80 13.100000 13.100000 13.100000214 N06BX02 PYRITINOLUM ENCEPHABOL (R) 100 mg DRAJ. 100mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 31.31 0.626200 0.563333 0.563333215 N06BX02 PYRITINOLUM PIRITINOL ARENA 100 mg DRAJ. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. X 10 DRAJ. P-6L 30 16.90 0.563333 0.563333 0.563333216 N06BX02 PYRITINOLUM ENCEPHABOL (R) FORTE DRAJ. 200mg MERCK KGAA GERMANIA CUTIE X 5 BLIST. X 10 DRAJ. P-6L 50 56.96 1.139200 1.139200 1.139200217 N06BX02 PYRITINOLUM ENCEPHABOL (R) SUSPENSIE SUSP. ORALA 80,5mg/5ml MERCK KGAA GERMANIA CUTIE X 1 FLACON X 200 ML P-6L 1 38.11 38.110000 38.110000 38.110000218 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.20 0.110000 0.091500 0.091500219 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. 400mg OZONE LABORATORIES LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.36 0.118000 0.091500 0.091500

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220 N06BX03 PIRACETAMUM N - PIRACETAM COMPR. 400mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 40 COMPR. P-6L 40 3.79 0.094750 0.091500 0.091500221 N06BX03 PIRACETAMUM MEMOTAL 400mg COMPR. 400mg ZENTIVA S.A ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 2.02 0.101000 0.091500 0.091500222 N06BX03 PIRACETAMUM PIRACETAM SLAVIA 400 mg COMPR. 400mg SLAVIA PHARM SRL ROMANIA CUTIE X 4 BLIST. DIN PVC/AL X 10 COMPR. P-6L 40 4.35 0.108750 0.091500 0.091500223 N06BX03 PIRACETAMUM PIRACETAM LAROPHARM 400 mg COMPR. 400mg LAROPHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.83 0.091500 0.091500 0.091500224 N06BX03 PIRACETAMUM PIRACETAM COMPR. 400mg FABIOL SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 2.76 0.092000 0.091500 0.091500225 N06BX03 PIRACETAMUM PIRACETAM FARMEX 400 mg COMPR. 400mg FARMEX COMPANY SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 10 COMPR. P-6L 40 4.18 0.104500 0.091500 0.091500226 N06BX03 PIRACETAMUM PIRACETAM MCC 400mg COMPR. 400mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 2.20 0.110000 0.091500 0.091500227 N06BX03 PIRACETAMUM LUCETAM (R) 1200 mg COMPR. FILM. 1200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 8.40 0.420000 0.420000 0.420000228 N06BX03 PIRACETAMUM NOOTROPIL (R) 1200 mg COMPR. FILM. 1200mg U.C.B. SA BELGIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L 100 46.94 0.469400 0.420000 0.420000229 N06BX03 PIRACETAMUM PIRACETAM 400 mg COMPR. FILM. 400mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 2.20 0.110000 0.110000 0.110000230 N06BX03 PIRACETAMUM PIRACETAM LPH (R) 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 6.63 0.110500 0.110000 0.110000231 N06BX03 PIRACETAMUM LUCETAM COMPR. FILM. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 60 COMPR.FILM. P-6L 60 10.35 0.172500 0.110000 0.110000232 N06BX03 PIRACETAMUM NEUROSTIM 400 mg COMPR. FILM. 400mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 2.20 0.110000 0.110000 0.110000233 N06BX03 PIRACETAMUM NOOTROPIL (R) 800 mg COMPR. FILM. 800mg U.C.B. SA BELGIA CUTIE X 6 BLIST. X 15 COMPR. FILM. P-6L 90 31.23 0.347000 0.205500 0.205500234 N06BX03 PIRACETAMUM PIRACETAM 800 mg COMPR. FILM. 800mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-6L 20 4.11 0.205500 0.205500 0.205500235 N06BX03 PIRACETAMUM PIRACETAM LPH 800 mg COMPR. FILM. 800mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 6.27 0.209000 0.205500 0.205500236 N06BX03 PIRACETAMUM LUCETAM COMPR. FILM. 800mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.FILM. P-6L 30 9.51 0.317000 0.205500 0.205500237 N06BX03 PIRACETAMUM NEUROSTIM 800 mg COMPR. FILM. 800mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 20 4.14 0.207000 0.205500 0.205500238 N06BX03 PIRACETAMUM NOOTROPIL SOL. INJ. 1g U.C.B. SA BELGIA CUTIE X 12 FIOLE DIN STICLA X 5 ML SOL. INJ. P-RF 12 15.78 1.315000 0.862000 0.862000

239 N06BX03 PIRACETAMUM MEMOTAL1 g/5 ml SOL. INJ. 1g/5ml ZENTIVA SA ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 4.31 0.862000 0.862000 0.862000

240 N06BX03 PIRACETAMUM NOOTROPIL (R) SOL. ORALA 20% U.C.B. SA BELGIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 125 ML + 1 MASURA DOZATOARE P-6L 1 12.48 12.480000 12.480000 12.480000

241 N06BX03 PIRACETAMUM NOOTROPIL SOL. PERF. 12g U.C.B. SA BELGIACUTIE X 1 FLACON DIN STICLA X 60 ML SOL. PERF. S 1 15.78 15.780000 15.780000 15.780000

242 N07CA02 CINNARIZINUM STUGERON 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. P-6L 40 6.61 0.165250 0.068000 0.068000243 N07CA02 CINNARIZINUM CINARIZIN 25 mg COMPR. 25mg LAROPHARM SRL ROMANIA CUTIE X 3 BLIST. X 20 COMPR. P-6L 60 4.25 0.070833 0.068000 0.068000244 N07CA02 CINNARIZINUM N-CINARIZINA COMPR. 25mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. PE X 20 COMPR. P-6L 20 1.36 0.068000 0.068000 0.068000245 P01AX08 TENONITROZOLUM ATRICAN 250 mg CAPS. MOI GASTROREZ. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF 8 10.85 1.356250 1.356250 1.356250246 P02CC01 PYRANTELUM HELMINTOX (R) 125 mg COMPR. FILM. 125mg LAB. INNOTECH INT. FRANTA CUTIE X 2 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 6 3.25 0.541666 0.541666 0.541666247 P02CC01 PYRANTELUM HELMINTOX (R) 250 mg COMPR. FILM. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 3.25 1.083333 1.083333 1.083333248 P03AAN1 SULFUR UNGUENT CU SULF 8% UNGUENT 8% GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 TUB AL X 40G P-RF 1 1.80 1.800000 1.800000 1.800000249 P03AX01 BENZYLUM BENZOICUM BENZOAT DE BENZIL MK CREMA 25% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 35 G CREMA P-RF 1 3.59 3.590000 3.590000 3.590000250 P03AX01 BENZYLUM BENZOICUM BENZOAT DE BENZIL MK CREMA 25% FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 50 G CREMA P-RF 1 5.15 5.150000 3.590000 3.590000

251 R01AD07 TIXOCORTOLUM PIVALONE 1% SUSP. NAZALA 1% PFIZER EUROPE MA EEG MAREA BRITANIE

CUTIE X 1 FLACON X 10 ML + POMPA DOZATOARE + APLICATOR NAZAL P-RF 1 9.83 9.830000 9.830000 9.830000

252 R01ADN1 COMBINATII BIORINIL SPRAY NAZ.,SUSP. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA

CUTIE X 1 FLACON X 10 ML SPRAY NAZAL, SUSP. PREVAZUT CU NEBULIZATOR P-RF 1 24.28 24.280000 24.280000 24.280000

253 R01BA52 COMBINATII CLARINASE (R) COMPR. ELIB. MODIF. FARA CONCENTRATIE SCHERING PLOUGH EUROPE BELGIA CUTIE X 1 BLIST. X 7 COMPR. ELIB. MODIF. P-6L 7 8.71 1.244285 1.244285 1.244285

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254 R02AB03 FUSAFUNGINUM BIOPAROX SPRAY BUCOFARINGIAN SI NAZAL-SOL. 50mg/10ml LES LABORATOIRES SERVIER FRANTA

CUTIE X 1 FLACON PRESURIZAT DIN AL X 10 ML SOL. + 3 APLIC. DIN PE: 1 APLIC. BUCAL (ALB) + 2 APLIC. P-RF 1 18.80 18.800000 18.800000 18.800000

255 R03CA02EPHEDRINI HYDROCHLORIDUM EFEDRINA ARENA COMPR. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 8.81 0.293666 0.293666 0.293666

256 R03CA02EPHEDRINI HYDROCHLORIDUM EFEDRINA 50 mg/ ml SOL. INJ. 50mg/ml ZENTIVA S.A. ROMANIA

CUTIE X 5 FIOLE CU INEL DE RUPERE X 1ML SOL. INJ S 5 3.33 0.666000 0.666000 0.666000

257 R05CB01 ACETYLCYSTEINUM ACC INJECT 300mg/3ml SOL. INJ. 300mg/3ml HEXAL AG GERMANIACUTIE X 5 FIOLE DIN STICLA BRUNA X 3 ML SOL. INJ. S/P-RF 5 7.09 1.418000 1.418000 1.418000

258 R05CB03 CARBOCISTEINUM HUMEX EXPECTORANT PENTRU COPII SI SUGARI SIROP 100mg/5ml LAB. URGO FRANTA

CUTIE X 1 FLACON X 125ML SIROP + MASURA DOZATOARE A 5 ML P-RF 1 7.52 7.520000 7.520000 7.520000

259 R05CB03 CARBOCISTEINUM RHINATHIOL 2% pentru copii si sugari SIROP 2% SANOFI-AVENTIS OTC FRANTA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 125 ML SIROP + LINGURITA DOZATOARE P-RF 1 8.63 8.630000 7.520000 7.520000

260 R05CB03 CARBOCISTEINUM MUCOTREIS SIROP 20mg/ml ECOBI PHARMACEUTICI ITALIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 150 ML SIROP + MASURA DOZATOARE A 10 ML P-RF 1 8.26 8.260000 7.520000 7.520000

261 R05CB03 CARBOCISTEINUM FLUIDOL 100mg/5ml SOL. ORALA 100mg/5ml TIS FARMACEUTIC SA ROMANIA

CUTIE X 1 FLACON DIN PVC X 100 ML SIROP + LINGURITA DUBLA GRADATA LA 2,5 SI 5 ML P-RF 1 3.31 3.310000 3.310000 3.310000

262 R06AD02 PROMETHAZINUM PROMETAZINA ARENA 30 mg COMPR. FILM. 30mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P-RF 20 14.10 0.705000 0.705000 0.705000

263 R06AD02 PROMETHAZINUM ROMERGAN SIROP 5mg/5ml BIOFARM S.A. ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 50 ML SIROP + MASURA DOZATOARE P-RF 1 2.19 2.190000 2.190000 2.190000

264 R06AD07 MEQUITAZINUM PRIMALAN (R) 10 mg COMPR. 10mg LAB. PIERRE FABRE FRANTA CUTIE X 1 BLIST. AL/PVC X 14 COMPR. P-RF 14 15.10 1.078571 1.078571 1.078571265 R06AE05 MECLOZINUM EMETOSTOP COMPR. 30mg SPECIFAR SA GRECIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 3.36 0.336000 0.336000 0.336000266 R06AX02 CYPROHEPTADINUM PERITOL COMPR. 4mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 3.07 0.153500 0.153000 0.153000267 R06AX02 CYPROHEPTADINUM CIPROHEPTADINA 4 mg COMPR. 4mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 4.59 0.153000 0.153000 0.153000

268 R06AX02 CYPROHEPTADINUM PERITOL SIROP 2mg/5ml EGIS PHARMACEUTICALS P.L.C. UNGARIACUTIE X 1 FLACON X 100 ML + MASURA DOZATOARE PP P-6L 1 5.24 5.240000 5.240000 5.240000

269 R06AX02 CYPROHEPTADINUM BIOHEPT SIROP 2mg/5ml BIOFARM S.A. ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE P-6L 1 5.45 5.450000 5.240000 5.240000

270 R06AX13 LORATADINUM SYMPHORAL (R) 1 mg/ml SIROP 1mg/ml GEDEON RICHTER ROMANIA SA ROMANIACUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 16.15 16.150000 6.660000 6.660000

271 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIACUTIE X 1 FLACON X 60 ML + LINGURITA DOZATOARE P-6L 1 8.49 8.490000 6.660000 6.660000

272 R06AX13 LORATADINUM CLARITINE SIROP 1mg/ml SCHERING-PLOUGH EUROPE BELGIACUTIE X 1 FLACON X 120 ML + LINGURITA DOZATOARE P-6L 1 16.98 16.980000 6.660000 6.660000

273 R06AX13 LORATADINUM LORATADINA BIOFARM 5mg/5ml SIROP 5mg/5ml BIOFARM S.A. ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 ML SIROP + MASURA DOZATOARE DIN PE CU GRADATII DE LA 2,5 LA 2 P-RF 1 6.66 6.660000 6.660000 6.660000

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274 R06AX13 LORATADINUM FLONIDAN SUSP. ORALA 5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 120 ML SUSP. ORALA + LINGURITA DOZATOARE P-6L 1 11.26 11.260000 6.660000 6.660000

275 S01AA01 CHLORAMPHENICOLUM SIFICETINA PULB. + SOLV. PT. SOL. OFT. 0,4% S.I.F.I. SPA ITALIA

CUTIE X 1 FLAC. STICLA BRUNA X 5 ML SOLV. + O PUNGA X UN REZERVOR CU PULB. + UN PICURATOR P-RF 1 5.98 5.980000 5.980000 5.980000

276 S01AA13 ACIDUM FUSIDICUM FUCITHALMIC 10mg/g GEL OFT. 10mg/g LEO PHARMACEUTICAL PRODUCTS DANEMARCA

CUTIE X 1 TUB AL CU CANULA APLICATOARE X 5 G GEL OFTALMIC P-6L 1 14.05 14.050000 14.050000 14.050000

277 S01AA24 KANAMYCINUM KANAMICINA SULFAT 1% UNG. OFT. 1% ANTIBIOTICE SA ROMANIA CUTIE X 1 TUB AL X 6 G P-RF 1 2.36 2.360000 2.360000 2.360000278 S01AA30 COMBINATII ANTIBIOPTAL PICATURI OFT.-SOL. FARA CONCENTRATIE FARMILA FARMACEUTICI ITALIA CUTIE X 1 FLACON PICURATOR X 10 ML P-RF 1 12.33 12.330000 12.330000 12.330000

279 S01AA30 COMBINATII COLBIOCIN PULB. + SOLV. PT. SOL. OFT. FARA CONCENTRATIE S.I.F.I. SPA ITALIA

CUTIE X 1 FLACON X 5 ML SOLV. + PLIC REZERVOR PULBERE + DISP. PICURARE P-RF 1 6.72 6.720000 6.720000 6.720000

280 S01BA07 FLUOROMETHOLONUM FLUMETOL S PICATURI OFT.SUSP. 2mg/ml FARMILA - THEA FARMACEUTICI SPA ITALIACUTIE X 1 FLACON PEJD X 10ML PIC. OFT. SUSP. P-RF 1 30.08 30.080000 30.080000 30.080000

281 S01BA07 FLUOROMETHOLONUM FLUMETOL S UNGUENT OFTALMIC UNG. OFT. 1mg/g FARMILA - THEA FARMACEUTICI SPA ITALIA CUTIE X 1 TUB X 5G P-RF 1 9.49 9.490000 9.490000 9.490000

282 S01BA11 DESONIDUM PRENACID PICATURI OFT.-SOL. 0,25% S.I.F.I. SPA ITALIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML, PREVAZUT CU PICURATOR P-RF 1 6.35 6.350000 6.350000 6.350000

283 S01BC01 INDOMETACINUM INDOCOLLYRE (R) 0,1% PICATURI OFT.-SOL. 0,1% LAB. CHAUVIN FRANTACUTIE X 1 FLACON PICURATOR DIN POLIETILENA X 5 ML P-6L 1 13.62 13.620000 13.620000 13.620000

284 S01BC06 PIROXICAMUM BRUXICAM 0,5% PIC. OFT., SOL. 0,5% BRUSCHETTINI S.R.L. ITALIA

CUTIE X 1 FLAC. DIN PEJD PREVAZUT CU PICURATOR X 10 ML PIC. OFT., SOL. P-6L 1 15.72 15.720000 15.720000 15.720000

285 S02CA05 COMBINATII

SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA ROMANIA

CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA P-RF 1 2.67 2.670000 2.670000 2.670000

A01AA01 NATRII IODIDUMA01AB17 METRONIDAZOLUMA11HA04 RIBOFLAVINUMB03AA02 FERROSI FUMARASC01EA01 ALPROSTADILUM**D03AX03 DEXPANTHENOLUMD05AC01 DITHRANOLUMD10AE01 BENZOYLIS PEROXIDUM

G01AX12 CICLOPIROXUMJ01XC01 ACIDUM FUSIDICUMM01AX02 ACIDUM NIFLUMICUM

M02AA07 PIROXICAMUMM02AA13 IBUPROFENUMM02AA17 ACIDUM NIFLUMICUM

M02AA23 INDOMETACINUMM02ACN3 COMBINATII

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P03AC04 PERMETHRINUMR03CC06 TERBUTALINUMR03DX05 OMALIZUMABUM**R06AA04 CLEMASTINUMS01EB01 PILOCARPINUMS01GX06 EMEDASTINUMS01GX08 KETOTIFENUMS01KA01 ACIDUM HIALURONICUM

S01XA11 NANDROLONUMS01XA12 DEXPANTHENOLUM

NOTĂ:

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se face pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;

Medicamentele din această sublistă corespund DCI-urilor din CANAMED altele decât cele din sublistele A, B si C1. Pentru categoriile de asigurati mentionate in aceasta sublista, medicamentele corespunzatoare denumirilor comune internationale din sublista A, sublista B, sectiunea C1 a sublistei C, se vor acorda in regim de compensare de 100% la pret de referinta, indiferent de indicatia pentru care sunt prevazute in aceste subliste .

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MSP;

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