Cuprins

MODUL DE CALCUL din 23 decembrie 2014 al preţurilor de decontare a medicamentelor care se acordă bolnavilor cuprinşi în cadrul programelor naţionale de sănătate nominalizate prin hotărâre a Guvernului, în condiţiile legii (Anexa nr. 1)

EMITENT

MINISTERUL SĂNĂTĂŢII CASA NAŢIONALĂ DE ASIGURĂRI DE SĂNĂTATE

Publicată în  MONITORUL OFICIAL nr. 951 bis din 29 decembrie 2014



Notă ... Conţinută de Ordinul ministrului sănătăţii şi al preşedintelui Casei Naţionale de Asigurări de Sănătate nr. 1.605/875/2014, publicat în Monitorul Oficial, Partea I, nr. 951 din 29 decembrie 2014.

ANEXA 1

MODUL DE CALCUL

al preţurilor de decontare a medicamentelor care se acordă bolnavilor cuprinşi

în cadrul programelor naţionale de sănătate nominalizate prin hotărâre a Guvernului, în condiţiile legii

ART. 1

1. (1) Pentru medicamentele din sublista C secţiunea C2 din anexa nr. 1 la Hotărârea Guvernului nr. 720/2008 pentru aprobarea Listei cuprinzând denumirile comune internaţionale corespunzătoare medicamentelor de care beneficiază asiguraţii, cu sau fără contribuţie personală, pe bază de prescripţie medicală, în sistemul de asigurări sociale de sănătate, precum şi denumirile comune internaţionale corespunzătoare medicamentelor care se acordă în cadrul programelor naţionale de sănătate, cu modificările şi completările ulterioare, care se eliberează prin farmacii cu circuit deschis, preţul de decontare se stabileşte prin aplicarea procentului de 120% la preţul cu amănuntul maximal cu TVA, cel mai mic pe unitate terapeutică pe fiecare denumire comună internaţională (DCI), formă farmaceutică asimilabilă/cale de administrare şi concentraţie.

2. (2) Pentru medicamentele prevăzute la alin. (1) al căror preţ cu amănuntul maximal cu TVA, calculat pe unitatea terapeutică, este mai mic decât preţul de decontare calculat potrivit alin. (1), preţul cu amănuntul maximal cu TVA devine preţ de decontare.

3. (3) Prin excepţie de la prevederile alin. (1), preţul de achiziţie al medicamentelor corespunzătoare denumirii comune internaţionale Natrii Iodidum (131I) reprezintă preţul de decontare al acestora de la nivelul unităţii sanitare.

4. (4) În cazul iniţierii sau menţinerii unui tratament cu medicamente de referinţă având denumirea comună internaţională Imatinibum, pentru adulţii cu leucemie granulocitară cronică cu cromozom Philadelphia pozitiv (LGC Ph +) recent diagnosticată, la care transplantul de măduvă osoasă nu este considerat un tratament de prima linie, pentru adulţii cu leucemie granulocitară cronică cu cromozom Philadelphia pozitiv (LGC Ph +) în faza cronică, după eşecul tratamentului cu alfa-interferon sau în faza accelerată, care au obţinut, în condiţiile legii, aprobarea comisiilor de la nivelul Casei Naţionale de Asigurări de Sănătate pentru medicamentul de referinţă, preţul cu amănuntul maximal cu TVA, calculat pe unitatea terapeutică, devine preţ de decontare.

ART. 2

Pentru medicamentele prevăzute la art. 1 alin. (1) care se eliberează prin farmaciile cu circuit închis, preţurile de decontare nu pot depăşi preţurile cu ridicata corespunzătoare preţurilor de decontare prevăzute la art. 1 alin. (1), la care se adaugă TVA.

ART. 3

În cazul iniţierii sau menţinerii unui tratament cu medicamente imunosupresoare pentru bolnavii în status posttransplant, în condiţiile legii, preţul cu amănuntul maximal cu TVA, calculat pe unitatea terapeutică, devine preţ de decontare.

ANEXA 2

4

SECŢIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaţionale corespunzătoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sănătate cu scop curativ in tratamentul ambulatoriu si spitalicesc

DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS/CNAS NR. 1605/875 VALABILĂ ÎNCEPÂND CU 01 ianuarie 2015

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

1. A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

   1	W05444	A07AA11	RIFAXIMINUM	NORMIX 200 mg	COMPR. FILM.	200mg	ALFA WASSERMANN SPA	ITALIA	CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM.	P- RF	36	72,18	2,005000	2,005000	91,26	2,535000	2,535000
   2	W05444	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	24,49	2,040833	2,040833	33,10	2,758333	2,758333
   3	W05445	A07AA11	RIFAXIMINUM	NORMIX 100mg/5ml	GRAN. PT. SUSP. ORALA	100mg/5 ml	ALFA WASSERMANN SPA	ITALIA	CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML	P- RF	1	14,14	14,140000	14,140000	19,11	19,110000	19,110000
   4	W13742	D01AC02	MICONAZOLUM	MICONAZOL NITRAT 2%	CREMA	2%	SLAVIA PHARM SRL	ROMAN IA	CUTIE X 1 TUB X 20 G	P- RF	1	5,05	5,050000	5,050000	6,83	6,830000	6,830000
   5	W00040	D06BB03	ACICLOVIRUM	ZOVIRAX	CREMA	5%	THE WELLCOME FOUNDATION LTD.	MAREA BRITAN IE	CUTIE X 1 TUB X 5G CREMA	P- RF	1	15,58	15,580000	4,416000	21,06	21,060000	5,976000
   6	W55641	D06BB03	ACICLOVIRUM	ACICLOVIR 50mg/g	CREMA	5%	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 1 TUB X 5 G CREMA	P- RF	1	3,68	3,680000	3,680000	4,98	4,980000	4,980000
   7	W55641	D06BB03	ACICLOVIRUM	ACICLOVIR 50mg/g	CREMA	5%	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 1 TUB X 15 G CREMA	P- RF	1	5,62	5,620000	4,176000	7,60	7,600000	5,640000
   8	W53041	D06BB03	ACICLOVIRUM	ACICLOVIR TIS 50mg/g	CREMA	50mg/g	TIS FARMACEUTIC SA	ROMAN IA	CUTIE X 1 TUB DIN PEJD X 15 G CREMA	P- RF	1	3,48	3,480000	3,480000	4,70	4,700000	4,700000
   9	W55128	D06BB03	ACICLOVIRUM	ACICLOVIR SLAVIA 50 mg/g	CREMA	50mg/g	SLAVIA PHARM S.R.L.	ROMAN IA	CUTIE CU 1 TUB AL X 15 G CREMA	P- RF	1	4,97	4,970000	4,176000	6,72	6,720000	5,640000
   10	W52146	D06BB03	ACICLOVIRUM	ACICLOVIR HYPERION	CREMA	50mg/g	HYPERION S.A.	ROMAN IA	CUTIE X 1 TUB DIN AL X 15 G CREMA	P- RF	1	5,42	5,420000	4,176000	7,33	7,330000	5,640000
   11	W60557	D06BB03	ACICLOVIRUM	ACICLOVIR-RICHTER 50mg/g	CREMA	50mg/g	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE CU 1 TUB AL X 5 G CREMA	PR F	1	3,68	3,680000	3,680000	4,98	4,980000	4,980000
   12	W60557	D06BB03	ACICLOVIRUM	ACICLOVIR-RICHTER 50mg/g	CREMA	50mg/g	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE CU 1 TUB AL X 15 G CREMA	PR F	1	5,62	5,620000	4,176000	7,60	7,600000	5,640000
   13	W55128	D06BB03	ACICLOVIRUM	ACICLOVIR SLAVIA 50 mg/g	CREMA	50mg/g	SLAVIA PHARM S.R.L.	ROMAN IA	CUTIE CU 1 TUB AL X 5 G CREMA	P- RF	1	3,99	3,990000	3,990000	5,39	5,390000	5,390000
   14	W58038	D06BB03	ACICLOVIRUM	ACICLOVIR TERAPIA 50 mg/g	CREMA	50mg/g	TERAPIA S.A.	ROMAN IA	CUTIE CU 1 TUB DIN AL X 15 G CREMA	PR F	1	4,97	4,970000	4,176000	6,72	6,720000	5,640000
   15	W51339	G01AF04	MICONAZOLUM	GYNOZOL 200	CAPS. VAG.	200mg	PHARCO IMPEX 93 S.R.L.	ROMAN IA	CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI	P- RF	6	4,41	0,735000	0,735000	5,96	0,993333	0,993333
   16	W51340	G01AF04	MICONAZOLUM	GYNOZOL 400	CAPS. VAG.	400mg	PHARCO IMPEX 93 S.R.L.	ROMAN IA	CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI	P- RF	3	4,23	1,410000	1,410000	5,72	1,906666	1,906666
   17	W04675	J01CF04	OXACILLINUM	OXACILINA ARENA 250 mg	CAPS.	250mg	ARENA GROUP SA	ROMAN IA	CUTIE X 100 BLIST. AL/PVC X 10 CAPS.	P- RF/ S	1.000	242,55	0,242550	0,242550	296,11	0,296110	0,296110
   18	W11729	J01CF04	OXACILLINUM	OXACILINA 250 mg	CAPS.	250mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 CAPS.	P- RF	20	5,59	0,279500	0,279500	7,55	0,377500	0,355332
   19	W43090	J01CF04	OXACILLINUM	OXACILINA SANDOZ 250 mg	CAPS.	250mg	SANDOZ SRL	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 CAPS.	P- RF	20	5,70	0,285000	0,285000	7,70	0,385000	0,355332
   20	W04675	J01CF04	OXACILLINUM	OXACILINA ARENA 250 mg	CAPS.	250mg	ARENA GROUP SA	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 CAPS.	P- RF	20	5,25	0,262500	0,262500	7,10	0,355000	0,355000
   21	W07274	J01CF04	OXACILLINUM	OXACILINA 500 mg	CAPS.	500mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 1 BLIST. X 10 CAPS.	P- RF	10	5,55	0,555000	0,468216	7,50	0,750000	0,571608
   22	W13743	J01CF04	OXACILLINUM	OXACILINA ARENA 500 mg	CAPS.	500mg	ARENA GROUP SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 CAPS.	P- RF	10	4,58	0,458000	0,458000	6,19	0,619000	0,571608
   23	W12910	J01CF04	OXACILLINUM	OXACILINA FORTE 500 mg	CAPS.	500mg	FARMEX COMPANY SRL	ROMAN IA	CUTIE X 50 BLIST. AL/PVC X 10 CAPS.	P- RF/ S	500	195,09	0,390180	0,390180	238,17	0,476340	0,476340
   24	W43092	J01CF04	OXACILLINUM	OXACILINA SANDOZ 500 mg	CAPS.	500mg	SANDOZ SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 CAPS.	P- RF	10	5,21	0,521000	0,468216	7,04	0,704000	0,571608
   25	W12910	J01CF04	OXACILLINUM	OXACILINA FORTE 500 mg	CAPS.	500mg	FARMEX COMPANY SRL	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 CAPS.	P- RF	20	8,26	0,413000	0,413000	11,17	0,558500	0,558500
   26	W60469	J01CF04	OXACILLINUM	OXACILINA ATB 1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg	ANTIBIOTICE SA	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.	PR F	1	3,94	3,940000	3,940000	5,33	5,330000	5,330000

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   27	W60469	J01CF04	OXACILLINUM	OXACILINA ATB 1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg	ANTIBIOTICE SA	ROMAN IA	CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.	PR F	100	376,06	3,760600	3,760600	448,06	4,480600	4,480600
   28	W60468	J01CF04	OXACILLINUM	OXACILINA ATB 500 mg	PULB. PT. SOL. INJ./PERF.	500mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.	PR F	1	3,64	3,640000	3,640000	4,92	4,920000	4,920000
   29	W60468	J01CF04	OXACILLINUM	OXACILINA ATB 500 mg	PULB. PT. SOL. INJ./PERF.	500mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.	PR F	100	349,30	3,493000	3,493000	418,89	4,188900	4,188900
   30	W04684	J01CF04	OXACILLINUM	OXACILINA ANTIBIOTICE 500 mg	PULB. PT. SOL. INJ./PERF. I.M./I.V.	500mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.	P- RF/ S	100	349,30	3,493000	3,493000	418,89	4,188900	4,188900
   31	W04684	J01CF04	OXACILLINUM	OXACILINA ANTIBIOTICE 500 mg	PULB. PT. SOL. INJ./PERF. I.M./I.V.	500mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.	P- RF	1	3,64	3,640000	3,640000	4,92	4,920000	4,920000
   32	W04682	J01CF04	OXACILLINUM	OXACILINA ANTIBIOTICE 1 g	PULB. PT. SOL. INJ./PERF.I. M./I.V.	1g	ANTIBIOTICE SA	ROMAN IA	CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.	P- RF/ S	100	376,06	3,760600	3,760600	448,06	4,480600	4,480600
   33	W04682	J01CF04	OXACILLINUM	OXACILINA ANTIBIOTICE 1 g	PULB. PT. SOL. INJ./PERF.I. M./I.V.	1g	ANTIBIOTICE SA	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.	P- RF	1	3,94	3,940000	3,940000	5,33	5,330000	5,330000
   34	W58901	J01CR01	AMPICILLINUM + SULBACTAM	AMPIPLUS 1000 mg/500 mg	PULB. PT. SOL. INJ./PERF.	1000mg/5 00mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.	PR , PR F	50	633,77	12,675400	12,675400	728,96	14,579200	14,579200
   35	W55354	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AUGMENTIN SR 1000 mg/62,5 mg	COMPR. ELIB. PREL.	1000mg/6 2,5mg	BEECHAM GROUP PLC	MAREA BRITAN IE	CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL.	P- RF	28	34,28	1,224285	1,224285	44,84	1,601428	1,601428
   36	W00400	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOKSIKLAV 2 x 1000 mg	COMPR. FILM.	1000mg	LEK PHARMACEUTICALS D.D.	SLOVE NIA	CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.	P- RF	14	29,92	2,137142	1,086000	39,13	2,795000	1,467428
   37	W57628	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	ENHANCIN 500 mg/125mg	COMPR. FILM.	500 mg/125 mg	RANBAXY UK LIMITED	MAREA BRITAN IE	CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.	P- RF	28	24,47	0,873928	0,630857	33,07	1,181071	0,852857
   38	W54453	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOXIPLUS 500/125 mg	COMPR. FILM.	500/125m g	ANTIBIOTICE S.A.	ROMAN IA	CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.	P- RF	14	8,01	0,572142	0,572142	10,83	0,773571	0,773571
   39	W55163	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AUGMENTIN 500 mg/125 mg	COMPR. FILM.	500mg/12 5mg	BEECHAM GROUP PLC	MAREA BRITAN IE	CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO	P- RF	14	11,33	0,809285	0,630857	15,32	1,094285	0,852857
   40	W54971	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg	COMPR. FILM.	500mg/12 5mg	AUROBINDO PHARMA LIMITED	MAREA BRITAN IE	CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.	P- RF	14	7,36	0,525714	0,525714	9,95	0,710714	0,710714
   41	W00401	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOKSIKLAV 2 x 625 mg	COMPR. FILM.	625mg	LEK PHARMACEUTICALS D.D.	SLOVE NIA	CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.	P- RF	14	20,76	1,482857	0,630857	28,06	2,004285	0,852857
   42	W54972	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg	COMPR. FILM.	875mg/12 5mg	AUROBINDO PHARMA LIMITED	MAREA BRITAN IE	CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.	P- RF	14	12,67	0,905000	0,905000	17,12	1,222857	1,222857
   43	W55164	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AUGMENTIN 875 mg/125 mg	COMPR. FILM.	875mg/12 5mg	BEECHAM GROUP PLC	MAREA BRITAN IE	CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO	P- RF	14	19,50	1,392857	1,086000	26,35	1,882142	1,467428
   44	W55401	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOXIPLUS 875 mg/125 mg	COMPR. FILM.	875mg/12 5mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.	P- RF	14	14,04	1,002857	1,002857	18,97	1,355000	1,355000
   45	W51992	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOKSIKLAV QUICKTAB 1000 mg	COMPR. PT. DISPERSIE ORALA/OR ODISPERS ABILE	1000mg	BIOMEDIAL PHARMA S.R.L.	ROMAN IA	CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE	P- RF	14	18,55	1,325000	1,086000	25,07	1,790714	1,467428
   46	W51991	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOKSIKLAV QUICKTAB 625 mg	COMPR. PT. DISPERSIE ORALA/OR ODISPERS ABILE	625mg	BIOMEDIAL PHARMA S.R.L.	ROMAN IA	CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE	P- RF	14	12,23	0,873571	0,630857	16,53	1,180714	0,852857

   5

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   47	W59739	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOXIPLUS 1000 mg/200 mg	PULB. PT. SOL. INJ./PERF.	1000mg/2 00mg	ANTIBIOTICE SA	ROMAN IA	CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF.	PR F	50	355,00	7,100000	7,100000	425,10	8,502000	8,502000
   48	W10678	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	MEDOCLAV 156,25 mg/5 ml	PULB. PT. SUSP. ORALA	125mg+3 1,25/5ml	MEDOCHEMIE LTD.	CIPRU	CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA + LINGURITA DOZATOARE	P- RF	1	11,02	11,020000	10,380000	14,90	14,900000	14,028000
   49	W00399	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOKSIKLAV 156,25mg/5ml	PULB. PT. SUSP. ORALA	156,25mg /5ml	LEK PHARMACEUTICALS D.D.	SLOVE NIA	CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA	P- RF	1	8,65	8,650000	8,650000	11,69	11,690000	11,690000
   50	W10679	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	MEDOCLAV FORTE 312,5mg/5ml	PULB. PT. SUSP. ORALA	250mg+6 2,5mg/5ml	MEDOCHEMIE LTD.	CIPRU	CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 100 ML SUSP.	P- RF	1	16,36	16,360000	16,360000	22,11	22,110000	22,110000
   51	W08783	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOKSIKLAV 2x	PULB. PT. SUSP. ORALA	400mg+5 7mg/5ml	LEK PHARMACEUTICALS D.D.	SLOVE NIA	CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 35 ML SUSP.ORALA + SERINGA DOZATOARE	P- RF	1	4,78	4,780000	4,780000	6,46	6,460000	6,460000
   52	W08783	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOKSIKLAV 2x	PULB. PT. SUSP. ORALA	400mg+5 7mg/5ml	LEK PHARMACEUTICALS D.D.	SLOVE NIA	CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE	P- RF	1	9,57	9,570000	9,570000	12,93	12,930000	12,930000
   53	W55355	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AUGMENTIN BIS 400 mg/57 mg/5 ml	PULB. PT. SUSP. ORALA	400mg/57 mg/5ml	SMITHKLINE BEECHAM PLC	MAREA BRITAN IE	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE	P- RF	1	14,72	14,720000	11,484000	19,89	19,890000	15,516000
   54	W55355	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AUGMENTIN BIS 400 mg/57 mg/5 ml	PULB. PT. SUSP. ORALA	400mg/57 mg/5ml	SMITHKLINE BEECHAM PLC	MAREA BRITAN IE	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE	P- RF	1	7,36	7,360000	5,736000	9,95	9,950000	7,752000
   55	W55355	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AUGMENTIN BIS 400 mg/57 mg/5 ml	PULB. PT. SUSP. ORALA	400mg/57 mg/5ml	SMITHKLINE BEECHAM PLC	MAREA BRITAN IE	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA	P- RF	1	7,36	7,360000	5,736000	9,95	9,950000	7,752000
   56	W59180	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOXICILINA/ACID CLAVULANIC AUROBINDO 400 mg/57 mg/5 ml	PULB. PT. SUSP. ORALA	400mg/57 mg/5ml	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA + 1 SERINGA DE POLISTIREN CU GRADATII LA INTERVALE DE 0,5 ML	PR F	1	4,79	4,790000	4,790000	6,47	6,470000	6,470000
   57	W55342	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AUGMENTIN (R) ES	PULB. PT. SUSP. ORALA	600 mg/42,9m g/5ml	SMITHKLINE BEECHAM PLC	MAREA BRITAN IE	CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA + 1 MASURA DOZATOARE	P- RF	1	26,22	26,220000	26,220000	34,30	34,300000	34,300000
   58	W00402	J01CR02	AMOXICILLINUM + ACIDUM CLAVULANICUM	AMOKSIKLAV 312,5mg/5ml	PULB. PT.SUSP. ORALA	312,5mg/ 5ml	LEK PHARMACEUTICALS D.D.	SLOVE NIA	CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE	P- RF	1	17,77	17,770000	17,770000	24,02	24,020000	24,020000
   59	W54763	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g	PULB. PT. SOL. INJ./PERF.	2g/0,25g	MYLAN S.A.S.	FRANT A	CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.	S	1	22,93	22,930000	22,930000	30,99	30,990000	30,990000
   60	W55423	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	PERASIN 2g/0,25 g	PULB. PT. SOL. INJ./PERF.	2g/0,25g	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.	S	1	22,93	22,930000	22,930000	30,99	30,990000	30,990000
   61	W55369	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	BACTACIN 2 g/0,25 g	PULB. PT. SOL. INJ./PERF.	2g/0,25g	TERAPIA SA	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.	S	1	22,93	22,930000	22,930000	30,99	30,990000	30,990000
   62	W55629	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	ZOPECILIN 2 g/0,25 g	PULB. PT. SOL. INJ./PERF.	2g/0,25g	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.	S	12	265,41	22,117500	22,117500	324,01	27,000833	27,000833
   63	W55629	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	ZOPECILIN 2 g/0,25 g	PULB. PT. SOL. INJ./PERF.	2g/0,25g	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.	S	1	22,93	22,930000	22,930000	30,99	30,990000	30,990000
   64	W54765	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g	PULB. PT. SOL. INJ./PERF.	4g/0,5g	MYLAN S.A.S.	FRANT A	CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.	S	1	40,94	40,940000	40,940000	53,55	53,550000	53,550000
   65	W55370	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	BACTACIN 4 g/0,5 g	PULB. PT. SOL. INJ./PERF.	4g/0,5g	TERAPIA SA	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.	S	1	40,93	40,930000	40,930000	53,53	53,530000	53,530000
   66	W55630	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	ZOPECILIN 4 g/0,5 g	PULB. PT. SOL. INJ./PERF.	4g/0,5g	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.	S	1	40,93	40,930000	40,930000	53,53	53,530000	53,530000
   67	W55630	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	ZOPECILIN 4 g/0,5 g	PULB. PT. SOL. INJ./PERF.	4g/0,5g	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.	S	12	460,81	38,400833	38,400833	540,43	45,035833	45,035833
   68	W55424	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	PERASIN 4g/0,5 g	PULB. PT. SOL. INJ./PERF.	4g/0,5g	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.	S	1	40,93	40,930000	40,930000	53,53	53,530000	53,530000
   69	W55117	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g	PULB. PT. SOL. INJ./PERF.	4g/0,5g	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.	S	12	460,81	38,400833	38,400833	540,43	45,035833	45,035833

   6

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   70	W53595	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g	PULB. PT. SOL. PERF.	2g/0,25g	S.C. FRESENIUS KABI S.R.L.	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.	S	10	386,57	38,657000	26,541000	459,51	45,951000	32,401000
   71	W53596	J01CR05	PIPERACILLINUM + TAZOBACTAMUM	PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g	PULB. PT. SOL. PERF.	4g/0,5g	S.C. FRESENIUS KABI S.R.L.	ROMAN IA	CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.	S	10	389,01	38,901000	38,901000	462,17	46,217000	46,217000
   72	W55618	J01DD04	CEFTRIAXONUM	OFRAMAX 1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg	TERAPIA SA	ROMAN IA	CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF.	S	50	456,00	9,120000	4,826400	535,19	10,703800	6,313200
   73	W13949	J01DD04	CEFTRIAXONUM	CEFORT 1 g	PULB. PT. SOL. INJ./PERF.	1g	ANTIBIOTICE SA	ROMAN IA	CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF.	S/P RF	10	133,84	13,384000	4,826400	163,39	16,339000	6,313200
   74	W59397	J01DD04	CEFTRIAXONUM	CEFTRIAXONA-MIP 1 g	PULB. PT. SOL. INJ./PERF.	1g	MIP PHARMA GMBH	GERMA NIA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF.	PR	10	40,22	4,022000	4,022000	52,61	5,261000	5,261000
   75	W53779	J01DD04	CEFTRIAXONUM	SEFTRION 1 g	PULB. PT. SOL. INJ./PERF.	1g	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.	S/P RF	1	10,31	10,310000	4,826400	13,94	13,940000	6,313200
   76	W13948	J01DD04	CEFTRIAXONUM	CEFORT 250 mg	PULB. PT. SOL. INJ./PERF.	250mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 10 FLAC. CU PULB. PT. SOL.INJ./PERF.	S/P RF	10	54,63	5,463000	5,463000	69,07	6,907000	6,907000
   77	W55619	J01DD04	CEFTRIAXONUM	OFRAMAX 250 mg	PULB. PT. SOL. INJ./PERF.	250mg	TERAPIA SA	ROMAN IA	CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.	S	50	246,03	4,920600	4,920600	300,35	6,007000	6,007000
   78	W42544	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.	S/P RF	10	210,87	21,087000	8,888400	257,43	25,743000	11,238000
   79	W13891	J01DD04	CEFTRIAXONUM	CEFORT 2 g	PULB. PT. SOL. INJ./PERF.	2g	ANTIBIOTICE SA	ROMAN IA	CUTIE X 10 FLAC. CU PULB. PT. SOL. INJ./PERF.	S/P RF	10	228,45	22,845000	8,888400	278,89	27,889000	11,238000
   80	W59398	J01DD04	CEFTRIAXONUM	CEFTRIAXONA-MIP 2 g	PULB. PT. SOL. INJ./PERF.	2g	MIP PHARMA GMBH	GERMA NIA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF.	PR	10	74,07	7,407000	7,407000	93,65	9,365000	9,365000
   81	W53778	J01DD04	CEFTRIAXONUM	SEFTRION 500 mg	PULB. PT. SOL. INJ./PERF.	500mg	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.	S/P RF	1	7,74	7,740000	7,740000	10,46	10,460000	10,460000
   82	W56096	J01DD04	CEFTRIAXONUM	SEFTRION 2 g	PULB. PT. SOL. PERF.	2g	EIPICO MED SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.	P- RF	1	12,94	12,940000	8,888400	17,49	17,490000	11,238000
   83	W51335	J01DD04	CEFTRIAXONUM	ROCEPHIN (R)	PULB. PT. SOL. PERF.	2g	ROCHE ROMANIA S.R.L.	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ.	S/P RF	1	44,01	44,010000	8,888400	57,56	57,560000	11,238000
   84	W57455	J01DD08	CEFIXIMUM	EFICEF 100 mg	CAPS.	100mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.	PR F	10	15,95	1,595000	1,595000	21,56	2,156000	2,156000
   85	W13701	J01DD08	CEFIXIMUM	EFICEF (R) 200 mg	CAPS.	200mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 CAPS.	P- RF	10	26,58	2,658000	2,658000	34,77	3,477000	3,477000
   86	W60256	J01DD08	CEFIXIMUM	XIFIA 400mg	COMPR. FILM.	400mg	INN-FARM D.O.O.	SLOVE NIA	CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE	PR F	5	42,81	8,562000	8,562000	55,99	11,198000	11,198000
   87	W60256	J01DD08	CEFIXIMUM	XIFIA 400mg	COMPR. FILM.	400mg	INN-FARM D.O.O.	SLOVE NIA	CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE	PR F	10	80,08	8,008000	8,008000	101,25	10,125000	10,125000
   88	W13676	J01DD12	CEFOPERAZONUM	MEDOCEF 1 g	PULB. PT. SOL. INJ.	1g	MEDOCHEMIE LTD.	CIPRU	CUTIE X 10 FLAC. PULB. PT. SOL. INJ.	S/P RF	10	154,50	15,450000	8,448000	188,61	18,861000	11,412000
   89	W13677	J01DD12	CEFOPERAZONUM	MEDOCEF 2 g	PULB. PT. SOL. INJ.	2g	MEDOCHEMIE LTD.	CIPRU	CUTIE X 10 FLAC. PULB. PT. SOL. INJ.	S/P RF	10	187,44	18,744000	13,932000	228,83	22,883000	18,828000
   90	W44045	J01DD12	CEFOPERAZONUM	CEFOZON 500 mg	PULB. PT. SOL. INJ.	500mg	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 FLAC. PULB. PT. SOL. INJ.	S/P RF	1	3,88	3,880000	3,880000	5,24	5,240000	5,240000
   91	W52795	J01DD12	CEFOPERAZONUM	CEFOZON 2 g	PULB. PT. SOL. INJ./PERF. I.M./I.V.	2g	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.	S/P RF	1	11,61	11,610000	11,610000	15,69	15,690000	15,690000
   92	W44061	J01DD12	CEFOPERAZONUM	CEFOZON 1 g	PULB. PT. SOL. INJ./PERF.I. M./I.V.	1g	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.	S/P RF	1	7,04	7,040000	7,040000	9,51	9,510000	9,510000
   93	W53787	J01DD62	COMBINATII (CEFOPERAZONUM+SULBACTAMUM)	SULCEF 1000 mg/1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg/1 000mg	MEDOCHEMIE S.R.L.	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.	S/P RF	1	18,67	18,670000	18,670000	25,24	25,240000	22,273440
   94	W53787	J01DD62	COMBINATII (CEFOPERAZONUM+SULBACTAMUM)	SULCEF 1000 mg/1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg/1 000mg	MEDOCHEMIE S.R.L.	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.	S/P RF	10	180,16	18,016000	18,016000	219,94	21,994000	21,994000

   7

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   95	W53787	J01DD62	COMBINATII (CEFOPERAZONUM+SULBACTAMUM)	SULCEF 1000 mg/1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg/1 000mg	MEDOCHEMIE S.R.L.	ROMAN IA	CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.	S/P RF	50	848,93	16,978600	16,978600	963,48	19,269600	19,269600
   96	W53787	J01DD62	COMBINATII (CEFOPERAZONUM+SULBACTAMUM)	SULCEF 1000 mg/1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg/1 000mg	MEDOCHEMIE S.R.L.	ROMAN IA	CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.	S	100	1.667,86	16,678600	16,678600	1.856,12	18,561200	18,561200
   97	W13605	J01DE02	CEFPIROMUM	CEFROM (R) 1 g	PULB. PT. SOL. INJ./PERF.	1g	LAB. AVENTIS	FRANT A	CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.	S/P RF	1	59,93	59,930000	59,930000	75,78	75,780000	75,780000
   98	W13606	J01DE02	CEFPIROMUM	CEFROM (R) 2 g	PULB. PT. SOL. INJ./PERF.	2g	LAB. AVENTIS	FRANT A	CUTIE X 1 FLAC. PULB. PT. SOL. INJ./PERF.	S/P RF	1	104,25	104,250000	104,250000	127,27	127,270000	127,270000
   99	W55475	J01DH02	MEROPENEMUM	MERONEM IV 1 g	PULB. PT. SOL. INJ. I.V./PERF.	1g	ASTRAZENECA UK LIMITED	MAREA BRITAN IE	CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.	S	10	1.030,68	103,068000	63,118800	1.161,59	116,159000	73,377600
   100	W55465	J01DH02	MEROPENEMUM	MERONEM IV 500 mg	PULB. PT. SOL. INJ. I.V./PERF.	500mg	ASTRAZENECA UK LIMITED	MAREA BRITAN IE	CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.	S	10	539,60	53,960000	36,430800	626,31	62,631000	44,287200
   101	W60705	J01DH02	MEROPENEMUM	MEROPENEM ZENTIVA 1000 mg	PULB. PT. SOL. INJ. SAU PERF.	1000 mg	ZENTIVA, K.S.	REPUB LICA CEHA	CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML	PR	10	680,44	68,044000	63,118800	779,83	77,983000	73,377600
   102	W60703	J01DH02	MEROPENEMUM	MEROPENEM ZENTIVA 500 mg	PULB. PT. SOL. INJ. SAU PERF.	500 mg	ZENTIVA, K.S.	REPUB LICA CEHA	CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML	PR	10	361,24	36,124000	36,124000	431,90	43,190000	43,190000
   103	W56827	J01DH02	MEROPENEMUM	LODITER 1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg	TERAPIA S.A.	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.	PR	1	72,84	72,840000	63,118800	92,10	92,100000	73,377600
   104	W58974	J01DH02	MEROPENEMUM	MEROPENEM ATB 1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA	PR F	10	680,43	68,043000	63,118800	779,82	77,982000	73,377600
   105	W61143	J01DH02	MEROPENEMUM	ARCHIFAR 1000 mg	PULB. PT. SOL. INJ./PERF.	1000mg	MEDOCHEMIE ROMANIA SRL	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF.	PR	10	525,99	52,599000	52,599000	611,48	61,148000	61,148000
   106	W56331	J01DH02	MEROPENEMUM	MEROPENEM HOSPIRA 1 g	PULB. PT. SOL. INJ./PERF.	1g	HOSPIRA UK LIMITED	MAREA BRITAN IE	CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.	PR	10	540,86	54,086000	54,086000	627,69	62,769000	62,769000
   107	W56125	J01DH02	MEROPENEMUM	MEROPENEM KABI 1 g	PULB. PT. SOL. INJ./PERF.	1g	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.	S	10	680,43	68,043000	63,118800	779,82	77,982000	73,377600
   108	W58973	J01DH02	MEROPENEMUM	MEROPENEM ATB 500 mg	PULB. PT. SOL. INJ./PERF.	500mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA	PR F	10	361,24	36,124000	36,124000	431,90	43,190000	43,190000
   109	W56826	J01DH02	MEROPENEMUM	LODITER 500 mg	PULB. PT. SOL. INJ./PERF.	500mg	TERAPIA S.A.	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.	PR	1	37,77	37,770000	36,430800	49,40	49,400000	44,287200
   110	W56124	J01DH02	MEROPENEMUM	MEROPENEM KABI 500 mg	PULB. PT. SOL. INJ./PERF.	500mg	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.	PR	10	361,25	36,125000	36,125000	431,91	43,191000	43,191000
   111	W56330	J01DH02	MEROPENEMUM	MEROPENEM HOSPIRA 500 mg	PULB. PT. SOL. INJ./PERF.	500mg	HOSPIRA UK LIMITED	MAREA BRITAN IE	CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.	PR	10	303,59	30,359000	30,359000	369,06	36,906000	36,906000
   112	W61142	J01DH02	MEROPENEMUM	ARCHIFAR 500 mg	PULB. PT. SOL. INJ./PERF.	500mg	MEDOCHEMIE ROMANIA SRL	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF.	PR	10	361,24	36,124000	36,124000	431,90	43,190000	43,190000
   113	W54471	J01DH51	IMIPENEMUM + CILASTATINUM	CILOPEN 500mg/500mg	PULB. PT. SOL. PERF.	500mg/50 0mg	TERAPIA SA	ROMAN IA	CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.	S/P RF	10	292,52	29,252000	29,252000	357,11	35,711000	35,711000
   114	W54471	J01DH51	IMIPENEMUM + CILASTATINUM	CILOPEN 500mg/500mg	PULB. PT. SOL. PERF.	500mg/50 0mg	TERAPIA SA	ROMAN IA	CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.	S/P RF	5	146,26	29,252000	29,252000	178,55	35,710000	35,710000
   115	W54471	J01DH51	IMIPENEMUM + CILASTATINUM	CILOPEN 500mg/500mg	PULB. PT. SOL. PERF.	500mg/50 0mg	TERAPIA SA	ROMAN IA	CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.	S/P RF	10	292,52	29,252000	29,252000	357,11	35,711000	35,711000

   8

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   116	W54532	J01DH51	IMIPENEMUM + CILASTATINUM	IMIPENEM/CILASTATIN KABI 500mg/500mg	PULB. PT. SOL. PERF.	500mg/50 0mg	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.	S/P RF	10	296,98	29,698000	29,698000	362,55	36,255000	36,255000
   117	W54471	J01DH51	IMIPENEMUM + CILASTATINUM	CILOPEN 500mg/500mg	PULB. PT. SOL. PERF.	500mg/50 0mg	TERAPIA SA	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.	S/P RF	1	30,31	30,310000	30,310000	39,65	39,650000	39,650000
   118	W54471	J01DH51	IMIPENEMUM + CILASTATINUM	CILOPEN 500mg/500mg	PULB. PT. SOL. PERF.	500mg/50 0mg	TERAPIA SA	ROMAN IA	CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.	S/P RF	5	146,26	29,252000	29,252000	178,55	35,710000	35,710000
   119	W54471	J01DH51	IMIPENEMUM + CILASTATINUM	CILOPEN 500mg/500mg	PULB. PT. SOL. PERF.	500mg/50 0mg	TERAPIA SA	ROMAN IA	CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.	S/P RF	5	146,26	29,252000	29,252000	178,55	35,710000	35,710000
   120	W54471	J01DH51	IMIPENEMUM + CILASTATINUM	CILOPEN 500mg/500mg	PULB. PT. SOL. PERF.	500mg/50 0mg	TERAPIA SA	ROMAN IA	CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.	S/P RF	10	292,52	29,252000	29,252000	357,11	35,711000	35,711000
   121	W51274	J01DH51	IMIPENEMUM + CILASTATINUM	TIENAM I.V.	PULB. PT. SOL. PERF.	500mg/50 0mg	MERCK SHARP DOHME	ROMAN IA	TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.	S/P RF	10	445,46	44,546000	35,102400	523,70	52,370000	42,852000
   122	W61198	J01DH51	IMIPENEMUM + CILASTATINUM	IMIPENEM/CILASTATIN ATB 500 mg/500 mg	PULB. PT. SOL. PERF.	500mg/50 0mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF.	PR	10	292,52	29,252000	29,252000	357,11	35,711000	35,711000
   123	W53671	J01EE01	SULFAMETHOXAZOLUM + TRIMETHOPRIMUM	BITRIM 400mg/80mg	COMPR.	400mg/80 mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR.	P- RF	20	5,71	0,285500	0,285500	7,72	0,386000	0,386000
   124	W05741	J01EE01	SULFAMETHOXAZOLUM + TRIMETHOPRIMUM	TAGREMIN	COMPR.	400mg/80 mg	ZENTIVA S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR.	P- RF	20	5,71	0,285500	0,285500	7,72	0,386000	0,386000
   125	W12479	J01EE01	SULFAMETHOXAZOLUM + TRIMETHOPRIMUM	CO - TRIM ELL	COMPR.	400mg/80 mg	BIO EEL SRL	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR.	P- RF	20	5,21	0,260500	0,260500	7,04	0,352000	0,352000
   126	W05738	J01EE01	SULFAMETHOXAZOLUM + TRIMETHOPRIMUM	SUMETROLIM	COMPR.	400mg/80 mg	EGIS PHARMACEUTICALS P.L.C.	UNGAR IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR.	P- RF	20	5,47	0,273500	0,273500	7,40	0,370000	0,370000
   127	W44046	J01EE01	SULFAMETHOXAZOLUM + TRIMETHOPRIMUM	EPITRIM	SUSP. ORALA	200mg/40 mg /5ml	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML	P- RF	1	3,52	3,520000	3,520000	4,76	4,760000	4,760000
   128	W05739	J01EE01	SULFAMETHOXAZOLUM + TRIMETHOPRIMUM	SUMETROLIM	SUSP. ORALA	25mg/5m g/ml	EGIS PHARMACEUTICALS P.L.C.	UNGAR IA	CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE	P- RF	1	7,75	7,750000	7,750000	10,48	10,480000	10,480000
   129	W05561	J01FA02	SPIRAMYCINUM	ROVAMYCINE (R) 1,5 Mil. UI	COMPR. FILM.	1,5 M ui	LAB. AVENTIS	FRANT A	CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM.	P- RF	16	7,29	0,455625	0,455625	9,85	0,615625	0,615625
   130	W13604	J01FA02	SPIRAMYCINUM	ROVAMYCINE (R) 3 Mil. UI	COMPR. FILM.	3M ui	LAB. AVENTIS	FRANT A	CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM.	P- RF	10	18,91	1,891000	1,891000	25,56	2,556000	2,556000
   131	W58242	J01FA09	CLARITHROMYCINUM	CLAXIRIT 500 mg	COMPR. CU ELIB. PREL.	500mg	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.	PR F	7	23,71	3,387142	1,405714	32,05	4,578571	1,899428
   132	W59000	J01FA09	CLARITHROMYCINUM	CLARITROMICINA TEVA 500 mg	COMPR. ELIB. PREL.	500mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.	PR F	6	21,73	3,621666	1,405714	29,37	4,895000	1,899428
   133	W14043	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	12,35	0,882142	0,647142	16,69	1,192142	0,874285
   134	W01326	J01FA09	CLARITHROMYCINUM	KLACID (R)	COMPR. FILM.	250mg	ABBOTT SPA	ITALIA	CUTIE X 1 BLIST. X 14 COMPR. FILM.	P- RF	14	21,14	1,510000	0,647142	28,57	2,040714	0,874285
   135	W58998	J01FA09	CLARITHROMYCINUM	CLARITROMICINA TEVA 250 mg	COMPR. FILM.	250mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)	PR F	14	8,39	0,599285	0,599285	11,34	0,810000	0,810000
   136	W08490	J01FA09	CLARITHROMYCINUM	FROMILID 250	COMPR. FILM.	250mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.	P- RF	14	12,35	0,882142	0,647142	16,69	1,192142	0,874285
   137	W60253	J01FA09	CLARITHROMYCINUM	LEKOKLAR 250 mg	COMPR. FILM.	250mg	SANDOZ S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.	PR F	14	8,40	0,600000	0,600000	11,36	0,811428	0,811428
   138	W44093	J01FA09	CLARITHROMYCINUM	KLABAX 250 mg	COMPR. FILM.	250mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.	P- RF	14	10,85	0,775000	0,647142	14,67	1,047857	0,874285
   139	W61223	J01FA09	CLARITHROMYCINUM	CLARITROMICINA AUROBINDO 250 mg	COMPR. FILM.	250mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.	PR F	14	7,55	0,539285	0,539285	10,20	0,728571	0,728571
   140	W54044	J01FA09	CLARITHROMYCINUM	ROCLARIN 500 mg	COMPR. FILM.	500mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	33,14	1,657000	1,405714	43,35	2,167500	1,899428
   141	W60254	J01FA09	CLARITHROMYCINUM	LEKOKLAR 500 mg	COMPR. FILM.	500mg	SANDOZ S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.	PR F	14	24,13	1,723571	1,405714	32,62	2,330000	1,899428
   142	W08491	J01FA09	CLARITHROMYCINUM	FROMILID 500	COMPR. FILM.	500mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.	P- RF	14	24,13	1,723571	1,405714	32,62	2,330000	1,899428
   143	W58999	J01FA09	CLARITHROMYCINUM	CLARITROMICINA TEVA 500 mg	COMPR. FILM.	500mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)	PR F	14	18,22	1,301428	1,301428	24,62	1,758571	1,758571
   144	W44087	J01FA09	CLARITHROMYCINUM	KLABAX 500 mg	COMPR. FILM.	500mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.	P- RF	14	23,73	1,695000	1,405714	32,08	2,291428	1,899428
   145	W56269	J01FA09	CLARITHROMYCINUM	CLAR 500	COMPR. FILM.	500mg	GLENMARK PHARMACEUTICALS S.R.O.	REPUB LICA CEHA	CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.	P- RF	20	40,76	2,038000	1,405714	53,31	2,665500	1,899428

   9

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   146	W14044	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	24,13	1,723571	1,405714	32,62	2,330000	1,899428
   147	W61224	J01FA09	CLARITHROMYCINUM	CLARITROMICINA AUROBINDO 500 mg	COMPR. FILM.	500mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.	PR F	14	16,40	1,171428	1,171428	22,16	1,582857	1,582857
   148	W44088	J01FA09	CLARITHROMYCINUM	KLABAX MR 500 mg	COMPR. FILM. ELIB. MODIF.	500mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.	P- RF	7	25,34	3,620000	1,405714	33,15	4,735714	1,899428
   149	W13607	J01FA09	CLARITHROMYCINUM	KLACID SR	COMPR. FILM. ELIB. PREL.	500mg	ABBOTT LABORATORIES LTD.	MAREA BRITAN IE	CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.	P- RF	5	27,85	5,570000	1,405714	36,43	7,286000	1,899428
   150	W41838	J01FA09	CLARITHROMYCINUM	FROMILID (R) UNO	COMPR. FILM. ELIB. PREL.	500mg	KRKA D.D.	SLOVE NIA	CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.	P- RF	7	20,78	2,968571	1,405714	28,09	4,012857	1,899428
   151	W44092	J01FA09	CLARITHROMYCINUM	KLABAX 125 mg/5 ml	GRAN. PT. SUSP. ORALA	125mg/5 ml	TERAPIA SA	ROMAN IA	CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA	P- RF	1	14,01	14,010000	14,010000	18,94	18,940000	18,940000
   152	W42258	J01FA09	CLARITHROMYCINUM	LEKOKLAR 125 mg/5 ml	GRAN. PT. SUSP. ORALA	125mg/5 ml	SANDOZ SRL	ROMAN IA	CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP	P- RF	1	19,39	19,390000	16,812000	26,21	26,210000	22,728000
   153	W01327	J01FA09	CLARITHROMYCINUM	KLACID (R)	GRAN. PT. SUSP. ORALA	125mg/5 ml	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	29,92	29,920000	29,920000	39,14	39,140000	39,140000
   154	W01327	J01FA09	CLARITHROMYCINUM	KLACID (R)	GRAN. PT. SUSP. ORALA	125mg/5 ml	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	18,11	18,110000	16,812000	24,48	24,480000	22,728000
   155	W06981	J01FA09	CLARITHROMYCINUM	FROMILID (R) 125 mg/5 ml	GRAN. PT. SUSP. ORALA	125mg/5 ml	KRKA D.D.	SLOVE NIA	CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.	P- RF	1	17,24	17,240000	16,812000	23,30	23,300000	22,728000
   156	W44091	J01FA09	CLARITHROMYCINUM	KLABAX 250 mg/5 ml	GRAN. PT. SUSP. ORALA	250mg/5 ml	TERAPIA SA	ROMAN IA	CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA	P- RF	1	39,06	39,060000	39,060000	51,09	51,090000	51,090000
   157	W44091	J01FA09	CLARITHROMYCINUM	KLABAX 250 mg/5 ml	GRAN. PT. SUSP. ORALA	250mg/5 ml	TERAPIA SA	ROMAN IA	CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA	P- RF	1	23,44	23,440000	23,440000	31,68	31,680000	31,680000
   158	W58393	J01FA09	CLARITHROMYCINUM	LEKOKLAR 250 mg/5 ml	GRAN. PT. SUSP. ORALA	250mg/5 ml	SANDOZ S.R.L.	ROMAN IA	CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA	PR F	1	21,29	21,290000	21,290000	28,78	28,780000	28,780000
   159	W01329	J01FA09	CLARITHROMYCINUM	KLACID I.V.	LIOF. PT. SOL. PERF.	500mg	ABBOTT LABORATORIES LTD.	FRANT A	CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.	S/P RF	1	41,12	41,120000	41,120000	53,78	53,780000	53,780000
   160	W42271	J01FA10	AZITHROMYCINUM	AZATRIL 250 mg	CAPS.	250mg	BALKANPHARMA RAZGRAD AD	BULGA RIA	CUTIE X 1 BLIST. AL/PVC X 6 CAPS.	P- RF	6	18,87	3,145000	3,145000	25,50	4,250000	4,250000
   161	W00517	J01FA10	AZITHROMYCINUM	SUMAMED 250 mg	CAPS.	250mg	PLIVA LJUBLIJANA D.O.O.	SLOVE NIA	CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.	P- RF	6	29,04	4,840000	3,774000	37,99	6,331666	5,100000
   162	W00518	J01FA10	AZITHROMYCINUM	SUMAMED 125 mg	COMPR. FILM.	125mg	PLIVA LJUBLJANA D.O.O.	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.	P- RF	6	18,76	3,126666	3,126666	25,36	4,226666	4,226666
   163	W52838	J01FA10	AZITHROMYCINUM	AZITROMICINA TERAPIA 250 mg	COMPR. FILM.	250mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.	P- RF	6	18,88	3,146666	3,146666	25,52	4,253333	4,253333
   164	W42879	J01FA10	AZITHROMYCINUM	AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE	COMPR. FILM.	250mg	SANDOZ S.R.L.	ROMAN IA	CUTIE X 1 BLIST. X 6 COMPR. FILM.	P- RF	6	37,31	6,218333	3,774000	48,80	8,133333	5,100000
   165	W52838	J01FA10	AZITHROMYCINUM	AZITROMICINA TERAPIA 250 mg	COMPR. FILM.	250mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.	P- RF	6	18,88	3,146666	3,146666	25,52	4,253333	4,253333
   166	W43486	J01FA10	AZITHROMYCINUM	AZIBIOT 500 mg	COMPR. FILM.	500mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.	P- RF	3	18,98	6,326666	6,292000	25,65	8,550000	8,503999
   167	W60406	J01FA10	AZITHROMYCINUM	AZITROMICINA ARENA 500 mg	COMPR. FILM.	500mg	ARENA GROUP S.A.	ROMAN IA	CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM.	PR F	3	18,97	6,323333	6,292000	25,64	8,546666	8,503999
   168	W42878	J01FA10	AZITHROMYCINUM	AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE	COMPR. FILM.	500mg	SANDOZ S.R.L.	ROMAN IA	CUTIE X 1 BLIST. X 3 COMPR. FILM.	P- RF	3	37,31	12,436666	6,292000	48,80	16,266666	8,503999
   169	W57032	J01FA10	AZITHROMYCINUM	AZITROX (R) 500	COMPR. FILM.	500mg	ZENTIVA K.S.	CEHIA	CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.	P- RF	3	16,37	5,456666	5,456666	22,13	7,376666	7,376666
   170	W55169	J01FA10	AZITHROMYCINUM	ZITROCIN 500 mg	COMPR. FILM.	500mg	LABORMED PHARMA S.A.	ROMAN IA	CUTIE X 1 BLIST. PVC/AL X 3 COMPR. FILM.	P- RF	3	18,98	6,326666	6,292000	25,65	8,550000	8,503999
   171	W52840	J01FA10	AZITHROMYCINUM	AZITROMICINA TERAPIA 500 mg	COMPR. FILM.	500mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.	P- RF	3	18,97	6,323333	6,292000	25,64	8,546666	8,503999
   172	W00519	J01FA10	AZITHROMYCINUM	SUMAMED 500 mg	COMPR. FILM.	500mg	PLIVA LJUBLJANA D.O.O.	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.	P- RF	3	29,18	9,726666	6,292000	38,17	12,723333	8,503999

   10

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   173	W60019	J01FA10	AZITHROMYCINUM	AZATRIL 500 mg	COMPR. FILM.	500mg	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU BLIST. OPA-PVC-AL/AL X 3 COMPR. FILM.	PR F	3	15,73	5,243333	5,243333	21,26	7,086666	7,086666
   174	W52840	J01FA10	AZITHROMYCINUM	AZITROMICINA TERAPIA 500 mg	COMPR. FILM.	500mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.	P- RF	3	18,97	6,323333	6,292000	25,64	8,546666	8,503999
   175	W52841	J01FA10	AZITHROMYCINUM	AZITROMICINA TERAPIA 600 mg	COMPR. FILM.	600mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.	P- RF	3	34,11	11,370000	11,370000	44,61	14,870000	14,870000
   176	W52841	J01FA10	AZITHROMYCINUM	AZITROMICINA TERAPIA 600 mg	COMPR. FILM.	600mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.	P- RF	3	34,11	11,370000	11,370000	44,61	14,870000	14,870000
   177	W44152	J01FA10	AZITHROMYCINUM	SUMAMED (R)	LIOF. PT. SOL. PERF.	500mg	PLIVA LJUBLJANA D.O.O.	SLOVE NIA	CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.	S/P RF	5	132,49	26,498000	26,498000	161,75	32,350000	32,350000
   178	W53281	J01FA10	AZITHROMYCINUM	AZITROX 200 mg/5 ml	PULB. + SOLV. SUSP. ORALA	200mg/5 ml	ZENTIVA S.A.	ROMAN IA	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	12,10	12,100000	12,100000	16,36	16,360000	16,360000
   179	W42901	J01FA10	AZITHROMYCINUM	AZITROMICINA SANDOZ 100 mg/5 ml	PULB. PT. SUSP. ORALA	100mg/5 ml	SANDOZ SRL	ROMAN IA	CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP	P- RF	1	16,61	16,610000	16,610000	22,45	22,450000	22,450000
   180	W42877	J01FA10	AZITHROMYCINUM	AZITROMICINA SANDOZ 200 mg/5 ml	PULB. PT. SUSP. ORALA	200 mg/5 ml	SANDOZ SRL	ROMAN IA	CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP	P- RF	1	26,27	26,270000	26,270000	34,36	34,360000	34,360000
   181	W00520	J01FA10	AZITHROMYCINUM	SUMAMED FORTE	PULB. PT. SUSP. ORALA	200mg/5 ml	PLIVA LJUBLIJANA D.O.O.	SLOVE NIA	CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE	P- RF	1	46,15	46,150000	46,150000	60,36	60,360000	60,360000
   182	W00520	J01FA10	AZITHROMYCINUM	SUMAMED FORTE	PULB. PT. SUSP. ORALA	200mg/5 ml	PLIVA LJUBLIJANA D.O.O.	SLOVE NIA	CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE	P- RF	1	18,63	18,630000	13,644000	25,18	25,180000	17,844000
   183	W00520	J01FA10	AZITHROMYCINUM	SUMAMED FORTE	PULB. PT. SUSP. ORALA	200mg/5 ml	PLIVA LJUBLIJANA D.O.O.	SLOVE NIA	CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE	P- RF	1	37,14	37,140000	37,140000	48,58	48,580000	48,580000
   184	W03308	J01GB03	GENTAMICINUM	GENTAMICIN KRKA	SOL. INJ.	40mg/ml	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.	P- RF	10	5,28	0,528000	0,528000	7,13	0,713000	0,713000
   185	W03309	J01GB03	GENTAMICINUM	GENTAMICIN KRKA	SOL. INJ.	80mg/2ml	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.	P- RF/ S	50	31,71	0,634200	0,600000	41,48	0,829600	0,811200
   186	W03309	J01GB03	GENTAMICINUM	GENTAMICIN KRKA	SOL. INJ.	80mg/2ml	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.	P- RF	10	7,09	0,709000	0,600000	9,58	0,958000	0,811200
   187	W08121	J01GB03	GENTAMICINUM	PAN - GENTAMICINE	SOL.INJ.	80mg/2ml	LAB. PANPHARMA	FRANT A	CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.	P- RF	10	5,00	0,500000	0,500000	6,76	0,676000	0,676000
   188	W53277	J01GB06	AMIKACINUM	AMIKOZIT (R) 500 mg/2 ml	SOL. INJ.	500mg/2 ml	ZENTIVA S.A.	ROMAN IA	CUTIE X 1 FLACON DIN STICLA X 2 ML	P- RF	1	5,15	5,150000	5,150000	6,96	6,960000	6,960000
   189	W56957	J01MA01	OFLOXACINUM	OFLOXIN 200	COMPR. FILM.	200mg	ZENTIVA K.S.	CEHIA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	14,81	1,481000	1,008000	20,02	2,002000	1,363200
   190	W07914	J01MA01	OFLOXACINUM	ZANOCIN	COMPR. FILM.	200mg	RANBAXY UK LIMITED	MAREA BRITAN IE	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	8,40	0,840000	0,840000	11,36	1,136000	1,136000
   191	W54037	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 100 mg	COMPR. FILM.	100mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	51,89	2,594500	2,594500	65,61	3,280500	3,280500
   192	W54037	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 100 mg	COMPR. FILM.	100mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	28,52	2,852000	2,852000	37,31	3,731000	3,731000
   193	W44077	J01MA02	CIPROFLOXACINUM	CIPROCIN 250 mg	COMPR. FILM.	250mg	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.	P- RF	10	5,05	0,505000	0,422400	6,83	0,683000	0,571200
   194	W56145	J01MA02	CIPROFLOXACINUM	ALVEBAR 250 mg	COMPR. FILM.	250mg	DR. REDDY'S LABORATORIES	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	3,52	0,352000	0,352000	4,76	0,476000	0,476000
   195	W54038	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 250 mg	COMPR. FILM.	250mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	4,85	0,485000	0,422400	6,56	0,656000	0,571200
   196	W54038	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 250 mg	COMPR. FILM.	250mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	9,10	0,455000	0,422400	12,30	0,615000	0,571200
   197	W01271	J01MA02	CIPROFLOXACINUM	CUMINOL 250 mg	COMPR. FILM.	250mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	9,10	0,455000	0,422400	12,30	0,615000	0,571200
   198	W01273	J01MA02	CIPROFLOXACINUM	CIPRINOL 250 mg	COMPR. FILM.	250mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.	P- RF	10	5,05	0,505000	0,422400	6,83	0,683000	0,571200
   199	W07862	J01MA02	CIPROFLOXACINUM	CIFRAN	COMPR. FILM.	250mg	RANBAXY UK LIMITED	MAREA BRITAN IE	CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.	P- RF	10	5,13	0,513000	0,422400	6,93	0,693000	0,571200
   200	W01288	J01MA02	CIPROFLOXACINUM	CIPROLEN (R) 250 mg	COMPR. FILM.	250mg	AC HELCOR SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	5,05	0,505000	0,422400	6,83	0,683000	0,571200
   201	W01271	J01MA02	CIPROFLOXACINUM	CUMINOL 250 mg	COMPR. FILM.	250mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	5,05	0,505000	0,422400	6,83	0,683000	0,571200
   202	W12545	J01MA02	CIPROFLOXACINUM	CIPRO QUIN (R)	COMPR. FILM.	500mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   203	W01274	J01MA02	CIPROFLOXACINUM	CIPRINOL 500 mg	COMPR. FILM.	500mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   204	W44076	J01MA02	CIPROFLOXACINUM	CIPROCIN 500 mg	COMPR. FILM.	500mg	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 BLIST. X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800

   11

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   205	W56146	J01MA02	CIPROFLOXACINUM	ALVEBAR 500 mg	COMPR. FILM.	500mg	DR. REDDY'S LABORATORIES	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	4,80	0,480000	0,480000	6,49	0,649000	0,649000
   206	W54039	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 500 mg	COMPR. FILM.	500mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	6,83	0,683000	0,576000	9,23	0,923000	0,778800
   207	W54039	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 500 mg	COMPR. FILM.	500mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	12,16	0,608000	0,576000	16,43	0,821500	0,778800
   208	W01272	J01MA02	CIPROFLOXACINUM	CUMINOL 500 mg	COMPR. FILM.	500mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   209	W01289	J01MA02	CIPROFLOXACINUM	CIPROLEN (R) 500 mg	COMPR. FILM.	500mg	AC HELCOR SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   210	W07863	J01MA02	CIPROFLOXACINUM	CIFRAN	COMPR. FILM.	500mg	RANBAXY UK LIMITED	MAREA BRITAN IE	CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.	P- RF	10	6,50	0,650000	0,576000	8,78	0,878000	0,778800
   211	W42772	J01MA02	CIPROFLOXACINUM	CIPRINOL 750 mg	COMPR. FILM.	750mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.	P- RF	10	29,43	2,943000	2,943000	38,50	3,850000	3,850000
   212	W54040	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 750 mg	COMPR. FILM.	750mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	28,52	2,852000	2,852000	37,31	3,731000	3,731000
   213	W57948	J01MA02	CIPROFLOXACINUM	CIPROBAY XR 1000 mg	COMPR. FILM. ELIB. PREL.	1000 mg	BAYER PHARMA AG	GERMA NIA	CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.	P- RF	7	66,99	9,570000	9,570000	84,70	12,100000	12,100000
   214	W57949	J01MA02	CIPROFLOXACINUM	CIPROBAY XR 500 mg	COMPR. FILM. ELIB. PREL.	500 mg	BAYER PHARMA AG	GERMA NIA	CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.	P- RF	3	20,44	6,813333	0,576000	27,63	9,210000	0,778800
   215	W54378	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA 100 mg/10 ml	CONC. PT. SOL. PERF.	100mg/10 ml	ZENTIVA S.A.	ROMAN IA	CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML	S/P RF	5	12,42	2,484000	2,484000	16,79	3,358000	3,277440
   216	W01275	J01MA02	CIPROFLOXACINUM	CIPRINOL (R)	CONC. PT. SOL. PERF.	100mg/10 ml	KRKA D.D.	SLOVE NIA	CUTIE X 50 FIOLE X 10 ML	S	50	111,86	2,237200	2,237200	136,56	2,731200	2,731200
   217	W01275	J01MA02	CIPROFLOXACINUM	CIPRINOL (R)	CONC. PT. SOL. PERF.	100mg/10 ml	KRKA D.D.	SLOVE NIA	CUTIE X 5 FIOLE X 10 ML	S/P RF	5	12,42	2,484000	2,484000	16,79	3,358000	3,277440
   218	W60268	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ZENTIVA 10 mg/ml	CONC. PT. SOL. PERF.	100mg/10 ml	ZENTIVA S.A.	ROMAN IA	CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML	S/P RF	5	12,42	2,484000	2,484000	16,79	3,358000	3,277440
   219	W08223	J01MA02	CIPROFLOXACINUM	CIPRINOL	SOL. PERF.	100mg/50 ml	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF.	S/P RF	1	3,54	3,540000	2,684640	4,79	4,790000	3,277440
   220	W08224	J01MA02	CIPROFLOXACINUM	CIPRINOL	SOL. PERF.	200mg/10 0ml	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.	S/P RF	1	7,09	7,090000	7,090000	9,58	9,580000	9,580000
   221	W53353	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA INFOMED 2 mg/ml	SOL. PERF.	2mg/ml	INFOMED FLUIDS SRL	ROMAN IA	CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML	S	10	69,19	6,919000	6,919000	87,49	8,749000	8,749000
   222	W53353	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA INFOMED 2 mg/ml	SOL. PERF.	2mg/ml	INFOMED FLUIDS SRL	ROMAN IA	CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML	S	10	128,87	12,887000	12,887000	157,33	15,733000	15,733000
   223	W42193	J01MA02	CIPROFLOXACINUM	CIPRINOL (R)	SOL. PERF.	400mg/20 0ml	KRKA D.D.	SLOVE NIA	CUTIE X 1 FLACON DIN STICLA X 200 ML	S/P RF	1	14,29	14,290000	14,290000	19,31	19,310000	18,879600
   224	W52445	J01MA03	PEFLOXACINUM	PEFLOXACIN LAROPHARM	COMPR. FILM.	400mg	LAROPHARM S.R.L.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	20,61	2,061000	2,061000	27,86	2,786000	2,786000
   225	W58303	J01MA06	NORFLOXACINUM	NORFLOXACIN HELCOR 400 mg	COMPR. FILM.	400mg	A.C. HELCOR PHARMA S.R.L.	ROMAN IA	CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.	P- RF	20	13,02	0,651000	0,549600	17,60	0,880000	0,742800
   226	W51610	J01MA06	NORFLOXACINUM	NORFLOX - 400	COMPR. FILM.	400mg	CIPLA (UK) LIMITED	MAREA BRITAN IE	CUTIE X 1 BLIST. X 10 COMPR. FILM.	P- RF	10	4,58	0,458000	0,458000	6,19	0,619000	0,619000
   227	W07984	J01MA06	NORFLOXACINUM	NOLICIN 400 mg	COMPR. FILM.	400mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.	P- RF	20	13,02	0,651000	0,549600	17,60	0,880000	0,742800
   228	W54101	J01MA06	NORFLOXACINUM	NOR QUIN 400 mg	COMPR. FILM.	400mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE X 2 BLIST. PVC/AL X 10 COMPR. FILM.	P- RF/ S	20	13,02	0,651000	0,549600	17,60	0,880000	0,742800
   229	W41800	J01MA06	NORFLOXACINUM	NORFLOXACINA LPH 400 mg	COMPR. FILM.	400mg	LABORMED PHARMA SA	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	11,64	0,582000	0,549600	15,73	0,786500	0,742800
   230	W56938	J01MA12	LEVOFLOXACINUM	FLERADAY 250 mg	COMPR. FILM.	250 mg	DR. REDDY'S LABORATORIES	ROMAN IA	CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM.	PR F	7	12,87	1,838571	1,838571	17,40	2,485714	2,485714
   231	W59047	J01MA12	LEVOFLOXACINUM	LEVOFLOXACINA MACLEODS 250 mg	COMPR. FILM.	250mg	MACLEODS PHARMA UK LIMITED	MAREA BRITAN IE	CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.	PR F	10	17,49	1,749000	1,749000	23,64	2,364000	2,364000
   232	W56992	J01MA12	LEVOFLOXACINUM	LEVOTOR 250 mg	COMPR. FILM.	250mg	TORRENT PHARMA S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.	P- RF	7	12,87	1,838571	1,838571	17,40	2,485714	2,485714
   233	W52786	J01MA12	LEVOFLOXACINUM	LEVOFLOXACINA ACTAVIS 250 mg	COMPR. FILM.	250mg	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.	P- RF	7	12,88	1,840000	1,840000	17,41	2,487142	2,487142

   12

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   234	W55699	J01MA12	LEVOFLOXACINUM	TAVANIC 250 mg	COMPR. FILM.	250mg	TERAPIA S.A.	ROMAN IA	CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.	P- RF	7	19,81	2,830000	2,098800	26,78	3,825714	2,836800
   235	W56939	J01MA12	LEVOFLOXACINUM	FLERADAY 500 mg	COMPR. FILM.	500 mg	DR. REDDY'S LABORATORIES	ROMAN IA	CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM.	PR F	7	25,88	3,697142	3,697142	33,85	4,835714	4,835714
   236	W59048	J01MA12	LEVOFLOXACINUM	LEVOFLOXACINA MACLEODS 500 mg	COMPR. FILM.	500mg	MACLEODS PHARMA UK LIMITED	MAREA BRITAN IE	CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.	PR F	10	32,06	3,206000	3,206000	41,93	4,193000	4,193000
   237	W52787	J01MA12	LEVOFLOXACINUM	LEVOFLOXACINA ACTAVIS 500 mg	COMPR. FILM.	500mg	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.	P- RF	7	25,89	3,698571	3,698571	33,86	4,837142	4,837142
   238	W55700	J01MA12	LEVOFLOXACINUM	TAVANIC 500 mg	COMPR. FILM.	500mg	TERAPIA S.A.	ROMAN IA	CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.	P- RF	7	39,82	5,688571	3,847200	52,08	7,440000	5,031600
   239	W56993	J01MA12	LEVOFLOXACINUM	LEVOTOR 500 mg	COMPR. FILM.	500mg	TORRENT PHARMA S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.	P- RF	7	25,73	3,675714	3,675714	33,65	4,807142	4,807142
   240	W59048	J01MA12	LEVOFLOXACINUM	LEVOFLOXACINA MACLEODS 500 mg	COMPR. FILM.	500mg	MACLEODS PHARMA UK LIMITED	MAREA BRITAN IE	CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.	PR F	5	17,49	3,498000	3,498000	23,64	4,728000	4,728000
   241	W55815	J01MA12	LEVOFLOXACINUM	LEVOFLOXACINA ACTAVIS 5 mg/ml	SOL. PERF.	5mg/ml	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF.	S	1	74,10	74,100000	74,100000	93,69	93,690000	93,690000
   242	W54108	J01MA12	LEVOFLOXACINUM	LEVOFLOXACIN KABI 5 mg/ml	SOL. PERF.	5mg/ml	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)	S	1	74,25	74,250000	74,250000	93,88	93,880000	93,880000
   243	W55456	J01MA12	LEVOFLOXACINUM	EVOLOX 5 mg/ml	SOL. PERF.	5mg/ml	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.	S	1	74,25	74,250000	74,250000	93,88	93,880000	93,880000
   244	W55702	J01MA12	LEVOFLOXACINUM	TAVANIC I.V. 500 mg	SOL. PERF.	5mg/ml	TERAPIA S.A.	ROMAN IA	CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.	P- RF/ S	1	112,19	112,190000	88,920000	136,96	136,960000	112,428000
   245	W55456	J01MA12	LEVOFLOXACINUM	EVOLOX 5 mg/ml	SOL. PERF.	5mg/ml	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.	S	1	37,79	37,790000	37,790000	49,43	49,430000	49,430000
   246	W55815	J01MA12	LEVOFLOXACINUM	LEVOFLOXACINA ACTAVIS 5 mg/ml	SOL. PERF.	5mg/ml	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF.	S	1	37,71	37,710000	37,710000	49,33	49,330000	49,330000
   247	W60943	J01MA14	MOXIFLOXACINUM	MOFLAXA 400 mg	COMPR. FILM.	400mg	KRKA, D.D., NOVO MESTO	SLOVE NIA	CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE	PR F	5	38,76	7,752000	7,387200	50,70	10,140000	9,662400
   248	W59332	J01MA14	MOXIFLOXACINUM	MOXIFLOXACINA AUROBINDO 400 mg	COMPR. FILM.	400mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.	PR F	5	30,78	6,156000	6,156000	40,26	8,052000	8,052000
   249	W60545	J01MA14	MOXIFLOXACINUM	MOFIL 400 mg	COMPR. FILM.	400mg	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM.	PR F	5	35,34	7,068000	7,068000	46,22	9,244000	9,244000
   250	W60311	J01MA14	MOXIFLOXACINUM	MOFINACIN 400 mg	COMPR. FILM.	400mg	ALVOGEN IPCO S.A.R.L	LUXEM BURG	CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM	PR F	5	42,18	8,436000	7,387200	55,17	11,034000	9,662400
   251	W57939	J01MA14	MOXIFLOXACINUM	AVELOX® 400 mg	COMPR. FILM.	400mg	BAYER PHARMA AG	GERMA NIA	CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM.	P- RF	5	58,59	11,718000	7,387200	74,08	14,816000	9,662400
   252	W60727	J01MA14	MOXIFLOXACINUM	MOXIFLOXACINA KABI 400 mg/250 ml	SOL. PERF.	400mg/25 0ml	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 1 FLAC. PEJD (KABIPACK) A 250 ML SOL. PERF. (400 MG MOXIFLOXACINA)	PR	1	82,20	82,200000	82,200000	103,94	103,940000	103,940000
   253	W57938	J01MA14	MOXIFLOXACINUM	AVELOX® 400 mg/250 ml	SOL. PERF.	400mg/25 0ml	BAYER PHARMA AG	GERMA NIA	CUTIE X 5 FLACOANE DIN STICLA X 250 ML	S	5	594,69	118,938000	98,640000	686,36	137,272000	124,728000
   254	W43348	J01XA01	VANCOMYCINUM	VANCOMYCIN TEVA	LIOF. PT. SOL. PERF.	1g	TEVA PHARM. WORKS PRIVATE LTD. COMPANY	UNGAR IA	CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.	S/P RF	1	48,56	48,560000	48,560000	63,52	63,520000	63,520000
   255	W43347	J01XA01	VANCOMYCINUM	VANCOMYCIN TEVA	LIOF. PT. SOL. PERF.	500mg	TEVA PHARM. WORKS PRIVATE LTD. COMPANY	UNGAR IA	CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.	S/P RF	1	24,28	24,280000	24,280000	32,82	32,820000	32,820000
   256	W56449	J01XA01	VANCOMYCINUM	VANCOMICINA PHARMASWISS 1000 mg	PULB. PT. SOL. PERF.	1000mg	PHARMASWISS CESKA REPUBLIKA S.R.O.	REPUB LICA CEHA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.	PR	10	456,00	45,600000	45,600000	535,19	53,519000	53,519000
   257	W56448	J01XA01	VANCOMYCINUM	VANCOMICINA PHARMASWISS 500 mg	PULB. PT. SOL. PERF.	500mg	PHARMASWISS CESKA REPUBLIKA S.R.O.	REPUB LICA CEHA	CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.	PR	10	234,30	23,430000	23,430000	286,03	28,603000	28,603000
   258	W57042	J01XA01	VANCOMYCINUM	VANCOMICINA KABI 1000 mg	PULB. PT.CONC. PT.SOL. PERF.	1000mg	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P	PR	1	48,39	48,390000	48,390000	63,30	63,300000	63,300000
   259	W57041	J01XA01	VANCOMYCINUM	VANCOMICINA KABI 500 mg	PULB. PT.CONC. PT.SOL. PERF.	500mg	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P	PR	1	24,17	24,170000	24,170000	32,67	32,670000	32,670000
   260	W06051	J01XA01	VANCOMYCINUM	EDICIN	PULB.LIOF. PT.SOL.PE RF./INJ	1g	LEK PHARMACEUTICALS D.D.	SLOVE NIA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.	S/P RF	1	56,90	56,900000	54,720000	71,94	71,940000	64,222800

   13

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   261	W13105	J01XA02	TEICOPLANINUM	TARGOCID (R) 400 mg	LIOF. + SOLV. PT. SOL. INJ.	400mg	AVENTIS PHARMA LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.	P- RF	1	109,84	109,840000	109,840000	134,09	134,090000	134,090000
   262	W52501	J01XB01	COLISTINUM	COLISTINA ANTIBIOTICE 1000000 UI	PULB. PT. SOL. INJ./PERF.	1000000u i	ANTIBIOTICE SA	ROMAN IA	CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.	S	10	173,48	17,348000	17,348000	211,79	21,179000	21,179000
   263	W53689	J01XD01	METRONIDAZOLUM	METRONIDAZOL ARENA 250 mg (J01XD01)	COMPR.	250mg	ARENA GROUP SA	ROMAN IA	CUTIE X 3 BLIST. AL/PVC X 10 COMPR.	P- RF	30	5,71	0,190333	0,190333	7,72	0,257333	0,257333
   264	W08257	J01XD01	METRONIDAZOLUM	FLAGYL ( vezi J01XD01)	COMPR. FILM.	250mg	LABORATOIRE AVENTIS	FRANT A	CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.	P- RF	20	5,25	0,262500	0,228400	7,09	0,354500	0,308800
   265	W42139	J01XD01	METRONIDAZOLUM	METRONIDAZOL A 5 g/l	SOL. PERF.	5g/l	INFOMED FLUIDS SRL	ROMAN IA	CUTIE X 12 FLACOANE X 200 ML	S/P RF	12	79,29	6,607500	6,607500	100,25	8,354166	8,354166
   266	W42139	J01XD01	METRONIDAZOLUM	METRONIDAZOL A 5 g/l	SOL. PERF.	5g/l	INFOMED FLUIDS SRL	ROMAN IA	CUTIE X 1 FLACON X 200 ML	S/P RF	1	6,74	6,740000	6,740000	9,11	9,110000	9,110000
   267	W42138	J01XD01	METRONIDAZOLUM	METRONIDAZOL B 5 g/l	SOL. PERF.	5g/l	INFOMED FLUIDS SRL	ROMAN IA	CUTIE X 12 FLACOANE X 200 ML	S/P RF	12	77,74	6,478333	6,478333	98,29	8,190833	8,190833
   268	W42138	J01XD01	METRONIDAZOLUM	METRONIDAZOL B 5 g/l	SOL. PERF.	5g/l	INFOMED FLUIDS SRL	ROMAN IA	CUTIE X 1 FLACON X 200 ML	S/P RF	1	6,59	6,590000	6,590000	8,91	8,910000	8,910000
   269	W08927	J01XD01	METRONIDAZOLUM	METRONIDAZOL BRAUN 5mg/ml	SOL. PERF.	5mg/ml	B. BRAUN MELSUNGEN AG	GERMA NIA	CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.	S/P RF	20	228,10	11,405000	4,437600	278,47	13,923500	5,804400
   270	W08927	J01XD01	METRONIDAZOLUM	METRONIDAZOL BRAUN 5mg/ml	SOL. PERF.	5mg/ml	B. BRAUN MELSUNGEN AG	GERMA NIA	CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.	S/P RF	10	36,98	3,698000	3,698000	48,37	4,837000	4,837000
   271	W08927	J01XD01	METRONIDAZOLUM	METRONIDAZOL BRAUN 5mg/ml	SOL. PERF.	5mg/ml	B. BRAUN MELSUNGEN AG	GERMA NIA	CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.	S/P RF	10	37,40	3,740000	3,740000	48,92	4,892000	4,892000
   272	W52799	J01XX08	LINEZOLIDUM	ZYVOXID (R)	COMPR. FILM.	600mg	PFIZER EUROPE MA EEIG	MAREA BRITAN IE	CUTIE X 1 FLAC. X 10 COMPR. FILM.	P- RF	10	1.603,26	160,326000	160,326000	1.785,71	178,571000	178,571000
   273	W52800	J01XX08	LINEZOLIDUM	ZYVOXID (R)	GRAN. PT. SUSP. ORALA	100mg/5 ml	PFIZER EUROPE MA EEIG	MAREA BRITAN IE	CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML	P- RF	1	879,36	879,360000	879,360000	996,65	996,650000	996,650000
   274	W60734	J01XX08	LINEZOLIDUM	LINEZOLID SANDOZ 2 mg/ml	SOL. PERF.	2mg/ml	SANDOZ S.R.L.	ROMAN IA	CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF.	PR	1	112,48	112,480000	112,480000	137,32	137,320000	137,320000
   275	W60604	J01XX08	LINEZOLIDUM	PNEUMOLID 2 mg/ml	SOL. PERF.	2mg/ml	ALVOGEN IPCO S.AR.L	LUXEM BURG	CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE 300 ML SOL. PERF.	PR	10	1.052,62	105,262000	105,262000	1.185,51	118,551000	118,551000
   276	W60604	J01XX08	LINEZOLIDUM	PNEUMOLID 2 mg/ml	SOL. PERF.	2mg/ml	ALVOGEN IPCO S.AR.L	LUXEM BURG	CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR	PR	1	112,48	112,480000	112,480000	137,32	137,320000	137,320000
   277	W57578	J01XX08	LINEZOLIDUM	LINEZOLID TEVA 2 mg/ml	SOL. PERF.	2mg/ml	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA	PR F	10	1.052,62	105,262000	105,262000	1.185,51	118,551000	118,551000
   278	W52801	J01XX08	LINEZOLIDUM	ZYVOXID (R)	SOL. PERF.	2mg/ml	PFIZER EUROPE MA EEIG	MAREA BRITAN IE	CUTIE X 10 PUNGI X 300 ML	S	10	1.603,26	160,326000	126,314400	1.785,71	178,571000	142,261200
   279	W08372	J02AC01	FLUCONAZOLUM	FLUCOVIM 100	CAPS.	100mg	VIM SPECTRUM SRL	ROMAN IA	CUTIE X 1 BLIST. X 4 CAPS.	P- RF	4	18,95	4,737500	3,615428	25,61	6,402500	4,887428
   280	W42371	J02AC01	FLUCONAZOLUM	FUNGOLON 100 mg	CAPS.	100mg	BALKANPHARMA RAZGRAD AD	BULGA RIA	CUTIE X 2 BLIST. PVC/AL X 8 CAPS.	P- RF	16	65,37	4,085625	3,615428	82,66	5,166250	4,887428
   281	W58225	J02AC01	FLUCONAZOLUM	FLUCONAZOL AUROBINDO 100 mg	CAPS.	100mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.	PR F	7	21,09	3,012857	3,012857	28,51	4,072857	4,072857
   282	W43597	J02AC01	FLUCONAZOLUM	FLUCONAZOLE TEVA 100 mg	CAPS.	100mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.	P- RF	2	6,98	3,490000	3,490000	9,43	4,715000	4,715000
   283	W43597	J02AC01	FLUCONAZOLUM	FLUCONAZOLE TEVA 100 mg	CAPS.	100mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.	P- RF	7	23,31	3,330000	3,330000	31,51	4,501428	4,501428

   14

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   284	W57430	J02AC01	FLUCONAZOLUM	FLUCONAZOL ROMPHARM 150 mg	CAPS.	150mg	ROMPHARM COMPANY S.R.L.	ROMAN IA	CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.	PR F	1	9,57	9,570000	5,340000	12,94	12,940000	7,212000
   285	W57239	J02AC01	FLUCONAZOLUM	FLUCONAZOL LPH 150 mg	CAPS.	150mg	LABORMED PHARMA S.A.	ROMAN IA	CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.	PR F	1	7,35	7,350000	5,340000	9,94	9,940000	7,212000
   286	W60221	J02AC01	FLUCONAZOLUM	FLUCONAZOL ZENTIVA 150 mg	CAPS.	150mg	ZENTIVA K.S.	REPUB LICA CEHA	CUTIE X 1 BLIST. AL/PVC X 1 CAPS.	P- RF	1	8,90	8,900000	5,340000	12,03	12,030000	7,212000
   287	W42693	J02AC01	FLUCONAZOLUM	FLUCONAZOL 150 mg	CAPS.	150mg	SLAVIA PHARM SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 1 CAPS.	P- RF	1	7,16	7,160000	5,340000	9,68	9,680000	7,212000
   288	W08373	J02AC01	FLUCONAZOLUM	FLUCOVIM 150	CAPS.	150mg	VIM SPECTRUM SRL	ROMAN IA	CUTIE X 1 FLAC. X 1 CAPS.	P- RF	1	7,35	7,350000	5,340000	9,94	9,940000	7,212000
   289	W43598	J02AC01	FLUCONAZOLUM	FLUCONAZOLE TEVA 150 mg	CAPS.	150mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.	P- RF	1	4,88	4,880000	4,880000	6,59	6,590000	6,590000
   290	W51994	J02AC01	FLUCONAZOLUM	FLUCONAZOL MEDOCHEMIE 150 mg	CAPS.	150mg	MEDOCHEMIE ROMANIA SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 1 CAPS.	P- RF	1	6,07	6,070000	5,340000	8,20	8,200000	7,212000
   291	W43288	J02AC01	FLUCONAZOLUM	FLUCONAZOL SANDOZ (R) 150	CAPS.	150mg	SANDOZ SRL	GERMA NIA	CUTIE X 1 BLIST. AL/PVC X 1 CAPS.	P- RF	1	10,79	10,790000	5,340000	14,58	14,580000	7,212000
   292	W56446	J02AC01	FLUCONAZOLUM	FLUCONAZOL ACTAVIS 150 mg	CAPS.	150mg	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.	PR F	1	7,44	7,440000	5,340000	10,06	10,060000	7,212000
   293	W54835	J02AC01	FLUCONAZOLUM	MYCOSYST 150 mg	CAPS.	150mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 4 BLIST. AL/PVC X 1 CAPS.	P- RF	4	48,24	12,060000	5,340000	63,10	15,775000	7,212000
   294	W52224	J02AC01	FLUCONAZOLUM	FLUCONAZOL BIOGALENICA 150 mg	CAPS.	150mg	LABORATOARELE PROF.DR.MORAIT S.R.L.	ROMAN IA	CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.	P- RF	1	4,88	4,880000	4,880000	6,59	6,590000	6,590000
   295	W53943	J02AC01	FLUCONAZOLUM	FLUCONAZOL ARENA 150 MG	CAPS.	150mg	ARENA GROUP SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 1 CAPS.	P- RF	1	6,68	6,680000	5,340000	9,03	9,030000	7,212000
   296	W03156	J02AC01	FLUCONAZOLUM	DIFLUCAN 150 mg	CAPS.	150mg	PFIZER EUROPE MA EEIG	MAREA BRITAN IE	CUTIE X 1 BLIST. AL/PVC X 1 CAPS.	P- RF	1	18,56	18,560000	5,340000	25,08	25,080000	7,212000
   297	W44089	J02AC01	FLUCONAZOLUM	FLUCORIC 150 mg	CAPS.	150mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.	P- RF	1	13,95	13,950000	5,340000	18,86	18,860000	7,212000
   298	W58226	J02AC01	FLUCONAZOLUM	FLUCONAZOL AUROBINDO 150 mg	CAPS.	150mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.	PR F	1	4,45	4,450000	4,450000	6,01	6,010000	6,010000
   299	W56964	J02AC01	FLUCONAZOLUM	MYCOMAX 150	CAPS.	150mg	ZENTIVA K.S.	CEHIA	CUTIE X 1 BLIST. AL/PVC X 1 CAPS.	P- RF	1	8,90	8,900000	5,340000	12,03	12,030000	7,212000
   300	W43599	J02AC01	FLUCONAZOLUM	FLUCONAZOLE TEVA 200 mg	CAPS.	200mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.	P- RF	7	30,10	4,300000	4,300000	39,37	5,624285	5,624285
   301	W52225	J02AC01	FLUCONAZOLUM	FLUCONAZOL BIOGALENICA 50 mg	CAPS.	50mg	LABORATOARELE PROF.DR.MORAIT S.R.L.	ROMAN IA	CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.	P- RF	7	11,66	1,665714	1,665714	15,76	2,251428	2,251428
   302	W57238	J02AC01	FLUCONAZOLUM	FLUCONAZOL LPH 50 mg	CAPS.	50mg	LABORMED PHARMA S.A.	ROMAN IA	CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.	PR F	7	16,69	2,384285	1,777714	22,56	3,222857	2,403428
   303	W53942	J02AC01	FLUCONAZOLUM	FLUCONAZOL ARENA 50 MG	CAPS.	50mg	ARENA GROUP SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 7 CAPS.	P- RF	7	14,15	2,021428	1,777714	19,12	2,731428	2,403428
   304	W03157	J02AC01	FLUCONAZOLUM	DIFLUCAN 50 mg	CAPS.	50mg	PFIZER EUROPE MA EEIG	MAREA BRITAN IE	CUTIE X 1 BLIST. AL/PVC X 7 CAPS.	P- RF	7	43,23	6,175714	1,777714	56,54	8,077142	2,403428
   305	W43596	J02AC01	FLUCONAZOLUM	FLUCONAZOLE TEVA 50 mg	CAPS.	50mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.	P- RF	7	12,35	1,764285	1,764285	16,69	2,384285	2,384285
   306	W08374	J02AC01	FLUCONAZOLUM	FLUCOVIM 50	CAPS.	50mg	VIM SPECTRUM SRL	ROMAN IA	CUTIE X 1 BLIST. X 7 CAPS.	P- RF	7	16,69	2,384285	1,777714	22,56	3,222857	2,403428
   307	W42321	J02AC01	FLUCONAZOLUM	FLUCONAZOL 50 mg	CAPS.	50mg	SLAVIA PHARM SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 7 CAPS.	P- RF	7	14,49	2,070000	1,777714	19,58	2,797142	2,403428
   308	W51993	J02AC01	FLUCONAZOLUM	FLUCONAZOL MEDOCHEMIE 50 mg	CAPS.	50mg	MEDOCHEMIE ROMANIA SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 7 CAPS.	P- RF	7	11,95	1,707142	1,707142	16,15	2,307142	2,307142
   309	W44098	J02AC01	FLUCONAZOLUM	FLUCORIC 50 mg	CAPS.	50mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.	P- RF	7	21,91	3,130000	1,777714	29,61	4,230000	2,403428
   310	W43287	J02AC01	FLUCONAZOLUM	FLUCONAZOL SANDOZ (R) 50	CAPS.	50mg	SANDOZ SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 7 CAPS.	P- RF	7	32,06	4,580000	1,777714	41,93	5,990000	2,403428
   311	W58224	J02AC01	FLUCONAZOLUM	FLUCONAZOL AUROBINDO 50 mg	CAPS.	50mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.	PR F	7	10,37	1,481428	1,481428	14,02	2,002857	2,002857
   312	W58322	J02AC01	FLUCONAZOLUM	DIFLUCAN 10 mg/ml	PULB. PT. SUSP. ORALA	10mg/ml	PFIZER EUROPE MA EEIG	MAREA BRITAN IE	CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O	PR F	1	23,46	23,460000	23,460000	31,71	31,710000	31,710000
   313	W55502	J02AC01	FLUCONAZOLUM	FLUCONAZOL KABI 2 mg/ml	SOL. PERF.	2mg/ml	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.	S	1	34,28	34,280000	20,737200	44,84	44,840000	25,316400
   314	W56963	J02AC01	FLUCONAZOLUM	MYCOMAX INF 2mg/ml	SOL. PERF.	2mg/ml	ZENTIVA K.S.	REPUB LICA CEHA	CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL	S	1	17,91	17,910000	17,910000	24,21	24,210000	24,210000

   15

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   315	W55502	J02AC01	FLUCONAZOLUM	FLUCONAZOL KABI 2 mg/ml	SOL. PERF.	2mg/ml	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.	S	1	81,95	81,950000	81,950000	103,62	103,620000	103,620000
   316	W56963	J02AC01	FLUCONAZOLUM	MYCOMAX INF 2mg/ml	SOL. PERF.	2mg/ml	ZENTIVA K.S.	REPUB LICA CEHA	CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL	S	10	172,81	17,281000	17,281000	210,97	21,097000	21,097000
   317	W56963	J02AC01	FLUCONAZOLUM	MYCOMAX INF 2mg/ml	SOL. PERF.	2mg/ml	ZENTIVA K.S.	REPUB LICA CEHA	CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL	S	1	88,14	88,140000	88,140000	111,45	111,450000	103,986000
   318	W60056	J02AC01	FLUCONAZOLUM	FLUCONAZOL ZENTIVA 2 mg/ml	SOL. PERF.	2mg/ml	ZENTIVA K.S.	REPUB LICA CEHA	CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL	S	1	17,91	17,910000	17,910000	24,21	24,210000	24,210000
   319	W60056	J02AC01	FLUCONAZOLUM	FLUCONAZOL ZENTIVA 2 mg/ml	SOL. PERF.	2mg/ml	ZENTIVA K.S.	REPUB LICA CEHA	CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL	S	10	172,81	17,281000	17,281000	210,97	21,097000	21,097000
   320	W57368	J02AC01	FLUCONAZOLUM	FLUCONAZOL ARENA 2mg/ml	SOL. PERF.	2mg/ml	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 FLAC. X 100 ML SOL. PERF.	S	1	40,63	40,630000	20,737200	53,14	53,140000	25,316400
   321	W58456	J02AC01	FLUCONAZOLUM	FLUCONAZOL INFOMED 2 mg/ml	SOL. PERF.	2mg/ml	INFOMED FLUIDS S.R.L.	ROMAN IA	CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF.	PR	20	350,00	17,500000	17,500000	419,65	20,982500	20,982500
   322	W58456	J02AC01	FLUCONAZOLUM	FLUCONAZOL INFOMED 2 mg/ml	SOL. PERF.	2mg/ml	INFOMED FLUIDS S.R.L.	ROMAN IA	CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF.	PR	20	630,00	31,500000	20,737200	724,85	36,242500	25,316400
   323	W55502	J02AC01	FLUCONAZOLUM	FLUCONAZOL KABI 2 mg/ml	SOL. PERF.	2mg/ml	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.	S	1	18,84	18,840000	18,840000	25,47	25,470000	25,179000
   324	W53987	J02AC01	FLUCONAZOLUM	FLUCONAZOL B. BRAUN 2mg/ml	SOL. PERF.	2mg/ml	B. BRAUN MELSUNGEN AG	GERMA NIA	CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.	S	10	770,66	77,066000	77,066000	878,17	87,817000	87,817000
   325	W12072	J02AC01	FLUCONAZOLUM	DIFLAZON 2mg/ml	SOL. PERF.	2mg/ml	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML	S/P R-F	1	35,03	35,030000	20,737200	45,82	45,820000	25,316400
   326	W53987	J02AC01	FLUCONAZOLUM	FLUCONAZOL B. BRAUN 2mg/ml	SOL. PERF.	2mg/ml	B. BRAUN MELSUNGEN AG	GERMA NIA	CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.	S	10	454,59	45,459000	20,737200	533,65	53,365000	25,316400
   327	W53987	J02AC01	FLUCONAZOLUM	FLUCONAZOL B. BRAUN 2mg/ml	SOL. PERF.	2mg/ml	B. BRAUN MELSUNGEN AG	GERMA NIA	CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.	S	20	796,39	39,819500	20,737200	906,22	45,311000	25,316400
   328	W58456	J02AC01	FLUCONAZOLUM	FLUCONAZOL INFOMED 2 mg/ml	SOL. PERF.	2mg/ml	INFOMED FLUIDS S.R.L.	ROMAN IA	CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF.	PR	10	760,00	76,000000	76,000000	866,55	86,655000	86,655000
   329	W43051	J02AC02	ITRACONAZOLUM	ITRACONAZOL 100 mg	CAPS.	100mg	SLAVIA PHARM SRL	ROMAN IA	CUTIE X 3 BLIST. AL/PVC X 5 CAPS.	P- RF	15	40,18	2,678666	2,678666	52,56	3,504000	3,504000
   330	W53958	J02AC02	ITRACONAZOLUM	MICOGAL 100 mg	CAPS.	100mg	ROMPHARM COMPANY SRL	ROMAN IA	CUTIE X 3 BLIST. PVC/AL X 5 CAPS.	P- RF	15	40,18	2,678666	2,678666	52,55	3,503333	3,503333
   331	W59235	J02AC02	ITRACONAZOLUM	ITRACONAZOL ARENA 100 mg	CAPS.	100mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 3 BLIST. AL/PVC X 5 CAPS.	P- RF	15	40,18	2,678666	2,678666	52,56	3,504000	3,504000
   332	W52343	J02AC02	ITRACONAZOLUM	OMICRAL 100 mg	CAPS.	100mg	MEDICO UNO PHARMACEUTICAL SRL	ROMAN IA	CUTIE X 3 BLIST. AL/AL X 5 CAPS.	P- RF	15	40,18	2,678666	2,678666	52,56	3,504000	3,504000
   333	W03837	J02AC02	ITRACONAZOLUM	ORUNGAL	CAPS.	100mg	JANSSEN PHARMACEUTICA N.V.	BELGIA	CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.	P- RF	15	60,84	4,056000	3,214399	76,92	5,128000	4,204000
   334	W08947	J02AC03	VORICONAZOLUM**	VFEND 200mg	COMPR. FILM.	200mg	PFIZER LIMITED	MAREA BRITAN IE	CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)	P- RF	28	3.559,23	127,115357	127,115357	3.917,72	139,918571	139,918571
   335	W08946	J02AC03	VORICONAZOLUM**	VFEND 50mg	COMPR. FILM.	50mg	PFIZER LIMITED	MAREA BRITAN IE	CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)	P- RF	28	912,09	32,574642	32,574642	1.032,33	36,868928	36,868928
   336	W10489	J02AC03	VORICONAZOLUM**	VFEND 200mg	PULB. PT. SOL. PERF.	200mg	PFIZER LIMITED	MAREA BRITAN IE	CUTIE X 1 FLAC. UNIDOZA X 30ML	P- RF	1	458,07	458,070000	458,070000	537,45	537,450000	537,450000
   337	W41889	J02AC03	VORICONAZOLUM**	VFEND 40 mg/ml	PULB. PT. SUSP. ORALA	40mg/ml	PFIZER LIMITED	MAREA BRITAN IE	CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA	P- RF	1	2.203,52	2.203,520000	2.203,520000	2.439,99	2.439,990000	2.439,990000
   338	W60913	J02AC04	POSACONAZOLUM**	NOXAFIL 100mg	CAPS. GASTROR EZ.	100mg	MERCK SHARP DOHME LTD.	MAREA BRITAN IE	CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE	PR	24	3.330,00	138,750000	138,750000	3.667,85	152,827083	152,827083

   16

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbalaj	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   339	W58194	J02AC04	POSACONAZOLUM**	NOXAFIL SP 40mg/ml	SUSP. ORALA	40mg/ml	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 1 FLAC. X 105ML SUSP. ORALA	P- RF/ R	1	2.488,19	2.488,190000	2.488,190000	2.750,28	2.750,280000	2.750,280000
   340	W06665	J02AX04	CASPOFUNGINUM**	CANCIDAS 50 mg	PULB. PT. CONC. PT. SOL. PERF.	50mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.	S	1	1.202,39	1.202,390000	1.202,390000	1.348,76	1.348,760000	1.348,760000
   341	W06670	J02AX04	CASPOFUNGINUM**	CANCIDAS 70 mg	PULB. PT. CONC. PT. SOL. PERF.	70mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.	S	1	1.560,14	1.560,140000	1.560,140000	1.738,70	1.738,700000	1.738,700000
   342	W55841	J02AX06	ANIDULAFUNGINUM	ECALTA 100mg	PULB. PT. CONC. PT. SOL. PERF.	100mg	PFIZER LIMITED	MAREA BRITAN IE	CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB.	S	1	1.458,70	1.458,700000	1.458,700000	1.628,13	1.628,130000	1.628,130000
   343	W58576	J04AC01	ISONIAZIDUM	IZONIAZIDA ATB 100 mg	COMPR.	100mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.	PR	1.500	159,50	0,106333	0,106333	194,72	0,129813	0,129813
   344	W58577	J04AC01	ISONIAZIDUM	IZONIAZIDA ATB 300 mg	COMPR.	300mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 150 BLIST. PVC/AL X 10 COMPR.	S/P RF	1.500	395,00	0,263333	0,263333	468,70	0,312466	0,312466
   345	W60582	J04AC01	ISONIAZIDUM	ISONIAZID	SIROP	100mg/5 ml	CN UNIFARM S.A.	ROMAN IA	CUTIE X 1 FLAC. X 200 ML SIROP	PR	1	29,01	29,010000	29,010000	37,95	37,950000	37,950000
   346	W60594	J04AC01	ISONIAZIDUM	BITUB	SOL INJ.	100mg/ml	CN UNIFARM S.A.	ROMAN IA	CUTIE CU 10 FIOLE A 5ML	PR	10	14,16	1,416000	1,416000	19,14	1,914000	1,914000
   347	W60213	J04AK01	PYRAZINAMIDUM	PIRAZINAMIDA ATB 500 mg	COMPR.	500mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.	PR	1.500	434,58	0,289720	0,289720	511,84	0,341226	0,341226
   348	W53682	J04AK02	ETHAMBUTOLUM	ETAMBUTOL ARENA 250 mg	CAPS.	250mg	ARENA GROUP SA	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 CAPS.	P- RF	20	3,54	0,177000	0,177000	4,79	0,239500	0,239500
   349	W59648	J04AK02	ETHAMBUTOLUM	ETAMBUTOL ARENA 400 mg	CAPS.	400mg	ARENA GROUP S.A.	ROMAN IA	CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.	PR F	20	5,54	0,277000	0,277000	7,49	0,374500	0,374500
   350	W59648	J04AK02	ETHAMBUTOLUM	ETAMBUTOL ARENA 400 mg	CAPS.	400mg	ARENA GROUP S.A.	ROMAN IA	CUTIE CU 1 FLAC. DIN PE X 50 CAPS.	PR F	50	13,72	0,274400	0,274400	18,54	0,370800	0,370800
   351	W42943	J04AK02	ETHAMBUTOLUM	ETAMBUTOL 250 mg	COMPR. FILM.	250mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.	S	1.500	314,54	0,209693	0,209693	381,00	0,254000	0,254000
   352	W42861	J04AK02	ETHAMBUTOLUM	ETAMBUTOL 400 mg	COMPR. FILM.	400mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.	S	1.500	485,00	0,323333	0,323333	566,80	0,377866	0,377866
   353	W60583	J04AK02	ETHAMBUTOLUM	INBUTOL	SOL INJ.	100mg/ml	CN UNIFARM S.A.	ROMAN IA	FLAC. X 10 ML SOL. INJ	PR	1	15,55	15,550000	15,550000	21,02	21,020000	21,020000
   354	W14071	J04AM02	COMBINATII (RIFAMPICINUM+IZONIAZIDUM)	SINERDOL ISO	CAPS.	300mg+1 50mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 100 BLIST. AL/PVC X 10 CAPS.	S	1.000	580,00	0,580000	0,580000	670,35	0,670350	0,670350
   355	W56038	J05AB01	ACICLOVIRUM	ACICLOVIR FARMEX 200 mg	CAPS.	200mg	FARMEX COMPANY S.R.L.	ROMAN IA	CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.	P- RF	20	15,85	0,792500	0,613200	21,42	1,071000	0,828600
   356	W53675	J05AB01	ACICLOVIRUM	ACICLOVIR ARENA 200 mg	CAPS.	200mg	ARENA GROUP SA	ROMAN IA	CUTIE X 100 BLIST. AL/PVC X 10 CAPS.	P- RF/ S	1.000	704,14	0,704140	0,613200	805,66	0,805660	0,805660
   357	W42857	J05AB01	ACICLOVIRUM	ACICLOVIR 200 mg	CAPS.	200mg	SLAVIA PHARM SRL	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 CAPS.	P- RF	20	14,97	0,748500	0,613200	20,23	1,011500	0,828600
   358	W53675	J05AB01	ACICLOVIRUM	ACICLOVIR ARENA 200 mg	CAPS.	200mg	ARENA GROUP SA	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 CAPS.	P- RF	20	15,85	0,792500	0,613200	21,42	1,071000	0,828600
   359	W53676	J05AB01	ACICLOVIRUM	ACICLOVIR ARENA 400 mg	CAPS.	400mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 CAPS.	P- RF	10	14,41	1,441000	1,441000	19,48	1,948000	1,948000
   360	W60558	J05AB01	ACICLOVIRUM	ACICLOVIR-RICHTER 200 mg	COMPR.	200mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.	PR F	20	12,75	0,637500	0,613200	17,23	0,861500	0,828600
   361	W06667	J05AB01	ACICLOVIRUM	ACICLOVIR 200 mg	COMPR.	200mg	EGIS PHARMACEUTICALS P.L.C.	UNGAR IA	CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.	P- RF	20	10,22	0,511000	0,511000	13,81	0,690500	0,690500
   362	W53225	J05AB01	ACICLOVIRUM	ACICLOVIR LAROPHARM 200 mg	COMPR.	200mg	LAROPHARM S.R.L.	ROMAN IA	CUTIE X 2 BLIST. X 10 COMPR.	P- RF	20	12,75	0,637500	0,613200	17,23	0,861500	0,828600
   363	W13972	J05AB01	ACICLOVIRUM	ACICLOVIR 200 mg	COMPR.	200mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 2 BLIST. AL./PVC X 10 COMPR.	P- RF	20	12,75	0,637500	0,613200	17,23	0,861500	0,828600
   364	W00044	J05AB01	ACICLOVIRUM	ACICLOVIR TERAPIA 200 mg	COMPR.	200mg	TERAPIA SA	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR.	P- RF	20	12,69	0,634500	0,613200	17,15	0,857500	0,828600
   365	W06668	J05AB01	ACICLOVIRUM	ACICLOVIR 400 mg	COMPR.	400mg	EGIS PHARMACEUTICALS P.L.C.	UNGAR IA	CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.	P- RF	10	20,11	2,011000	1,729200	27,18	2,718000	2,337600
   366	W00058	J05AB01	ACICLOVIRUM	VIROLEX	PULB. PT. SOL. INJ./PERF.	250mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.	S/P RF	5	231,79	46,358000	46,358000	282,97	56,594000	56,594000
   367	W60057	J05AB04	RIBAVIRINUM	REBETOL 200 mg	CAPS.	200mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC )	P- RF/ R	140	1.085,34	7,752428	7,752428	1.221,17	8,722642	8,722642
   368	W53326	J05AB04	RIBAVIRINUM	COPEGUS 200mg	COMPR. FILM.	200mg	ROCHE ROMANIA SRL	ROMAN IA	CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.	P- RF/ R	168	2.406,37	14,323630	9,302914	2.661,10	15,839880	10,467170

   17

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   369	W51337	J05AB06	GANCICLOVIRUM	CYMEVENE	LIOF. PT. SOL. INJ.	500mg	ROCHE ROMANIA S.R.L.	ROMAN IA	CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.	S	1	87,17	87,170000	87,170000	110,22	110,220000	110,220000
   370	W61213	J05AB06	GANCICLOVIRUM	CYMEVENE 500 mg	PULB. PT. SOL. PERF.	500mg	ROCHE ROMANIA S.R.L.	ROMAN IA	CUTIE CU 1 FLAC. MULTIDOZA DIN STICLA INCOLORA CONTINAND 10 ML PULB. PT. SOL. PERF.	PR	1	87,17	87,170000	87,170000	110,22	110,220000	110,220000
   371	W58707	J05AB11	VALACYCLOVIRUM	VALTREX 500 mg	COMPR. FILM.	500 mg	THE WELLCOME FOUNDATION LTD.	MAREA BRITAN IE	CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.	PR F	10	43,54	4,354000	3,396000	56,95	5,695000	4,441200
   372	W60087	J05AB11	VALACYCLOVIRUM	VALACICLOVIR ARENA 500 mg	COMPR. FILM.	500mg	ARENA GROUP S.A.	ROMAN IA	CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM.	PR F	10	28,30	2,830000	2,830000	37,01	3,701000	3,701000
   373	W60756	J05AB14	VALGANCICLOVIRUM**	VALGANCICLOVIR TEVA 450 mg	COMPR. FILM.	450mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.	PR F	60	3.171,52	52,858666	52,858666	3.495,11	58,251833	58,251833
   374	W51832	J05AB14	VALGANCICLOVIRUM**	VALCYTE (R) 450 mg	COMPR. FILM.	450mg	ROCHE ROMANIA SRL	ROMAN IA	CUTIE X 1 FLAC. X 60 COMPR. FILM.	P- RF	60	4.863,09	81,051500	63,430399	5.338,93	88,982166	69,902200
   375	W12651	J05AB15	BRIVUDINUM	BRIVAL 125mg	COMPR.	125mg	BERLIN CHEMIE AG MENARINI GROUP	GERMA NIA	CUTIE X 1 BLIST. PVC/AL X 7 COMPR.	P- RF	7	272,43	38,918571	38,918571	332,58	47,511428	47,511428
   376	W42514	J05AE01	SAQUINAVIRUM	INVIRASE 500 mg	COMPR. FILM.	500mg	ROCHE REGISTRATION LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. PEID X 120 COMPR. FILM.	P- RF/ R	120	1.013,90	8,449166	8,449166	1.143,30	9,527500	9,527500
   377	W59955	J05AE03	RITONAVIRUM**	NORVIR 100 mg	COMPR. FILM.	100mg	ABBVIE LTD MAIDENHEAD	MAREA BRITAN IE	CUTIE X 1 FLAC. PEID X 30 COMPR.FILM.	P- RF/ R	30	93,39	3,113000	3,113000	118,08	3,936000	3,936000
   378	W55487	J05AE03	RITONAVIRUM**	NORVIR 100 mg	COMPR. FILM.	100mg	ABBOTT LABORATORIES LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. PEID X 30 COMPR.FILM.	P- RF/ R	30	93,39	3,113000	3,113000	118,08	3,936000	3,936000
   379	W43277	J05AE06	LOPINAVIRUM+RITONAVIRUM**	KALETRA 200mg/50mg	COMPR. FILM.	200mg/50 mg	ABBOTT LABORATORIES LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.	P- RF/ R	120	1.401,42	11,678500	11,678500	1.565,70	13,047500	13,047500
   380	W59948	J05AE06	LOPINAVIRUM+RITONAVIRUM**	KALETRA 200mg/50mg	COMPR. FILM.	200mg/50 mg	ABBVIE LTD MAIDENHEAD	MAREA BRITAN IE	CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.	PR	120	1.401,42	11,678500	11,678500	1.565,70	13,047500	13,047500
   381	W59947	J05AE06	LOPINAVIRUM+RITONAVIRUM**	KALETRA 80mg/ml+20mg/ml	SOL. ORALA	80mg/ml+ 20mg/ml	ABBVIE LTD MAIDENHEAD	MAREA BRITAN IE	CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML	PR	5	1.177,17	235,434000	235,434000	1.321,27	264,254000	264,254000
   382	W41772	J05AE07	FOSAMPRENAVIRUM**	TELZIR 700mg	COMPR. FILM.	700mg	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII	P- RF/ R	60	1.219,58	20,326333	20,326333	1.367,49	22,791500	22,791500
   383	W41773	J05AE07	FOSAMPRENAVIRUM**	TELZIR 50mg/ml	SUSP. ORALA	50mg/ml	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII +	P- RF/ R	1	384,56	384,560000	384,560000	457,32	457,320000	457,320000
   384	W14087	J05AE08	ATAZANAVIRUM	REYATAZ 150 mg	CAPS.	150mg	BRISTOL-MYERS SQUIBB	MAREA BRITAN IE	CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)	P- RF/ R	60	1.579,88	26,331333	26,331333	1.760,22	29,337000	29,337000
   385	W53181	J05AE08	ATAZANAVIRUM	REYATAZ 300 mg	CAPS.	300mg	BRISTOL-MYERS SQUIBB PHARMA EEIG	MAREA BRITAN IE	CUTIE X 1 FLAC. PEID X 30 CAPS.	P- RF/ R	30	1.691,40	56,380000	56,380000	1.881,78	62,726000	62,726000
   386	W51426	J05AE09	TIPRANAVIRUM**	APTIVUS 250mg	CAPS. MOI	250mg	BOEHRINGER INGELHEIM INTERNATIONAL GMBH	GERMA NIA	CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI	P- RF/ R	120	2.969,40	24,745000	24,745000	3.274,80	27,290000	27,290000
   387	W53878	J05AE10	DARUNAVIRUM**	PREZISTA 400mg	COMPR. FILM.	400mg	JANSSEN-CILAG INTERNATIONAL NV	BELGIA	CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.	P- RF/ R	60	2.015,15	33,585833	33,585833	2.234,67	37,244500	37,244500
   388	W53877	J05AE10	DARUNAVIRUM**	PREZISTA 600mg	COMPR. FILM.	600mg	JANSSEN-CILAG INTERNATIONAL NV	BELGIA	CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.	P- RF/ R	60	2.841,59	47,359833	47,359833	3.135,49	52,258166	52,258166
   389	W06151	J05AF01	ZIDOVUDINUM	RETROVIR (R)	CAPS.	100mg	VIIV HEALTHCARE UK LIMITED	UK	CUTIE X 10 BLIST. AL/PVC X 10 CAPS.	P- RF	100	354,20	3,542000	3,542000	424,23	4,242300	4,242300
   390	W57996	J05AF01	ZIDOVUDINUM	RETROVIR®	SOL. ORALA	1%	VIIV HEALTHCARE UK LIMITED	MAREA BRITAN IE	CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA A 10 ML	S/P RF	1	43,52	43,520000	43,520000	56,92	56,920000	56,920000

   18

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   391	W10724	J05AF02	DIDANOSINUM	VIDEX EC 250 mg	CAPS. GASTROR EZ.	250mg	BRISTOL MYERS SQUIBB KFT	UNGAR IA	CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.	S/P RF	30	421,93	14,064333	14,064333	498,05	16,601666	16,601666
   392	W10725	J05AF02	DIDANOSINUM	VIDEX EC 400 mg	CAPS. GASTROR EZ.	400mg	BRISTOL MYERS SQUIBB KFT	UNGAR IA	CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.	S/P RF	30	657,08	21,902666	21,902666	754,37	25,145666	25,145666
   393	W12057	J05AF04	STAVUDINUM	ZERIT 30 mg	CAPS.	30mg	BRISTOL-MYERS SQUIBB	MAREA BRITAN IE	CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.	P- RF/ R	56	487,42	8,703928	8,703928	569,44	10,168571	10,168571
   394	W12056	J05AF04	STAVUDINUM	ZERIT 40 mg	CAPS.	40mg	BRISTOL-MYERS SQUIBB	MAREA BRITAN IE	CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.	P- RF/ R	56	502,69	8,976607	8,976607	586,08	10,465714	10,465714
   395	W55473	J05AF05	LAMIVUDINUM	LAMIVUDINE TEVA PHARMA B.V. 150 mg	COMPR. FILM.	150 mg	TEVA PHARMA B.V.	OLAND A	CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.	P- RF/ R	60	319,27	5,321166	5,321166	386,16	6,436000	6,436000
   396	W59320	J05AF05	LAMIVUDINUM	LAMIVUDINA AUROBINDO 150 mg	COMPR. FILM.	150mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM.	PR	60	319,27	5,321166	5,321166	386,16	6,436000	6,436000
   397	W03923	J05AF05	LAMIVUDINUM	EPIVIR 150mg	COMPR. FILM.	150mg	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.	P- RF/ R	60	476,54	7,942333	6,385399	557,58	9,293000	7,723200
   398	W55474	J05AF05	LAMIVUDINUM	LAMIVUDINE TEVA PHARMA B.V. 300 mg	COMPR. FILM.	300 mg	TEVA PHARMA B.V.	OLAND A	CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.	P- RF/ R	30	319,27	10,642333	10,642333	386,16	12,872000	12,872000
   399	W03924	J05AF05	LAMIVUDINUM	EPIVIR 10mg/ml	SOL. ORALA	10mg/ml	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR	P- RF/ R	1	131,82	131,820000	131,820000	160,92	160,920000	160,920000
   400	W12820	J05AF06	ABACAVIRUM	ZIAGEN 300 mg	COMPR. FILM.	300mg	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 60 COMPR. FILM.	P- RF/ R	60	787,53	13,125500	13,125500	896,56	14,942666	14,942666
   401	W07524	J05AF06	ABACAVIRUM	ZIAGEN 20 mg/ml	SOL. ORALA	20mg/ml	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE	P- RF/ R	1	209,91	209,910000	209,910000	256,26	256,260000	256,260000
   402	W51800	J05AF07	TENOFOVIRUM DISOPROXIL FUMARATE	VIREAD 245mg	COMPR. FILM.	245mg	GILEAD SCIENCE INTERNATIONAL LIMITED	MAREA BRITAN IE	CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM	P- RF/ R	30	1.097,01	36,567000	36,567000	1.233,89	41,129666	41,129666
   403	W51482	J05AF09	EMTRICITABINUM	EMTRIVA 200mg	CAPS.	200mg	GILEAD SCIENCE INTERNATIONAL LIMITED	MAREA BRITAN IE	CUTIE X 1 FLAC. DIN PEID X 30 CAPS.	P- RF/ R	30	656,22	21,874000	21,874000	753,43	25,114333	25,114333
   404	W59667	J05AG01	NEVIRAPINUM	NEVIRAPINA SANDOZ 200 mg	COMPR.	200mg	SANDOZ S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC/AL X 60 COMPR.	PR	60	327,53	5,458833	5,458833	395,16	6,586000	6,586000
   405	W59595	J05AG01	NEVIRAPINUM	NEVIRAPINA TEVA 200mg	COMPR.	200mg	TEVA PHARMA B.V.	OLAND A	BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.	P- RF/ R	60	416,84	6,947333	6,550600	492,51	8,208500	7,903200
   406	W04513	J05AG01	NEVIRAPINUM	VIRAMUNE 200mg	COMPR.	200mg	BOEHRINGER INGELHEIM INTERNATIONAL GMBH	GERMA NIA	CUTIE X 6 BLIST. X 10 COMPR.	PR	60	625,14	10,419000	6,550600	719,55	11,992500	7,903200
   407	W57322	J05AG01	NEVIRAPINUM	VIRAMUNE 100mg	COMPR. ELIB. PREL.	100mg	BOEHRINGER INGELHEIM INTERNATIONAL GMBH	GERMA NIA	CUTIE CU UN FLACON DIN PEID X 90 COMPR. CU ELIB. PRELUNGITA	PR	90	731,60	8,128888	8,128888	835,60	9,284444	9,284444
   408	W57323	J05AG01	NEVIRAPINUM	VIRAMUNE 400mg	COMPR. ELIB. PREL.	400mg	BOEHRINGER INGELHEIM INTERNATIONAL GMBH	GERMA NIA	CUTIE CU UN FLACON DIN PEID X 30 COMPR. CU ELIB. PRELUNGITA	PR	30	966,78	32,226000	32,226000	1.091,94	36,398000	36,398000
   409	W57321	J05AG01	NEVIRAPINUM	VIRAMUNE 50mg	COMPR. ELIB. PREL.	50mg	BOEHRINGER INGELHEIM INTERNATIONAL GMBH	GERMA NIA	CUTIE CU UN FLACON DIN PEID X 180 COMPR. CU ELIB. PRELUNGITA	PR	180	731,60	4,064444	4,064444	835,60	4,642222	4,642222
   410	W13091	J05AG01	NEVIRAPINUM	VIRAMUNE 50mg/5ml	SUSP. ORALA	50mg/5ml	BOEHRINGER INGELHEIM INTERNATIONAL GMBH	GERMA NIA	CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON	PR	1	186,84	186,840000	186,840000	228,10	228,100000	228,100000
   411	W12025	J05AG03	EFAVIRENZUM	STOCRIN 600 mg	COMPR. FILM.	600mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII	P- RF/ R	30	67,45	2,248333	2,248333	85,28	2,842666	2,842666

   19

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   412	W53549	J05AG04	ETRAVIRINUM	INTELENCE	COMPR.	100mg	JANSSEN-CILAG INTERNATIONAL NV	BELGIA	CUTIE X 1 FLAC. PEID X 120 COMPR.	P- RF/ R	120	1.947,00	16,225000	16,225000	2.160,38	18,003166	18,003166
   413	W56750	J05AR01	COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)**	LAMIVUDINA/ZIDOVUDINA TEVA	COMPR. FILM.	150 mg/300 mg	TEVA PHARMA B.V.	OLAND A	CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE	P- RF	60	677,93	11,298833	9,408000	777,10	12,951666	11,017800
   414	W02028	J05AR01	COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)**	COMBIVIR 150mg/300mg	COMPR. FILM.	150mg/30 0mg	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 6 BLIST. X 10 COMPR. FILM.	P- RF/ R	60	1.026,84	17,114000	9,408000	1.157,41	19,290166	11,017800
   415	W59832	J05AR01	COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)**	LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg	COMPR. FILM.	150mg/30 0mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.	PR	60	470,40	7,840000	7,840000	550,89	9,181500	9,181500
   416	W42301	J05AR02	ABACAVIRUM+LAMIVUDINUM**	KIVEXA 600mg/300mg	COMPR. FILM.	600mg/30 0mg	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 30 COMPR. FILM.( BLIST.ALB- OPAC PVC-PVDC/AL )	P- RF/ R	30	1.328,77	44,292333	44,292333	1.486,51	49,550333	49,550333
   417	W08336	J05AR04	ABACAVIRUM+LAMIVUDINUM+ZIDOVUDIN UM**	TRIZIVIR 300mg/150mg/300mg	COMPR. FILM.	300mg/15 0mg/300 mg	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.	P- RF/ R	60	1.675,67	27,927833	27,927833	1.864,63	31,077166	31,077166
   418	W08336	J05AR04	ABACAVIRUM+LAMIVUDINUM+ZIDOVUDIN UM**	TRIZIVIR 300mg/150mg/300mg	COMPR. FILM.	300mg/15 0mg/300 mg	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 60 COMPR. FILM. (BLIST. OPACE DIN PVC/ACLAR)	P- RF/ R	60	1.675,67	27,927833	27,927833	1.864,63	31,077166	31,077166
   419	W13961	J05AX07	ENFUVIRTIDUM**	FUZEON 90mg/ml	PULB. + SOLV. PT. SOL. INJ.	90mg/ml	ROCHE REGISTRATION LTD.	MAREA BRITAN IE	CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 T	P- RF/ R	60	6.090,78	101,513000	101,513000	6.677,11	111,285166	111,285166
   420	W52764	J05AX08	RALTEGRAVIRUM	ISENTRESS 400mg	COMPR. FILM.	400 mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE	P- RF/ R	60	3.480,67	58,011166	58,011166	3.832,08	63,868000	63,868000
   421	W52349	J05AX09	MARAVIROCUM	CELSENTRI 150mg	COMPR. FILM.	150mg	PFIZER LIMITED	MAREA BRITAN IE	CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)	P- RF/ R	60	3.352,86	55,881000	55,881000	3.692,77	61,546166	61,546166
   422	W52350	J05AX09	MARAVIROCUM	CELSENTRI 300mg	COMPR. FILM.	300mg	PFIZER LIMITED	MAREA BRITAN IE	CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)	P- RF/ R	60	3.352,86	55,881000	55,881000	3.692,77	61,546166	61,546166
   423	W60635	J05AX12	DOLUTEGRAVIRUM**	TIVICAY 50mg	COMPR. FILM.	50mg	VIIV HEALTHCARE UK LIMITED	MAREA BRITAN IE	FLACOANE PEID X 30 COMPRIMATE FILMATE, INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA	PR	30	2.832,00	94,400000	94,400000	3.125,03	104,167666	104,167666
   424	W51530	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	KIOVIG 100mg/ml	SOL. PERF.	100mg/ml	BAXTER AG	AUSTRI A	CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)	S	1	5.558,99	5.558,990000	5.558,990000	6.097,46	6.097,460000	6.097,460000
   425	W51530	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	KIOVIG 100mg/ml	SOL. PERF.	100mg/ml	BAXTER AG	AUSTRI A	CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)	S	1	3.821,35	3.821,350000	3.821,350000	4.203,43	4.203,430000	4.203,430000
   426	W51530	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	KIOVIG 100mg/ml	SOL. PERF.	100mg/ml	BAXTER AG	AUSTRI A	CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)	S	1	202,26	202,260000	202,260000	246,92	246,920000	246,920000
   427	W51530	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	KIOVIG 100mg/ml	SOL. PERF.	100mg/ml	BAXTER AG	AUSTRI A	CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)	S	1	925,45	925,450000	909,000000	1.046,89	1.046,890000	1.036,596000
   428	W51530	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	KIOVIG 100mg/ml	SOL. PERF.	100mg/ml	BAXTER AG	AUSTRI A	CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)	S	1	1.857,75	1.857,750000	1.782,000000	2.063,10	2.063,100000	1.988,160000
   429	W43965	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	IG VENA 10g/200ml	SOL. PERF.	10g/200ml	KEDRION SPA	ITALIA	CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE	S	1	1.485,00	1.485,000000	1.485,000000	1.656,80	1.656,800000	1.656,800000
   430	W43962	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	IG VENA 1g/20ml	SOL. PERF.	1g/20ml	KEDRION SPA	ITALIA	CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE	S	1	197,39	197,390000	197,390000	240,98	240,980000	240,980000
   431	W43963	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	IG VENA 2,5g/50ml	SOL. PERF.	2,5g/50ml	KEDRION SPA	ITALIA	CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE	S	1	393,75	393,750000	393,750000	467,34	467,340000	467,340000
   432	W52560	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	FLEBOGAMMADIF 50mg/ml	SOL. PERF.	50mg/ml	INSTITUTO GRIFOLS S.A.	SPANIA	CUTIE X 1 FLAC. X 10 ML SOL. PERF.	S	1	102,55	102,550000	102,550000	125,19	125,190000	125,190000
   433	W43964	J06BA02	IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**	IG VENA 5g/100ml	SOL. PERF.	5g/100ml	KEDRION SPA	ITALIA	CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE	S	1	757,50	757,500000	757,500000	863,83	863,830000	863,830000
   434	W59944	J06BB16	PALIVIZUMABUM**	SYNAGIS 50 mg	PULB. + SOLV. PT. SOL. INJ.	50mg	ABBVIE LTD MAIDENHEAD	MAREA BRITAN IE	CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.	P- RF	1	1.853,66	1.853,660000	1.853,660000	2.058,64	2.058,640000	2.058,640000
   435	W51424	L03AA02	FILGRASTIMUM (G-CSF)**	NEUPOGEN (R)	SOL. INJ.	30MU/0,5 ml	AMGEN EUROPE B.V.	OLAND A	CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML	S/P RF	1	267,05	267,050000	194,520000	326,02	326,020000	237,468000

   20

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   436	W51423	L03AA02	FILGRASTIMUM (G-CSF)**	NEUPOGEN (R)	SOL. INJ.	48MU/0,5 ml	AMGEN EUROPE B.V.	OLAND A	CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML	S/P RF	1	436,57	436,570000	313,092000	514,01	514,010000	382,224000
   437	W53892	L03AA02	FILGRASTIMUM (G-CSF)**	ZARZIO 30MU/0,5ml	SOL. INJ. /PERF. IN SERINGA PREUMPLU TA	60MU/ml	SANDOZ GMBH	AUSTRI A	CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL	P- RF/ R	1	162,10	162,100000	162,100000	197,89	197,890000	197,890000
   438	W53893	L03AA02	FILGRASTIMUM (G-CSF)**	ZARZIO 48MU/0,5ml	SOL. INJ. /PERF. IN SERINGA PREUMPLU TA	96MU/ml	SANDOZ GMBH	AUSTRI A	CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL	P- RF/ R	1	260,91	260,910000	260,910000	318,52	318,520000	318,520000
   439	W55756	L03AA02	FILGRASTIMUM (G-CSF)**	NIVESTIM 12 MU/0,2ml	SOL. INJ./PERF.	120μg/0,2 ml	HOSPIRA UK LIMITED	MAREA BRITAN IE	CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.	P- RF	5	418,45	83,690000	83,690000	494,26	98,852000	98,852000
   440	W53520	L03AA02	FILGRASTIMUM (G-CSF)**	TEVAGRASTIM 30MUI/0,5ml	SOL. INJ./PERF.	300mcg/0, 5ml	TEVA GENERICS GMBH	GERMA NIA	CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.	S/P RF/ R	1	214,16	214,160000	194,520000	261,45	261,450000	237,468000
   441	W55757	L03AA02	FILGRASTIMUM (G-CSF)**	NIVESTIM 30 MU/0,5 ml	SOL. INJ./PERF.	300μg/0,5 ml	HOSPIRA UK LIMITED	MAREA BRITAN IE	CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.	P- RF	5	1.001,12	200,224000	194,520000	1.129,37	225,874000	225,874000
   442	W53523	L03AA02	FILGRASTIMUM (G-CSF)**	TEVAGRASTIM 48MUI/0,8ml	SOL. INJ./PERF.	480mcg/0, 8ml	TEVA GENERICS GMBH	GERMA NIA	CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.	S/P RF/ R	1	355,90	355,900000	313,092000	426,08	426,080000	382,224000
   443	W55758	L03AA02	FILGRASTIMUM (G-CSF)**	NIVESTIM 48 MU/0,5 ml	SOL. INJ./PERF.	480μg/0,5 ml	HOSPIRA UK LIMITED	MAREA BRITAN IE	CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.	P- RF	5	1.656,30	331,260000	313,092000	1.843,52	368,704000	368,704000
   444	W54015	P01BC02	MEFLOQUINUM 4)	ELOQUINE 250 mg	COMPR.	250mg	CN UNIFARM	ROMAN IA	CUTIE X 10 BLIST. X 10 COMPR.	X	100	140,58	1,405800	1,405800	171,62	1,716200	1,716200
   445	W12757	S01AA23	NETILMICINUM	NETTACIN (R)	PIC. OFT., SOL	0,3%	S.I.F.I. SPA	ITALIA	CUTIE X 1 FLACON X 5ML	P- RF	1	10,49	10,490000	10,490000	14,18	14,180000	14,180000
   446	W41510	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	21,41	1,427333	1,427333	28,94	1,929333	1,929333
   447	W43512	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	24,05	24,050000	12,588000	32,50	32,500000	17,016000
   448	W55950	S01BA01	DEXAMETHASONUM	OZURDEX	IMPLANT	700 microgram e	ALLERGAN PHARMACEUTICALS IRELAND	IRLAND A	CUTIE X 1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGITA X 700MCG DEXAMETAZONA DISPUS IN ACUL (OTEL INOXIDABIL) UNUI APLICATOR DE UNICA FOLOSINTA	P- RF	1	4.694,69	4.694,690000	4.694,690000	5.155,37	5.155,370000	5.155,370000
   449	W55648	S01BA01	DEXAMETHASONUM	DEXAMETAZONA ROMPHARM 1mg/ml	PIC. OFT. SUSP.	1mg/ml	ROMPHARM COMPANY SRL	ROMAN IA	CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE	P- RF	1	7,49	7,490000	7,490000	10,12	10,120000	10,120000
   450	W55648	S01BA01	DEXAMETHASONUM	DEXAMETAZONA ROMPHARM 1mg/ml	PIC. OFT. SUSP.	1mg/ml	ROMPHARM COMPANY SRL	ROMAN IA	CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE	P- RF	1	4,11	4,110000	4,110000	5,55	5,550000	5,550000
   451	W02427	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	6,33	6,330000	4,932000	8,55	8,550000	6,660000
   452	W51513	S03AAN2	NORFLOXACINUM	NORFLOX	PICATURI OFT./AURI C.-SOL.	0,3%	CIPLA (UK) LIMITED	MAREA BRITAN IE	CUTIE X 1 FLACON PEJD X 5 ML	P- RF	1	3,52	3,520000	3,520000	4,76	4,760000	4,760000

   P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

   21

2. B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

   1	W42822	A11HA02	PYRIDOXINUM	VITAMINA B6 250 mg	COMPR.	250 mg	ARENA GROUP SA	ROMAN IA	CUTIE X 1 FLACON DIN PE X 20 COMPR.	P- 6L	20	6,74	0,337000	0,337000	9,11	0,455500	0,455500
   2	W56760	A11HA02	PYRIDOXINUM	VITAMINA B6 ZENTIVA 250 mg	COMPR.	250mg	ZENTIVA SA	ROMAN IA	CUTIE X 1 FLAC. DIN PE X 20 COMPR.	P- 6L	20	6,74	0,337000	0,337000	9,11	0,455500	0,455500
   3	W56758	A11HA02	PYRIDOXINUM	VITAMINA B6 ZENTIVA 250 mg/5 ml	SOL. INJ.	250mg/5 ml	ZENTIVA SA	ROMAN IA	CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.	P- RF	5	7,65	1,530000	1,530000	10,34	2,068000	2,068000
   4	W56757	A11HA02	PYRIDOXINUM	VITAMINA B6 ZENTIVA 50 mg/2ml	SOL. INJ.	50mg/2ml	ZENTIVA SA	ROMAN IA	CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ.	P- RF	5	5,16	1,032000	1,032000	6,98	1,396000	1,396000
   5	W13686	H02AB07	PREDNISONUM	PREDNISON 5 mg	COMPR.	5mg	SINTOFARM SA	ROMAN IA	CUTIE X 3 BLIST. AL/PVC X 10 COMPR.	P- RF	30	2,74	0,091333	0,053316	3,71	0,123666	0,069744

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   6	W53341	H02AB07	PREDNISONUM	PREDNISON - RICHTER 5 mg	COMPR.	5mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 2 BLIST. AL./PVC X 10 COMPR.	P- RF	20	1,90	0,095000	0,053316	2,57	0,128500	0,069744
   7	W12565	H02AB07	PREDNISONUM	PREDNISON ARENA 5 mg	COMPR.	5mg	ARENA GROUP SA	ROMAN IA	CUTIE X 100 BLIST. AL/PVC X 10 COMPR.	P- RF/ S	####	44,43	0,044430	0,044430	58,12	0,058120	0,058120
   8	W12565	H02AB07	PREDNISONUM	PREDNISON ARENA 5 mg	COMPR.	5mg	ARENA GROUP SA	ROMAN IA	CUTIE X 3 BLIST. AL/PVC X 10 COMPR.	P- RF	30	1,94	0,064666	0,053316	2,62	0,087333	0,069744
   9	W05242	H02AB07	PREDNISONUM	PREDNISON MCC 5 mg	COMPR.	5mg	MAGISTRA C C S.R.L.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR.	P- RF	20	1,96	0,098000	0,053316	2,65	0,132500	0,069744
   10	W58242	J01FA09	CLARITHROMYCINUM	CLAXIRIT 500 mg	COMPR. CU ELIB. PREL.	500mg	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.	PR F	7	23,71	3,387142	1,405714	32,05	4,578571	1,899428
   11	W59000	J01FA09	CLARITHROMYCINUM	CLARITROMICINA TEVA 500 mg	COMPR. ELIB. PREL.	500mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.	PR F	6	21,73	3,621666	1,405714	29,37	4,895000	1,899428
   12	W14043	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	12,35	0,882142	0,647142	16,69	1,192142	0,874285
   13	W01326	J01FA09	CLARITHROMYCINUM	KLACID (R)	COMPR. FILM.	250mg	ABBOTT SPA	ITALIA	CUTIE X 1 BLIST. X 14 COMPR. FILM.	P- RF	14	21,14	1,510000	0,647142	28,57	2,040714	0,874285
   14	W58998	J01FA09	CLARITHROMYCINUM	CLARITROMICINA TEVA 250 mg	COMPR. FILM.	250mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)	PR F	14	8,39	0,599285	0,599285	11,34	0,810000	0,810000
   15	W08490	J01FA09	CLARITHROMYCINUM	FROMILID 250	COMPR. FILM.	250mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.	P- RF	14	12,35	0,882142	0,647142	16,69	1,192142	0,874285
   16	W60253	J01FA09	CLARITHROMYCINUM	LEKOKLAR 250 mg	COMPR. FILM.	250mg	SANDOZ S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.	PR F	14	8,40	0,600000	0,600000	11,36	0,811428	0,811428
   17	W44093	J01FA09	CLARITHROMYCINUM	KLABAX 250 mg	COMPR. FILM.	250mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.	P- RF	14	10,85	0,775000	0,647142	14,67	1,047857	0,874285
   18	W61223	J01FA09	CLARITHROMYCINUM	CLARITROMICINA AUROBINDO 250 mg	COMPR. FILM.	250mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.	PR F	14	7,55	0,539285	0,539285	10,20	0,728571	0,728571
   19	W54044	J01FA09	CLARITHROMYCINUM	ROCLARIN 500 mg	COMPR. FILM.	500mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	33,14	1,657000	1,405714	43,35	2,167500	1,899428
   20	W60254	J01FA09	CLARITHROMYCINUM	LEKOKLAR 500 mg	COMPR. FILM.	500mg	SANDOZ S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.	PR F	14	24,13	1,723571	1,405714	32,62	2,330000	1,899428
   21	W08491	J01FA09	CLARITHROMYCINUM	FROMILID 500	COMPR. FILM.	500mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.	P- RF	14	24,13	1,723571	1,405714	32,62	2,330000	1,899428
   22	W58999	J01FA09	CLARITHROMYCINUM	CLARITROMICINA TEVA 500 mg	COMPR. FILM.	500mg	TEVA PHARMACEUTICALS S.R.L.	ROMAN IA	CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)	PR F	14	18,22	1,301428	1,301428	24,62	1,758571	1,758571
   23	W44087	J01FA09	CLARITHROMYCINUM	KLABAX 500 mg	COMPR. FILM.	500mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.	P- RF	14	23,73	1,695000	1,405714	32,08	2,291428	1,899428
   24	W56269	J01FA09	CLARITHROMYCINUM	CLAR 500	COMPR. FILM.	500mg	GLENMARK PHARMACEUTICALS S.R.O.	REPUB LICA CEHA	CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.	P- RF	20	40,76	2,038000	1,405714	53,31	2,665500	1,899428
   25	W14044	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	24,13	1,723571	1,405714	32,62	2,330000	1,899428
   26	W61224	J01FA09	CLARITHROMYCINUM	CLARITROMICINA AUROBINDO 500 mg	COMPR. FILM.	500mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.	PR F	14	16,40	1,171428	1,171428	22,16	1,582857	1,582857
   27	W44088	J01FA09	CLARITHROMYCINUM	KLABAX MR 500 mg	COMPR. FILM. ELIB. MODIF.	500mg	TERAPIA SA	ROMAN IA	CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.	P- RF	7	25,34	3,620000	1,405714	33,15	4,735714	1,899428
   28	W13607	J01FA09	CLARITHROMYCINUM	KLACID SR	COMPR. FILM. ELIB. PREL.	500mg	ABBOTT LABORATORIES LTD.	MAREA BRITAN IE	CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.	P- RF	5	27,85	5,570000	1,405714	36,43	7,286000	1,899428
   29	W41838	J01FA09	CLARITHROMYCINUM	FROMILID (R) UNO	COMPR. FILM. ELIB. PREL.	500mg	KRKA D.D.	SLOVE NIA	CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.	P- RF	7	20,78	2,968571	1,405714	28,09	4,012857	1,899428
   30	W44092	J01FA09	CLARITHROMYCINUM	KLABAX 125 mg/5 ml	GRAN. PT. SUSP. ORALA	125mg/5 ml	TERAPIA SA	ROMAN IA	CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA	P- RF	1	14,01	14,010000	14,010000	18,94	18,940000	18,940000
   31	W42258	J01FA09	CLARITHROMYCINUM	LEKOKLAR 125 mg/5 ml	GRAN. PT. SUSP. ORALA	125mg/5 ml	SANDOZ SRL	ROMAN IA	CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP	P- RF	1	19,39	19,390000	16,812000	26,21	26,210000	22,728000
   32	W01327	J01FA09	CLARITHROMYCINUM	KLACID (R)	GRAN. PT. SUSP. ORALA	125mg/5 ml	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	29,92	29,920000	29,920000	39,14	39,140000	39,140000
   33	W01327	J01FA09	CLARITHROMYCINUM	KLACID (R)	GRAN. PT. SUSP. ORALA	125mg/5 ml	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	18,11	18,110000	16,812000	24,48	24,480000	22,728000
   34	W06981	J01FA09	CLARITHROMYCINUM	FROMILID (R) 125 mg/5 ml	GRAN. PT. SUSP. ORALA	125mg/5 ml	KRKA D.D.	SLOVE NIA	CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.	P- RF	1	17,24	17,240000	16,812000	23,30	23,300000	22,728000

   22

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   35	W44091	J01FA09	CLARITHROMYCINUM	KLABAX 250 mg/5 ml	GRAN. PT. SUSP. ORALA	250mg/5 ml	TERAPIA SA	ROMAN IA	CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA	P- RF	1	39,06	39,060000	39,060000	51,09	51,090000	51,090000
   36	W44091	J01FA09	CLARITHROMYCINUM	KLABAX 250 mg/5 ml	GRAN. PT. SUSP. ORALA	250mg/5 ml	TERAPIA SA	ROMAN IA	CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA	P- RF	1	23,44	23,440000	23,440000	31,68	31,680000	31,680000
   37	W58393	J01FA09	CLARITHROMYCINUM	LEKOKLAR 250 mg/5 ml	GRAN. PT. SUSP. ORALA	250mg/5 ml	SANDOZ S.R.L.	ROMAN IA	CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA	PR F	1	21,29	21,290000	21,290000	28,78	28,780000	28,780000
   38	W01329	J01FA09	CLARITHROMYCINUM	KLACID I.V.	LIOF. PT. SOL. PERF.	500mg	ABBOTT LABORATORIES LTD.	FRANT A	CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.	S/P RF	1	41,12	41,120000	41,120000	53,78	53,780000	53,780000
   39	W57336	J01GA01	STREPTOMYCINUM	STREPTOMICINA SULFAT BP	PULB. PT. SOL. INJ.	1g	ANTIBIOTICE S.A.	ROMAN IA	CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G	PR F	50	139,72	2,794400	2,794400	170,57	3,411400	3,411400
   40	W14119	J01GA01	STREPTOMYCINUM	STREVITAL 1 g	PULB. PT. SOL. INJ.	1g	ANTIBIOTICE SA	ROMAN IA	CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.	S	50	139,72	2,794400	2,794400	170,57	3,411400	3,411400
   41	W14119	J01GA01	STREPTOMYCINUM	STREVITAL 1 g	PULB. PT. SOL. INJ.	1g	ANTIBIOTICE SA	ROMAN IA	CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.	S	100	277,91	2,779100	2,779100	339,27	3,392700	3,392700
   42	W08827	J01GB04	KANAMYCINUM	PAN - KANAMYCINE	PULB. PT. SOL. INJ.	1g	LAB. PANPHARMA	FRANT A	CUTIE X 50 FLAC. X 1 G	P- RF/ S	50	81,11	1,622200	1,622200	102,56	2,051200	2,051200
   43	W53277	J01GB06	AMIKACINUM	AMIKOZIT (R) 500 mg/2 ml	SOL. INJ.	500mg/2 ml	ZENTIVA S.A.	ROMAN IA	CUTIE X 1 FLACON DIN STICLA X 2 ML	P- RF	1	5,15	5,150000	5,150000	6,96	6,960000	6,960000
   44	W56957	J01MA01	OFLOXACINUM	OFLOXIN 200	COMPR. FILM.	200mg	ZENTIVA K.S.	CEHIA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	14,81	1,481000	1,008000	20,02	2,002000	1,363200
   45	W07914	J01MA01	OFLOXACINUM	ZANOCIN	COMPR. FILM.	200mg	RANBAXY UK LIMITED	MAREA BRITAN IE	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	8,40	0,840000	0,840000	11,36	1,136000	1,136000
   46	W54037	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 100 mg	COMPR. FILM.	100mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	51,89	2,594500	2,594500	65,61	3,280500	3,280500
   47	W54037	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 100 mg	COMPR. FILM.	100mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	28,52	2,852000	2,852000	37,31	3,731000	3,731000
   48	W44077	J01MA02	CIPROFLOXACINUM	CIPROCIN 250 mg	COMPR. FILM.	250mg	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.	P- RF	10	5,05	0,505000	0,422400	6,83	0,683000	0,571200
   49	W56145	J01MA02	CIPROFLOXACINUM	ALVEBAR 250 mg	COMPR. FILM.	250mg	DR. REDDY'S LABORATORIES	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	3,52	0,352000	0,352000	4,76	0,476000	0,476000
   50	W54038	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 250 mg	COMPR. FILM.	250mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	4,85	0,485000	0,422400	6,56	0,656000	0,571200
   51	W54038	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 250 mg	COMPR. FILM.	250mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	9,10	0,455000	0,422400	12,30	0,615000	0,571200
   52	W01271	J01MA02	CIPROFLOXACINUM	CUMINOL 250 mg	COMPR. FILM.	250mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	9,10	0,455000	0,422400	12,30	0,615000	0,571200
   53	W01273	J01MA02	CIPROFLOXACINUM	CIPRINOL 250 mg	COMPR. FILM.	250mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.	P- RF	10	5,05	0,505000	0,422400	6,83	0,683000	0,571200
   54	W07862	J01MA02	CIPROFLOXACINUM	CIFRAN	COMPR. FILM.	250mg	RANBAXY UK LIMITED	MAREA BRITAN IE	CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.	P- RF	10	5,13	0,513000	0,422400	6,93	0,693000	0,571200
   55	W01288	J01MA02	CIPROFLOXACINUM	CIPROLEN (R) 250 mg	COMPR. FILM.	250mg	AC HELCOR SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	5,05	0,505000	0,422400	6,83	0,683000	0,571200
   56	W01271	J01MA02	CIPROFLOXACINUM	CUMINOL 250 mg	COMPR. FILM.	250mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	5,05	0,505000	0,422400	6,83	0,683000	0,571200
   57	W12545	J01MA02	CIPROFLOXACINUM	CIPRO QUIN (R)	COMPR. FILM.	500mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   58	W01274	J01MA02	CIPROFLOXACINUM	CIPRINOL 500 mg	COMPR. FILM.	500mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   59	W44076	J01MA02	CIPROFLOXACINUM	CIPROCIN 500 mg	COMPR. FILM.	500mg	E.I.P.I.CO. MED S.R.L.	ROMAN IA	CUTIE X 1 BLIST. X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   60	W56146	J01MA02	CIPROFLOXACINUM	ALVEBAR 500 mg	COMPR. FILM.	500mg	DR. REDDY'S LABORATORIES	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	4,80	0,480000	0,480000	6,49	0,649000	0,649000
   61	W54039	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 500 mg	COMPR. FILM.	500mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	6,83	0,683000	0,576000	9,23	0,923000	0,778800
   62	W54039	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 500 mg	COMPR. FILM.	500mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	20	12,16	0,608000	0,576000	16,43	0,821500	0,778800
   63	W01272	J01MA02	CIPROFLOXACINUM	CUMINOL 500 mg	COMPR. FILM.	500mg	GEDEON RICHTER ROMANIA SA	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   64	W01289	J01MA02	CIPROFLOXACINUM	CIPROLEN (R) 500 mg	COMPR. FILM.	500mg	AC HELCOR SRL	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	9,78	0,978000	0,576000	13,22	1,322000	0,778800
   65	W07863	J01MA02	CIPROFLOXACINUM	CIFRAN	COMPR. FILM.	500mg	RANBAXY UK LIMITED	MAREA BRITAN IE	CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.	P- RF	10	6,50	0,650000	0,576000	8,78	0,878000	0,778800

   23

   Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbalaj	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
   66	W42772	J01MA02	CIPROFLOXACINUM	CIPRINOL 750 mg	COMPR. FILM.	750mg	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.	P- RF	10	29,43	2,943000	2,943000	38,50	3,850000	3,850000
   67	W54040	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ARENA 750 mg	COMPR. FILM.	750mg	ARENA GROUP S.A.	ROMAN IA	CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.	P- RF	10	28,52	2,852000	2,852000	37,31	3,731000	3,731000
   68	W57948	J01MA02	CIPROFLOXACINUM	CIPROBAY XR 1000 mg	COMPR. FILM. ELIB. PREL.	1000 mg	BAYER PHARMA AG	GERMA NIA	CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.	P- RF	7	66,99	9,570000	9,570000	84,70	12,100000	12,100000
   69	W57949	J01MA02	CIPROFLOXACINUM	CIPROBAY XR 500 mg	COMPR. FILM. ELIB. PREL.	500 mg	BAYER PHARMA AG	GERMA NIA	CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.	P- RF	3	20,44	6,813333	0,576000	27,63	9,210000	0,778800
   70	W54378	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA 100 mg/10 ml	CONC. PT. SOL. PERF.	100mg/10 ml	ZENTIVA S.A.	ROMAN IA	CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML	S/P RF	5	12,42	2,484000	2,484000	16,79	3,358000	3,277440
   71	W01275	J01MA02	CIPROFLOXACINUM	CIPRINOL (R)	CONC. PT. SOL. PERF.	100mg/10 ml	KRKA D.D.	SLOVE NIA	CUTIE X 50 FIOLE X 10 ML	S	50	111,86	2,237200	2,237200	136,56	2,731200	2,731200
   72	W01275	J01MA02	CIPROFLOXACINUM	CIPRINOL (R)	CONC. PT. SOL. PERF.	100mg/10 ml	KRKA D.D.	SLOVE NIA	CUTIE X 5 FIOLE X 10 ML	S/P RF	5	12,42	2,484000	2,484000	16,79	3,358000	3,277440
   73	W60268	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA ZENTIVA 10 mg/ml	CONC. PT. SOL. PERF.	100mg/10 ml	ZENTIVA S.A.	ROMAN IA	CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML	S/P RF	5	12,42	2,484000	2,484000	16,79	3,358000	3,277440
   74	W08223	J01MA02	CIPROFLOXACINUM	CIPRINOL	SOL. PERF.	100mg/50 ml	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML SOL. PERF.	S/P RF	1	3,54	3,540000	2,684640	4,79	4,790000	3,277440
   75	W08224	J01MA02	CIPROFLOXACINUM	CIPRINOL	SOL. PERF.	200mg/10 0ml	KRKA D.D. NOVO MESTO	SLOVE NIA	CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.	S/P RF	1	7,09	7,090000	7,090000	9,58	9,580000	9,580000
   76	W53353	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA INFOMED 2 mg/ml	SOL. PERF.	2mg/ml	INFOMED FLUIDS SRL	ROMAN IA	CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML	S	10	69,19	6,919000	6,919000	87,49	8,749000	8,749000
   77	W53353	J01MA02	CIPROFLOXACINUM	CIPROFLOXACINA INFOMED 2 mg/ml	SOL. PERF.	2mg/ml	INFOMED FLUIDS SRL	ROMAN IA	CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML	S	10	128,87	12,887000	12,887000	157,33	15,733000	15,733000
   78	W42193	J01MA02	CIPROFLOXACINUM	CIPRINOL (R)	SOL. PERF.	400mg/20 0ml	KRKA D.D.	SLOVE NIA	CUTIE X 1 FLACON DIN STICLA X 200 ML	S/P RF	1	14,29	14,290000	14,290000	19,31	19,310000	18,879600
   79	W60943	J01MA14	MOXIFLOXACINUM	MOFLAXA 400 mg	COMPR. FILM.	400mg	KRKA, D.D., NOVO MESTO	SLOVE NIA	CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE	PR F	5	38,76	7,752000	7,387200	50,70	10,140000	9,662400
   80	W59332	J01MA14	MOXIFLOXACINUM	MOXIFLOXACINA AUROBINDO 400 mg	COMPR. FILM.	400mg	AUROBINDO PHARMA (MALTA) LIMITED	MALTA	CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.	PR F	5	30,78	6,156000	6,156000	40,26	8,052000	8,052000
   81	W60545	J01MA14	MOXIFLOXACINUM	MOFIL 400 mg	COMPR. FILM.	400mg	ACTAVIS GROUP PTC EHF.	ISLAND A	CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM.	PR F	5	35,34	7,068000	7,068000	46,22	9,244000	9,244000
   82	W60311	J01MA14	MOXIFLOXACINUM	MOFINACIN 400 mg	COMPR. FILM.	400mg	ALVOGEN IPCO S.A.R.L	LUXEM BURG	CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM	PR F	5	42,18	8,436000	7,387200	55,17	11,034000	9,662400
   83	W57939	J01MA14	MOXIFLOXACINUM	AVELOX® 400 mg	COMPR. FILM.	400mg	BAYER PHARMA AG	GERMA NIA	CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM.	P- RF	5	58,59	11,718000	7,387200	74,08	14,816000	9,662400
   84	W60727	J01MA14	MOXIFLOXACINUM	MOXIFLOXACINA KABI 400 mg/250 ml	SOL. PERF.	400mg/25 0ml	FRESENIUS KABI ROMANIA SRL	ROMAN IA	CUTIE CU 1 FLAC. PEJD (KABIPACK) A 250 ML SOL. PERF. (400 MG MOXIFLOXACINA)	PR	1	82,20	82,200000	82,200000	103,94	103,940000	103,940000
   85	W57938	J01MA14	MOXIFLOXACINUM	AVELOX® 400 mg/250 ml	SOL. PERF.	400mg/25 0ml	BAYER PHARMA AG	GERMA NIA	CUTIE X 5 FLACOANE DIN STICLA X 250 ML	S	5	594,69	118,938000	98,640000	686,36	137,272000	124,728000
   86	W52079	J04AB01	CICLOSERINUM	CICLOSERINA ANTIBIOTICE 250 mg	CAPS.	250mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS.	P- RF	100	425,06	4,250600	4,250600	501,47	5,014700	5,014700
   87	W08238	J04AB01	CICLOSERINUM	HELPOCERIN	CAPS.	250mg	HELP PHARMACEUTICALS LTD.	GRECIA	CUTIE X 5 BLIST. X 10 CAPS.	S/P RF	50	190,37	3,807400	3,807400	232,40	4,648000	4,648000
   88	W41998	J04AB02	RIFAMPICINUM	SINERDOL 150 mg	CAPS.	150mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 100 BLIST. AL/PVC X 10 CAPS.	S	1.000	163,52	0,163520	0,163520	199,62	0,199620	0,199620
   89	W41999	J04AB02	RIFAMPICINUM	SINERDOL 300 mg	CAPS.	300mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 100 BLIST. AL/PVC X 10 COMPR.	S	1.000	530,00	0,530000	0,530000	615,85	0,615850	0,615850
   90	W58576	J04AC01	ISONIAZIDUM	IZONIAZIDA ATB 100 mg	COMPR.	100mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.	PR	1.500	159,50	0,106333	0,106333	194,72	0,129813	0,129813
   91	W58577	J04AC01	ISONIAZIDUM	IZONIAZIDA ATB 300 mg	COMPR.	300mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 150 BLIST. PVC/AL X 10 COMPR.	S/P RF	1.500	395,00	0,263333	0,263333	468,70	0,312466	0,312466
   92	W60582	J04AC01	ISONIAZIDUM	ISONIAZID	SIROP	100mg/5 ml	CN UNIFARM S.A.	ROMAN IA	CUTIE X 1 FLAC. X 200 ML SIROP	PR	1	29,01	29,010000	29,010000	37,95	37,950000	37,950000
   93	W60594	J04AC01	ISONIAZIDUM	BITUB	SOL INJ.	100mg/ml	CN UNIFARM S.A.	ROMAN IA	CUTIE CU 10 FIOLE A 5ML	PR	10	14,16	1,416000	1,416000	19,14	1,914000	1,914000
   94	W55916	J04AD01	PROTIONAMIDUM	PETEHA 250 mg	COMPR. FILM.	250 mg	ANTIBIOTICE SA	ROMAN IA	CUTIE X 10 BLISTERE X 10 COMPRIMATE FILMATE	PR	100	98,56	0,985600	0,985600	124,62	1,246200	1,246200
   95	W60213	J04AK01	PYRAZINAMIDUM	PIRAZINAMIDA ATB 500 mg	COMPR.	500mg	ANTIBIOTICE S.A.	ROMAN IA	CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.	PR	1.500	434,58	0,289720	0,289720	511,84	0,341226	0,341226

   24

   Nr.cr t

   Cod CIM

   Grupa terapeut ica

   Denumire generica

   Denumire comerciala

   Forma farmaceutic a

   Concentr atie / U.T.

   Firma

   Tara

   Ambalaj

   Prescriptie

   cant/a mbalaj

   Pret cu ridicata maximal / ambalaj

   Pret cu ridicata maximal / U.T.

   Pret cu ridicata maximal de decontare / U.T.

   Pret cu amanuntul maximal / ambalaj

   Pret cu amanuntul maximal / U.T.

   Pret de decontare / U.T.

   96

   W53682

   J04AK02

   ETHAMBUTOLUM

   ETAMBUTOL ARENA 250 mg

   CAPS.

   250mg

   ARENA GROUP SA

   ROMAN IA

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

   P- RF

   20

   3,54

   0,177000

   0,177000

   4,79

   0,239500

   0,239500

   97

   W59648

   J04AK02

   ETHAMBUTOLUM

   ETAMBUTOL ARENA 400 mg

   CAPS.

   400mg

   ARENA GROUP S.A.

   ROMAN IA

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

   PR F

   20

   5,54

   0,277000

   0,277000

   7,49

   0,374500

   0,374500

   98

   W59648

   J04AK02

   ETHAMBUTOLUM

   ETAMBUTOL ARENA 400 mg

   CAPS.

   400mg

   ARENA GROUP S.A.

   ROMAN IA

   CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

   PR F

   50

   13,72

   0,274400

   0,274400

   18,54

   0,370800

   0,370800

   99

   W42943

   J04AK02

   ETHAMBUTOLUM

   ETAMBUTOL 250 mg

   COMPR. FILM.

   250mg

   ANTIBIOTICE SA

   ROMAN IA

   CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

   S

   1.500

   314,54

   0,209693

   0,209693

   381,00

   0,254000

   0,254000

   100

   W42861

   J04AK02

   ETHAMBUTOLUM

   ETAMBUTOL 400 mg

   COMPR. FILM.

   400mg

   ANTIBIOTICE SA

   ROMAN IA

   CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

   S

   1.500

   485,00

   0,323333

   0,323333

   566,80

   0,377866

   0,377866

   101

   W60583

   J04AK02

   ETHAMBUTOLUM

   INBUTOL

   SOL INJ.

   100mg/ml

   CN UNIFARM S.A.

   ROMAN IA

   FLAC. X 10 ML SOL. INJ

   PR

   1

   15,55

   15,550000

   15,550000

   21,02

   21,020000

   21,020000

   102

   W14071

   J04AM02

   COMBINATII (RIFAMPICINUM+IZONIAZIDUM)

   SINERDOL ISO

   CAPS.

   300mg+1 50mg

   ANTIBIOTICE SA

   ROMAN IA

   CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

   S

   1.000

   580,00

   0,580000

   0,580000

   670,35

   0,670350

   0,670350

   P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

3. C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI

1	W08867	J05AH01	ZANAMIVIRUM	RELENZA 5 mg	PULB. UNIDOZA DE INHALAT	5mg	GLAXO GROUP LTD.	MAREA BRITAN IE	CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER	P- RF	5	59,59	11,918000	11,918000	75,34	15,068000	15,068000
2	W52316	J05AH02	OSELTAMIVIRUM	TAMIFLU 30mg	CAPS.	30mg	ROCHE REGISTRATION LTD.	MAREA BRITAN IE	CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE	P- RF	10	37,94	3,794000	3,794000	49,62	4,962000	4,962000
3	W13633	J05AH02	OSELTAMIVIRUM	TAMIFLU 75 mg	CAPS.	75mg	ROCHE REGISTRATION LTD.	MAREA BRITAN IE	CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE	P- RF	10	60,15	6,015000	6,015000	76,06	7,606000	7,606000

25

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1	W58800	G03HA01	CYPROTERONUM	ANDROCUR	COMPR.	50mg	BAYER PHARMA AG	GERMA NIA	CUTIE X 5 BLIST. AL/PVC X 10 COMPR.	P- RF	50	85,78	1,715600	1,715600	108,46	2,169200	2,169200
2	W12490	L01AA01	CYCLOPHOSPHAMIDUM	ENDOXAN (R) 50 mg	DRAJ.	50mg	BAXTER ONCOLOGY GMBH	GERMA NIA	CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.	P- RF	50	19,33	0,386600	0,386600	26,13	0,522600	0,522600
3	W52215	L01AA01	CYCLOPHOSPHAMIDUM	ENDOXAN 200 mg	PULB. PT. SOL. PERF./INJ. I.V.	200mg	ACTAVIS S.R.L.	ROMAN IA	CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ	S	1	11,76	11,760000	11,760000	15,89	15,890000	15,890000
4	W58866	L01AA02	CHLORAMBUCILUM	LEUKERAN	COMPR. FILM.	2mg	ASPEN PHARMA TRADING LIMITED	IRLAND A	CUTIE X 1 FLAC. X 25 COMPR. FILM.	P- RF	25	238,56	9,542400	9,542400	291,24	11,649600	11,649600
5	W58865	L01AA03	MELPHALANUM	ALKERAN 2 mg	COMPR. FILM.	2mg	ASPEN PHARMA TRADING LIMITED	IRLAND A	CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.	P- RF	25	288,54	11,541600	11,541600	352,25	14,090000	14,090000
6	W60631	L01AA03	MELPHALANUM	ALKERAN 50 mg	PULB+SOL V. PT. SOL. INJ./PERF.	50mg	CN UNIFARM S.A.	ROMAN IA	CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT	PR	1	654,63	654,630000	654,630000	751,70	751,700000	751,700000
7	W12497	L01AA06	IFOSFAMIDUM	HOLOXAN 1 g	PULB. PT. SOL. PERF.	1g	BAXTER ONCOLOGY GMBH	GERMA NIA	CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.	S	1	92,66	92,660000	92,660000	117,16	117,160000	117,160000
8	W58856	L01AB01	BUSULFANUM	MYLERAN	COMPR. FILM.	2mg	ASPEN PHARMA TRADING LIMITED	IRLAND A	CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM.	P- RF	100	1.028,76	10,287600	10,287600	1.159,50	11,595000	11,595000
9	W51454	L01AB01	BUSULFANUM	BUSILVEX 6mg/ml	CONC. PT. SOL. PERF.	6mg/ml	PIERRE FABRE MEDICAMENT	FRANT A	CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ.	S	8	9.151,91	1.143,988750	1.143,988750	10.013,75	1.251,718750	1.251,718750
10	W59709	L01AD02	LOMUSTINUM 4)	CECENU	CAPS.	40mg	CN UNIFARM S.A.	ROMAN IA	CUTIE X 1 FLACON X 20 CAPSULE	PR	20	1.858,81	92,940500	92,940500	2.064,26	103,213000	103,213000
11	W59705	L01AX03	TEMOZOLOMIDUM**	BRASTORYN 100 mg	CAPS.	100mg	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA- ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS.	PR	5	393,55	78,710000	78,710000	467,12	93,424000	93,424000
12	W59451	L01AX03	TEMOZOLOMIDUM**	BLASTOMAT 100 mg	CAPS.	100mg	ALVOGEN IPCO S.AR.L.	LUXEM BURG	CUTIE CU 1 FLAC. PEID X 5 CAPS.	PR F	5	472,26	94,452000	94,452000	552,91	110,582000	110,582000
13	W59506	L01AX03	TEMOZOLOMIDUM**	NOGRON 100 mg	CAPS.	100mg	EGIS PHARMACEUTICALS P.L.C.	UNGAR IA	CUTIE CU 1 FLAC. PEID X 5 CAPS.	PR F	5	629,66	125,932000	94,452000	724,48	144,896000	112,108800
14	W59705	L01AX03	TEMOZOLOMIDUM**	BRASTORYN 100 mg	CAPS.	100mg	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.	PR	5	393,55	78,710000	78,710000	467,12	93,424000	93,424000
15	W56780	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDA HF 100 mg	CAPS.	100mg	STADA HEMOFARM SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.	PR	5	495,60	99,120000	94,452000	578,35	115,670000	112,108800

Nr.cr t	Cod CIM	Grupa terapeut ica	Denumire generica	Denumire comerciala	Forma farmaceutic a	Concentr atie / U.T.	Firma	Tara	Ambalaj	Prescriptie	cant/a mbala j	Pret cu ridicata maximal / ambalaj	Pret cu ridicata maximal / U.T.	Pret cu ridicata maximal de decontare / U.T.	Pret cu amanuntul maximal / ambalaj	Pret cu amanuntul maximal / U.T.	Pret de decontare / U.T.
16	W58092	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDE SUN 100 mg	CAPS.	100mg	SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.	OLAND A	CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE	PR F	5	675,04	135,008000	94,452000	773,95	154,790000	112,108800
17	W55335	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDE TEVA 100 mg	CAPS.	100mg	TEVA PHARMA B.V.	OLAND A	CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.	P- RF/ R	5	393,55	78,710000	78,710000	467,12	93,424000	93,424000
18	W59699	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDA GLENMARK 100 mg	CAPS.	100mg	GLENMARK PHARMACEUTICALS S.R.O.	REPUB LICA CEHA	CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.	PR	5	479,26	95,852000	94,452000	560,54	112,108000	112,108000
19	W59614	L01AX03	TEMOZOLOMIDUM**	TEMODAL 100 mg	CAPS.	100mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI	P- RF/ R	5	589,30	117,860000	94,452000	680,49	136,098000	112,108800
20	W61245	L01AX03	TEMOZOLOMIDUM**	BRASTORYN 100 mg	CAPS.	100mg	NEOLA PHARMA S.R.L.	ROMAN IA	CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.	PR	5	393,55	78,710000	78,710000	467,12	93,424000	93,424000
21	W61245	L01AX03	TEMOZOLOMIDUM**	BRASTORYN 100 mg	CAPS.	100mg	NEOLA PHARMA S.R.L.	ROMAN IA	CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA- ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS.	PR	5	393,55	78,710000	78,710000	467,12	93,424000	93,424000
22	W56781	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDA HF 140 mg	CAPS.	140mg	STADA HEMOFARM SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.	PR	5	709,00	141,800000	141,800000	810,96	162,192000	162,192000
23	W58093	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDE SUN 140 mg	CAPS.	140mg	SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.	OLAND A	CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE	PR F	5	1.648,19	329,638000	170,160000	1.834,68	366,936000	194,630400
24	W59507	L01AX03	TEMOZOLOMIDUM**	NOGRON 140 mg	CAPS.	140mg	EGIS PHARMACEUTICALS P.L.C.	UNGAR IA	CUTIE CU 1 FLAC. PEID X 5 CAPS.	PR F	5	929,60	185,920000	170,160000	1.051,42	210,284000	194,630400
25	W59706	L01AX03	TEMOZOLOMIDUM**	BRASTORYN 140 mg	CAPS.	140mg	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.	PR	5	857,79	171,558000	170,160000	973,14	194,628000	194,628000
26	W59706	L01AX03	TEMOZOLOMIDUM**	BRASTORYN 140 mg	CAPS.	140mg	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA- ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS.	PR	5	857,79	171,558000	170,160000	973,14	194,628000	194,628000
27	W59615	L01AX03	TEMOZOLOMIDUM**	TEMODAL 140mg	CAPS.	140mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI	P- RF/ R	5	825,68	165,136000	165,136000	938,14	187,628000	187,628000
28	W59616	L01AX03	TEMOZOLOMIDUM**	TEMODAL 180 mg	CAPS.	180mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI	P- RF/ R	5	1.019,21	203,842000	203,842000	1.149,09	229,818000	229,818000
29	W56782	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDA HF 180 mg	CAPS.	180mg	STADA HEMOFARM SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.	PR	5	903,00	180,600000	180,600000	1.022,42	204,484000	204,484000
30	W59508	L01AX03	TEMOZOLOMIDUM**	NOGRON 180 mg	CAPS.	180mg	EGIS PHARMACEUTICALS P.L.C.	UNGAR IA	CUTIE CU 1 FLAC. PEID X 5 CAPS.	PR F	5	1.247,53	249,506000	216,720000	1.397,96	279,592000	245,380800
31	W59450	L01AX03	TEMOZOLOMIDUM**	BLASTOMAT 20 mg	CAPS.	20mg	ALVOGEN IPCO S.AR.L.	LUXEM BURG	CUTIE CU 1 FLAC. PEID X 5 CAPS.	PR F	5	107,00	21,400000	21,400000	130,63	26,126000	26,126000
32	W59505	L01AX03	TEMOZOLOMIDUM**	NOGRON 20 mg	CAPS.	20mg	EGIS PHARMACEUTICALS P.L.C.	UNGAR IA	CUTIE CU 1 FLAC. PEID X 5 CAPS.	PR F	5	131,91	26,382000	22,298400	161,04	32,208000	28,195200
33	W56779	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDA HF 20 mg	CAPS.	20mg	STADA HEMOFARM SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.	PR	5	93,94	18,788000	18,788000	118,78	23,756000	23,756000
34	W59617	L01AX03	TEMOZOLOMIDUM**	TEMODAL 20 mg	CAPS.	20mg	MERCK SHARP DOHME	MAREA BRITAN IE	CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI	P- RF/ R	5	140,39	28,078000	22,298400	171,39	34,278000	28,195200
35	W59704	L01AX03	TEMOZOLOMIDUM**	BRASTORYN 20 mg	CAPS.	20mg	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.	PR	5	92,91	18,582000	18,582000	117,48	23,496000	23,496000
36	W59704	L01AX03	TEMOZOLOMIDUM**	BRASTORYN 20 mg	CAPS.	20mg	ROMASTRU TRADING SRL	ROMAN IA	CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA- ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS.	PR	5	92,91	18,582000	18,582000	117,48	23,496000	23,496000
37	W58091	L01AX03	TEMOZOLOMIDUM**	TEMOZOLOMIDE SUN 20 mg	CAPS.	20mg	SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.	OLAND A	CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE	PR F	5	141,91	28,382000	22,298400	173,24	34,648000	28,195200

26

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

38

W59698

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 20 mg

CAPS.

20mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

115,47

23,094000

22,298400

140,96

28,192000

28,192000

39

W55334

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 20 mg

CAPS.

20mg

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P- RF/ R

5