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18 L03AB11 PEGINTERFERON ALFA-2A* PEGASYS (R) 180 ag SOL. INJ. IN SERINGA PREUMPLUTA 180µg/0.5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML + 1 AC P-RF/R 1 900.98 901 900.98 901<br />
* ) Se vor prescrie cu aprobarea comisiei de la nivelul Casei Naţionale de Asigurări de Sănătate<br />
5. HEPATITA AUTOIMUNA - G 5<br />
1 H02AB07 PREDNISONUM PREDNISON MAGISTRA 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05<br />
2 H02AB07 PREDNISONUM PREDNISON GEDEON RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 1.08 0.05 0.05 0.05<br />
3 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.58 0.05 0.05 0.05<br />
4 H02AB07 PREDNISONUM N - PREDNISON COMPR. 5mg MEDUMAN SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR. P-RF 30 1.49 0.05 0.05 0.05<br />
5 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 1.53 0.05 0.05 0.05<br />
6 H02AB07 PREDNISONUM PREDNISON COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. X 30 COMPR.; (2 ANI) P-RF 30 3.6 0.12 0.05 0.05<br />
7 L04AX01 AZATHIOPRINUM IMURAN (R) COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. S/P-RF 100 54.95 0.55 0.55 0.55<br />
La indicatia medicului în specialitatea gastroenterologie<br />
6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G 6<br />
1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P-6L/S 100 118.24 1.18 0.88 0.88<br />
2 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 68.55 1.37 0.88 0.88<br />
3 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOSAN CAPS. 250mg PRO. MED. CS PRAHA AS CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS. P-6L 50 44.2 0.88 0.88 0.88<br />
La indicatia medicului în specialitatea gastroenterologie sau boli infecţioase sau medicină internă<br />
7. CIROZA HEPATICA - G 7<br />
1 A06AD11 LACTULOSUM DUPHALAC (R) LICHID ORAL 66.7% SOLVAY PHARMACEUTICALS BV OLANDA FLACON DIN PEID PREVAZUT CU MASURA DOZATOARE X 200 ML P-RF 1 9.99 9.99 9.52 9.52<br />
2 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 300 ML P-RF 1 13.94 13.94 5.16 5.16<br />
3 A06AD11 LACTULOSUM LACTULOSE SIROP 65% E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON X 100 ML P-RF 1 5.16 5.16 5.16 5.16<br />
4 A06AD11 LACTULOSUM LACTULOSE AL SIROP SIROP 66.7% ALIUD PHARMA GMBH & CO. KG GERMANIA CUTIE X 1 FLACON DIN TFPE BRUNA X 200 ML SIROP + MASURA GRADATA X 20 ML P-RF 1 9.52 9.52 9.52 9.52<br />
5 A06AD11 LACTULOSUM LAEVOLAC 670mg/ml SOL. ORALA 670mg/ml FRESENIUS KABI AUSTRIA GMBH AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SOL. ORALA + DISPOZITIV DE CURGERE + MASURA CU GRADATII D P-RF<br />
1 5.98 5.98 5.98 5.98<br />
6 C03CA01 FUROSEMIDUM FUROSEMID 40 mg COMPR. 40mg MAGISTRA C & C SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.06<br />
7 C03CA01 FUROSEMIDUM FUROSEMID COMPR. 40mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.68 0.08 0.06 0.06<br />
8 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 1.43 0.07 0.06 0.06<br />
9 C03CA01 FUROSEMIDUM FUROSEMID ZENTIVA COMPR. 40mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 20 COMPR. P-6L 20 1.19 0.06 0.06 0.06<br />
10 C03CA01 FUROSEMIDUM FUROSEMID LPH 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 2.27 0.11 0.06 0.06<br />
11 C03CA01 FUROSEMIDUM FUROSEMID ARENA 40 mg COMPR. 40mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 1.19 0.06 0.06 0.06<br />
12 C03CA01 FUROSEMIDUM FUROSEMID 20 mg/2 ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 2.47 0.49 0.49 0.49<br />
13 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 100mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 21.63 0.72 0.72 0.72<br />
14 C03DA01 SPIRONOLACTONUM VEROSPIRON CAPS. 50mg GEDEON RICHTER LTD. UNGARIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-6L 30 14.46 0.48 0.48 0.48<br />
15 C03DA01 SPIRONOLACTONUM SPIRONOLACTONA 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 50 9.22 0.18 0.15 0.15<br />
16 C03DA01 SPIRONOLACTONUM ALSPIRON 25 mg COMPR. FILM. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 3.07 0.15 0.15 0.15<br />
17 C03DA01 SPIRONOLACTONUM ALSPIRON 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 9.4 0.47 0.47 0.47<br />
18 J05AF05 LAMIVUDINUM* ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. U.K. CUTIE X 2 BLIST. PVC-AL/PVC-AL X 14 COMPR. FILM. S/P-RF 28 196.9 7.03 7.03 7.03<br />
19 J05AF05 LAMIVUDINUM* EPIVIR COMPR. FILM. 150mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. P-RF/R 60 284.91 4.75 4.75 4.75<br />
20 J05AF05 LAMIVUDINUM* EPIVIR SOL. ORALA 10mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR P-RF/R 1 75.94 75.94 75.94 75.94<br />
21 J05AF05 LAMIVUDINUM* ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 1 FLACON HDPE X 240 ML + 1 SERINGA DOZATOARE PP + 1 ADAPTOR PE P-RF/R 1 88.1 88.1 88.1 88.1<br />
*La indicatia medicului în specialitatea gastroenterologie sau boli infecţioase in aceleasi conditii ca la G4 >; se vor prescrie cu aprobarea comisiei de la nivelul Casei Nationale de Asigurari de<br />
Sanatate<br />
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