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106 N05AX12 ARIPIPRAZOLUM ABILIFY 10 mg COMPR. 10mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 COMPR. P-RF 28 423.04 15.11 15.11 15.11<br />
107 N05AX12 ARIPIPRAZOLUM ABILIFY 15 mg COMPR. 15mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 COMPR. P-RF 28 423.04 15.11 15.11 15.11<br />
108 N06AA04 CLOMIPRAMINUM ANAFRANIL (R) 10 mg DRAJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 9.85 0.33 0.33 0.33<br />
109 N06AA04 CLOMIPRAMINUM ANAFRANIL (R) 25 mg DRAJ. 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 16.6 0.55 0.55 0.55<br />
110 N06AB10 ESCITALOPRAMUM CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 83.59 2.99 2.99 2.99<br />
111 N06AB10 ESCITALOPRAMUM CIPRALEX (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 1 BLIST. ALB PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 14 45.27 3.23 2.99 2.99<br />
112 N06AB10 ESCITALOPRAMUM CIPRALEX (R) 5 mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. ALBE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 41.56 1.48 1.48 1.48<br />
113 N06AX03 MIANSERINUM MIANSERIN 10 DESITIN COMPR. FILM. 10mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR.FILM. P-RF 50 24.84 0.5 0.34 0.34<br />
114 N06AX03 MIANSERINUM MIANSERIN 10 COMPR. FILM. 10mg REMEDICA LTD. CIPRU CUTIE X 10 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF/S 100 33.57 0.34 0.34 0.34<br />
115 N06AX03 MIANSERINUM MIANSERIN 30 DESITIN COMPR. FILM. 30mg DESITIN GERMANIA CUTIE X 5 BLIST. X 10 COMPR.FILM. P-RF 50 61.86 1.24 0.91 0.91<br />
116 N06AX03 MIANSERINUM MIANSERIN 30 COMPR. FILM. 30mg REMEDICA LTD. CIPRU CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 18.14 0.91 0.91 0.91<br />
117 N06AX03 MIANSERINUM MIANSERIN 10 mg DRAJ. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 DRAJ. P-RF 30 6.17 0.21 0.21 0.21<br />
118 N06AX03 MIANSERINUM MIANSERIN 30 mg DRAJ. 30mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 DRAJ. P-RF 20 14.49 0.72 0.72 0.72<br />
119 N06AX05 TRAZODONUM TRITTICO AC 150 mg COMPR. ELIB. PREL. 150mg ANGELINI FRANCESCO SPA ITALIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. ELIB. PREL. P-RF 20 33.43 1.67 1.67 1.67<br />
120 N06AX14 TIANEPTINUM COAXIL (R) DRAJ. 12.5mg LES LAB. SERVIER IND. FRANTA CUTIE X 1 BLIST. AL/PVC X 30 DRAJ. P-RF 30 28.34 0.94 0.94 0.94<br />
Se vor prescrie de catre sau la indicatia medicului în specialitatea psihiatrie.<br />
14. DEMENŢE (degenerative, vasculare, mixte) - G 16<br />
1 N06DA02 DONEPEZILUM* ARICEPT (R) 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 COMPR. FILM. P-RF 28 302.18 10.79 10.79 10.79<br />
2 N06DA02 DONEPEZILUM* ARICEPT (R) 5 mg COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-RF 28 302.18 10.79 10.79 10.79<br />
3 N06DA02 DONEPEZILUM* ARICEPT EVESS COMPR. ORODISPERSABILE 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE P-RF 28 363.09 12.97 12.97 12.97<br />
4 N06DA02 DONEPEZILUM* ARICEPT EVESS COMPR. ORODISPERSABILE 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL/PVC-PVDC-PE-PVDC-PVC X 14 COMPR. ORODISPERSABILE P-RF 28 334.8 11.96 11.96 11.96<br />
5 N06DA03 RIVASTIGMINUM* EXELON CAPS. 1.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53<br />
6 N06DA03 RIVASTIGMINUM* EXELON CAPS. 1.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.53<br />
7 N06DA03 RIVASTIGMINUM* EXELON CAPS. 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53<br />
8 N06DA03 RIVASTIGMINUM* EXELON CAPS. 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.53<br />
9 N06DA03 RIVASTIGMINUM* EXELON CAPS. 4.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53<br />
10 N06DA03 RIVASTIGMINUM* EXELON CAPS. 4.5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.53<br />
11 N06DA03 RIVASTIGMINUM* EXELON CAPS. 6mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/AL X 14 CAPS. P-RF/R 56 309.71 5.53 5.53 5.53<br />
12 N06DA03 RIVASTIGMINUM* EXELON CAPS. 6mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC/AL X 14 CAPS. P-RF/R 28 154.84 5.53 5.53 5.53<br />
13 N06DA03 RIVASTIGMINUM* EXELON PLASTURE TRANSDERMIC 4.6mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 414.49 13.82 13.82 13.82<br />
14 N06DA03 RIVASTIGMINUM* EXELON PLASTURE TRANSDERMIC 9.5mg/24h NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC P-RF/R 30 414.49 13.82 13.82 13.82<br />
15 N06DX01 MEMANTINUM* (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 112 COMPR. FILM. (BLIST. AL/PP) P-RF/R 112 840.56 7.51 7.23 7.23<br />
16 N06DX01 MEMANTINUM* EBIXA (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 28 COMPR. FILM. (BLIST. AL/PP) P-RF/R 28 224.76 8.03 7.23 7.23<br />
17 N06DX01 MEMANTINUM* EBIXA (R) 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 56 COMPR. FILM. (BLIST. AL/PP) P-RF/R 56 404.95 7.23 7.23 7.23<br />
18 N06DX01 MEMANTINUM* EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 50 G SOLUTIE P-RF/R 1 401.25 401.3 167.2 167.2<br />
19 N06DX01 MEMANTINUM* EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 100 G SOLUTIE P-RF/R 1 802.46 802.5 167.2 167.2<br />
20 N06DX01 MEMANTINUM* EBIXA (R) 10 mg/g PIC. ORALE, SOL. 10mg/g H. LUNDBECK A/S DANEMARCA CUTIE X 1 FLACON, DIN STICLA BRUNA, PICURATOR X 20 G SOLUTIE P-RF/R 1 167.2 167.2 167.2 167.2<br />
*Se vor prescrie de catre sau la indicatia medicului în specialitatea neurologie sau psihiatrie sau geriatrie; se vor prescrie cu aprobarea comisiilor de la nivelul caselor de asigurări de<br />
sănătate.<br />
15. COLAGENOZE MAJORE (lupus eritematos sistemic, sclerodermie, dermatomiozita, poliarterita nodoasa) - G 17<br />
1 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 47.53 0.95 0.95 0.95<br />
2 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 35.65 1.78 1.78 1.78<br />
3 H02AB04 METHYLPREDNISOLONUM MEDROL 4 mg COMPR. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE<br />
Pagina 19 din 40<br />
CUTIE X 1 FLAC. DIN STICLA X 30 COMPR. P-RF 30 11.88 0.4 0.4 0.4
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