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75 M01AB05 DICLOFENACUM EPIFENAC SUPOZ. 100mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FOLIE AL/PEJD. X 5 SUPOZ. P-6L 5 2.85 0.57 0.18 0.18<br />

76 M01AB05 DICLOFENACUM DICLOGESIC 12,5 SUPOZITOARE SUPOZ. 12.5mg DAR AL DAWA DEVELOPMENT&INVESTMENT CO. LTD. IORDANIA CUTIE X 2 FOLII PVC/PE X 5 SUPOZ. P-6L 10 4.43 0.44 0.44 0.44<br />

77 M01AB05 DICLOFENACUM TRATUL 120 SUPOZ. 120mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7.52 1.25 1.25 1.25<br />

78 M01AB05 DICLOFENACUM VOLTAREN (R) SUPOZ. 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 2 FOLII PVC/PEJD X 5 SUPOZ. P-6L 10 9.4 0.94 0.94 0.94<br />

79 M01AB05 DICLOFENACUM TRATUL 60 SUPOZ. 60mg GEROT PHARMAZEUTIKA GMBH AUSTRIA CUTIE X 6 SUPOZ. P-6L 6 7 1.17 1.17 1.17<br />

80 M01AE03 KETOPROFENUM KETOPROFEN SR 100 mg CAPS. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 8.15 0.82 0.82 0.82<br />

81 M01AE03 KETOPROFENUM KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 3 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 30 17.64 0.59 0.59 0.59<br />

82 M01AE03 KETOPROFENUM KETONAL (R) DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 11.75 0.59 0.59 0.59<br />

83 M01AE03 KETOPROFENUM KETOPROFEN SR 200 mg CAPS. ELIB. PREL. 200mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. CU ELIB. PREL. P-6L 10 10.06 1.01 0.95 0.95<br />

84 M01AE03 KETOPROFENUM KETALGON 200 mg CAPS. ELIB. PREL. 200mg NOVIA FARM SOLUTIONS SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 10 9.81 0.98 0.95 0.95<br />

85 M01AE03 KETOPROFENUM KETONAL UNO CAPS. ELIB. PREL. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 18.91 0.95 0.95 0.95<br />

86 M01AE03 KETOPROFENUM KETONAL UNO CAPS. ELIB. PREL. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 10 9.67 0.97 0.95 0.95<br />

87 M01AE03 KETOPROFENUM KETONAL RETARD COMPR. ELIB. PREL. 150mg LEK PHARMACEUTICALS D.D./S.C. SANDOZ SRL SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L 20 11.75 0.59 0.59 0.59<br />

88 M01AE03 KETOPROFENUM RUBIFEN 100 mg COMPR. FILM. 100 mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 10.7 0.54 0.53 0.53<br />

89 M01AE03 KETOPROFENUM PROFENID (R) 100 mg COMPR. FILM. 100mg LAB. AVENTIS FRANTA CUTIE X 2 BLIST X 15 COMPR. FILM. P-6L 30 20.75 0.69 0.53 0.53<br />

90 M01AE03 KETOPROFENUM KETONAL FORTE 100 mg COMPR. FILM. 100mg LEK PHARMACEUTICALS D.D./S.C. SANDOZ SRL SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. FILM. P-6L 20 10.58 0.53 0.53 0.53<br />

91 M01AE03 KETOPROFENUM KETOPROXIN 100 mg COMPR. FILM. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 10.54 0.53 0.53 0.53<br />

92 M01AE03 KETOPROFENUM KETOPROXIN 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 20 8.07 0.4 0.4 0.4<br />

93 M01AE03 KETOPROFENUM PROFENID (R) LP 200 mg COMPR. FILM. ELIB. PREL. 200mg LAB. AVENTIS FRANTA CUTIE X 1 BLIST X 14 COMPR. FILM. ELIB. PREL. P-6L 14 13.66 0.98 0.98 0.98<br />

94 M01AE03 KETOPROFENUM PROFENID (R) 100 mg LIOF. + SOLV. PT. SOL. INJ. 100mg LAB. AVENTIS FRANTA CUTIE X 6 FLAC. LIOF. + 6 FIOLE X 5 ML SOLV. P-6L 6 22.56 3.76 2.46 2.46<br />

95 M01AE03 KETOPROFENUM FLEXEN PULB. PT. SOL. INJ. 100mg LIFE PHARMA ITALIA CUTIE X 6 FIOLE PULB. PT. SOL. INJ. + 6 FIOLE X 2.5 ML SOLV. P-RF 6 14.77 2.46 2.46 2.46<br />

96 M01AE03 KETOPROFENUM KETONAL 100 mg/ 2 ml SOL. INJ. 100mg/2ml LEK PHARMACEUTICALS D.D./S.C. SANDOZ SRL SLOVENIA CUTIE X 10 FIOLE X 2 ML SOL. INJ/CONC PT.SOL. PERF. P-RF 10 15.67 1.57 1.32 1.32<br />

97 M01AE03 KETOPROFENUM KETALGON 100 mg/2 ml SOL. INJ. I.M./I.V. 100mg/2ml SICOMED SA ROMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU INEL DE RUPERE X 2 ML S/P-RF 5 9.19 1.84 1.32 1.32<br />

98 M01AE03 KETOPROFENUM KETOPROFEN 100mg/2ml SOL. INJ./CONC. SOL. PERF. 100mg/2ml TERAPIA SA ROMANIA CUTIE X 5 FIOLE X 2 ML P-RF 5 6.59 1.32 1.32 1.32<br />

99 M01AE03 KETOPROFENUM KETONAL 100 mg SUPOZ. 100mg LEK PHARMACEUTICALS D.D./S.C. SANDOZ SRL SLOVENIA CUTIE X 2 FOLII AL/PE X 6 SUPOZ. P-6L 12 6.31 0.53 0.47 0.47<br />

100 M01AE03 KETOPROFENUM RUBIFEN (R) 100 mg SUPOZ. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 2 FOLII TERMOSUDATE METALIZATE AL-PE X 3 SUPOZ. P-6L 6 3.03 0.51 0.47 0.47<br />

101 M01AE03 KETOPROFENUM KETOMAG SUPOZ. 100mg MAGISTRA C & C ROMANIA CUTIE X 2 FOLII LAMINATE PVC/PE X 5 SUPOZ. P-6L 10 4.66 0.47 0.47 0.47<br />

102 P01BA02 HYDROXYCHLOROQUINUM PLAQUENIL (R) COMPR. FILM. 200mg SANOFI-SYNTHELABO LTD. MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-6L 60 63.54 1.06 1.06 1.06<br />

* La indicatia medicului în specialitatea reumatologie, dermatologie, medicină internă sau în medicină fizică şi recuperare medicală in cazurile fara raspuns la terapia clasică. Se vor<br />

prescrie cu aprobarea comisiilor de la nivelul caselor de asigurări de sănătate.<br />

** Pentru pacientii cu poliartrita reumatoida sau artropatie psoriazica severă care nu raspund adecvat la metotrexat, cu aprobarea comisiei de la nivelul Casei Nationale de Asigur<br />

Sanatate.<br />

17. SPONDILITA ANKILOZANTA - G 19<br />

1 A07EC01 SULFASALAZINUM SULFASALAZIN EN COMPR. FILM. GASTROREZ. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. FILM. GASTROREZ. P-6L 50 21.15 0.42 0.4 0.4<br />

2 A07EC01 SULFASALAZINUM SALAZOPYRIN EN COMPR. FILM. GASTROREZ. 500mg PFIZER HEALTH AB SUEDIA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM. GASTROREZ. P-6L 100 40.28 0.4 0.4 0.4<br />

3 H02AB01 BETAMETHASONUM DIPROPHOS (R) SUSP. INJ. I.M. 7mg/ml SCHERING PLOUGH EUROPE BELGIA CUTIE X 5 FIOLE X 1 ML P-RF 5 25.17 5.03 5.03 5.03<br />

4 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 1000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML S 1 69 69 69 69<br />

5 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 345.07 345.1 345.07 345.1<br />

6 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 500 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 5 FIOLE X 5 ML S 5 166.76 33.35 33.35 33.35<br />

7 L01BA01 METHOTREXATUM ANTIFOLAN (R) 50 mg PULB. PT. SOL. INJ./PERF. 50mg SINDAN SRL ROMANIA CUTIE X 1 FLAC. DE STICLA CU PULB. PT. SOL. INJ./PERF. S 1 7 7 7 7<br />

8 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5 mg SOL. INJ. 5mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 10 FIOLE X 1 ML S 10 14.37 1.44 1.44 1.44<br />

9 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 50 mg SOL. INJ./PERF. 10mg/ml EBEWE PHARMA GMBH NFG. KG AUSTRIA CUTIE X 1 FLACON X 5 ML S 1 8.02 8.02 8.02 8.02<br />

10 M01AB05 DICLOFENACUM DICLOREUM 150 mg CAPS. ELIB. PREL. 150mg ALFA WASSERMANN SPA ITALIA<br />

Pagina 22 din 40<br />

CUTIE X 2 BLIST. AL/PVC X 10 CAPS. ELIB. PREL. P-6L 20 35.41 1.77 1.77 1.77

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