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15 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 40mg/1ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIO P-RF 1 5.93 5.93 3.53 3.53<br />
16 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 />
17 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 />
18 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 />
19 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 />
20 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 />
21 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 />
22 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 25.71 0.51 0.51 0.51<br />
23 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 />
24 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 />
25 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 />
26 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 />
27 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 />
28 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 />
29 L04AA01 CICLOSPORINUM* EQUORAL (R) 100 mg CAPS. MOI 100mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 375.72 7.51 7.51 7.51<br />
30 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 197.84 3.96 1.63 1.63<br />
31 L04AA01 CICLOSPORINUM* EQUORAL (R) 25 mg CAPS. MOI 25mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 81.67 1.63 1.63 1.63<br />
32 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL (R) 25 mg CAPS. MOI 25mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 95.1 1.9 1.63 1.63<br />
33 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 351.14 7.02 3.71 3.71<br />
34 L04AA01 CICLOSPORINUM* EQUORAL (R) 50 mg CAPS. MOI 50mg IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 5 BLIST. X 10 CAPS. MOI S/P-RF 50 185.61 3.71 3.71 3.71<br />
35 L04AA01 CICLOSPORINUM* CICLORAL (R) HEXAL 50 mg CAPS. MOI 50mg HEXAL AG GERMANIA CUTIE X 10 BLIST. AL/AL X 5 CAPS. MOI S/P-RF 50 211.09 4.22 3.71 3.71<br />
36 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL (R) SOL. ORALA 100mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON X 50 ML + KIT DE ADM. S/P-RF 1 780.57 780.6 445.51 445.5<br />
37 L04AA01 CICLOSPORINUM* EQUORAL (R) SOL. ORALA 100mg/ml IVAX - PHARMACEUTICALS S.R.O. CEHIA CUTIE X 1 FLACON DIN STICLA BRUNA X 50 ML, UN DISPOZITIV DE MASURAT + UN CAPAC CU FILET S/P-RF 1 445.51 445.5 445.51 445.5<br />
38 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 />
Se vor prescrie de medicul în specialitatea dermatologie.<br />
*Se vor prescrie cu aprobarea comisiilor de la nivelul caselor de asigurări de sănătate.<br />
25. BOALA GAUCHER - G 29<br />
1 A16AB02 IMIGLUCERASUM* CEREZYME 200 U PULB. PT.CONC. PT.SOL. PERF. 200U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 2753.2 2753 2753.2 2753<br />
2 A16AB02 IMIGLUCERASUM* CEREZYME 400 U PULB. PT.CONC. PT.SOL. PERF. 400U GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 5506.3 5506 5506.3 5506<br />
* Dupa precizarea diagnosticului de catre laboratoarele de specialitate va putea fi prescris de catre medicul în specialitatea gastroenterologie conform protocolului. Se va prescrie cu aprobarea<br />
comisiilor de la nivelul Casei Naţionale de Asigurări de Sănătate.<br />
26. BOLI VENERICE ( SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30<br />
1 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 5 0.25 0.19 0.19<br />
2 J01AA02 DOXYCYCLINUM DOXICICLINA 100 MG CAPS. 100mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 1.89 0.19 0.19 0.19<br />
3 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg EUROPHARM SA ROMANIA CUTIE X 1 BLIST. DIN AL/PVC X 10 CAPS. P-RF 10 2.6 0.26 0.19 0.19<br />
4 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.65 0.27 0.19 0.19<br />
5 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 BLIST. DIN AL/PVC X 10 COMPR.DISP. P-RF 10 6.97 0.7 0.7 0.7<br />
6 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.1 0.11 0.1 0.1<br />
7 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 2.02 0.1 0.1 0.1<br />
8 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 2.23 0.11 0.1 0.1<br />
9 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 1 000 000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.89 1.89 1.53 1.53<br />
10 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ. P-RF 1 1.53 1.53 1.53 1.53<br />
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