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4 L03AB04 INTERFERONUM ALFA 2a* ROFERON R - A SOL. INJ. 9Mui/0.5ml F. HOFFMANN LA ROCHE LTD. ELVETIA Cutie x 1 seringa x 0.5ml + ac 16-5/10 P-RF;M 1 211.35 211.35 211.35 211.35
5 L03AB05 INTERFERONUM ALFA 2b* INTRON A 18 milioane U.I. SOL. INJ. 15M ui/ml SCHERING-PLOUGH EUROPE BELGIA Cutie x 1 stilou injector (pen) x 1,2 ml sol. inj. S/P-RF;M 1 451.41 451.41 451.41 451.41
6 L03AB05 INTERFERONUM ALFA 2b* INTRON A 30 milioane U.I. SOL. INJ. 25M ui/ml SCHERING PLOUGH EUROPE BELGIA Cutie x 1 stilou injector (pen) x 1,2 ml + 12 ace S/P-RF;M 1 752.33 752.33 752.33 752.33
7 L03AB05 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;M 28 237.01 8.46 8.46 8.46
8 L03AB05 LAMIVUDINUM* EPIVIR COMPR. FILM. 150mg GLAXO GROUP LTD. U.K. Cutie x 1 flac. x 60 compr. film. S/P-RF;M 60 342.92 5.72 5.72 5.72
9 L03AB05 LAMIVUDINUM* EPIVIR SOL. ORALA 10mg/ml GLAXO GROUP LTD. U.K. Cutie x 1 flacon x 240ml + 1 seringa dozatoare + 1 S/P-RF;M 1 91.41 91.41 91.41 91.41
10 L03AB05 LAMIVUDINUM* ZEFFIX 5 mg/ml SOL. ORALA 5mg/ml GLAXO GROUP LTD. U.K. Cutie x 1 flacon HDPE x 240 ml + 1 seringa dozatoa S/P-RF;M 1 106.02 106.02 106.02 106.02
11 L03AB11 PEGINTERFERON alfa-2a* PEGASYS R 135 mcg SOL. INJ. 135mcg/0,5ml ROCHE REGISTRATION LTD. U.K. Cutie x 1 seringa pre-umpluta x 0,5 ml + 1 ac S/P-RF;M 1 834.89 834.89 834.89 834.89
12 L03AB11 PEGINTERFERON alfa-2a* PEGASYS R 180 mcg SOL. INJ. 180mcg/0.5ml ROCHE REGISTRATION LTD. U.K. Cutie x 1 seringa pre-umpluta x 0,5 ml + 1 ac S/P-RF;M 1 966.22 966.22 966.22 966.22
13 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON 100 mcg PULB. + SOLV. PT. SOL. INJ. 100mcg SCHERING-PLOUGH EUROPE BELGIA Cutie x 1 flac. cu pulb. pt. sol. inj. + 1 fiola s S/P-RF;M 1 880.59 880.59 880.59 880.59
14 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON PULB. + SOLV. PT. SOL. INJ. 100mcg/0.5ml SCHERING PLOUGH BELGIA Cutie x 1 pen + 1 ac ptr. injectie + 2 tampoane d S/P-RF;M 1 686.36 686.36 686.36 686.36
15 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON 120 mcg PULB. + SOLV. PT. SOL. INJ. 120mcg SCHERING-PLOUGH EUROPE BELGIA Cutie x 1 flac. cu pulb. pt. sol. inj. + 1 fiola s S/P-RF;M 1 1082.83 1082.83 1082.83 1082.83
16 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON PULB. + SOLV. PT. SOL. INJ. 120mcg/0.5ml SCHERING PLOUGH BELGIA Cutie x 1 pen + 1 ac ptr. injectie + 2 tampoane d S/P-RF;M 1 823.63 823.63 823.63 823.63
17 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON 150 mcg PULB. + SOLV. PT. SOL. INJ. 150mcg SCHERING-PLOUGH EUROPE BELGIA Cutie x 1 flac. cu pulb. pt. sol. inj. + 1 fiola S/P-RF;M 1 1320.96 1320.96 1320.96 1320.96
18 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON PULB. + SOLV. PT. SOL. INJ. 150mcg/0.5ml SCHERING PLOUGH BELGIA Cutie x 1 pen + 1 ac ptr. injectie + 2 tampoane d S/P-RF;M 1 1029.55 1029.55 1029.55 1029.55
19 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON 50 mcg PULB. + SOLV. PT. SOL. INJ. 50mcg SCHERING-PLOUGH EUROPE BELGIA Cutie x 1 flac. cu pulb. pt. sol. inj. + 1 fiola s S/P-RF;M 1 440.28 440.28 440.28 440.28
20 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON PULB. + SOLV. PT. SOL. INJ. 50mcg/0.5ml SCHERING PLOUGH BELGIA Cutie x 1 pen + 1 ac ptr. injectie + 2 tampoane d S/P-RF;M 1 343.18 343.18 343.18 343.18
21 L03AB10 PEGINTERFERON alfa-2b* PEGINTRON PULB. + SOLV. PT. SOL. INJ. 80mcg/0.5ml SCHERING PLOUGH BELGIA Cutie x 1 pen + 1 ac ptr. injectie + 2 tampoane d S/P-RF;M 1 549.08 549.08 549.08 549.08
22 J05AB04 RIBAVIRINUM* REBETOL 200 mg CAPS. SCHERING-PLOUGH EUROPE BELGIA Cutie x 14 blist. PVC/PE/PVDC x 10 caps. P-RF;M 140 2633.46 18.81 18.81 18.81
23 J05AB04 RIBAVIRINUM* COPEGUS R COMPR. FILM. 200mg F. HOFFMANN LA ROCHE AG ELVETIA Cutie x 1 flac. x 168 compr. film. P-RF;M 168 3039.50 18.09 18.09 18.09
* ) Se vor prescrie cu aprobarea comisiei de la nivelul Casei Naţionale de Asigurări de Sănătate
5. HEPATITA AUTOIMUNA - G 5
1 L04AX01 AZATHIOPRINUM IMURAN R COMPR. FILM. 50mg THE WELLCOME FOUNDATION LTD. U.K. Cutie x 4 blist. x 25 compr. film. S/P-RF;M 100 67.37 0.67 0.67 0.67
2 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-RF;M 30 1.84 0.06 0.06 0.06
3 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg MAGISTRA C & C ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-RF 20 1.32 0.07 0.06 0.06
4 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA Cutie x 2 blist. Al./PVC x 10 compr. P-RF 20 1.32 0.07 0.06 0.06
5 H02AB07 PREDNISONUM PREDNISON COMPR. 5mg ARENA GROUP SA ROMANIA Cutie x 1 flac. x 30 compr.; (2 ani) P-RF 30 4.25 0.14 0.06 0.06
La indicatia medicului în specialitatea gastroenterologie
6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G 6
1 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK R CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 4 blist. x 25 caps. P-6L;M 100 143.77 1.44 1.44 1.44
2 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK R CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA Cutie x 2 blist. x 25 caps. P-6L 50 83.35 1.67 1.44 1.44
La indicatia medicului în specialitatea gastroenterologie sau boli infecţioase sau medicină internă
7. CIROZA HEPATICA - G 7
1 C03CA01 FUROSEMIDUM FUROSEMID COMPR. 40mg ZENTIVA SA ROMANIA Cutie x 1 flac. x 20 compr. P-6L;M 20 1.23 0.06 0.06 0.06
2 C03CA01 FUROSEMIDUM FUROSEMID EEL COMPR. 40mg BIO EEL SRL ROMANIA Cutie x 2 blist. x 10 compr. P-6L 20 1.48 0.07 0.06 0.06
3 C03CA01 FUROSEMIDUM FUROSEMID LPH R 40 mg COMPR. 40mg LABORMED PHARMA SA ROMANIA Cutie x 2 blist. x 10 compr. P-6L 20 2.35 0.12 0.06 0.06
4 C03CA01 FUROSEMIDUM FUROSEMID 40 mg COMPR. 40mg MAGISTRA C & C ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-6L
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20 2.35 0.12 0.06 0.06