Page 1 of 27

11 H02AB04 METHYLPREDNISOLONUM MEDROL R 4 COMPR. 4mg PHARMACIA & UPJOHN AB BELGIA Cutie x 1 flac. x 30 compr. P-RF;M 30 14.29 0.48 0.48 0.48
12 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL? LIOF. + SOLV. PT. SOL. INJ. 500 mg/7,8 ml PHARMACIA NV/SA BELGIA Cutie x 1 flac.pulb. + 1 fiola solv. x 7.8ml P-RF 1 41.11 41.11 40.24 40.24
13 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg LIOF. PT. SOL. INJ. 125mg HEMOFARM VRSAC SERBIA SI MUNTENEGRU Cutie x 1 flac. liof. + 1 fiola solv. x 2 ml P-RF;M 1 13.42 13.42 13.42 13.42
14 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 20 mg LIOF. PT. SOL. INJ. 20mg HEMOFARM VRSAC SERBIA SI MUNTENEGRU Cutie x 15 flac. liof. + 15 fiole solv. x 1 ml P-RF;M 15 40.24 2.68 2.68 2.68
15 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 40 mg LIOF. PT. SOL. INJ. 40mg HEMOFARM VRSAC SERBIA SI MUNTENEGRU Cutie x 15 flac. liof. + 15 fiole solv. x 1 ml P-RF;M 15 64.34 4.29 4.29 4.29
16 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg LIOF. PT. SOL. INJ. 500mg HEMOFARM VRSAC SERBIA SI MUNTENEGRU Cutie x 1 flac. liof. + 1 fiola solv. x 7,8 ml P-RF;M 1 40.24 40.24 40.24 40.24
17 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL? ACT-O-VIAL? PULB. LIOF. PT. SOL. INJ. 125mg/2ml PHARMACIA & UPJOHN AB BELGIA Cutie x 1 flac. bicompartimentat ACT-O-VIAL? (comp P-RF 1 16.09 16.09 13.42 13.42
18 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL? ACT-O-VIAL? PULB. LIOF. PT. SOL. INJ. 250mg/4ml PHARMACIA & UPJOHN AB BELGIA Cutie x 1 flac. bicompartimentat ACT-O-VIAL? (comp P-RF;M 1 33.60 33.60 33.60 33.60
19 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL? ACT-O-VIAL? PULB. LIOF. PT. SOL. INJ. 40mg/1ml PHARMACIA & UPJOHN AB BELGIA Cutie x 1 flac. bicompartimentat ACT-O-VIAL? (comp P-RF 1 7.34 7.34 4.29 4.29
20 L01DB07 MITOXANTRONUM** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flacon x 10 ml conc. pt. sol. inj. S/P-RF;M 1 671.65 671.65 671.65 671.65
21 L01DB07 MITOXANTRONUM** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flacon x 5 ml conc. pt. sol. inj. S/P-RF;M 1 339.52 339.52 339.52 339.52
22 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
23 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
24 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
25 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
Medicamentele specifice se prescriu numai pentru pacientii inclusi in subprogramul national cu scop curativ: Tratamentul bolnavilor cu boli neurologice: sclero
** Cu aprobarea comisiilor caselor de asigurări de sănătate din centrele universitare prin care se derulează subprogramul.
13. BOLI PSIHICE (Schizofrenie, tulburari schizotipale si delirante, tulburari afective majore, tulburari psihotice acute) - G 15
1 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL R LONG 150 mg CAPS. ELIB. PREL. 150mg DESITIN GERMANIA Cutie x 1 flac. x 50 caps. cu minicompr. cu elib. P-6L;M 50 20.65 0.41 0.41 0.41
2 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL R LONG 300 mg CAPS. ELIB. PREL. 300mg DESITIN GERMANIA Cutie x 1 flac. x 50 caps. cu minicompr. cu elib. P-6L;M 50 36.52 0.73 0.73 0.73
3 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX R 150 mg CAPS. MOI GASTROREZ. 150mg GEROT PHARMAZEUTIKA GMBH AUSTRIA Cutie x 10 blist. PVC-PVDC/Al. x 10 caps. moi gast P-6L;M 100 16.37 0.16 0.16 0.16
4 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX R 300 mg CAPS. MOI GASTROREZ. 300mg GEROT PHARMAZEUTIKA GMBH AUSTRIA Cutie x 10 blist. PVC-PVDC/Al. x 10 caps. moi gast P-6L;M 100 24.38 0.24 0.24 0.24
5 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX R 500 mg CAPS. MOI GASTROREZ. 500mg GEROT PHARMAZEUTIKA GMBH AUSTRIA Cutie x 10 blist. PVC-PVDC/Al. x 10 caps. moi gast P-6L;M 100 38.73 0.39 0.39 0.39
6 N03AG01 ACIDUM VALPROICUM + SARURI PETILIN COMPR. FILM. 200mg REMEDICA LTD. CIPRU Cutie x 40 compr. film. P-6L;M 40 17.89 0.45 0.45 0.45
7 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. FILM. ELIB. PREL. DIVIZ 300mg SANOFI-SYNTHELABO FRANCE FRANTA Cutie x 2 flac. din PP x 50 compr. film. elib. pre P-6L;M 100 87.57 0.88 0.88 0.88
8 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE R CHRONO 500 mg COMPR. FILM. ELIB. PREL. DIVIZ 500mg SANOFI-SYNTHELABO FRANCE FRANTA Cutie x 1 flac. x 30 compr. film. elib. prel. divi P-6L;M 30 43.78 1.46 1.46 1.46
9 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL - 150 COMPR. FILM. GASTROREZ. 150mg DESITIN GERMANIA Cutie x 1 flac. x 100 compr.film. gastrorez. P-6L;M 100 24.35 0.24 0.24 0.24
10 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE R 200 mg COMPR. FILM. GASTROREZ. 200mg SANOFI-SYNTHELABO FRANCE FRANTA Cutie x 1 flac. din PP x 40 compr. film. gastrorez P-6L;M 40 16.12 0.40 0.40 0.40
11 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL - 300 COMPR. FILM. GASTROREZ. 300mg DESITIN GERMANIA Cutie x 1 flac. x 100 compr.film.gastrorez. P-6L;M 100 42.15 0.42 0.42 0.42
12 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL - 600 RETARD COMPR. FILM. RET. 600mg DESITIN GERMANIA Cutie x 1 flac. x 50 compr. film. ret. P-6L;M 50 36.42 0.73 0.73 0.73
13 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL R LONG 1000 mg MINICOMPR. ELIB. PREL. 1000mg DESITIN GERMANIA Cutie x 50 miniplicuri. cu minicompr. cu elib. pre P-6L;M 50 100.99 2.02 2.02 2.02
14 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL R LONG 500 mg MINICOMPR. ELIB. PREL. 500mg DESITIN GERMANIA Cutie x 50 miniplicuri. cu minicompr. cu elib. pre P-6L;M 50 60.04 1.20 1.20 1.20
15 N03AG01 ACIDUM VALPROICUM + SARURI ORFIRIL SIROP SIROP 300mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA Cutie x 1 flacon x 250 ml + lingurita dozatoare PP P-6L;M 1 39.79 39.79 39.79 39.79
16 N03AG01 ACIDUM VALPROICUM + SARURI CONVULEX R SIROP 50mg/ml GEROT PHARMAZEUTIKA GMBH AUSTRIA Cutie x 1 flacon x 100 ml sirop + 1 seringa pt. ad P-6L;M 1 13.76 13.76 13.76 13.76
17 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE SIROP 57.64mg/ml SANOFI-SYNTHELABO FRANCE FRANTA Cutie x 1 flacon x 150 ml + 1 seringa pt. admin. o P-6L;M 1 22.37 22.37 22.37 22.37
18 N05AL05 AMISULPRIDUM SOLIAN 200 mg COMPR. DIVIZ. 200mg SANOFI-AVENTIS FRANCE FRANTA Cutie x 3 blist. Al/PVC x 10 compr. diviz. P-RF;M 30 190.07 6.34 6.34 6.34
19 N05AL05 AMISULPRIDUM SOLIAN R 400 mg COMPR. FILM. 400mg SANOFI-AVENTIS FRANCE FRANTA Cutie x 3 blist. x 10 compr. film. P-RF;M 30 356.57 11.89 11.89 11.89
20 N05AX12 ARIPIPRAZOLUM ABILIFY 10 mg COMPR. 10mg BRISTOL-MYERS SQUIBB-ROMANIA ROMANIA Cutie x 4 blist. Al/Al x 7 compr. P-RF;M 28 450.41 16.09 16.09 16.09
21 N05AX12 ARIPIPRAZOLUM ABILIFY 15 mg COMPR. 15mg BRISTOL-MYERS SQUIBB-ROMANIA ROMANIA Cutie x 4 blist. Al/Al x 7 compr. P-RF;M 28 450.41 16.09 16.09 16.09
22 N06AA04 CLOMIPRAMINUM ANAFRANIL R 10 mg DRAJ. 10mg NOVARTIS PHARMA SERVICES INC. ELVETIA Cutie x 3 blist. Al/PVC x 10 draj. P-RF;M 30 10.56 0.35 0.35 0.35
23 N06AA04 CLOMIPRAMINUM ANAFRANIL R 25 mg DRAJ. 25mg NOVARTIS PHARMA SERVICES INC. ELVETIA Cutie x 3 blist. Al/PVC x 10 draj. P-RF;M 30 17.80 0.59 0.59 0.59
24 N05AH02 CLOZAPINUM LEPONEX R 100 mg COMPR. 100mg NOVARTIS PHARMA SERVICES INC. ELVETIA Cutie x 5 blist. x 10 compr. P-RF;M 50 106.89 2.14 2.14 2.14
Page 15 of 29