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23. GLAUCOM - G 26<br />

1 S01ED02 BETAXOLOLUM BETOPTIC - S PICATURI OFT.-SUSP. 0.25% ALCON COUVREUR NV BELGIA Cutie x 1 flacon din PEJD x 5ml pic. <strong>of</strong>t.susp. P-6L;M 1 23.09 23.09 23.09 23.09<br />

2 S01ED02 BETAXOLOLUM BETAXOLOL SOL. OFT. 0.5% TERAPIA SA ROMANIA Cutie x 1 flacon x 10g P-6L;M 1 4.36 4.36 4.36 4.36<br />

3 S01ED02 BETAXOLOLUM BETOPTIC SOL. OFT. 0.5% ALCON COUVREUR NV BELGIA Cutie x 1 flacon x 5ml P-6L 1 22.62 22.62 4.36 4.36<br />

4 S01EC04 BRINZOLAMIDUM AZOPT 10 mg/ml PICATURI OFT.-SUSP. 10mg/ml ALCON LABORATORIES LTD. U.K. Cutie x 1 flacon PEJD x 5 ml P-6L;M 1 49.33 49.33 49.33 49.33<br />

5 S01ED05 CARTEOLOLUM CARTEOL 1% PICATURI OFT.-SOL. 1% S.I.F.I. SPA ITALIA Cutie x 1 flacon picurator din polietilena PEJD x P-6L;M 1 8.45 8.45 8.45 8.45<br />

6 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 2% S.I.F.I. SPA ITALIA Cutie x 30 flacoane unidoza din PEJD x 0,3 ml P-6L;M 1 25.03 25.03 25.03 25.03<br />

7 S01ED05 CARTEOLOLUM CARTEOL 2% PICATURI OFT.-SOL. 2%-5ml S.I.F.I. SPA ITALIA Cutie x 1 flacon picurator din PEJD x 5 ml + capac P-6L;M 1 11.79 11.79 11.79 11.79<br />

8 S01ED51 COMBINATII (DORZOLAMIDUM+TIMOLOLUM) COSOPT SOL. OFT. MERCK SHARP & DOHME IDEEA AG FRANTA Cutie x 1 flacon x 5ml P-6L;M 1 57.31 57.31 57.31 57.31<br />

9 S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) XALCOM R SOL. OFT. PHARMACIA & UPJOHN NV/SA BELGIA Cutie x 1 flacon x 2,5 ml P-6L;M 1 79.55 79.55 79.55 79.55<br />

10 S01EC03 DORZOLAMIDUM TRUSOPT SOL. OFT. 2% MERCK SHARP & DOHME IDEEA AG ELVETIA Cutie x 1flacon x 5 ml P-6L;M 1 53.62 53.62 53.62 53.62<br />

11 S01ED01 TIMOLOLUM NYOLOL R GEL GEL OFT. 0.1% NOVARTIS PHARMA SERVICES INC. ELVETIA Cutie x 1 flacon x 5 g + dop picurator P-6L;M 1 12.08 12.08 12.08 12.08<br />

12 S01ED01 TIMOLOLUM TIMOLOL 0,25% PICATURI OFT.-SOL. 0.25% E.I.P.I.CO. EGYPT Cutie x 1 flacon PEID, prevazut cu picurator x 5 m P-6L;M 1 3.30 3.30 3.30 3.30<br />

13 S01ED01 TIMOLOLUM TIMO-COMOD R PICATURI OFT.-SOL. 0.25% URSAPHARM ARZNEIMITTEL GMBH&CO.KG GERMANIA Cutie x 1 flacon din PE prevazut cu pompa de vid s P-6L 1 12.71 12.71 3.30 3.30<br />

14 S01ED01 TIMOLOLUM TIMO-GAL R PICATURI OFT.-SOL. 0.5% TERAPIA SA ROMANIA Cutie x 1 flacon x 10 ml P-6L;M 1 3.72 3.72 3.72 3.72<br />

15 S01ED01 TIMOLOLUM TIMOLOL 0,5% PICATURI OFT.-SOL. 0.5% E.I.P.I.CO. EGYPT Cutie x 1 flacon cu picurator x 5 ml P-6L 1 4.60 4.60 3.72 3.72<br />

16 S01ED01 TIMOLOLUM TIMO-COMOD R PICATURI OFT.-SOL. 0.5% URSAPHARM ARZNEIMITTEL GMBH&CO.KG GERMANIA Cutie x 1 flacon din PE prevazut cu pompa de vid s P-6L 1 16.95 16.95 3.72 3.72<br />

17 S01ED01 TIMOLOLUM ARUTIMOL 0,25% PICATURI OFT.-SOL. 2.5mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA Cutie x 1 flacon din PEJD + capac din PP x 5 ml pi P-6L;M 1 6.20 6.20 6.20 6.20<br />

18 S01ED01 TIMOLOLUM ARUTIMOL 0,5% PICATURI OFT.-SOL. 5mg/ml CHAUVIN ANKERPHARM GMBH GERMANIA Cutie x 1 flacon din PEJD + capac din PP x 5 ml pi P-6L;M 1 6.93 6.93 6.93 6.93<br />

19 S01ED01 TIMOLOLUM TIMOPTIC SOL. OFT. 0.25% MERCK SHARP & DOHME BV ELVETIA Cutie x 1 flacon tip OCUMETER PLUS x 5 ml P-6L 1 8.99 8.99 3.30 3.30<br />

20 S01ED01 TIMOLOLUM OPHTAMOLOL R 0,5% SOL. OFT. 0.5% DAR AL DAWA DEVELOPMENT&INVESTMENT CO. LTD. IORDANIA Cutie x 1 flacon x 5 ml P-6L 1 5.89 5.89 3.72 3.72<br />

21 S01ED01 TIMOLOLUM TIMOPTIC SOL. OFT. 0.5% MERCK SHARP & DOHME BV ELVETIA Cutie x 1 flacon tip OCUMETER PLUS x 5 ml P-6L 1 11.26 11.26 3.72 3.72<br />

22 S01EE01 LATANOPROSTUM XALATAN R PICATURI OFT.-SOL. 0.005% PFIZER EUROPE MA EEIG U.K. Cutie x 1 flacon picurator PE x 2,5 ml P-6L;M 1 71.5 71.5 71.5 71.5<br />

23 S01EE04 TRAVOPROSTUM TRAVATAN R PICATURI OFT.-SOL. 40mcg/ml ALCON LABORATORIES LTD. U.K. Cutie x 1 flacon x 2,5 ml P-6L;M 1 79.40 79.40 79.40 79.40<br />

24. PEMFIGUS - G <strong>27</strong><br />

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<br />

2 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;M 50 455.65 9.11 9.11 9.11<br />

3 L04AA01 CICLOSPORINUM* CICLORAL R HEXAL R 100 mg CAPS. MOI 100mg HEXAL AG GERMANIA Cutie x 10 blist. Al/Al x 5 caps. moi S/P-RF 50 514.06 10.28 9.11 9.11<br />

4 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;M 50 99.07 1.98 1.98 1.98<br />

5 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 50 115.63 2.31 1.98 1.98<br />

6 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL R CAPS. MOI 25mg NOVARTIS PHARMA AG ELVETIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 244.13 4.88 1.98 1.98<br />

7 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;M 50 225.13 4.50 4.50 4.50<br />

8 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 50 256.73 5.13 4.50 4.50<br />

9 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL R CAPS. MOI 50mg NOVARTIS PHARMA AG ELVETIA Cutie x 10 blist. x 5 caps. moi S/P-RF 50 433.28 8.67 4.50 4.50<br />

10 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 dis S/P-RF;M 1 536.22 536.22 536.22 536.22<br />

11 L04AA01 CICLOSPORINUM* SANDIMMUN NEORAL R SOL. ORALA 100mg/ml NOVARTIS PHARMA AG ELVETIA Cutie x 1 flacon x 50 ml + kit de adm. S/P-RF 1 963.20 963.20 536.22 536.22<br />

12 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN R 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 5 blist. PVC-PVDC/Al x 10 draj. S/P-RF;M 50 31.56 0.63 0.63 0.63<br />

13 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN R 1 g PULB. PT. SOL. INJ./PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. perf. P-RF;M 1 40.24 40.24 40.24 40.24<br />

14 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN R 500 mg PULB. PT. SOL. INJ./PERF. 500mg BAXTER ONCOLOGY GMBH GERMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. perf. P-RF;M 1 20.14 20.14 20.14 20.14<br />

15 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg SINDAN SRL ROMANIA Cutie x 1 flac. pulb. pt. sol. perf./inj P-RF;M 1 10.57 10.57 10.57 10.57<br />

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