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7 J01CE01 BENZYLPENICILLINUM PENICILINA G SODICA PULB. PT. SOL. INJ. 400 000ui ANTIBIOTICE SA ROMANIA Cutie x 1 flac. din sticla cu pulb. pt. sol. inj. P-RF;M 1 1.07 1.07 1.07 1.07 8 J01CE01 BENZYLPENICILLINUM PENICILINA G POTASICA PULB. PT. SOL. INJ. 400000ui ANTIBIOTICE SA ROMANIA Flacon cu pulb. pt. sol. inj. P-RF;M 1 1.07 1.07 1.07 1.07 9 J01CE30 COMBINATII (BENZYLPENICILLINUM+PROCAINUM) FORTIFIED PROCAINE PENICILLIN PULB. PT. SUSP. INJ. 3000000ui ANTIBIOTICE SA ROMANIA Cutie x 50 flac. pulb. pt. susp. inj. S/P-RF;M 50 130.05 2.60 2.60 2.60 10 J01CE30 COMBINATII (BENZYLPENICILLINUM+PROCAINUM) FORTIFIED PROCAINE PENICILLIN PULB. PT. SUSP. INJ. 4000000ui ANTIBIOTICE SA ROMANIA Cutie x 50 flac. pulb. pt. susp. inj. S/P-RF;M 50 163.05 3.26 3.26 3.26 11 J01CE30 COMBINATII (BENZYLPENICILLINUM+PROCAINUM) EFITARD PULB. PT. SUSP. INJ. 400000ui ANTIBIOTICE SA ROMANIA Flacon pulb. pt. susp. inj. S/P-RF;M 1 0.95 0.95 0.95 0.95 12 J01CE30 COMBINATII (BENZYLPENICILLINUM+PROCAINUM) EFITARD PULB. PT. SUSP. INJ. 800000ui ANTIBIOTICE SA ROMANIA Cutie x 100 flac. pulb. pt. susp. inj. S/P-RF;M 100 109.48 1.09 1.09 1.09 13 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ANTIBIOTICE SA ROMANIA Cutie x 1 blist. x 10 caps. P-RF;M 10 1.70 0.17 0.17 0.17 14 J01AA02 DOXYCYCLINUM DOXICICLINA SANDOZ 100 mg CAPS. 100mg SANDOZ SRL ROMANIA Cutie x 1 blist. Al/PVC x 10 caps. P-RF 10 2.66 0.27 0.17 0.17 15 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg EUROPHARM SA ROMANIA Cutie x 1 blist. x 10 caps. P-RF 10 2.69 0.27 0.17 0.17 16 J01AA02 DOXYCYCLINUM DOXICICLINA CAPS. 100mg ARENA GROUP SA ROMANIA Cutie x 1 flac. x 20 caps.; (2 ani) P-RF 20 5.61 0.28 0.17 0.17 17 J01AA02 DOXYCYCLINUM DOXYDAR CAPS. 100mg DAR AL DAWA DEVELOPMENT&INVESTMENT CO. LTD. IORDANIA Cutie x 1 blist. x 8 caps. P-RF 8 2.60 0.33 0.17 0.17 18 J01AA02 DOXYCYCLINUM UNIDOX SOLUTAB COMPR. DISP. 100mg ASTELLAS PHARMA EUROPE B.V. OLANDA Cutie x 1 blist. x 10 compr.disp. P-RF;M 10 7.22 0.72 0.72 0.72 19 J01FA01 ERYTHROMYCINUM ERITROMAGIS 200 mg COMPR. 200mg ARENA GROUP SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF;M 20 5.25 0.26 0.26 0.26 20 J01FA01 ERYTHROMYCINUM ERITRO 200 COMPR. 200mg LEK PHARMATECH SRL ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 6.25 0.31 0.26 0.26 21 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 6.79 0.34 0.26 0.26 22 J01FA01 ERYTHROMYCINUM ERITROMICINA 200 mg COMPR. 200mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 compr. P-RF 20 7.16 0.36 0.26 0.26 23 J01FA01 ERYTHROMYCINUM ERITRO 200 PULB. PT. SUSP. ORALA 200mg/5ml LEK PHARMATECH SRL ROMANIA Cutie x 1 flac. x 30g + pulb. pt. 60 ml susp. oral P-RF;M 1 8.12 8.12 8.12 8.12 24 J01AA07 TETRACYCLINUM TETRACICLINA SANDOZ 250 mg CAPS. 250mg SANDOZ SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 caps. P-RF;M 20 2.10 0.11 0.11 0.11 25 J01AA07 TETRACYCLINUM TETRACICLINA 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF;M 20 2.17 0.11 0.11 0.11 26 J01AA07 TETRACYCLINUM JOSAMYCINUM - numai 27 J01FA07 la gravide TETRACICLINA 250 mg CAPS. 250mg EUROPHARM SA ROMANIA Cutie x 2 blist. x 10 caps. P-RF 20 2.31 0.12 0.11 0.11 Nota: Pentru medicamentele din aceasta sectiune tratamentul se initiaza de medicul de specialitate, altul decat medicul de familie, luandu-se in considerare mentiunile cu caracter special, notate cu asterisc, cu exceptia insuficientei cardiace cronice (G1), la care initierea poate fi facuta si de medicul de familie, numai pentru medicamentele din pozitiile 1 - 7 din tabelul G1, daca bolnavul a fost explorat in prealabil pentru functia renala. Medicamentele de la pozitiile 8 - 10 de la tabelul G1, pot fi initiate de specialistul cardiolog sau de medicina interna. Page 29 of 29
SECŢIUNEA C3 - CU PROCENT DE COMPENSARE 100% - CUPRINDE DCI-URILE DIN CANAMED, ALTELE DECÂT CELE DIN SUBLISTELE A, B, C1, C2, INDICATE PENTRU COPII PÂNĂ LA 18 ANI, TINERI DE LA 18 LA 26 DE ANI DACA SUNT ELEVI, STUDENŢI SAU UCENICI DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LĂUZE nr_crt cod_atc dci den_com forma_farm conc firma_det tara_det ambalaj pres cant_fl A02 ANTIACIDE, ANTIULCEROASE, ANTIFLATULENTE PRET AMANUNTUL MAXIMAL (RON) PRET AMANUNTUL MAXIMAL/UT (RON) VAL.SUPORTATA T CNAS/ UT(RON)- LEGEA NR. 95/2006 ART 213 alin.(1) lit. a) si f) 1 A02BX05 BISMUTHI SUBCITRAS DE - NOL COMPR. FILM. 120mg ASTELLAS PHARMA EUROPE B.V. OLANDA Cutie x 5 blist. Al/Al x 8 compr. film. P-6L;M 56 32.78 0.82 0.82 A03 ANTISPASTICE, ANTICOLINERGICE SI STIMULANTE PERISTALTICE 1 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA 100 mg COMPR. 100mg LAROPHARM SRL ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-6L;M 20 1.78 0.09 0.09 2 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 100mg ARENA GROUP SA ROMANIA Cutie x 1 flac. x 20 compr. P-6L;M 20 1.78 0.09 0.09 3 A03AD01 PAPAVERINI HYDROCHLORIDUM CLORHIDRAT DE PAPAVERINA COMPR. 100mg FABIOL SA ROMANIA Cutie x 3 blist. Al/PVC x 10 compr. P-6L;M 30 2.66 0.09 0.09 4 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA 100 mg COMPR. 100mg SICOMED SA ROMANIA Cutie x 2 blist. x 10 compr. P-6L 20 1.91 0.10 0.09 5 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA 100 mg COMPR. 100mg SINTOFARM SA ROMANIA Cutie x 1 flac. PEID x 30 compr. P-6L 30 3.25 0.11 0.09 6 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA COMPR. 200mg FARMACOM SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-6L;M 20 4.89 0.24 0.24 7 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINA 40 mg/ml SOL. INJ. 40mg/ml SICOMED SA ROMANIA Cutie x 10 fiole din sticla incolora, prevazute cu P-RF;M 10 2.21 0.22 0.22 8 A03AD02 DROTAVERINUM NO - SPA 40 mg/2 ml SOL. INJ. 40mg/2ml CHINOIN PHARMACEUTICALS AND CHEMICAL WORKS CO. LTD UNGARIA Cutie x 25 fiole x 2ml sol. inj. P-RF;M 25 20.69 0.83 0.83 9 A03BA01 ATROPINUM SULFAT DE ATROPINA SOL. INJ. 1mg/ml ZENTIVA S.A. ROMANIA Cutie x 10 fiole din sticla incolora cu inel de ru S/P-RF;M 10 3.25 0.33 0.33 10 A03BA01 ATROPINUM SULFAT DE ATROPINA SOL. INJ. 1mg/ml ZENTIVA S.A. ROMANIA Cutie x 5 fiole din sticla incolora cu inel de rup S/P-RF 5 2.01 0.40 0.33 11 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA Cutie x 10 fiole din sticla bruna cu inel de ruper P-RF;M 10 3.35 0.34 0.34 12 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM SCOBUTIL 10 mg/ml SOL. INJ. 10mg/ml ZENTIVA SA ROMANIA Cutie x 5 fiole din sticla bruna cu inel de rupere P-RF 5 2.56 0.51 0.34 13 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM FARCORELAXIN SOL. INJ. 20mg/ml PHARCO PHARM. EGYPT Cutie x 3 fiole x 1 ml P-RF;M 3 1.34 0.45 0.45 14 A03BB01 BUTYLSCOPOLAMMONII BROMIDUM BUSCOPAN SOL. INJ. 20mg/ml BOEHRINGER INGELHEIM GERMANIA Cutie x 1 blist. x 5 fiole x 1ml P-RF 5 6.10 1.22 0.45 15 A03CA02 COMBINATII EPIRAX DRAJ. E.I.P.I.CO. EGYPT Cutie x 3 blist. x 10 draj. P-RF;M 30 2.68 0.09 0.09 16 A03DA02 COMBINATII PIAFEN COMPR. ZENTIVA SA ROMANIA Cutie x 2 blist. Al/PVC x 10 compr. P-6L;M 20 1.29 0.06 0.06 17 A03DA02 COMBINATII PIAFEN COMPR. ANTIBIOTICE SA ROMANIA Cutie x 2 blist. x 10 compr. P-6L 20 1.74 0.09 0.06 18 A03DA02 COMBINATII PIAFEN SOL. INJ. ZENTIVA SA ROMANIA Cutie x 5 fiole din sticla bruna cu inel de rupere P-RF;M 5 3.07 0.61 0.61 19 A03DA02 COMBINATII PIAFEN SUPOZ. ANTIBIOTICE SA ROMANIA Cutie x 2 folii x 3 supoz. P-6L;M 6 1.70 0.28 0.28 20 A03EAN1 COMBINATII A05 TERAPIA VEZICULEI BILIARE ŞI A FICATULUI CONFORM HG NR. 1841/2006 ACTUALIZATA LA DATA DE 30 NOIEMBRIE 2006 1 A05BAN3 COMBINATII ASPATOFORT R SOL. INJ. TERAPIA SA ROMANIA Cutie x 10 fiole x 10 ml P-RF;M 10 7.48 0.75 0.75 2 A05BAN4 COMBINATII MULTIGLUTIN SOL. INJ. TERAPIA SA ROMANIA Cutie x 10 fiole x 10ml P-RF;M 10 8.95 0.90 0.90 Page 1 of 20
Page 1 and 2:
SUBLISTA A - MEDICAMENTE CU NIVEL D
Page 3 and 4:
69 B03AB05 COMPLEX DE HIDROXID DE F
Page 5 and 6:
154 C07AA07 SOTALOLUM SOTALOL AL 80
Page 7 and 8:
248 C08CA01 AMLODIPINUM TENOX R 10
Page 9 and 10:
336 C09AA01 CAPTOPRILUM CAPTOPRIL 2
Page 11 and 12:
428 C09BA02 429 C09BA02 430 C09BA02
Page 13 and 14:
509 D07AB02 HYDROCORTISONUM BUTYRAT
Page 15 and 16:
603 J01CA01 AMPICILLINUM AMPICILINA
Page 17 and 18:
697 J01DA01 CEFALEXINUM CEFALEXINA
Page 19 and 20:
791 J01FA09 CLARITHROMYCINUM KLABAX
Page 21 and 22:
885 J05AB01 ACICLOVIRUM ACICLOVIR 2
Page 23 and 24: 979 M01AE03 KETOPROFENUM KETOPROXIN
Page 25 and 26: 1073 N05BA01 DIAZEPAMUM DIAZEPAM 10
Page 27 and 28: 1167 R06AE07 CETIRIZINUM CELERG COM
Page 29 and 30: 37 A02BA03 FAMOTIDINUM FAMODAR 40 C
Page 31 and 32: 126 C04AE02 NICERGOLINUM NICERGOLIN
Page 33 and 34: 196 C09AA09 COMBINATII (FOSINOPRILU
Page 35 and 36: 270 D06BB03 ACICLOVIRUM CARGOSIL CR
Page 37 and 38: 336 H03BB02 THIAMAZOLUM THYROZOL R
Page 39 and 40: 377 J01CR02 AMOXICILLINUM + ACIDUM
Page 41 and 42: 475 M03BX07 TETRAZEPAMUM MYOLASTAN
Page 43 and 44: 575 N06AX11 MIRTAZAPINUM* REMERON R
Page 45 and 46: 661 S01BC03 DICLOFENACUM VOLTAREN O
Page 47 and 48: 30 C09AA01 CAPTOPRILUM CAPTOPRIL MC
Page 49 and 50: 118 C03CA01 FUROSEMIDUM FUROSEMID 2
Page 51 and 52: 4 L03AB04 INTERFERONUM ALFA 2a* ROF
Page 53 and 54: 22 B03XA02 DARBEPOETINUM ALFA* ARAN
Page 55 and 56: 110 N02AB02 PETHIDINUM MIALGIN R 10
Page 57 and 58: 29 N03AF01 CARBAMAZEPINUM CARBEPSIL
Page 59 and 60: 19 N04BA02 LEVODOPUM+BENSERAZIDUM M
Page 61 and 62: 25 N05AH02 CLOZAPINUM LEPONEX R 25
Page 63 and 64: 8 L01BA01 METHOTREXATUM METHOTREXAT
Page 65 and 66: 65 M01AE03 KETOPROFENUM KETOPROXIN
Page 67 and 68: 39 M01AB05 DICLOFENACUM VOLTAREN R
Page 69 and 70: 47 A10BB12 GLIMEPIRIDUM GLIMEPIRID
Page 71 and 72: 21. BOALA WILSON - G 23 1 M01CC01 P
Page 73: 16 H02AB02 DEXAMETHASONUM DEXAMED S
Page 77 and 78: A11DBN2/ 30 A11BDN2 COMBINATII NEUR
Page 79 and 80: 4 C04AE01 CODERGOCRINUM REDERGIN R
Page 81 and 82: D05 ANTIPSORIAZICE 1 D05AC01 DITHRA
Page 83 and 84: 10 G01AF04 MICONAZOLUM MICONAL ECOB
Page 85 and 86: 18 J01DB04 CEFAZOLINUM CEFAZOLIN SA
Page 87 and 88: 28 M01AE01 IBUPROFENUM PROFINAL COM
Page 89 and 90: 20 N05CD08 MIDAZOLAMUM MIDAZOLAM 5
Page 91 and 92: P03 ECTOPARAZITICIDE (INCLUSIV SCAB
Page 93 and 94: 3 S01AA11 GENTAMICINUM GENTICOL SOL
Page 95 and 96: LISTA CUPRINZAND MEDICAMENTELE(DENU
Page 97 and 98: MULTIVITAMINE - ALTE PREPARATE CU C
Page 99 and 100: 103 A11JBN1 MULTIVITAMINE - ALTE PR
Page 101 and 102: 193 M02AA15 DICLOFENACUM VOLTAREN E
Page 103: 293 R05CB02 BROMHEXINUM BISOLVONr S
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