Nr crt. | Categorie | Denumire Comercială / Deținător APP | Forma farm. / Concentrație / Ambalaj | DCI | Cod ATC | Preț amănuntul maximal/ambalaj (RON) |
---|---|---|---|---|---|---|
21 | Ambulatoriu compensare 90% | AERIUS 2,5mg MERCK SHARP&DOHME LTD. |
COMPR. ORODISPERSABILE/2,5mg/- | DESLORATADINUM | W60473008 | 6.00 |
22 | Ambulatoriu compensare 90% | TOBRADEX ( R ) ALCON COUVREUR NV |
PICATURI OFT.-SUSP./3mg+1mg/ml/- | COMBINATII (TOBRAMYCINUM +DEXAMETAZONUM) | W11950002 | 7.77 |
23 | Ambulatoriu compensare 90% | FRAGMIN15000 UI/0,6 ml PFIZER EUROPE MA EEIG |
SOL. INJ./15000ui/0,6ml/- | DALTEPARINUM | W52805003 | 136.75 |
24 | Ambulatoriu compensare 90% | AERIUS 5mg MERCK SHARP&DOHME LTD. |
COMPR. FILM./5mg/- | DESLORATADINUM | W60471006 | 4.00 |
25 | Ambulatoriu compensare 90% | AERIUS 5mg MERCK SHARP&DOHME LTD. |
COMPR. FILM./5mg/- | DESLORATADINUM | W60471011 | 12.00 |
26 | Ambulatoriu compensare 90% | AERIUS 5mg MERCK SHARP&DOHME LTD. |
COMPR. ORODISPERSABILE/5mg/- | DESLORATADINUM | W60472008 | 12.00 |
27 | Ambulatoriu compensare 90% | ASMANEX TWISTHALER 200 MERCK SHARP & DOHME |
PULB. INHAL./200/- | MOMETASONUM | W57957001 | 33.61 |
28 | Ambulatoriu compensare 90% | FRAGMIN 10000 UI/0,4 ml PFIZER EUROPE MA EEIG |
SOL. INJ./10000UI/0,4ml/- | DALTEPARINUM | W43774001 | 92.15 |
29 | Ambulatoriu compensare 90% | FRAGMIN 18000 UI/0,72 ml PFIZER EUROPE MA EEIG |
SOL. INJ./18000 UI/0,72ml/- | DALTEPARINUM | W43776001 | 167.65 |
30 | Ambulatoriu compensare 90% | ASMANEX TWISTHALER 400 MERCK SHARP & DOHME |
PULB. INHAL./400/- | MOMETASONUM | W57956002 | 62.55 |