| Nr crt. | Categorie | Denumire Comercială / Deținător APP | Forma farm. / Concentrație / Ambalaj | DCI | Cod ATC | Preț amănuntul maximal/ambalaj (RON) |
|---|---|---|---|---|---|---|
| 171 | Sublista A | AREFAM 100 mg PHARMASWISS CESK |
CAPS. MOI/100mg/- | PROGESTERONUM | W61647001 | 16.50 |
| 172 | Sublista A | COAXIL (R) LES LAB. SERVIER IND. |
DRAJ./12,5mg/- | TIANEPTINUM | W41558001 | 13.80 |
| 173 | Sublista A | DIPHERELINE 0,1 mg IPSEN PHARMA |
LIOF. + SOLV. PT. SOL. INJ./0,1mg/- | TRIPTORELINUM | W55725001 | 86.17 |
| 174 | Sublista A | LODOZ 5mg/6,25mg MERCK KGAA |
COMPR. FILM./5mg/6,25mg/- | COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) | W57344001 | 21.60 |
| 175 | Sublista A | PHYSIOTENS 0,4 mg ABBOTT LABORATORIES GMBH |
COMPR. FILM./0,4mg/- | MOXONIDINUM | W60491003 | 44.80 |
| 176 | Sublista A | INNOHEP 20000 UI ANTI-Xa/ml LEO PHARMA A/S |
SOL. INJ. IN SERINGI PREUMPLUTE/20000UI anti-Xa/ml/- | TINZAPARINUM | W59474001 | 14.20 |
| 177 | Sublista A | TRIPLIXAM LES LABORATOIRES SERVIER |
COMPR. FILM./5mg/1,25mg/10mg/- | COMBINATII (PERINDOPRILUM+INDAPAMIDUM+AMLODIPINUM) | W61002001 | 33.90 |
| 178 | Sublista A | TRIPLIXAM LES LABORATOIRES SERVIER |
COMPR. FILM./10mg/2,5mg/5mg/- | COMBINATII (PERINDOPRILUM+INDAPAMIDUM+AMLODIPINUM) | W61003001 | 33.00 |
| 179 | Sublista A | INNOHEP 10000 UI ANTI-XA/ml LEO PHARMA A/S |
SOL. INJ. IN FLACOANE/10000UI anti-XA/ml/- | TINZAPARINUM | W59473001 | 284.00 |
| 180 | Sublista A | PHYSIOTENS 0,2 mg ABBOTT LABORATORIES GMBH |
COMPR. FILM./0,2mg/- | MOXONIDINUM | W60490003 | 23.52 |
