Formulare specifice

Formulare specifice ORD 141/2007.

Adrese de email la care medicii prescriptori pot transmite formularele specifice conform Ord. CNAS 141/2017, pana la implementarea modalitatii de transmitere a cererii online in platforma informatica din asigurarile de sanatate pentru inregistrarea Formularului specific:

 

medicsef.castr@castr.ro

socolvanda.castr@castr.ro

costel.guran@castr.ro

 

 

CNAS -- Formulare specifice aprobate prin Ordin MS/CNAS

25.03.2024 - Actualizarea formularului specific L01XC21.2 , medicamentul RAMUCIRUMABUM - pozitia 65

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1) formular specific A001E - ORLISTATUM.docx 2) formular specific A008E - IMIGLUCERASUM.docx 3) formular specific B02BX04 - ROMIPLOSTINUM.docx 4) formular specific H005E - ACROMEGALIE.docx 5) formular specific H006C - TUMORI NEURO.docx 6) formular specific L004C.1 - BEVACIZUMABUM-mamar.docx 7) formular specific L004C.2 - BEVACIZUMABUM-colorectal.docx 8) formular specific L004C.3 - BEVACIZUMABUM-renal.docx 9) formular specific L004C.4 - BEVACIZUMABUM-pulmonar.docx 10) formular specific L008C.1 - IMATINIBUM-hematologie.docx 11) formular specific L008C.2 - IMATINIBUM-DFB.docx 12) formular specific L008C.3 - IMATINIBUM-GIST.docx 13) formular specific L012C - BORTEZOMIBUM.docx 14) formular specific L014C - RITUXIMABUM.docx 15) formular specific L01BB06 - CLOFARABINUM.docx 16) formular specific L01BB07 - NELARABINUM.docx 17) formular specific L01BC07 - AZACITIDINUM.docx 18) formular specific L01BC08 - DECITABINUM.docx 19) formular specific L01CX01.1 - TRABECTEDINUM-ovar.docx 20) formular specific L01CX01.2 - TRABECTEDINUM-sarcom.docx 21) formular specific L01XC08 - PANITUMUMABUM.docx 22) formular specific L01XC10 - OFATUMUMAB.docx 23) formular specific L01XC12 - BRENTUXIMAB VEDOTIN.docx 24) formular specific L01XE06 - DASATINIBUM.docx 25) formular specific L01XE07 - LAPATINIBUM.docx 26) formular specific L01XE08 - NILOTINIBUM.docx 27) formular specific L01XE10 - EVEROLIMUS (VOTUBIA).docx 28) formular specific L01XE10A - EVEROLIMUS (AFINITOR).docx 29) formular specific L01XE11.1 - PAZOPANIBUM-renal.docx 30) formular specific L01XE11.2 - PAZOPANIBUM-sarcom.docx 31) formular specific L01XE13 - AFATINIBUM.docx 32) formular specific L01XE14 - BOSUTINIBUM.docx 33) formular specific L01XE16 - CRIZOTINIBUM.docx 34) formular specific L01XE17 - AXITINIBUM.docx 35) formular specific L01XE18 - RUXOLITINIBUM.docx 36) formular specific L01XE23 - DABRAFENIBUM.docx 37) formular specific L01XE27 - IBRUTINIBUM.docx 38) formular specific L01XX44 - AFLIBERCEPTUM.docx 39) formular specific L01XX46 - OLAPARIBUM.docx 40) formular specific L026C.1 - TRASTUZUMABUM-adjuv.docx 41) formular specific L026C.2 - TRASTUZUMABUM-neoadjv.docx 42) formular specific L02BX03.1 - ABIRATERONUM-postch.docx 43) formular specific L02BX03.2 - ABIRATERONUM-prech.docx 44) formular specific L031C.1 - ERLOTINIBUM-pancreas.docx 45) formular specific L031C.2 - ERLOTINIBUM-pulmon.docx 46) formular specific L033C - TRASTUZUMABUM-metastatic.docx 47) formular specific L037C.1 - CETUXIMABUM-cap,gat.docx 48) formular specific L037C.2 - CETUXIMABUM-colorectal.docx 49) formular specific L038C.1 - SORAFENIBUM-HCC.docx 50) formular specific L038C.2 - SORAFENIBUM-renal.docx 51) formular specific L038C.3 - SORAFENIBUM-tiroidian.docx 52) formular specific L039M - AIJ.docx 53) formular specific L040M - AP.docx 54) formular specific L041M - SPONDILITA.docx 55) formular specific L042C.1 - SUNITINIBUM-renal.docx 56) formular specific L042C.2 - SUNITINIBUM-GIST.docx 57) formular specific L043M - POLIARTRITA.docx 58) formular specific L044L - PSORIAZIS.docx 59) formular specific L047C.1 - PEMETREXEDUM-mezotel.docx 60) formular specific L047C.2 - PEMETREXEDUM-pulmonar.docx 61) formular specific L04AX02 - TALIDOMIDUM.docx 62) formular specific B02BX05 - ELTROMBOPAG.docx 63) formular specific L01XC15- OBINUTUZUMAB.docx 64) formular specific L01XE24 - PONATINIBUM.docx 65) RAMUCINUMABUM-001.pdf