Mepha Pharma AG Bestell-Fax 0800 00 44 88 - bei Mepha Pharma ...
Mepha Pharma AG Bestell-Fax 0800 00 44 88 - bei Mepha Pharma ...
Mepha Pharma AG Bestell-Fax 0800 00 44 88 - bei Mepha Pharma ...
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<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat <strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
Actiq ® 2<strong>00</strong> 298 62 70 _______ OP 3 Buccaltabletten<br />
Buccaltabletten 298 62 87 _______ OP 30 Buccaltabletten<br />
Actiq ® 4<strong>00</strong> 298 62 93 _______ OP 3 Buccaltabletten<br />
Buccaltabletten 298 63 01 _______ OP 30 Buccaltabletten<br />
Actiq ® 6<strong>00</strong> 298 63 18 _______ OP 3 Buccaltabletten<br />
Buccaltabletten 298 63 24 _______ OP 30 Buccaltabletten<br />
Actiq ® 8<strong>00</strong> 298 63 30 _______ OP 3 Buccaltabletten<br />
Buccaltabletten 298 63 47 _______ OP 30 Buccaltabletten<br />
Actiq ® 12<strong>00</strong> 298 63 53 _______ OP 3 Buccaltabletten<br />
Buccaltabletten 298 63 76 _______ OP 30 Buccaltabletten<br />
Actiq ® 16<strong>00</strong> 298 63 82 _______ OP 3 Buccaltabletten<br />
Buccaltabletten<br />
Acyclovir-<strong>Mepha</strong><br />
298 63 99 _______ OP 30 Buccaltabletten<br />
® 2<strong>00</strong><br />
Tabletten 190 38 79 _______ OP 25 Tabletten<br />
Acyclovir-<strong>Mepha</strong> ® 4<strong>00</strong> 190 38 85 _______ OP 30 Tabletten<br />
Tabletten<br />
Acyclovir-<strong>Mepha</strong><br />
190 38 91 _______ OP 70 Tabletten<br />
® 8<strong>00</strong><br />
Tabletten<br />
Acyclovir-<strong>Mepha</strong><br />
190 39 16 _______ OP 35 Tabletten<br />
® i.v. 250<br />
Stechampullen 197 64 82 _______ OP 5 Ampullen<br />
Agnus castus-<strong>Mepha</strong> ® 467 23 40 _______ OP 30 Lactab ®<br />
Lactab ® 467 23 57 _______ OP 90 Lactab ®<br />
Aktiferrin ®<br />
Suscaps ® 068 91 77 _______ OP 30 Suscaps ®<br />
Aktiferrin ®<br />
Tropfen 074 36 81 _______ OP 30 ml<br />
Alendron-<strong>Mepha</strong> ® 70 346 53 08 _______ OP 4 Lactab ®<br />
Lactab ® 346 53 14 _______ OP 12 Lactab ®<br />
Alfuzosin-<strong>Mepha</strong> ® 10 retard<br />
Depotabs ® 367 33 20 _______ OP 10 Depotabs ®<br />
367 33 37 _______ OP 30 Depotabs ®<br />
367 33 43 _______ OP 90 Depotabs ®<br />
Amiodaron-<strong>Mepha</strong> ® 1<strong>00</strong><br />
Tabletten 251 60 73 _______ OP 60 Tabletten<br />
Amiodaron-<strong>Mepha</strong> ® 2<strong>00</strong> 251 60 96 _______ OP 20 Tabletten<br />
Tabletten 251 61 04 _______ OP 60 Tabletten<br />
Amisulprid-<strong>Mepha</strong> ® 2<strong>00</strong> 465 99 77 _______ OP 30 Tabletten<br />
Tabletten 465 99 83 _______ OP 90 Tabletten<br />
Amisulprid-<strong>Mepha</strong> ® 4<strong>00</strong> 466 <strong>00</strong> 06 _______ OP 30 Lactab ®<br />
Lactab ® 466 <strong>00</strong> 12 _______ OP 90 Lactab ®<br />
Amlodipin-<strong>Mepha</strong> ® 5 294 22 55 _______ OP 30 Tabletten<br />
Tabletten 294 22 61 _______ OP 1<strong>00</strong> Tabletten<br />
Amlodipin-<strong>Mepha</strong> ® 10 294 22 84 _______ OP 30 Tabletten<br />
Tabletten<br />
Amoxi-<strong>Mepha</strong><br />
294 22 90 _______ OP 1<strong>00</strong> Tabletten<br />
® 375<br />
Lactab ® 140 87 72 _______ OP 16 Lactab ®<br />
Amoxi-<strong>Mepha</strong> ® 5<strong>00</strong><br />
Lactab ® 136 39 57 _______ OP 20 Lactab ®<br />
Amoxi-<strong>Mepha</strong> ® 750<br />
Lactab ® 136 39 63 _______ OP 20 Lactab ®<br />
Amoxi-<strong>Mepha</strong> ® 1<strong>00</strong>0<br />
Lactab ® 136 39 86 _______ OP 20 Lactab ®<br />
Amoxi-<strong>Mepha</strong> ® 2<strong>00</strong>mg/4ml<br />
Suspension 480 33 74 _______ OP 1<strong>00</strong> ml Suspension<br />
Atenolol-<strong>Mepha</strong> ® 25 166 84 <strong>44</strong> _______ OP 30 Lactab ®<br />
Lactab ® 166 84 50 _______ OP 1<strong>00</strong> Lactab ®<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Atenolol-<strong>Mepha</strong> ® 50 137 94 09 _______ OP 30 Lactab ®<br />
Lactab ® 137 94 15 _______ OP 1<strong>00</strong> Lactab ®<br />
Atenolol-<strong>Mepha</strong> ® 1<strong>00</strong> 137 94 38 _______ OP 30 Lactab ®<br />
Lactab ® 137 94 <strong>44</strong> _______ OP 1<strong>00</strong> Lactab ®<br />
Atorvastatin-<strong>Mepha</strong> ® 10 523 91 02 _______ OP 30 Lactab ®<br />
Lactab ® 523 91 19 _______ OP 1<strong>00</strong> Lactab ®<br />
Atorvastatin-<strong>Mepha</strong> ® 20 523 91 25 _______ OP 30 Lactab ®<br />
Lactab ® 523 91 31 _______ OP 1<strong>00</strong> Lactab ®<br />
Atorvastatin-<strong>Mepha</strong> ® 40 523 91 48 _______ OP 30 Lactab ®<br />
Lactab ® 523 91 54 _______ OP 1<strong>00</strong> Lactab ®<br />
Atorvastatin-<strong>Mepha</strong> ® 80 523 91 60 _______ OP 30 Lactab ®<br />
Lactab ® 523 91 77 _______ OP 1<strong>00</strong> Lactab ®<br />
Aviral ® Crème<br />
Azithromycin-<strong>Mepha</strong><br />
235 89 12 _______ OP 2 g Crème<br />
® 2<strong>00</strong><br />
Pulver zur Zubereitung 363 60 46 _______ OP 15 ml Susp.<br />
einer Suspension 363 60 69 _______ OP 30 ml Susp.<br />
Azithromycin-<strong>Mepha</strong> ® 250 340 78 48 _______ OP 4 Lactab ®<br />
Lactab ® 340 78 54 _______ OP 6 Lactab ®<br />
Azithromycin-<strong>Mepha</strong> ® 5<strong>00</strong><br />
Lactab ® 375 42 02 _______ OP 3 Lactab ®<br />
Betahistin-<strong>Mepha</strong> ® 16 366 05 99 _______ OP 50 Tabletten<br />
Tabletten 366 06 07 _______ OP 1<strong>00</strong> Tabletten<br />
Betahistin-<strong>Mepha</strong> ® 24 366 06 65 _______ OP 50 Tabletten<br />
Tabletten 366 06 71 _______ OP 1<strong>00</strong> Tabletten<br />
Bicalutamid-<strong>Mepha</strong> ® 50 380 15 51 _______ OP 30 Lactab ®<br />
Lactab ® 380 15 68 _______ OP 1<strong>00</strong> Lactab ®<br />
Bicalutamid-<strong>Mepha</strong> ® 150 380 15 80 _______ OP 30 Lactab ®<br />
Lactab ® 380 16 05 _______ OP 1<strong>00</strong> Lactab ®<br />
Brimonidin-<strong>Mepha</strong> ® 0.2% 499 43 39 _______ OP 5 ml Augentr.<br />
Augentropfen 499 43 45 _______ OP 3x5 ml Augentr.<br />
Calcium D3-<strong>Mepha</strong> ® 12<strong>00</strong>/8<strong>00</strong><br />
Brausetabletten 4<strong>00</strong> 68 50 _______ OP 10 Brausetabletten<br />
4<strong>00</strong> 68 67 _______ OP 20 Brausetabletten<br />
4<strong>00</strong> 68 73 _______ OP 2x20 Brausetabletten*<br />
Calmesin-<strong>Mepha</strong> ®<br />
Sirup 180 04 06 _______ OP 90 ml Sirup<br />
Captopril-<strong>Mepha</strong> ® 12.5 190 18 40 _______ OP 30 Tabletten<br />
Tabletten 190 18 57 _______ OP 1<strong>00</strong> Tabletten<br />
Captopril-<strong>Mepha</strong> ® 25 190 18 63 _______ OP 30 Tabletten<br />
Tabletten 190 18 86 _______ OP 1<strong>00</strong> Tabletten<br />
Captopril-<strong>Mepha</strong> ® 50 190 18 92 _______ OP 30 Tabletten<br />
Tabletten<br />
Carvedilol-<strong>Mepha</strong><br />
190 19 <strong>00</strong> _______ OP 1<strong>00</strong> Tabletten<br />
® 3.125<br />
Tabletten<br />
Carvedilol-<strong>Mepha</strong><br />
334 13 80 _______ OP 30 Tabletten<br />
® 6.25<br />
Tabletten 334 13 97 _______ OP 30 Tabletten<br />
Carvedilol-<strong>Mepha</strong> ® 12.5 334 14 05 _______ OP 30 Tabletten<br />
Tabletten 334 14 11 _______ OP 1<strong>00</strong> Tabletten<br />
Carvedilol-<strong>Mepha</strong> ® 25 334 14 28 _______ OP 30 Tabletten<br />
Tabletten<br />
Cefuroxim-<strong>Mepha</strong><br />
334 14 40 _______ OP 1<strong>00</strong> Tabletten<br />
® 250<br />
Lactab ® 291 03 73 _______ OP 14 Lactab ®<br />
Cefuroxim-<strong>Mepha</strong> ® 5<strong>00</strong><br />
Lactab ® 291 04 10 _______ OP 14 Lactab ®<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
* Teil einer Grosspackung<br />
1
<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat <strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
Cerzin-<strong>Mepha</strong> ® 10 303 80 03 _______ OP 10 Lactab ®<br />
Lactab ® 303 80 26 _______ OP 30 Lactab ®<br />
303 80 32 _______ OP 50 Lactab ®<br />
Cet-<strong>Mepha</strong> ® Allergie<br />
Lutschtabletten <strong>44</strong>9 53 23 _______ OP 10 Lutschtabl.<br />
Ciprofloxacin-<strong>Mepha</strong> ® 250 261 37 87 _______ OP 10 Filmtabletten<br />
Filmtabletten 261 37 93 _______ OP 20 Filmtabletten<br />
Ciprofloxacin-<strong>Mepha</strong> ® 5<strong>00</strong> 261 38 18 _______ OP 10 Filmtabletten<br />
Filmtabletten<br />
Ciprofloxacin-<strong>Mepha</strong><br />
261 38 24 _______ OP 20 Filmtabletten<br />
® 750<br />
Filmtabletten 261 38 30 _______ OP 20 Filmtabletten<br />
Ciprofloxacin-<strong>Mepha</strong> ® 0.2 i.v.<br />
Infusionskonzentrat 358 34 04 _______ OP 1 Stechampulle<br />
Ciprofloxacin-<strong>Mepha</strong> ® 0.4 i.v.<br />
Infusionskonzentrat 358 34 27 _______ OP 1 Stechampulle<br />
Citalopram-<strong>Mepha</strong> ® 20 273 50 36 _______ OP 14 Lactab ®<br />
Lactab ® 273 50 42 _______ OP 28 Lactab ®<br />
273 50 59 _______ OP 98 Lactab ®<br />
Citalopram-<strong>Mepha</strong> ® 20<br />
Dispersible 394 76 16 _______ OP 20 Tabletten<br />
Tabletten<br />
Citalopram-<strong>Mepha</strong><br />
394 76 45 _______ OP 1<strong>00</strong> Tabletten<br />
® 40<br />
Dispersible 394 76 39 _______ OP 20 Tabletten<br />
Tabletten 394 76 51 _______ OP 1<strong>00</strong> Tabletten<br />
Clarithrocin-<strong>Mepha</strong> ® 250 303 79 20 _______ OP 14 Lactab ®<br />
Lactab ® 303 79 37 _______ OP 20 Lactab ®<br />
Clarithrocin-<strong>Mepha</strong> ® 5<strong>00</strong> 303 79 66 _______ OP 14 Lactab ®<br />
Lactab ® 303 79 72 _______ OP 20 Lactab ®<br />
303 79 89 _______ OP 30 Lactab ®<br />
Clarithrocin-<strong>Mepha</strong> ® 125<br />
Suspension<br />
Clarithrocin-<strong>Mepha</strong><br />
303 78 83 _______ OP 1<strong>00</strong> ml Suspension<br />
® 250<br />
Suspension 303 79 08 _______ OP 1<strong>00</strong> ml Suspension<br />
Clopidogrel-<strong>Mepha</strong> ® 75 <strong>44</strong>8 47 91 _______ OP 28 Lactab ®<br />
Lactab ® <strong>44</strong>8 48 16 _______ OP 84 Lactab ®<br />
Co-Amoxi-<strong>Mepha</strong> ® 156,25<br />
Suspension<br />
Co-Amoxi-<strong>Mepha</strong><br />
221 58 45 _______ OP 1<strong>00</strong> ml Suspension<br />
® 312,5<br />
Suspension 221 58 51 _______ OP 1<strong>00</strong> ml Suspension<br />
Co-Amoxi-<strong>Mepha</strong> ® 625 341 72 78 _______ OP 10 Disp. Tabl.<br />
Dispersible Tabletten 341 72 84 _______ OP 20 Disp. Tabl.<br />
Co-Amoxi-<strong>Mepha</strong> ® 1<strong>00</strong>0 341 72 90 _______ OP 12 Disp. Tabl.<br />
Dispersible Tabletten 341 73 09 _______ OP 20 Disp. Tabl.<br />
Co-Amoxi-<strong>Mepha</strong> ® 457 301 19 49 _______ OP 35 ml Suspension<br />
Suspension 301 19 61 _______ OP 70 ml Suspension<br />
Co-Amoxi-<strong>Mepha</strong><br />
301 19 78 _______ OP 140 ml Suspension<br />
® 375<br />
Lactab ® 221 58 68 _______ OP 16 Lactab ®<br />
Co-Amoxi-<strong>Mepha</strong> ® 625 239 72 66 _______ OP 10 Lactab ®<br />
Lactab ® 221 59 05 _______ OP 20 Lactab ®<br />
Co-Amoxi-<strong>Mepha</strong> ® 1<strong>00</strong>0 240 72 43 _______ OP 12 Lactab ®<br />
Lactab ® 240 72 66 _______ OP 20 Lactab ®<br />
Co-Amoxi-<strong>Mepha</strong> ® 550 i.v.<br />
Stechampullen zur Injektion 284 04 19 _______ OP<br />
Co-Amoxi-<strong>Mepha</strong><br />
10 Stechampullen<br />
® 11<strong>00</strong> i.v.<br />
Stechampullen zur Infusion 284 04 25 _______ OP 5 Stechampullen<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Co-Amoxi-<strong>Mepha</strong> ® 12<strong>00</strong> i.v.<br />
Stechampullen zur Injektion 284 04 31 _______ OP<br />
Co-Amoxi-<strong>Mepha</strong><br />
5 Stechampullen<br />
® 22<strong>00</strong> i.v.<br />
Stechampullen zur Infusion 284 04 48 _______ OP 5 Stechampullen<br />
Co-Enatec ® 251 87 41 _______ OP 28 Tabletten<br />
Tabletten 251 87 58 _______ OP 98 Tabletten<br />
Co-Lisinopril-<strong>Mepha</strong> ® 10/12.5<br />
Tabletten 480 29 72 _______ OP 30 Tabletten<br />
480 29 89 _______ OP 1<strong>00</strong> Tabletten<br />
Co-Lisinopril-<strong>Mepha</strong> ® 20/12.5<br />
Tabletten 480 29 95 _______ OP 30 Tabletten<br />
480 30 03 _______ OP 1<strong>00</strong> Tabletten<br />
Co-Perindopril-<strong>Mepha</strong> ® 5<strong>00</strong> 66 16 _______ OP 30 Tabletten<br />
Tabletten 5<strong>00</strong> 66 22 _______ OP 90 Tabletten<br />
Co-Valtan-<strong>Mepha</strong> ® 80/12.5 496 09 26 _______ OP 28 Filmtabletten<br />
Filmtabletten 496 09 32 _______ OP 98 Filmtabletten<br />
Co-Valtan-<strong>Mepha</strong> ® 160/12.5<br />
Filmtabletten 496 09 49 _______ OP 28 Filmtabletten<br />
496 09 55 _______ OP 98 Filmtabletten<br />
Co-Valtan-<strong>Mepha</strong> ® 160/25 496 09 61 _______ OP 28 Filmtabletten<br />
Filmtabletten 496 09 78 _______ OP 98 Filmtabletten<br />
Comilorid-<strong>Mepha</strong> ® 143 84 77 _______ OP 20 Tabletten<br />
Tabletten 143 84 83 _______ OP 1<strong>00</strong> Tabletten<br />
Comilorid-<strong>Mepha</strong> ® mite 143 85 08 _______ OP 30 Tabletten<br />
Tabletten 143 85 14 _______ OP 1<strong>00</strong> Tabletten<br />
Cotenolol-<strong>Mepha</strong>-Neo ® 190 18 05 _______ OP 14 Tabletten<br />
Filmtabletten 190 18 11 _______ OP 98 Tablette<br />
Cotenolol-<strong>Mepha</strong>-Neo ® 190 18 28 _______ OP 28 Tabletten<br />
mite Filmtabletten 190 18 34 _______ OP 98 Tabletten<br />
Cypestra-35 ® 303 81 09 _______ OP 21 Dragées<br />
Dragées<br />
Decatylen Neo<br />
303 81 15 _______ OP 3x21 Dragées<br />
®<br />
Lutschtabletten 242 67 14 _______ OP 30 Lutschtabletten<br />
Diclofenac-<strong>Mepha</strong> ® 75 <strong>44</strong>7 41 89 _______ OP 5 Ampullen<br />
Ampullen 2 ml 451 26 94 _______ OP 25 Ampullen<br />
451 27 02 _______ OP 50 Ampullen<br />
Diltiazem-<strong>Mepha</strong> ® 90 ret. 135 92 46 _______ OP 20 Opticaps ®<br />
Opticaps ® 135 92 52 _______ OP 1<strong>00</strong> Opticaps ®<br />
Dolobene ®<br />
Gel 113 37 89 _______ OP 50 g Gel<br />
Donepezil-<strong>Mepha</strong> ® 5 526 17 39 _______ OP 30 Lactab ®<br />
Lactab ® 526 17 45 _______ OP 50 Lactab ®<br />
526 17 51 _______ OP 1<strong>00</strong> Lactab ®<br />
Donepezil-<strong>Mepha</strong> ® 10 526 17 74 _______ OP 30 Lactab ®<br />
Lactab ® 526 17 80 _______ OP 50 Lactab ®<br />
526 17 97 _______ OP 1<strong>00</strong> Lactab ®<br />
Effentora ® 1<strong>00</strong> 505 21 31 _______ OP 4 Buccaltabl.<br />
Buccaltabletten 505 21 48 _______ OP 28 Buccaltabl.<br />
Effentora ® 2<strong>00</strong> 505 21 54 _______ OP 4 Buccaltabl.<br />
Buccaltabletten<br />
Effentora<br />
505 21 60 _______ OP 28 Buccaltabl.<br />
® 4<strong>00</strong><br />
Buccaltabletten<br />
Effentora<br />
505 21 77 _______ OP 28 Buccaltabl.<br />
® 6<strong>00</strong><br />
Buccaltabletten<br />
Effentora<br />
505 21 83 _______ OP 28 Buccaltabl.<br />
® 8<strong>00</strong><br />
Buccaltabletten 505 22 08 _______ OP 28 Buccaltabl.<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
2
<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat <strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
Enatec ® 5<br />
Tabletten 217 45 66 _______ OP 30 Tabletten<br />
Enatec ® 10 217 45 72 _______ OP 28 Tabletten<br />
Tabletten 217 45 89 _______ OP 98 Tabletten<br />
Enatec ® 20 217 45 95 _______ OP 28 Tabletten<br />
Tabletten 217 46 03 _______ OP 98 Tabletten<br />
Eprotan-<strong>Mepha</strong> ® 6<strong>00</strong> 346 53 37 _______ OP 28 Lactab ®<br />
Lactab ® 346 53 66 _______ OP 98 Lactab ®<br />
Eprotan-<strong>Mepha</strong> ® plus 346 54 49 _______ OP 28 Lactab ®<br />
Lactab ® 346 54 84 _______ OP 98 Lactab ®<br />
Felodipin-<strong>Mepha</strong> ® 2.5<br />
Depotabs ® 363 68 62 _______ OP 30 Depotabs ®<br />
Felodipin-<strong>Mepha</strong> ® 5 363 68 79 _______ OP 20 Depotabs ®<br />
Depotabs ® 363 68 85 _______ OP 1<strong>00</strong> Depotabs ®<br />
Felodipin-<strong>Mepha</strong> ® 10 363 68 91 _______ OP 20 Depotabs ®<br />
Depotabs ® 363 69 16 _______ OP 1<strong>00</strong> Depotabs ®<br />
Femadiol-<strong>Mepha</strong> ® 20 375 42 83 _______ OP 21 Dragées<br />
Dragées 375 43 14 _______ OP 3x21 Dragées<br />
375 43 37 _______ OP 6x21 Dragées<br />
Femadiol-<strong>Mepha</strong> ® 30 375 42 25 _______ OP 21 Dragées<br />
Dragées<br />
Fentanyl-<strong>Mepha</strong><br />
375 42 48 _______ OP 3x21 Dragées<br />
375 42 54 _______ OP 6x21 Dragées<br />
® 12<br />
Pflaster<br />
Fentanyl-<strong>Mepha</strong><br />
4<strong>00</strong> 82 86 _______ OP 5 Matrixpflaster<br />
® 25<br />
Pflaster<br />
Fentanyl-<strong>Mepha</strong><br />
3<strong>88</strong> 92 73 _______ OP 5 Matrixpflaster<br />
® 50<br />
Pflaster<br />
Fentanyl-<strong>Mepha</strong><br />
3<strong>88</strong> 92 96 _______ OP 5 Matrixpflaster<br />
® 75<br />
Pflaster<br />
Fentanyl-<strong>Mepha</strong><br />
3<strong>88</strong> 93 04 _______ OP 5 Matrixpflaster<br />
® 1<strong>00</strong><br />
Pflaster 3<strong>88</strong> 93 10 _______ OP 5 Matrixpflaster<br />
Filgrastim-<strong>Mepha</strong> ® 30 Mio E/U 0.5ml<br />
Fertigspritzen 491 09 11 _______ OP 1 Fertigspr.<br />
404 87 71 _______ OP 5 Fertigspr.<br />
Filgrastim-<strong>Mepha</strong> ® 48 Mio E/U 0.8ml<br />
Fertigspritzen 491 09 05 _______ OP 1 Fertigspr.<br />
404 <strong>88</strong> 02 _______ OP 5 Fertigspr.<br />
Finasterid-<strong>Mepha</strong> ® 5 367 <strong>00</strong> 89 _______ OP 30 Lactab ®<br />
Lactab ® 367 01 03 _______ OP 1<strong>00</strong> Lactab ®<br />
Finasterid-<strong>Mepha</strong> ® Procapil<br />
Lactab ® 530 34 61 _______ OP 28 Lactab ®<br />
530 34 78 _______ OP 98 Lactab ®<br />
Flamon ® -40 132 <strong>00</strong> 95 _______ OP 30 Lactab ®<br />
Lactab ® 132 01 03 _______ OP 1<strong>00</strong> Lactab ®<br />
Flamon ® -80 132 01 26 _______ OP 20 Lactab ®<br />
Lactab ® 132 01 32 _______ OP 50 Lactab ®<br />
Flamon ® -120 132 01 49 _______ OP 20 Lactab ®<br />
Lactab ® 132 01 55 _______ OP 50 Lactab ®<br />
Flamon ® -120 retard 136 41 12 _______ OP 20 Opticaps ®<br />
Opticaps ® 136 41 29 _______ OP 1<strong>00</strong> Opticaps ®<br />
Flamon ® -240 retard 1<strong>44</strong> 79 67 _______ OP 30 Retardtabletten<br />
Retardtabletten 1<strong>44</strong> 79 73 _______ OP 1<strong>00</strong> Retardtabletten<br />
Fluconazol-<strong>Mepha</strong> ® 50 N 374 78 92 _______ OP 7 Kapseln<br />
Kapseln 374 79 17 _______ OP 28 Kapseln<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Fluconazol-<strong>Mepha</strong> ® 150 N 374 79 23 _______ OP 1 Kapsel<br />
Kapseln 374 79 52 _______ OP 4 Kapseln<br />
Fluconazol-<strong>Mepha</strong> ® 2<strong>00</strong> N 374 79 75 _______ OP 2 Kapseln<br />
Kapseln 374 79 98 _______ OP 7 Kapseln<br />
Fluoxetin-<strong>Mepha</strong> ® 20 190 17 74 _______ OP 14 Kapseln<br />
Kapseln 190 17 80 _______ OP 30 Kapseln<br />
190 17 97 _______ OP 1<strong>00</strong> Kapseln<br />
Fluoxetin-<strong>Mepha</strong> ® 311 79 55 _______ OP 10 Tabletten<br />
Dispersible 20 311 79 61 _______ OP 30 Tabletten<br />
Tabletten 311 79 78 _______ OP 1<strong>00</strong> Tabletten<br />
Fluvastatin-<strong>Mepha</strong> ® 20 491 08 51 _______ OP 28 Kapseln<br />
Kapseln 491 08 45 _______ OP 98 Kapseln<br />
Fluvastatin-<strong>Mepha</strong> ® 40 491 08 74 _______ OP 28 Kapseln<br />
Kapseln 491 08 68 _______ OP 98 Kapseln<br />
Fluvastatin-<strong>Mepha</strong> ® 80 ret. 491 08 97 _______ OP 28 Depotabs ®<br />
Depotabs ® 491 08 80 _______ OP 98 Depotabs ®<br />
Fungotox ® 501 84 01 _______ OP 20 g Créme<br />
Crème<br />
Fungotox<br />
501 84 18 _______ OP 50 g Créme<br />
® -1<strong>00</strong><br />
Vaginaltabletten<br />
Fungotox<br />
140 87 95 _______ OP 6 Vaginaltabletten<br />
® -2<strong>00</strong><br />
Vaginaltabletten 140 <strong>88</strong> 03 _______ OP 3 Vaginaltabletten<br />
Fungotox ® Set 140 <strong>88</strong> 26 _______ OP 20 g Créme /<br />
Crème/Vaginaltabl. 1<strong>00</strong> mg 6 Vaginaltabletten<br />
Furospir ® 112 62 52 _______ OP 20 Lactab ®<br />
Lactab ® 112 62 75 _______ OP 50 Lactab ®<br />
Gabapentin-<strong>Mepha</strong> ® 1<strong>00</strong> 350 55 39 _______ OP 50 Kapseln<br />
Kapseln 350 55 68 _______ OP 1<strong>00</strong> Kapseln<br />
Gabapentin-<strong>Mepha</strong> ® 3<strong>00</strong> 350 56 05 _______ OP 50 Kapseln<br />
Kapseln 350 56 11 _______ OP 1<strong>00</strong> Kapseln<br />
Gabapentin-<strong>Mepha</strong> ® 4<strong>00</strong> 350 56 57 _______ OP 50 Kapseln<br />
Kapseln 350 56 63 _______ OP 1<strong>00</strong> Kapseln<br />
Gabapentin-<strong>Mepha</strong> ® 6<strong>00</strong> 350 58 06 _______ OP 50 Lactab ®<br />
Lactab ® 350 58 12 _______ OP 1<strong>00</strong> Lactab ®<br />
Gabapentin-<strong>Mepha</strong> ® 8<strong>00</strong> 350 59 76 _______ OP 50 Lactab ®<br />
Lactab ® 350 59 82 _______ OP 1<strong>00</strong> Lactab ®<br />
GastroPant ® <strong>Mepha</strong> ® 4<strong>88</strong> 01 04 _______ OP 7 Lactab ®<br />
Lactab ® 480 <strong>00</strong> 96 _______ OP 14 Lactab ®<br />
Gliclazid-<strong>Mepha</strong> ® 30 retard 401 42 52 _______ OP 20 Depotabs<br />
Depotabs 401 42 69 _______ OP 120 Depotabs<br />
Glimeryl-<strong>Mepha</strong> ® 1 333 11 05 _______ OP 30 Tabletten<br />
Tabletten 333 17 37 _______ OP 120 Tabletten<br />
Glimeryl-<strong>Mepha</strong> ® 2 333 20 85 _______ OP 30 Tabletten<br />
Tabletten 333 21 22 _______ OP 120 Tabletten<br />
Glimeryl-<strong>Mepha</strong> ® 3 333 22 05 _______ OP 30 Tabletten<br />
Tabletten 333 22 34 _______ OP 120 Tabletten<br />
Glimeryl-<strong>Mepha</strong> ® 4 333 23 23 _______ OP 30 Tabletten<br />
Tabletten 333 23 69 _______ OP 120 Tabletten<br />
Glimeryl-<strong>Mepha</strong> ® 6 333 24 64 _______ OP 30 Tabletten<br />
Tabletten 333 24 93 _______ OP 120 Tabletten<br />
Harpagophyt-<strong>Mepha</strong> ® 494 87 99 _______ OP 30 Lactab ®<br />
Lactab ® 494 <strong>88</strong> 07 _______ OP 60 Lactab ®<br />
494 <strong>88</strong> 13 _______ OP 120 Lactab ®<br />
Hypericum-<strong>Mepha</strong> ® 5<strong>00</strong> 467 27 65 _______ OP 30 Lactab ®<br />
Lactab ® 467 27 71 _______ OP 60 Lactab ®<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
3
<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat <strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
Ibandronat-<strong>Mepha</strong> ® 150 528 96 43 _______ OP 1 Filmtabl.<br />
Filmtabletten 528 96 66 _______ OP 3 Filmtabl.<br />
Indapamid-<strong>Mepha</strong> ® 169 04 61 _______ OP 30 Kapseln<br />
Kapseln 169 04 78 _______ OP 90 Kapseln<br />
Indapamid-<strong>Mepha</strong> ® 1.5 retard<br />
Depotabs ® 434 82 43 _______ OP 30 Depotabs ®<br />
434 82 66 _______ OP 90 Depotabs ®<br />
Influbene ® N<br />
Tabletten<br />
Influbene<br />
153 05 79 _______ OP 20 Tabletten<br />
® N 125<br />
Suppositorien<br />
Influbene<br />
158 35 41 _______ OP 10 Suppositorien<br />
® N 250<br />
Suppositorien<br />
Influbene<br />
158 35 58 _______ OP 10 Suppositorien<br />
® C<br />
Brausetabletten<br />
Iproben<br />
158 07 32 _______ OP 10 Brausetabletten<br />
® -2<strong>00</strong><br />
Lactab ® 140 94 12 _______ OP 20 Lactab ®<br />
Iproben ® forte 4<strong>00</strong><br />
Lactab ® 340 26 38 _______ OP 10 Lactab ®<br />
Irbesartan-<strong>Mepha</strong> ® 150 532 60 02 _______ OP 28 Filmtabl.<br />
Filmtabletten 532 60 25 _______ OP 98 Filmtabl.<br />
Irbesartan-<strong>Mepha</strong> ® 3<strong>00</strong> 532 60 31 _______ OP 28 Filmtabl.<br />
Filmtabletten 532 60 54 _______ OP 98 Filmtabl.<br />
Irfen ® -2<strong>00</strong> 135 02 22 _______ OP 30 Lactab ®<br />
Lactab ® 135 02 39 _______ OP 1<strong>00</strong> Lactab ®<br />
Irfen ® -4<strong>00</strong> 135 02 45 _______ OP 20 Lactab ®<br />
Lactab ® 135 02 51 _______ OP 50 Lactab ®<br />
Irfen ® -6<strong>00</strong> 135 02 68 _______ OP 20 Lactab ®<br />
Lactab ® 135 02 74 _______ OP 1<strong>00</strong> Lactab ®<br />
Irfen ® -8<strong>00</strong> retard 130 35 76 _______ OP 16 Retardtabletten<br />
Retardtabletten<br />
Irfen Dolo<br />
130 35 82 _______ OP 80 Retardtabletten<br />
® L 2<strong>00</strong><br />
Lactab ® 4<strong>88</strong> 36 34 _______ OP 20 Lactab ®<br />
Irfen Dolo ® L 4<strong>00</strong><br />
Lactab ® 4<strong>88</strong> 36 40 _______ OP 10 Lactab ®<br />
Isotretinoin-<strong>Mepha</strong> ® 10 260 06 32 _______ OP 30 Solucaps ®<br />
Solucaps ® 260 06 49 _______ OP 1<strong>00</strong> Solucaps ®<br />
Isotretinoin-<strong>Mepha</strong> ® 20 260 06 55 _______ OP 30 Solucaps ®<br />
Solucaps ® 260 06 61 _______ OP 1<strong>00</strong> Solucaps ®<br />
Isotretinoin-<strong>Mepha</strong> ® 40 350 46 75 _______ OP 30 Solucaps ®<br />
Solucaps ® 350 46 98 _______ OP 1<strong>00</strong> Solucaps ®<br />
Itraconazol-<strong>Mepha</strong> ® 1<strong>00</strong> 325 55 22 _______ OP 4 Kapseln<br />
Kapseln 325 55 39 _______ OP 15 Kapseln<br />
325 55 45 _______ OP 30 Kapseln<br />
Ketozol-<strong>Mepha</strong> ® 241 81 98 _______ OP 60 ml Shampoo<br />
Shampoo<br />
Lamotrin-<strong>Mepha</strong><br />
241 82 06 _______ OP 1<strong>00</strong> ml Shampoo<br />
® 5<br />
Tabletten<br />
Lamotrin-<strong>Mepha</strong><br />
301 35 46 _______ OP 60 Tabletten<br />
® 25<br />
Tabletten<br />
Lamotrin-<strong>Mepha</strong><br />
301 35 52 _______ OP 60 Tabletten<br />
® 50<br />
Tabletten<br />
Lamotrin-<strong>Mepha</strong><br />
301 35 69 _______ OP 60 Tabletten<br />
® 1<strong>00</strong><br />
Tabletten<br />
Lamotrin-<strong>Mepha</strong><br />
301 35 75 _______ OP 60 Tabletten<br />
® 2<strong>00</strong><br />
Tabletten 301 35 81 _______ OP 60 Tabletten<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Neu<br />
Neu<br />
Lansoprazol-<strong>Mepha</strong> ® 15 379 08 99 _______ OP 14 Kapseln<br />
Kapseln 379 09 13 _______ OP 28 Kapseln<br />
379 09 42 _______ OP 56 Kapseln<br />
379 09 59 _______ OP 112 Kapseln<br />
Lansoprazol-<strong>Mepha</strong> ® 30 379 09 <strong>88</strong> _______ OP 14 Kapseln<br />
Kapseln 379 09 94 _______ OP 28 Kapseln<br />
379 10 02 _______ OP 56 Kapseln<br />
Latanoprost-<strong>Mepha</strong> ® 499 46 87 _______ OP 2.5 ml Augentropfen<br />
Augentropfen 499 46 93 _______ OP 3x2.5 ml Augentropfen<br />
Leflunomid-<strong>Mepha</strong> ® 10 528 84 02 _______ OP 30 Lactab ®<br />
Lactab ® 528 84 19 _______ OP 1<strong>00</strong> Lactab ®<br />
Leflunomid-<strong>Mepha</strong> ® 20 528 84 31 _______ OP 30 Lactab ®<br />
Lactab ® 528 84 48 _______ OP 1<strong>00</strong> Lactab ®<br />
Levetiracetam-<strong>Mepha</strong> ® 250<br />
Lactab ® 494 91 03 _______ OP 30 Lactab ®<br />
Levetiracetam-<strong>Mepha</strong> ® 5<strong>00</strong><br />
Lactab ® 494 91 26 _______ OP 20 Lactab ®<br />
494 91 32 _______ OP 1<strong>00</strong> Lactab ®<br />
494 91 49 _______ OP 2<strong>00</strong> Lactab ®<br />
Levetiracetam-<strong>Mepha</strong> ® 1<strong>00</strong>0<br />
Lactab ® 494 91 55 _______ OP 30 Lactab ®<br />
494 91 61 _______ OP 1<strong>00</strong> Lactab ®<br />
494 91 78 _______ OP 2<strong>00</strong> Lactab ®<br />
Lisinopril-<strong>Mepha</strong> ® 2.5 480 30 26 _______ OP 30 Tabletten<br />
Tabletten 480 30 32 _______ OP 1<strong>00</strong> Tabletten<br />
Lisinopril-<strong>Mepha</strong> ® 5 480 30 49 _______ OP 30 Tabletten<br />
Tabletten 480 30 55 _______ OP 1<strong>00</strong> Tabletten<br />
Lisinopril-<strong>Mepha</strong> ® 10 480 32 04 _______ OP 30 Tabletten<br />
Tabletten 480 32 10 _______ OP 1<strong>00</strong> Tabletten<br />
Lisinopril-<strong>Mepha</strong> ® 20 480 32 27 _______ OP 30 Tabletten<br />
Tabletten 480 32 33 _______ OP 1<strong>00</strong> Tabletten<br />
Loperamid-<strong>Mepha</strong> ® 2 162 57 71 _______ OP 20 Lactab ®<br />
Lactab ® 162 57 <strong>88</strong> _______ OP 60 Lactab ®<br />
Loratin-<strong>Mepha</strong> ® 10 316 06 32 _______ OP 14 Tabletten<br />
Tabletten 316 06 49 _______ OP 28 Tabletten<br />
Lora-<strong>Mepha</strong> Allergie<br />
316 06 55 _______ OP 42 Tabletten<br />
®<br />
Tabletten 340 15 73 _______ OP 14 Tabletten<br />
Losartan-<strong>Mepha</strong> ® 50 403 75 72 _______ OP 28 Lactab ®<br />
Lactab ® 403 75 89 _______ OP 98 Lactab ®<br />
Losartan-<strong>Mepha</strong> ® 1<strong>00</strong> 403 76 03 _______ OP 28 Lactab ®<br />
Lactab ® 403 76 32 _______ OP 98 Lactab ®<br />
Losartan-<strong>Mepha</strong> ® Plus 50/12.5<br />
Lactab ® 403 76 55 _______ OP 28 Lactab ®<br />
403 76 84 _______ OP 98 Lactab ®<br />
Losartan-<strong>Mepha</strong> ® Plus 1<strong>00</strong>/12.5<br />
Lactab ® 403 77 15 _______ OP 28 Lactab ®<br />
403 77 21 _______ OP 98 Lactab ®<br />
Losartan-<strong>Mepha</strong> ® Plus 1<strong>00</strong>/25<br />
Lactab ® 403 77 38 _______ OP 28 Lactab ®<br />
403 77 50 _______ OP 98 Lactab ®<br />
Mare-<strong>Mepha</strong> ® B5 Nasenspray 324 20 92 _______ OP 20 ml Spray<br />
<strong>Mepha</strong>-Tears ® 533 05 87 _______ OP 20 Aug.tropf.<br />
Augentropfen 533 05 93 _______ OP 60 Aug.tropf.<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
Neu<br />
Neu<br />
4
<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat <strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
<strong>Mepha</strong>dolor ® 5<strong>00</strong> Neo 325 83 83 _______ OP 10 Filmtabl.<br />
Filmtabletten 325 84 08 _______ OP 30 Filmtabl.<br />
325 84 14 _______ OP 1<strong>00</strong> Filmtabl.<br />
<strong>Mepha</strong>meson ® -4 070 25 35 _______ OP 3 Ampullen<br />
Ampullen 1 ml 086 77 62 _______ S 25 Ampullen<br />
086 97 90 _______ S 50 Ampullen<br />
<strong>Mepha</strong>meson ® -8 089 <strong>00</strong> 40 _______ OP 3 Ampullen<br />
Ampullen 2 ml 093 17 96 _______ S 50 Ampullen<br />
<strong>Mepha</strong>meson ® -50 204 68 68 _______ OP 5 Ampullen<br />
Ampullen 3 ml 123 83 30 _______ S 25 Ampullen<br />
<strong>Mepha</strong>nol ® -1<strong>00</strong> 086 02 34 _______ OP 50 Tabletten<br />
Tabletten 108 53 98 _______ OP 1<strong>00</strong> Tabletten<br />
<strong>Mepha</strong>nol ® -3<strong>00</strong> 086 02 40 _______ OP 30 Tabletten<br />
Tabletten<br />
<strong>Mepha</strong>quin<br />
108 54 06 _______ OP 1<strong>00</strong> Tabletten<br />
®<br />
Lactab ® 147 29 13 _______ OP 8 Lactab ®<br />
<strong>Mepha</strong>thiol ®<br />
Sirup<br />
Metformin-<strong>Mepha</strong><br />
158 07 49 _______ OP 2<strong>00</strong> ml Sirup<br />
® 5<strong>00</strong><br />
Lactab ® 292 42 92 _______ OP 50 Lactab ®<br />
Metformin-<strong>Mepha</strong> ® 850 292 43 <strong>00</strong> _______ OP 30 Lactab ®<br />
Lactab ® 292 43 23 _______ OP 1<strong>00</strong> Lactab ®<br />
Metformin-<strong>Mepha</strong> ® 1<strong>00</strong>0 304 23 35 _______ OP 60 Lactab ®<br />
Lactab ® 304 23 41 _______ OP 120 Lactab ®<br />
Metoprolol-<strong>Mepha</strong> ® ZOK ® 25<br />
Depotabs ® <strong>44</strong>7 77 85 _______ OP 30 Depotabs ®<br />
<strong>44</strong>7 77 91 _______ OP 1<strong>00</strong> Depotabs ®<br />
Metoprolol-<strong>Mepha</strong> ® ZOK ® 50<br />
Depotabs ® <strong>44</strong>7 78 16 _______ OP 30 Depotabs ®<br />
<strong>44</strong>7 78 22 _______ OP 1<strong>00</strong> Depotabs ®<br />
Metoprolol-<strong>Mepha</strong> ® ZOK ® 1<strong>00</strong><br />
Depotabs ® <strong>44</strong>7 78 39 _______ OP 30 Depotabs ®<br />
<strong>44</strong>7 78 45 _______ OP 1<strong>00</strong> Depotabs ®<br />
Metoprolol-<strong>Mepha</strong> ® ZOK ® 2<strong>00</strong><br />
Depotabs ® <strong>44</strong>7 78 51 _______ OP 30 Depotabs ®<br />
<strong>44</strong>7 78 68 _______ OP 1<strong>00</strong> Depotabs ®<br />
Mianserin-<strong>Mepha</strong> ® 30 286 15 45 _______ OP 30 Lactab ®<br />
Lactab ® 286 15 51 _______ OP 1<strong>00</strong> Lactab ®<br />
Mianserin-<strong>Mepha</strong> ® 60 286 15 68 _______ OP 30 Lactab ®<br />
Lactab ® 286 15 74 _______ OP 1<strong>00</strong> Lactab ®<br />
Mirtazapin-<strong>Mepha</strong> ® 30 491 13 13 _______ OP 10 Lactab ®<br />
Lactab ® 491 13 07 _______ OP 30 Lactab ®<br />
491 12 99 _______ OP 1<strong>00</strong> Lactab ®<br />
Mirtazapin-<strong>Mepha</strong> ® 45 491 13 42 _______ OP 30 Lactab ®<br />
Lactab ® 491 13 36 _______ OP 1<strong>00</strong> Lactab ®<br />
Modasomil ® 1<strong>00</strong> 471 01 70 _______ OP 30 Tabletten<br />
Tabletten<br />
Muco-<strong>Mepha</strong><br />
470 16 04 _______ OP 90 Tabletten<br />
® 1<strong>00</strong><br />
Sachets<br />
Muco-<strong>Mepha</strong><br />
499 43 51 _______ OP 30 Sachets<br />
® 2<strong>00</strong><br />
Sachets<br />
Muco-<strong>Mepha</strong><br />
499 43 68 _______ OP 30 Sachets<br />
® 2<strong>00</strong><br />
Brausetabletten<br />
Muco-<strong>Mepha</strong><br />
157 50 33 _______ OP 30 Brausetabletten<br />
® 6<strong>00</strong><br />
Brausetabletten 157 50 62 _______ OP 10 Brausetabletten<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Mucostop 1<strong>00</strong><br />
Sachets<br />
Mucostop 2<strong>00</strong><br />
210 56 54 _______ OP 30 Sachets<br />
Sachets<br />
Mucostop 6<strong>00</strong><br />
210 56 60 _______ OP 30 Sachets<br />
Sachets<br />
Mucostop 6<strong>00</strong><br />
210 56 77 _______ OP 10 Sachets<br />
Brausetabletten<br />
Naproxen-<strong>Mepha</strong><br />
297 27 82 _______ OP 10 Brausetabletten<br />
® 250<br />
Lactab ® 156 54 83 _______ OP 20 Lactab ®<br />
Naproxen-<strong>Mepha</strong> ® 5<strong>00</strong> 156 55 37 _______ OP 10 Lactab ®<br />
Lactab ® 156 55 43 _______ OP 20 Lactab ®<br />
156 55 66 _______ OP 50 Lactab ®<br />
Nebivolol-<strong>Mepha</strong> ® 5 4<strong>88</strong> 82 93 _______ OP 28 Tabletten<br />
Tabletten<br />
Neurorubin<br />
4<strong>88</strong> 82 70 _______ OP 98 Tabletten<br />
®<br />
Ampullen 3 ml 172 49 93 _______ OP 5 Ampullen<br />
Nifedipin-<strong>Mepha</strong> ® 20 ret. 180 04 35 _______ OP 30 Retardtabletten<br />
Retardtabletten 180 04 41 _______ OP 1<strong>00</strong> Retardtabletten<br />
Nopil ® 077 18 26 _______ OP 20 Tabletten<br />
Tabletten 077 42 27 _______ OP 1<strong>00</strong> Tabletten<br />
Nopil ® forte 160 87 84 _______ OP 3 Tabletten<br />
Tabletten 077 42 33 _______ OP 10 Tabletten<br />
Nopil<br />
077 42 56 _______ OP 50 Tabletten<br />
® für Kinder<br />
Sirup<br />
Nopil<br />
077 64 33 _______ OP 1<strong>00</strong> ml Sirup<br />
®<br />
Ampullen 5 ml 117 01 35 _______ OP 5 Ampullen<br />
Norflocin-<strong>Mepha</strong> ® 4<strong>00</strong> 205 95 52 _______ OP 7 Lactab ®<br />
Lactab ® 205 95 69 _______ OP 14 Lactab ®<br />
205 95 81 _______ OP 42 Lactab ®<br />
Oedemex ® 0<strong>88</strong> 45 13 _______ OP 10 Tabletten<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
0<strong>88</strong> 76 35 _______ OP 50 Tabletten<br />
® 2.5<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 54 19 _______ OP 28 Tabletten<br />
® 5<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 53 07 _______ OP 28 Tabletten<br />
® 7.5<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 53 36 _______ OP 28 Tabletten<br />
® 10<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 53 59 _______ OP 28 Tabletten<br />
® 15<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 53 71 _______ OP 28 Tabletten<br />
® 20<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 53 94 _______ OP 28 Tabletten<br />
® 5 oro<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 54 31 _______ OP 28 Tabletten<br />
® 7.5 oro<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 54 54 _______ OP 28 Tabletten<br />
® 10 oro<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 55 20 _______ OP 28 Tabletten<br />
® 15 oro<br />
Tabletten<br />
Olanzapin-<strong>Mepha</strong><br />
529 54 77 _______ OP 28 Tabletten<br />
® 20 oro<br />
Tabletten 529 55 08 _______ OP 28 Tabletten<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
5
<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat <strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
Olfen ® -25 119 57 21 _______ OP 30 Lactab ®<br />
Lactab ® 119 57 <strong>44</strong> _______ OP 1<strong>00</strong> Lactab ®<br />
Olfen ® -50 119 57 67 _______ OP 20 Lactab ®<br />
Lactab ® 119 57 96 _______ OP 1<strong>00</strong> Lactab ®<br />
Olfen ® -1<strong>00</strong> 119 58 91 _______ OP 10 Depocaps ®<br />
Depocaps ® 119 59 22 _______ OP 30 Depocaps ®<br />
119 59 45 _______ OP 1<strong>00</strong> Depocaps ®<br />
Olfen ® -50<br />
Rectocaps ® 476 95 36 _______ OP 10 Rectocaps ®<br />
Olfen ® -1<strong>00</strong><br />
Rectocaps ® 476 16 64 _______ OP 5 Rectocaps ®<br />
Olfen ® -75 retard 226 65 93 _______ OP 20 Depotabs ®<br />
Depotabs ® 226 66 18 _______ OP 1<strong>00</strong> Depotabs ®<br />
Olfen ® -75 duo release 309 25 11 _______ OP 10 Kapseln<br />
Kapseln 309 25 28 _______ OP 30 Kapseln<br />
524 04 99 _______ OP 1<strong>00</strong> Kapseln<br />
Olfen ® 130 35 99 _______ OP 50 g Gel<br />
Gel<br />
Olfen<br />
130 36 07 _______ OP 1<strong>00</strong> g Gel<br />
® Roll-on<br />
Gel 364 39 74 _______ OP 50 g Gel<br />
Olfen Patch ® 370 13 29 _______ OP 2 Pflaster<br />
Pflaster 370 13 35 _______ OP 5 Pflaster<br />
370 13 41 _______ OP 10 Pflaster<br />
Olflex ® plus 465 07 75 _______ OP 60 Tabletten<br />
Tabletten<br />
Omezol-<strong>Mepha</strong><br />
465 07 69 _______ OP 180 Tabletten<br />
® 40 i.v.<br />
Stechampulle 310 94 30 _______ OP 5 Stechamp.<br />
Omezol-<strong>Mepha</strong> ® 10 MT 275 65 29 _______ OP 14 Kapseln<br />
Kapseln 275 65 35 _______ OP 28 Kapseln<br />
275 65 41 _______ OP 56 Kapseln<br />
275 65 58 _______ OP 1<strong>00</strong> Kapseln<br />
Omezol-<strong>Mepha</strong> ® 20 MT 275 65 64 _______ OP 7 Kapseln<br />
Kapseln 275 65 70 _______ OP 14 Kapseln<br />
275 65 87 _______ OP 28 Kapseln<br />
275 66 01 _______ OP 56 Kapseln<br />
275 66 18 _______ OP 1<strong>00</strong> Kapseln<br />
Omezol-<strong>Mepha</strong> ® 40 MT 275 66 24 _______ OP 7 Kapseln<br />
Kapseln 275 66 30 _______ OP 28 Kapseln<br />
377 71 43 _______ OP 56 Kapseln<br />
Ondansetron-<strong>Mepha</strong><br />
377 71 89 _______ OP 1<strong>00</strong> Kapseln<br />
® 8 oro<br />
Schmelztabletten<br />
Paclitaxel-<strong>Mepha</strong><br />
378 79 63 _______ OP 6 Schmelztabl.<br />
® 30/5ml<br />
Infusionskonzentrat 476 71 87 _______ OP 1 Stechamp.<br />
Paclitaxel-<strong>Mepha</strong> ® 1<strong>00</strong>/16.7ml<br />
Infusionskonzentrat 476 71 70 _______ OP 1 Stechamp.<br />
Paclitaxel-<strong>Mepha</strong> ® 3<strong>00</strong>mg/50ml<br />
Infusionskonzentrat 476 72 01 _______ OP 1 Stechamp.<br />
Pamidronat-<strong>Mepha</strong> ® 15mg/5ml<br />
Stechampullen 340 22 42 _______ OP 1 Stechamp.<br />
Pamidronat-<strong>Mepha</strong> ® 30mg/10ml<br />
Stechampullen 340 22 59 _______ OP 1 Stechamp.<br />
Pamidronat-<strong>Mepha</strong> ® 60mg/20ml<br />
Stechampullen 340 22 65 _______ OP 1 Stechamp.<br />
Pamidronat-<strong>Mepha</strong> ® 90mg/30ml<br />
Stechampullen 340 22 71 _______ OP 1 Stechamp.<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Pantoprazol-<strong>Mepha</strong> ® 20 455 66 16 _______ OP 15 Lactab ®<br />
Lactab ® 455 66 22 _______ OP 30 Lactab ®<br />
455 66 45 _______ OP 60 Lactab ®<br />
455 66 68 _______ OP 120 Lactab ®<br />
Pantoprazol-<strong>Mepha</strong> ® 40 455 66 74 _______ OP 7 Lactab ®<br />
Lactab ® 455 66 80 _______ OP 15 Lactab ®<br />
455 69 12 _______ OP 30 Lactab ®<br />
455 69 29 _______ OP 60 Lactab ®<br />
458 42 16 _______ OP 1<strong>00</strong> Lactab ®<br />
Paroxetin-<strong>Mepha</strong> ® 20 273 50 65 _______ OP 14 Filmtabletten<br />
Filmtabletten 273 50 71 _______ OP 28 Filmtabletten<br />
Pectoral <strong>Mepha</strong><br />
273 50 <strong>88</strong> _______ OP 98 Filmtabletten<br />
® N<br />
Sirup<br />
Pentoxi-<strong>Mepha</strong><br />
180 01 97 _______ OP 150 ml Sirup<br />
® 4<strong>00</strong><br />
Retardtabletten 135 73 71 _______ OP 1<strong>00</strong> Retardtabletten<br />
Perindopril-<strong>Mepha</strong> ® 4 435 95 31 _______ OP 30 Tabletten<br />
Tabletten 435 95 77 _______ OP 90 Tabletten<br />
Perindopril-<strong>Mepha</strong> ® 8 435 95 48 _______ OP 30 Tabletten<br />
Tabletten 435 96 08 _______ OP 90 Tabletten<br />
Pioglitazon-<strong>Mepha</strong> ® 15 533 60 06 _______ OP 28 Tabletten<br />
Tabletten 533 60 29 _______ OP 98 Tabletten<br />
Pioglitazon-<strong>Mepha</strong> ® 30 533 60 35 _______ OP 28 Tabletten<br />
Tabletten 533 60 58 _______ OP 98 Tabletten<br />
Pioglitazon-<strong>Mepha</strong> ® 45 533 60 64 _______ OP 28 Tabletten<br />
Tabletten 533 60 87 _______ OP 98 Tabletten<br />
Piroxicam-<strong>Mepha</strong> ® 20 136 87 42 _______ OP 10 Tabletten<br />
Tabletten 136 87 59 _______ OP 30 Tabletten<br />
136 87 65 _______ OP 1<strong>00</strong> Tabletten<br />
Pravalotin-<strong>Mepha</strong> ® 20 3<strong>88</strong> 92 09 _______ OP 30 Tabletten<br />
Tabletten 3<strong>88</strong> 92 15 _______ OP 1<strong>00</strong> Tabletten<br />
Pravalotin-<strong>Mepha</strong> ® 40 3<strong>88</strong> 92 21 _______ OP 30 Tabletten<br />
Tabletten<br />
Pramipexol-<strong>Mepha</strong><br />
3<strong>88</strong> 92 38 _______ OP 1<strong>00</strong> Tabletten<br />
® 0.125<br />
Tabletten 476 36 86 _______ OP 30 Tabletten<br />
Pramipexol-<strong>Mepha</strong> ® 0.25 476 37 <strong>00</strong> _______ OP 30 Tabletten<br />
Tabletten<br />
Pramipexol-<strong>Mepha</strong><br />
476 37 17 _______ OP 1<strong>00</strong> Tabletten<br />
® 0.5<br />
Tabletten<br />
Pramipexol-<strong>Mepha</strong><br />
476 37 46 _______ OP 1<strong>00</strong> Tabletten<br />
® 1<br />
Tabletten<br />
Quetiapin-<strong>Mepha</strong><br />
476 37 52 _______ OP 1<strong>00</strong> Tabletten<br />
® 25<br />
Filmtabletten 515 76 11 _______ OP 60 Filmtabletten<br />
Quetiapin-<strong>Mepha</strong> ® 1<strong>00</strong> 515 76 28 _______ OP 60 Filmtabletten<br />
Filmtabletten 515 76 34 _______ OP 1<strong>00</strong> Filmtabletten<br />
Quetiapin-<strong>Mepha</strong> ® 2<strong>00</strong> 515 76 40 _______ OP 60 Filmtabletten<br />
Filmtabletten 515 76 57 _______ OP 1<strong>00</strong> Filmtabletten<br />
Quetiapin-<strong>Mepha</strong> ® 3<strong>00</strong> 515 76 63 _______ OP 60 Filmtabletten<br />
Filmtabletten<br />
Rhagadil<br />
515 76 86 _______ OP 1<strong>00</strong> Filmtabletten<br />
®<br />
Spray 482 04 15 _______ OP 1 Spray 9ml<br />
Ranitidin-<strong>Mepha</strong> ® 150 359 11 19 _______ OP 20 Lactab ®<br />
Lactab ® 359 11 25 _______ OP 60 Lactab ®<br />
359 11 48 _______ OP 120 Lactab ®<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
Neu<br />
6
<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat <strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
Ranitidin-<strong>Mepha</strong> ® 3<strong>00</strong> 359 11 54 _______ OP 20 Lactab ®<br />
Lactab ® 359 11 60 _______ OP 40 Lactab ®<br />
359 11 77 _______ OP 60 Lactab ®<br />
Risedronat-<strong>Mepha</strong> ® 35 522 81 27 _______ OP 4 Lactab ®<br />
Lactab ® 522 81 33 _______ OP 12 Lactab ®<br />
Risperidon-<strong>Mepha</strong> ® 0.5 413 39 91 _______ OP 20 Lactab ®<br />
Lactab ® 472 92 06 _______ OP 60 Lactab ®<br />
Risperidon-<strong>Mepha</strong> ® 1 413 40 16 _______ OP 20 Lactab ®<br />
Lactab ® 413 40 22 _______ OP 60 Lactab ®<br />
Risperidon-<strong>Mepha</strong> ® 2 413 40 39 _______ OP 20 Lactab ®<br />
Lactab ® 413 40 45 _______ OP 60 Lactab ®<br />
Risperidon-<strong>Mepha</strong> ® 3 413 40 68 _______ OP 20 Lactab ®<br />
Lactab ® 413 40 74 _______ OP 60 Lactab ®<br />
Risperidon-<strong>Mepha</strong> ® 4 413 40 80 _______ OP 20 Lactab ®<br />
Lactab ® 413 40 97 _______ OP 60 Lactab ®<br />
Risperidon-<strong>Mepha</strong> ® 1 413 41 57 _______ OP 30 ml Lösung<br />
Lösung<br />
Risperidon-<strong>Mepha</strong><br />
413 41 63 _______ OP 1<strong>00</strong> ml Lösung<br />
® 0.5 oro<br />
Schmelztabletten<br />
Risperidon-<strong>Mepha</strong><br />
413 41 28 _______ OP 28 Schmelztabl.<br />
® 1 oro<br />
Schmelztabletten<br />
Risperidon-<strong>Mepha</strong><br />
413 41 34 _______ OP 28 Schmelztabl.<br />
® 2 oro<br />
Schmelztabletten<br />
Risperidon-<strong>Mepha</strong><br />
413 41 40 _______ OP 28 Schmelztabl.<br />
® 3 oro<br />
Schmelztabletten<br />
Risperidon-<strong>Mepha</strong><br />
494 91 84 _______ OP 28 Schmelztabl.<br />
® 4 oro<br />
Schmelztabletten 494 91 90 _______ OP 28 Schmelztabl.<br />
Selegilin-<strong>Mepha</strong> ® 5 197 65 59 _______ OP 50 Tabletten<br />
Tabletten 197 65 65 _______ OP 1<strong>00</strong> Tabletten<br />
Seralin-<strong>Mepha</strong> ® 50 305 09 32 _______ OP 10 Lactab ®<br />
Lactab ® 305 09 49 _______ OP 30 Lactab ®<br />
305 09 55 _______ OP 1<strong>00</strong> Lactab ®<br />
Seralin-<strong>Mepha</strong> ® 1<strong>00</strong> 305 09 84 _______ OP 10 Lactab ®<br />
Lactab ® 305 09 90 _______ OP 30 Lactab ®<br />
305 10 09 _______ OP 1<strong>00</strong> Lactab ®<br />
Simepar-<strong>Mepha</strong> ®<br />
Kapseln 521 94 53 _______ OP 40 Kapseln<br />
Simvastin-<strong>Mepha</strong> ® 10 282 03 22 _______ OP 30 Lactab ®<br />
Lactab ® 282 03 39 _______ OP 1<strong>00</strong> Lactab ®<br />
Simvastin-<strong>Mepha</strong> ® 20 282 03 51 _______ OP 30 Lactab ®<br />
Lactab ® 282 03 68 _______ OP 1<strong>00</strong> Lactab ®<br />
Simvastin-<strong>Mepha</strong> ® 40 282 03 74 _______ OP 30 Lactab ®<br />
Lactab ® 282 03 80 _______ OP 1<strong>00</strong> Lactab ®<br />
Simvastin-<strong>Mepha</strong> ® 80 323 32 94 _______ OP 30 Lactab ®<br />
Lactab ® 323 33 02 _______ OP 1<strong>00</strong> Lactab ®<br />
Sotalol-<strong>Mepha</strong> ® 80 197 65 71 _______ OP 30 Tabletten<br />
Tabletten 197 65 <strong>88</strong> _______ OP 1<strong>00</strong> Tabletten<br />
Sotalol-<strong>Mepha</strong> ® 160 197 65 94 _______ OP 30 Tabletten<br />
Tabletten 197 66 02 _______ OP 1<strong>00</strong> Tabletten<br />
Sumatriptan-<strong>Mepha</strong> ® 50 363 62 82 _______ OP 6 Lactab ®<br />
Lactab ® 363 62 99 _______ OP 12 Lactab ®<br />
Sumatriptan-<strong>Mepha</strong> ® T 50 363 62 47 _______ OP 6 Lactab ®<br />
Lactab ® 363 62 76 _______ OP 12 Lactab ®<br />
Sumatriptan-<strong>Mepha</strong> ®<br />
Injektionslösung 6mg/0.5ml 363 60 98 _______ OP 2 Ampullen<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Neu<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
Sumatriptan-<strong>Mepha</strong> ® Pen<br />
Pen für die Injektion 363 62 18 _______ OP 1 Pen<br />
Tamsulosin-<strong>Mepha</strong> ® retard 368 57 77 _______ OP 10 Depocaps ®<br />
Depocaps ® 368 57 83 _______ OP 30 Depocaps ®<br />
368 58 14 _______ OP 1<strong>00</strong> Depocaps ®<br />
Terbinafin-<strong>Mepha</strong> ® 125<br />
Tabletten 302 13 04 _______ OP 14 Tabletten<br />
Terbinafin-<strong>Mepha</strong> ® 250 302 13 10 _______ OP 14 Tabletten<br />
Tabletten<br />
Terbinafin-<strong>Mepha</strong><br />
302 13 27 _______ OP 28 Tabletten<br />
® Crème<br />
Crème<br />
Topiramat-<strong>Mepha</strong><br />
368 62 22 _______ OP 15g Crème<br />
® 25<br />
Lactab ® 451 82 77 _______ OP 60 Lactab ®<br />
Topiramat-<strong>Mepha</strong> ® 50<br />
Lactab ® 451 82 83 _______ OP 60 Lactab ®<br />
Topiramat-<strong>Mepha</strong> ® 1<strong>00</strong><br />
Lactab ® 451 83 08 _______ OP 60 Lactab ®<br />
Topiramat-<strong>Mepha</strong> ® 2<strong>00</strong><br />
Lactab ® 451 83 14 _______ OP 60 Lactab ®<br />
Torasem-<strong>Mepha</strong> ® 5 299 04 78 _______ OP 20 Tabletten<br />
Tabletten 299 04 84 _______ OP 1<strong>00</strong> Tabletten<br />
Torasem-<strong>Mepha</strong> ® 10 299 04 90 _______ OP 20 Tabletten<br />
Tabletten 299 05 09 _______ OP 1<strong>00</strong> Tabletten<br />
Torasem-<strong>Mepha</strong> ® 2<strong>00</strong> 424 63 53 _______ OP 20 Tabletten<br />
Tabletten 424 63 76 _______ OP 1<strong>00</strong> Tabletten<br />
Tramadol-<strong>Mepha</strong> ® 213 10 19 _______ OP 10 Kapseln<br />
Kapseln 213 10 25 _______ OP 20 Kapseln<br />
Tramadol-<strong>Mepha</strong><br />
213 10 31 _______ S 60 Kapseln<br />
®<br />
Suppositorien 213 10 60 _______ OP 10 Suppositorien<br />
Tramadol-<strong>Mepha</strong> ® 213 10 48 _______ OP 10 ml<br />
Tropfen 10 ml<br />
Tramadol-<strong>Mepha</strong><br />
213 10 54 _______ OP 3x10 ml<br />
®<br />
Tropfen mit Dosierpumpe<br />
Tramadol-<strong>Mepha</strong><br />
223 33 81 _______ OP 50 ml<br />
® 1<strong>00</strong><br />
Ampullen 2 ml 213 10 77 _______ OP 5 Ampullen<br />
Tramadol-<strong>Mepha</strong> ® 50 retard<br />
Depotabs ® 368 62 39 _______ OP 10 Depotabs ®<br />
368 62 45 _______ OP 30 Depotabs ®<br />
368 62 51 _______ OP 50 Depotabs ®<br />
Tramadol-<strong>Mepha</strong> ® 1<strong>00</strong> retard<br />
Depotabs ® 362 81 76 _______ OP 10 Depotabs ®<br />
362 81 82 _______ OP 30 Depotabs ®<br />
362 81 99 _______ OP 50 Depotabs ®<br />
Tramadol-<strong>Mepha</strong> ® 150 retard<br />
Depotabs ® 362 82 07 _______ OP 10 Depotabs ®<br />
362 82 13 _______ OP 30 Depotabs ®<br />
362 82 42 _______ OP 50 Depotabs ®<br />
Tramadol-<strong>Mepha</strong> ® 2<strong>00</strong> retard<br />
Depotabs ® 362 82 59 _______ OP 10 Depotabs ®<br />
362 82 71 _______ OP 30 Depotabs ®<br />
362 82 <strong>88</strong> _______ OP 50 Depotabs ®<br />
Tyarena ®<br />
Lactab ® 520 48 59 _______ OP 1 × 21 Lactab ®<br />
520 48 65 _______ OP 3 × 21 Lactab ®<br />
520 48 71 _______ OP 6 × 21 Lactab ®<br />
Neu<br />
7
<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat<br />
Uvamin<br />
<strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
® retard<br />
Kapseln 077 42 62 _______ OP 30 Kapseln<br />
Valacivir-<strong>Mepha</strong> ® 5<strong>00</strong> 523 71 26 _______ OP 10 Lactab ®<br />
Lactab ® 523 71 32 _______ OP 30 Lactab ®<br />
523 71 49 _______ OP 42 Lactab ®<br />
523 71 55 _______ OP 90 Lactab ®<br />
Valaciclovir-<strong>Mepha</strong> ® 1<strong>00</strong>0 459 71 76 _______ OP 21 Lactab ®<br />
Lactab ® 459 71 82 _______ OP 49 Lactab ®<br />
Valtan-<strong>Mepha</strong> ® 40<br />
Filmtabletten 495 89 93 _______ OP 28 Filmtabletten<br />
Valtan-<strong>Mepha</strong> ® 80 495 90 01 _______ OP 28 Filmtabletten<br />
Filmtabletten 495 90 18 _______ OP 98 Filmtabletten<br />
Valtan-<strong>Mepha</strong> ® 160 495 90 24 _______ OP 28 Filmtabletten<br />
Filmtabletten<br />
Venlafaxin-<strong>Mepha</strong><br />
495 90 30 _______ OP 98 Filmtabletten<br />
® 37.5<br />
Tabletten 389 41 33 _______ OP 30 Tabletten<br />
Venlafaxin-<strong>Mepha</strong> ® ER 75 389 41 56 _______ OP 14 Depocaps ®<br />
Depocaps ® 389 41 62 _______ OP 28 Depocaps ®<br />
389 41 79 _______ OP 98 Depocaps ®<br />
Venlafaxin-<strong>Mepha</strong> ® ER 150 389 41 85 _______ OP 14 Depocaps ®<br />
Depocaps ® 389 41 91 _______ OP 28 Depocaps ®<br />
389 42 16 _______ OP 98 Depocaps ®<br />
Verrukill ®<br />
Spraydose 417 85 39 _______ OP 1 Spraydose 50ml<br />
Vitamin E-<strong>Mepha</strong> ® 3<strong>00</strong> 162 58 02 _______ OP 30 Kapseln<br />
Kapseln 162 58 19 _______ OP 1<strong>00</strong> Kapseln<br />
Xenalon ® -50 094 38 71 _______ OP 20 Lactab ®<br />
Lactab ® 094 38 <strong>88</strong> _______ OP 50 Lactab ®<br />
Xenalon ® -1<strong>00</strong> 087 <strong>88</strong> 89 _______ OP 20 Lactab ®<br />
Lactab ® 089 56 81 _______ OP 50 Lactab ®<br />
Xylo-<strong>Mepha</strong> ® 0.05%<br />
Dosierspray für Kinder<br />
Xylo-<strong>Mepha</strong><br />
302 <strong>44</strong> 32 _______ OP 10 ml Dos.spray<br />
® 0.1%<br />
Dosierspray für Erwachsene 302 <strong>44</strong> 49 _______ OP 10 ml Dos.spray<br />
Zadorin ® -1<strong>00</strong><br />
Suscaps ® 087 47 85 _______ OP 8 Suscaps ®<br />
Zolpidem-<strong>Mepha</strong> ® 10<br />
Solubile 306 37 68 _______ OP 10 Brausetabl.<br />
Brausetabletten 306 37 74 _______ OP 30 Brausetabl.<br />
Zolpidem-<strong>Mepha</strong> ® 10 306 37 45 _______ OP 10 Lactab ®<br />
Lactab ® 306 37 51 _______ OP 30 Lactab ®<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
8
<strong>Mepha</strong> <strong>Pharma</strong> <strong>AG</strong><br />
<strong>Bestell</strong>formular<br />
<strong>Bestell</strong>-Telefon: <strong>08<strong>00</strong></strong> <strong>00</strong> 33 <strong>88</strong><br />
Präparat <strong>Pharma</strong>code Menge Präparat <strong>Pharma</strong>code Menge<br />
Cetirizin-Teva ® Tropfen 10mg/ml<br />
Tropfen 322 25 28 _______ OP 20 ml Tropfen<br />
Corotrend ® CR 40 182 66 99 _______ OP 30 Matrixtabletten<br />
Matrixtabletten 182 67 13 _______ OP 1<strong>00</strong> Matrixtabletten<br />
Diclofenac-Teva ® Lotion 455 19 26 _______ OP 50 Lotion Emulsion<br />
Emulsion 455 19 32 _______ OP 1<strong>00</strong> Lotion Emulsion<br />
Atropair ® Steri-Nebs ® 0.25mg<br />
Lösung 389 33 52 _______ OP 60 Lösung (1ml)<br />
Atropair ® Steri-Nebs ® 0.5mg<br />
Lösung 389 33 69 _______ OP 60 Lösung (2ml)<br />
Budenid ® Steri-Nebs ® 0.5mg<br />
Suspension<br />
Budenid<br />
460 65 50 _______ OP 20 Suspension (2ml)<br />
® Steri-Nebs ® 1mg<br />
Suspension 460 90 63 _______ OP 20 Suspension (2ml)<br />
Ipramol ® Steri-Nebs ® 0.5mg/2.5mg<br />
Lösung<br />
Nasofan<br />
502 70 67 _______ OP 60 Lösung(2.5ml)<br />
® 50µg<br />
Nasenspray<br />
Qvar<br />
408 59 38 _______ OP 1 Nasenspray<br />
® 1<strong>00</strong> Autohaler<br />
Dosier-Aerosol<br />
Salamol<br />
359 89 08 _______ OP 1 Dosier-Aerosol<br />
® 1<strong>00</strong> Autohaler<br />
Dosier-Aerosol 359 <strong>88</strong> 83 _______ OP 1 Dosier-Aerosol<br />
Co-Dorzolamid-Teva ® 2%/0.5%<br />
Augentropfen 482 79 20 _______ OP 5 Augentropfen<br />
Dorzolamid-Teva<br />
482 79 72 _______ OP 3x5 Augentropfen<br />
® 2%<br />
Augentropfen <strong>44</strong>6 01 29 _______ OP 5 Augentropfen<br />
<strong>44</strong>6 01 35 _______ OP 3x5 Augentropfen<br />
Levofloxacin-Teva ® 250 480 02 69 _______ OP 5 Filmtabletten<br />
Filmtabletten 480 02 98 _______ OP 10 Filmtabletten<br />
Levofloxacin-Teva ® 5<strong>00</strong> 480 03 06 _______ OP 5 Filmtabletten<br />
Filmtabletten 480 03 29 _______ OP 7 Filmtabletten<br />
Oceral<br />
480 03 58 _______ OP 10 Filmtabletten<br />
® Crème<br />
Crème<br />
Oceral<br />
97 18 15 _______ OP 30 g Crème<br />
® 6<strong>00</strong><br />
Vaginaltablette<br />
Lamivudin-Teva<br />
115 16 98 _______ OP 1 Vaginaltablette<br />
® 150<br />
Filmtabletten<br />
Lamivudin-Teva<br />
497 94 23 _______ OP 60 Filmtabletten<br />
® 3<strong>00</strong><br />
Filmtabletten 497 94 46 _______ OP 30 Filmtabletten<br />
<strong>Bestell</strong>-<strong>Fax</strong> <strong>08<strong>00</strong></strong> <strong>00</strong> <strong>44</strong> <strong>88</strong><br />
Express (CHF 15.–)<br />
18355-321202<br />
Datum<br />
Unterschrift<br />
Stempel/Adresse<br />
02 /12 August<br />
Dornacherstr. 114<br />
Postfach <strong>44</strong>5<br />
4147 Aesch<br />
www.mepha.ch<br />
9