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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 />

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

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