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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<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

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