Anexa nr.1 la Ordinul nr. 830 din 22.12.2011

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87 mg7. 2200060132 Depakine®Chrono 500mgcomp. elib.prel. 333 mg+ 145 mg8. 300890035 Essentiale® N sol. inj. 250m9. 1300420284 Flagyl® 250 comp. film.mg250 mg10. 900160028 Lantus® 100 sol. inj. înU/mlcartuş 100Unităţi/ml11. 200180029 Lokren® 20 comp. film.mg12. 100250141 Maalox®comprimatemasticabile13. 100250174 Maaalox®suspensie orală20 mgcomp.masticab.400 mg +400 mgsusp. orală4 g + 3,5g/100 mlN305 ml N5N10x23 ml N5N14x2N10x4250 mlN151,613,19 euro98,68 6,10 euro30,41 1,88 euro716,83 44,31 euro55,17 3,41 euro32,36 2,00 euro30,74 1,90 euro14. 1300020101 Magne B6 sol. orală 10 mlN10 40,44 2,50 euro15. 1300030043 Magne-B6 comp. film. N15x2Premium 80 mg71,83 4,44 euro16. 1600140770 No-spalgin® comp. 500 N6x2mg + 40 mg+ 8 mg32,36 2,00 euro17. 800230014 Plaquenil® comp. film.200 mg18. 304950043 Plavix® comp. film.75 mg 75 mg19. 1900270029 Rovamycine® comp. film.1,5 Mil.UI 1,5 Mil.UI20. 109300016 Solian® 200 comp. diviz.mg200 mg21. 109300027 Solian® 400 comp. film.mg400 mg22. 2600100038 Stilnox® comp. film.10 mg23. 100320026 Xatral® SR 10 comp. elib.mgprel. 10 mgN10x6N28N8x2N10x3N10x3N10N10x392,86 5,74 euro300,90 18,60 euro36,72 2,27 euro299,93 18,54 euro307,21 18,99 euro15,53 0,96 euro148,02 9,15 euro„ZENTIVA” A.S.nr.d/o1.2.CodulmedicamentuluiDenumireaprodusului1600250198 Agapurin107860127 Agen® 10FormafarmaceuticăForma deambalarePreţproducătorlei (fără TVA)Preţacceptatde M.Scomp. film.100 mg N60 27,34 1.69 eurocomp. 10mg N10x3 45,62 2.82 euro
3. 107860150 Agen® 5 comp. 5 mg N10x3 25,40 1.57 euro4.307140256Algifen soluţieinjectabilă sol. inj. 5 ml N5 25,24 1.56 euro5.100520066 Amitriptylincomp. film.25 mg N10x5 19,74 1.22 euro6.100090301Antinevralgic® Pcomp. 250mg + 150mg + 20 mg N10 10,19 0.63 euro7.Antinevralgic® Pcomp. 250mg + 150mg + 20 mg N10x2 22,65 1.40 euro1000903128.comp. 12,5300170308 Atram 12,5 mg N30 32,52 2.01 euro9.comp. 25300170319 Atram 25 mg N10x3 51,77 3.20 euro10.comp. 6,25300170294 Atram 6,25 mg N30 19,90 1.23 euro11.pic. orale,200350376 Bronchosan sol. 25 ml N1 16,18 1.00 euro12.comp. vag.300810381 Clotrimazol 100 mg N6x2 19,41 1.20 euro13.comp. film.200300164 Coronal 10 10 mg N10x3 38,66 2.39 euro14.comp. film.200300197 Coronal 5 5 mg N10x3 19,25 1.19 euro15.Dipiridamol comp. film.400350143 Zentiva 25 mg 25 mg N10x3 16,18 1.00 euro16. 300895247 Distonocalm comp. film. N10x3 14,56 0.90 euro17.comp. 202200040222 Extraveral® mg + 80 mg N10x2 13,91 0.86 euro18.Fenobarbital comp. 1001600340075 100 mg mg N25 10,84 0.67 euro19.comp. film.50 mg +1207400048 Lozap plus 12,5 mg N10x3 55,65 3.44 euro20.comp. film.1200340202 Lozap® 100 100 mg N10x3 94,48 5.84 euro21.comp. film.1200340235 Lozap® 12,5 12,5 mg N10x3 41,41 2.56 euro22.comp. film.905810018 Modafen200 mg + 30mg N12 25,24 1.56 euro23. 1500180014 Myfungar® cremă1% 30 g N1 35,91 2.22 euro24.25.26.27.1400350162Nitroglicerină0,5 mg1500020233 Ofloxin606150097 PenesterPentoxifilinaSR1600250372 Zentivacomp.subling. 0,5mg N10x2 9,54 0.59 eurocomp. film.400 mg N10 64,71 4.00 eurocomp. film.5 mg N15x2 168,25 10.40 eurocomp. film.elib. prel.400 mg N10x2 25,24 1.56 euro
Page 4 and 5: nr.d/oCodulmedicamentului„Scherin
Page 6 and 7: 12. 1500040383 Olit 20 caps. N10x10
Page 8 and 9: nr.d/oCodulmedicamentuluiDenumireap
Page 12 and 13: 400 mg28.Pentoxifilina1600250408SRZ
Page 14 and 15: 63. 2000460013 Mydocalm® sol. inj.

Anexa nr.1 la Ordinul nr. 830 din 22.12.2011

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